Page 24 - Hello Philippines January 2016 'B' issue
P. 24

HEALTH and Lifestyle food                                                                      January 2016 / Fortnightly – No. 2 • UK & Europe Edition
Five lifestyle tips for a healthy tummy24 www.hello-philippines.com
   DIGESTIVE problems and
stomach upsets can be prevented,          unhappy. It also helps your digestion if   out in front of the TV with a takeaway           Lose excess weight. If you’re       system, but binge drinking increases
relieved and even banished by simple      you avoid arguing at the dinner table,     in the evenings. But eating this way can      overweight, your tummy fat puts        acid production in your stomach and
lifestyle changes.                        as getting angry can put you off your      play havoc with our digestive system.         pressure on your stomach and           can cause heartburn and aggravate
                                          food or make eating harder. Try to                                                       can cause heartburn. Shedding          other digestive disorders, warns Dr
   Beat stress. You may have noticed      keep mealtimes happy and relaxed.             Following some basic rules can             some pounds may relieve digestive      Anton Emmanuel.
a feeling of unease in your stomach                                                  prevent problems:                             symptoms such as heartburn
during times of stress. That’s because       Stop smoking. Smoking can weaken                                                      and other acid-related stomach            Binge drinking is defined as
anxiety and worry can upset the           the muscle that controls the lower            • Don’t rush your food. Take the           complaints.                            drinking eight or more units of
delicate balance of digestion. In some    end of the oesophagus (gullet) and         time to eat slowly. Try putting your fork                                            alcohol in one session for men, and
people it slows down digestion, causing   allow acid from the stomach to travel      down between bites and chew each                 Don’t binge drink. Moderate         drinking more than six units in one
bloating, pain and constipation, while    in the wrong direction back up the         mouthful well.                                drinking won’t hurt your digestive     session for women. n NHS Choices
in others it speeds it up causing         oesophagus, a process known as
diarrhoea and frequent trips to the       reflux. Reflux causes the symptoms of         • Don’t overeat. Reduce the size
loo. Some people lose their appetite      heartburn (a burning sensation in the      of your portions at mealtimes, or try
completely.                               chest) and can bring on or aggravate       eating four to five small meals instead
                                          peptic ulcers and inflammatory             of three large ones.
   Stress can also worsen digestive       conditions of the bowel. Smoking
conditions like peptic ulcers (on         is also an important risk factor for          • Eat regularly and try not to skip
the inside lining of the stomach or       stomach cancer.                            meals.
small intestine) and irritable bowel
syndrome.                                    Eat properly. It is very easy to spend     • Avoid eating a big meal just before
                                          our working lives eating on the move       you go to bed. Eat your last meal at least
   One solution is to avoid eating when   or at our desks, gulping down food         two to three hours before lying down.
you’re feeling very anxious, stressed or  between meetings and then crashing
                                                                                        • Make sure you have plenty to
                                                                                     drink. Try to have at least one and
                                                                                     a half litres (two and a half pints) of
                                                                                     liquid a day.

Should you cut out bread to stop bloating?
IS eating bread giving you bloating and “Probably one-third of patients in my diet. This is where you completely cut containing wheat shouldn’t harm your as soy sauce (see box).

other digestive symptoms? If so, you could allergy clinic complain of digestive out wheat from your diet for four weeks health, if you do it properly.                    Tummy-friendly breads. The good

be ‘sensitive’ to wheat. Cutting out bread symptoms such as bloating, diarrhoea, then bring it back in gradually to see if         Wheat is one of our staple foods and news is that you might not need to cut out

or changing the type you eat may help.    vomiting and stomach pain after eating symptoms reappear.                                lots of wheat products, such as breakfast bread completely.

It’s fashionable these days to give up bread,” says Isabel Skypala PhD, specialist   “When you bring wheat-based foods cereals, are fortified with vitamins and           Some people with wheat sensitivity

eating bread. More and more of us claim to allergy dietitian at the Royal Brompton back in, I recommend trying weetabix or minerals.                                      have no problems when they eat toast

suffer from wheat allergy so we shun bread and Harefield NHS Foundation Trust.       pasta first for a few days before starting    In the past there was a danger of (cooked wheat tends to be easier to

and other wheat-based foods.              She says allergy is unlikely to be the on bread. It’s better to start with wheat running short of essential nutrients like digest), sourdough bread, bread cooked

Genuine food allergy is in fact rarely to culprit, but bread-related symptoms are in a more pure form as bread has so many the B vitamins and iron, if you cut out with flour made from French wheat, or any

blame, say experts. But wheat sensitivity real and wheat could be to blame.          other ingredients,” Dr Skypala says.          wheat. But nowadays there’s a good range bread from a specialist bakery rather than

(also known as wheat intolerance)         “Some people find certain foods are        Is it wheat intolerance or sensitivity? of widely available wheat-free alternatives a supermarket.

or simply trouble digesting wheat is simply hard to digest and wheat appears If your symptoms return, it confirms that won’t compromise a balanced diet.                  “Bakeries in supermarkets use the

increasingly common.                      to be one of those,” she explains.         you’re sensitive to wheat and will also help  “There are great wheat substitutes that Chorleywood bread-making process,

Bread-related gut symptoms.               What to do if wheat triggers to show you which foods are especially you can buy off the supermarket shelf now. which cuts out the second rising to speed

                                          digestive symptoms. If your symptoms troublesome. Some people may only have Go for gluten-free bread and try other up the baking. People seem to have more

                                          are severe and long-lasting, especially problems with pasta, for example, while types of grains such as quinoa, corn and problems digesting supermarket breads,

                                          if you have blood in your stools (poo), others are fine until they eat bread.            rice,” says Dr Skypala. “Just make sure you so I’d always recommend avoiding store-

                                          vomiting or painful stomach cramps,        If you are sensitive to wheat, or you substitute other equally nutritious foods bought loaves,” says Dr Skypala.

                                          see your doctor to rule out a medical have trouble digesting it, the main way to for the wheat-based ones you’re cutting        The anti-bloat FODMAP diet. A

                                          condition.                                 relieve your symptoms is to embark on a out.”                                        specific type of wheat-free diet may help

                                          If you have bloating or other minor wheat-free or partially wheat-free diet.             Be sure to cut out all wheat from your certain people with wheat sensitivity.

                                          symptoms after eating bread, Dr Skypala    How to go on a wheat-free diet. diet. Some sources of wheat are obvious,             Designed originally for people with

                                          recommends that you try an elimination Cutting out bread and other foods such as bread, but others are less so, such irritable bowel syndrome, the FODMAP

                                                                                                                                                                          diet is now being recommended by

Beat the bloat                                                                                                                                                            dietitians to people who have problems
GET rid of bloating by cutting            • onions                                                                                                                        digesting wheat.

out fizzy drinks and foods that           • broccoli                                                                                                                         It’s not a catchy name but FODMAP
                                                                                                                                                                          stands for fermentable oligosaccharides,
cause wind. Sit down to eat and           • cabbage                                                                                                                       disaccharides, monosaccharides and
                                                                                                                                                                          polyols, which are types of carbohydrates
take regular exercise.                    • sprouts                                                                                                                       that aren’t easily broken down and
                                                                                                                                                                          absorbed by the gut.
Most of us have experienced               • cauliflower
                                                                                                                                                                             Essentially, the diet entails cutting out
the feeling of being bloated, when        But make sure you still eat five                                                                                                fermentable foods that can cause bacterial
                                                                                                                                                                          growth, leading to diarrhoea and bloating.
your tummy is stretched, puffy and portions of fruit and vegetables a day.                                                                                                That means cutting out wheat and other
                                          Constipation. If you get                                                                                                        fermentable foods such as onion, apple,
uncomfortable. It often happens                                                                                                                                           pears, mushrooms, honey, cabbage and
                                                                                                                                                                          sometimes milk.
after a big weekend or over a constipation, take steps to prevent it
                                                                                                                                                                             “The FODMAP diet has been hugely
festive season. But for some people, with a fibre-rich diet, drinking lots              • Your bowel doesn’t empty                 groups long-term without advice        successful for people with IBS. Because it
                                                                                     properly.                                     from your GP.                          excludes wheat, many people with wheat
bloating is more than an occasional of fluids and taking regular exercise.                                                                                                sensitivity may also find it helpful,” says Dr
                                                                                        • The food causes gas to be trapped.          Irritable bowel syndrome. People    Skypala.
inconvenience.                            Even a 20-30 minute brisk walk four           • Too much gas is produced as a            with irritable bowel syndrome often
                                                                                     reaction to the food.                         complain of bloating, especially          The FODMAP diet works best if it’s
If your stomach or tummy often times a week can improve your bowel                      The main offenders are wheat or            in the evening. The bloating of        coupled with special dietary advice from
                                                                                     gluten and dairy products. The best           IBS doesn’t seem to be linked with     a dietitian. There are FODMAP-trained
feels bloated, it could be due to:        function.                                  approach if you have a food intolerance       excess wind. It’s thought to be down   dietitians working in the NHS and privately.
   • excess wind                             Swallowing air. Try not to swallow      is to eat less of the culprit food or cut it  to erratic propulsion of contents      If you want to see an NHS dietitian, ask
                                                                                     out completely.                               through the bowel. It can help to cut  your GP or consultant to refer you. n NHS
• constipation                            too much air. Don’t talk and eat at           Keep a food diary for a couple of          down on fatty or high-fibre foods.
                                                                                     weeks, noting everything that you eat         Peppermint tea or capsules have        Choices
• swallowing air (from talking the same time, sit down to eat (sitting               and drink and when bloating troubles          also been reported to help ease IBS
                                                                                     you most. But don’t get rid of food           symptoms. n NHS Choices
while eating etc)                         upright and not slumped over),

• food intolerance                        reduce the amount of fizzy drinks you

• irritable bowel syndrome                consume, stop chewing gum and chew
Excess wind. Cut down on foods with your mouth closed so that you’re

known to cause wind and bloating, not taking in excess air.
                                          Food intolerance. Food intolerance
such as:

• beans                                   can lead to bloating when:
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