There are a number of foods in which I have witnessed in my private practice as well as personally to react negatively with Crohn's disease. The top culprits are usually dairy, gluten and eggs. It seems that the protein in dairy (casein), and the protein in wheat, rye and barley, (gluten) are the top 2 offenders.
How do you know if you are sensitive? You can complete a food diary for several weeks. Track down all of the foods you eat and then see how you feel immediately after you eat and then 2 hours later. Do you feel tired, bloated, irritable, or have stomach troubles? All can be a sign of food intolerance that can aggravate Crohn's disease. Food intolerance or IgG immune response can be tricky to detect, as these reactions are delayed hypersensitivity reactions that can manifest anywhere between 6-72 hours after an offensive food has been consumed. Blood tests are available to test for these types of food intolerances and can be quite helpful in tracking down the food that is troubling you. I find 90 percent of my clients with IBD have food intolerance, as it is increasingly common.
It should also be noted that milk was thought to contain MAP virus, which researchers felt could actually cause Crohn's, but the theory remains unproven as of this writing.
Finally, those with Crohn's should take care to watch their sugar intake, as sugar can contribute to inflammation, which of course is an issue with Crohn's. Caffeine has also been long known to affect the gastrointestinal tract as well as greasy, fried foods and pastries, cakes and other saturated fat containing desserts. Foods that are non-organic should also be avoided, especially meat, since they contain antibiotics that can disrupt the healthy balance of intestinal flora.
Padma Ram, MD
Specialty: Internal Medicine
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What foods can negatively affect my Crohn's disease?
Christie Korth, Nutrition & Dietetics, answered
There are a number of foods in which I have witnessed in my private practice as well as personally to react negatively with Crohn's disease. The top culprits are usually dairy, gluten and eggs. It seems that the protein in dairy (casein), and the protein in wheat, rye and barley, (gluten) are the top 2 offenders.Helpful? 1 person found this helpful.
How is Brugada syndrome diagnosed?
Physical exam: Although a physical exam will not lead directly to a diagnosis of Brugada syndrome, it is important to rule out other potential causes of symptoms, such as arrhythmia, which is abnormal electrical activity in the heart. In addition to a physical exam, a clinician should obtain a detailed drug history, because nongenetic forms of Brugada syndrome may be caused by use of certain drugs, such as those used to treat some forms of arrhythmia, angina (chest pain), high blood pressure, and depression and other mental illnesses. The genetic form of Brugada syndrome may be exacerbated by the use of these same drugs.
Electrocardiogram (ECG): A diagnosis of Brugada syndrome may be made after an electrocardiogram (ECG), which records the electrical activity of the heart. During an ECG, six small adhesive electrode pads are placed across the chest from the lower sternum (breastbone) to an area below the left armpit. Other pads will be placed on each of arm and leg. Insulated wires will connect each of these 10 pads to the ECG machine. Once these wires, called leads, are attached, the ECG records a few heartbeats on a single sheet of graph paper. Brugada syndrome is characterized by a distinctive ECG pattern with an elevated ST segment, which represents the period between the positive and negative charges of the heart cell's membrane, or J wave. The J wave is a deflection with a dome or hump configuration occurring at a certain point in an ECG. In the case of Brugada syndrome, this pattern occurs from the leads on the right side of the chest.
Genetic testing: If Brugada syndrome is suspected, a deoxyribonucleic acid (DNA) test may be performed to confirm a diagnosis. A sample of the patient's blood is taken and analyzed in a laboratory for the defect in the SCN5A gene. If this defect is detected, a positive diagnosis may be made. However, a negative result generally does not rule out causal gene mutations, and because the genetic cause of the remaining cases of Brugada syndrome are still under investigation, diagnosis should not be based solely on genetic testing.
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How is nephrotic syndrome diagnosed?
In addition to a medical history and physical exam, other tests to diagnose nephrotic syndrome include:
- A 24-hour urine collection, which measures the total amount of protein in the urine collected over 24 hours. You will be diagnosed with nephrotic syndrome if you have more than 3 grams of protein in your urine.
- Blood test for albumin. Lower levels of albumin in the blood can cause fluid to collect in the ankles, lungs or abdomen.
- Creatinine and creatinine clearance. Results of these tests give information on how well your kidneys are working.
- Blood profile tests to measure the amount of protein, cholesterol and sugar (glucose) in the blood.
- Kidney ultrasound to look at the kidneys. This exam can rule out other causes of your symptoms.
You may need other tests before treatment for nephrotic syndrome begins. These include:
- A test for varicella (chickenpox) antibodies.
- A bone density scan.
In adults, testing usually includes:
- Serum protein electrophoresis (SPEP).
- Antinuclear antibodies (ANA).
- Antibody tests for systemic lupus erythematosus.
- C3 and C4 complement, proteins normally found in the blood.
- Tests for hepatitis B, hepatitis C, and HIV.
Unless nephrotic syndrome is clearly caused by diabetes, a kidney biopsy is usually done to find the cause. Children do not usually have a biopsy.
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