Monday 29 August 2011

Tips for Reaping the Benefits of Whole Grains

Tips for Reaping the Benefits of Whole Grains


Eating more whole grains is an easy way to make your diet healthier. Whole grains are packed with nutrients including protein, fiber, B vitamins, antioxidants, and trace minerals (iron, zinc, copper, and magnesium). A diet rich in whole grains has been shown to reduce the risk of heart disease, type 2 diabetes, obesity, and some forms of cancer. Whole-grain diets can also improve bowel health by helping to maintain regular bowel movements and promote growth of healthy bacteria in the colon.

Yet the average American eats less than one serving per day, and over 40% never eat whole grains at all. Young adults get less than one serving daily.

Why? For one thing, it's not always easy to tell just which foods are whole-grain. Scan the bread, cereal or snack packaging, and virtually every one promotes its whole-grain goodness. But not all of them actually are whole-grain. Terms like "multigrain," "100% wheat," "cracked wheat," "organic," "pumpernickel," "bran," and "stone ground" may sound healthy, but none actually indicates the product is whole-grain.

Also, many people have the perception that whole grains just don't taste good, or that it's difficult to work them into their daily diets.

Know Your Whole Grains

A whole grain contains all edible parts of the grain, including the bran, germ, and endosperm. The whole grain may be used intact or recombined, as long as all components are present in natural proportions. To recognize whole grains, keep this list handy when you go to the supermarket and choose any of the following grains:
    Whole-grain corn
    Whole oats/oatmeal
    Popcorn
    Brown rice
    Whole rye
    Whole-grain barley
    Wild rice
    Buckwheat
    Triticale
    Bulgur (cracked wheat)
    Millet
    Quinoa
    Sorghum
    100% whole wheat flour

But what about when you're buying processed products, such as a loaf of bread? You probably know to avoid products made of "refined" wheat. But did you know that some manufacturers strip the outer layer of bran off the whole kernel of wheat, use the refined wheat flour, add in molasses to color it brown, and call it '100% wheat' bread? That's true -- but it is not a whole grain.

That's why it's important to check the ingredients list for the word "whole" preceding the grain (such as "whole wheat flour"). Ideally, the whole grain will be the first ingredient in the list, indicating that the product contains more whole grain than any other ingredient by weight.

The amount of grains you need daily varies based on your age, sex, and physical activity level, but to keep it simple; say whole grains should make up half of your grain intake.

Health Concerns and Functional Foods

Health Concerns and Functional Foods

One thousand randomly selected adults completed the IFIC’s online survey during March and April. The survey was designed to measure Americans’ knowledge about the health benefits of functional foods, whether or not such foods are part of their diet, and what barriers prevent them from eating them on a regular basis.

Ninety-five percent of the respondents believe that they have control over their own health. Nearly half said that heart disease was their most important health concern, followed by weight and cancer. And three-quarters of those who took the survey said that food plays the most important role in both maintaining and improving one’s overall health.

“Nine out of 10 people can name at least one food and its associated health benefits,” Elizabeth Rahavi, RD, associate director of health and wellness at the IFIC, told reporters. That’s up from just under eight out of 10 in 1998. “That’s a really exciting trend.”

For example, 85% of the people surveyed recognized that omega-3 fatty acids offer cardiovascular benefits. But of those who are aware of those benefits, less than half report that they get omega-3s.

There were similar findings for food components associated with overall health and well-being. While most of the respondents knew the value of protein and B vitamins, the survey reveals, only about half of those people make them a regular fixture at mealtimes. 
Berries to Eating Healthier Foods;

“People are still struggling to incorporate functional foods into their diets,” IFIC Senior Vice President of Nutrition and Food Safety Marianne Smith Edge, MS, RD, LD, FADA, said in a news briefing.

According to the survey, cost is the most important reason people give for not eating healthier foods, followed by taste, availability, and convenience.

In his San Francisco-based practice, dietitian Manuel Villacorta, RD, MS, CSSD, finds that the biggest barriers to getting functional foods on his clients’ plates are unfamiliarity with how to prepare them and a perception that they don’t have the time that it would take to shop for and cook them.

“They know what is good for you -- knowledge of the benefits is not the problem -- but they don’t know what to do with these foods,” says Villacorta. “And in our fast-paced culture, trying to find the time to shop for and cook healthy, functional foods can be really stressful.”

And while people today may be better versed in what’s good for you, those who do make a point to eat well often have not learned the importance of portion control. Even good-for-you foods, says Villacorta, have to be eaten in moderation.

“If something is healthy, they often think, ‘the more the better,’” he says. “I have clients who tell me they are eating brown rice, eating almonds, eating organic but still they are not losing weight. I tell them, you have to watch your portion size.”

Americans Aware of Functional Foods, Don't Eat Them Enough

 Americans Aware of Functional Foods, Don't Eat Them EnoughAmerican Diets Have Yet to Catch Up With Increased Awareness of Healthy Eating
  More Americans say they are aware of the health benefits of functional foods, but there has been no increase over the past five years in the number of people who are eating them on a regular basis, according to a new survey from the International Food Information Council .
Functional foods are foods that may provide health benefits beyond basic nutrition. Examples include fish such as salmon, which are rich in heart-protective omega-3 fatty acids, and whole grains, which help maintain digestive health while potentially lowering the risk of colorectal cancer. Berries, dark green leafy vegetables like spinach and kale, and other colorful fruits and vegetables also are considered functional foods.

Saturday 20 August 2011

Fibromyalgia and Exercise

Fibromyalgia and Exercise
Because fibromyalgia can cause widespread pain throughout the body, many people who suffer aching, painful symptoms avoid exercise like the plague. It may start with avoiding strenuous exercise, but eventually, many patients fear doing any kind of exercise whatsoever. Unfortunately, this can perpetuate the problem because lack of exercise can create more problems in the body's circulatory and respiratory system. Although strenuous exercise may feel like it exacerbates your symptoms at first, you'll find that targeted exercise can actually relieve and rejuvenate your body giving you significant fibromyalgia relief.


At FMS Health Clinic, we have a great team of physical and exercise therapists who design fibromyalgia exercises that are easy for beginners and for people who aren't in the best physical health. By starting with simpler routines and workouts, and moving up over time can really boost your mood, your anxiety, and even make your forget about fibromyalgia disability. Initial workouts target your cardiovascular blood flow and increase your general fitness level. As your strength increases, your program can intensify, building muscle, endurance, and flexibility. Our workout treatments are not only medical in benefit, they are a lot of fun! We incorporate lots of styles in exercise for fibromyalgia. We guarantee you'll notice a difference in a matter of no time. Try our programs for dancing, massage therapy, even yoga for fibromyalgia relief. Get moving again and put the pain behind you!
Diet for Fibromyalgia

 In addition to boosting your overall health and alleviating your symptoms with exercise, choosing the right fibromyalgia diet can significantly impact how you feel. Because of the variation of symptoms from patient to patient, it's difficult for doctors to describe a one size fits all diet for FMS. The right diet for you, may not work for the next patient. It's important to take note about whether certain foods can affect certain symptoms in your body. However, most experts agree on certain foods that make symptoms worse.

Below are listed some foods you should cut out of your diet:

* Aspartame (aka Nutrasweet)
 Using aspartame can make some fibromyalgia symptoms worse in patients. The chemicals in aspartame can stimulate certain pain receptors in the brain, which are already overstimulated in a person with fibromyalgia. Removing this sweetener from your diet, can make life a little sweeter for you.
* Food Additives
 Things like MSG (found in many Asian cuisines) and nitrates (typically found in some lunchmeats) are added to increase flavor, but like aspartame, can stimulate certain pain receptors in the brain. It can help reduce your symptoms if you cut these out of your diet.
* Simple carbs and sugar
 Avoiding things like cake, cookies, and other sweets can help you to deal with your fatigue symptoms that come from fibromyalgia. Experts say that binging on sugary goods can spike your blood sugar and results in loss of energy shortly afterwards, followed by more sugar cravings. If you want more energy and a healthier sleeping pattern, consider giving sugars the boot.
* Caffeine
 Like sugar, taking caffeine (from coffee, tea, soda, chocolate, etc) can give you that quick burst of energy, but it won't relieve any long term fatigue symptoms, and in fact will make them worse. Some patients have seen effects on their fatigue within a week of giving up caffeine.
* Dairy
 Some experts believe that most forms of dairy can make fibromyalgia symptoms flare up, however some disagree about whether losing the calcium is worth it. We recommend sticking with fat free milk as the safest choice.
* Gluten and yeast
 These two products often are used together in bakery items and both can have an impact on your FMS symptoms. Yeast, which stimulates yeast fungus in the body, can result in more severe joint and muscle pain. Gluten, particularly in those with gluten intolerance issues, can increase symptoms of tiredness and fatigue.

Treatment of Fibromyalgia

Treatment of Fibromyalgia

At FMS Health Clinic, we are dedicated to pursuing and practicing the best possible treatment methods to for fibromyalgia relief. At our clinic, you'll find the most avante guard and effective treatments to be found anywhere in the nation. Our wonderful team of doctors and fibromyalgia help specialists are highly trained to give you the best care and develop a treatment plan just for you. Symptoms of FMS can vary severely from patient to patient, which is why we believe it is so important to have a personal experience at FMS Health Clinic. We don't believe in any "one treatment answers", we know that every patient needs something specially determined for the symptoms that trouble them the most. There are no cures for fibromyalgia, but with well applied treatments, you can put pain behind you and get back to your life.

Our clinic offers both daily, weekly, and residential treatments to fit your lifestyle. You can come as often as you need to to receive fibromyalgia treatments, depending on your lifestyle and the severity of your pain or other symptoms. For severely affected patients, you can try our residential treatment and stay at our beautiful treatment clinic while working on getting your symptoms under control in an aggressive treatment plan.
Medications and Fibromyalgia Pain Relief

Your doctors might recommend different kinds of pain killers to relieve the pain associated with FMS. Your doctor will make an assessment of the type of pain you suffer, trigger points, deep muscle pain, and how it feels and prescribe a pain-killing med for you. It may take some experimentation to find the right kind of pain killer for your symptoms, because fibromyalgia affects every patient differently. Sometimes all it takes is a low-dose over the counter medication like Tylenol to treat pain symptoms. However, most types of Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or Aleve, have not been reported show any affect on fibromyalgia pain. However, when safely combined with other medications, patients do report pain symptoms easing up. Have patience as you and your health care provider find the best treatment plan for you and which medication can help ease your flare ups.

Since depression and anxiety disorders often coexist with fibromyalgia syndrome, it's extremely common for doctors to prescribe certain antidepressant medications as the first line of defense. Antidepressant medications can boost a patients mood and help to relieve both depression and fibromyalgia symptoms, such as pain, anxiety, and sleep disorders. Your doctor may also prescribe sleeping pills or other tranquilizing medications if fatigue or sleep issues are the plaguing symptom of your FMS. Knowing your symptoms and what ails you the most will significantly aid your doctor in discovering and developing the best treatment for you quickly.

There are some medications that have been specifically developed to treat the unique and strange symptoms of fibromyalgia. Cymbalta is an FDA approved drug designed to treat symptoms directly related to FMS and is classified as an antidepressant. Although the drug itself is not understood completely, it works by boosting serotonin and norepinephrine levels in the brain which is proven to be successful in relieving FMS symptoms. Lyrica, which is not an antidepressant, is also an FDA approved drug for treating fibromyalgia, works by decreasing nerve signals and stopping people from experience nerve pain.
Natural Cures for Fibromyalgia

As we mentioned before, there are no known cures for fibromyalgia, but there are a number of fibromyalgia natural treatment options to relieve your symptoms. Some people believe that certain herbs or supplements can help relieve symptoms. At FMS Health Clinic we do have natural health advisers who can you more information and advice about what kind natural treatments you can try.

Physical, diet, and exercise therapy are also excellent treatments for Fibromyalgia symptoms

Fibromyalgia Symptoms

Fibromyalgia Symptoms

Symptoms of fibromyalgia can vary greatly and be somewhat difficult to recognize, which is one reason why the condition is so hard to diagnose. If you find it difficult to describe your symptoms don't be surprised. Signs of fibromyalgia can hit all across the board and can appear very similar to signs and complaints of other illnesses. Many patients report vastly different symptoms fibromyalgia causes from one person to the next. Some people experience many problems, like pain, fatigue, aching joints and shooting pains, and other people only experience one very intense symptom, like an overwhelming exhaustion. It can be frustrating to not know the cause of your pain, fatigue or mental struggles.

At FMS Health Clinic, our medical specialists are experienced and expertly trained at recognizing symptoms of fibromyalgia in patients. While there is not blood test to diagnose the condition, there are a number of physical exams which can tell doctors about your FMS

The most common FMS symptoms include:
 * Widespread pain in the body
 * Anxiety
 * Headaches
 * Fatigue
 * Irritable bowel syndrome
 * Depression
 * Tender Points
 * Sleep disorders
 * Problems with urination
 * Painful menstrual periods
 * Swelling or numbness in the body
 * Tingling or pins and needles feeling in the skin
 * Concentration or memory difficulties ("Fibro Fog")
 * Morning stiffness
 * Muscle twitches or spasms
Pain

 Pain is the most common complaint associated with fibromyalgia is usually the tipping factor that causes patients to seek treatment. Most people complain about a widespread pain, which means it affects both sides of the body, above and below the waist. Patients describe the pain as feeling sharp, deep, throbbing, or aching originating in joints, muscles and tendons throughout the body. Some patients describe the pain as coming in waves, flaring up and then fading down without warning. The pain is described as very similar to arthritic pain, except that there is no actual deterioration or damage to the joints in an FMS patient.
Tender Points

Not only do patients suffer deep, general muscle pain and soreness, but they also get what are referred to as tender points. Tender points are specific spots on the skin, usually surrounding a joint, that is painful or tender when pressure is applied. The pain experienced at a tender point is not a deep, aching pain, but a shallow, superficial pain right below the skin. These points typically appear in a recognized pattern of 18 points in fibromyalgia patients and doctors can use tender points as a helpful way to diagnose fibromyalgia in a patient. Most experts consider anyone exhibiting pain in 11 or more tender points to have FMS. It should be noted that when tender points are pressed on a healthy person's skin, there is no reaction, but in a FMS patient, the pressure can be unbearably painful.
Fatigue

Next to deep tissue pain and localized tender points, fatigue is the other biggest complaint from patients. This kind of fatigue can be a severe exhaustion when there hasn't been any activity or noticeable cause to warrant feeling tired. Some patients report sleeping well for 8 hours and wake up with no energy for the rest of the day. The feeling can be lingering for days or for weeks, and can feel similar to aching tiredness caused by the flu. Fatigue can make you feel too tired to work, do everyday activities, and even too tired to participate in activities that you usually love.
Track your symptoms

 Because there is such a wide variation of symptoms experienced in fibromyalgia patients, the more information you can give your doctors about your affliction, the better treatment they can provide you with. At the FMS Health Clinic, we recommend patients to keep a symptoms journal to note what kind of ailments they experience, the intensity, and the duration of each one. For example, describing the location of the pain (hands, arms, joints, muscles), what it feels like (sharp, dull, throbbing, aching), the intensity (mild, severe, unbearable) and how long the episode lasts (minutes, hours, days). Providing your doctor with the most accurate descriptions can greatly increase the accuracy of treatment and relief.

Fibromyalgia Causes

Fibromyalgia Causes

What causes fibromyalgia is a question that has been pondered and discussed by many groups in the medical community, but so far, no consensus has been reached about the exact cause of fibromyalgia. There are a number of theories that are circulating that have gained support in some communities and are supported by studies, however, there is nothing ultimately conclusive available as of now. Theories speculating on genetic influence, hormonal or chemical imbalances, trauma, or extreme stress are popular in discussion. Most experts agree that living with fibromyalgia is the result of a combination of triggers and preexisting conditions, rather than a singular cause. Because the cause is indeterminable, there is no fibromyalgia test to discern whether or not a person has contracted the condition. Below are some of the theories with most support for the causes of fibromyalgia.
Serotonin and Hormones

Some studies have researched the relationship between serotonin (a neurotransmitter in the brain) and the way your body experiences pain. They've shown that low levels of serotonin can make your body more sensitive to feeling pain and lower the resistance your body usually exhibits toward pain. Additionally, researchers have linked poorly performing endorphins in the body to the reduced ability to resist or fight pain well, and an increased amount of substance P. Substance P is a chemical which makes pain signals stronger.

Women, who are more likely to suffer from fibromyalgia than men, have 7 times less serotonin in the brain than men do, which supports this theory. Hormonal changes in women, particularly during menopause and menstruation periods are also thought to have some connection with serotonin and fibromyalgia pain. Other people who have had serious experiences with hormonal imbalances or natural hormonal surges have complained of similar symptoms to fibromyalgia, leading researchers to believe there is a closer link.
Trauma

Some studies show that this chemical imbalance concerning serotonin and substance P, that increases the body's reception of pain, can be caused by traumatic events or injuries. More than 50% of patients who have fibromyalgia pain have reported experiencing a traumatic incident either immediately before the onset of their symptoms or sometime in the past, usually a car accident or a death of a loved one. Although there isn't any concrete evidence of the connection between trauma and FMS symptoms, trauma seems to be a common connection among patients and may eventually be discovered as a contributing factor.
Genetics

Similar to other diseases, it's quite possible that there is a hereditary link and that fibromyalgia information is passed from parent to child in the genes. Scientists believe that some genes can affect how the body processes pain and pain stimuli, and that those particular genes are likely to be passed on in DNA. Although specific genes that might cause the symptoms seen in FMS haven't been identified, research in this area is continuing to be carried out, and there may be more information about this cause in the future.
Stress and Physical Conditions

Another likely factor in FMS development is the physical condition a person is in and how much stress is in their life. People in generally poor health conditions or poor physical conditions are more likely to experience the mysterious pains of FMS. Also, if there is an inordinate amount stress, caused either by a traumatic incident or by something like a highly demanding job, symptoms are more likely to flare up. Although it's unlikely that this is a direct cause of FMS, it certainly doesn't help the condition in any way. That's why some of the best treatments for symptoms include exercise and and relaxation therapy to help reduce pain and anxiety.

Pains in your body(Fibromyalgia)

Are you feeling mysterious pains in your body, but you can't figure what is causing it? Do you feel exhausted after getting a full night's sleep? Have you been to see doctors or other specialists only to be told that there is nothing wrong with you? If you've suffered this way, not knowing why you are feeling like this, you aren't alone, and there is an answer out there. You may be suffering from fibromyalgia syndrome (FMS). If you've never heard of fibromyalgia, don't be alarmed. FMS Health Clinic is here to help you understand and treat this condition.
What is Fibromyalgia?

Fibromyalgia syndrome is a common arthritis-related chronic illness characterized by extremely painful or tender areas on the skin or joints and by feelings of severe fatigue, which affects millions of people in American and around the world. The symptoms of fibromyalgia disability can cause major discomfort in everyday living or activities, and even disrupt a person's mental state. Depression is a commonly found in people who suffer from fibromyalgia.

Until recently, fibromyalgia syndrome was relatively unknown in scientific and medical circles, and many people couldn't explain the troublesome symptoms they were experiencing. Currently, more research is being done and light is being shed on the causes behind this syndrome and how it is that people develop it. While it remains a somewhat mysterious condition, more and more is being learned about it every day. Fibromyalgia diagnosis is still somewhat challenging, as there is no blood test to determine whether you have it or not, but there are standardized practices in physical examination and ruling out other disease possibilities.

At the FMS Health Clinic, we are passionate about the research behind the frustrating symptoms of FMS. We know how difficult it is to deal with this real and debilitating pain and how frustrating it can be to go undiagnosed- wondering why you are feeling these awful symptoms. Our clinic offers patients the best education about what is known about fibromyalgia, why they are experiencing it, and what they can do about it.

Experiencing fibromyalgia can be different for everyone. People experience different symptoms with different intensity, which is one reason why fibromyalgia diagnosis can be so challenging. Together with our health care providers and fibromyalgia specialists, patients will create a personalized treatment plan to address their specific symptomatic difficulties. Because of this, it is important for patients to keep track of their symptoms and let their doctors know exactly what kind of pain or fatigue, or other problem they feel and how often they feel it. If you think you might have fibromyalgia, start taking notes about your symptoms.

Wednesday 17 August 2011

Primary sclerosing cholangitis (PSC)

Primary Sclerosing Cholangitis
 Primary sclerosing cholangitis (PSC) is a chronic (lasting years and decades), progressive (worsening over time) disease of the bile ducts that channel bile from the liver into the intestines.

The liver performs many functions; one of them is manufacturing bile. Bile is a watery liquid made by the cells of the liver that is important for digesting food in the intestine, particularly fat, and ridding the body of toxins. Liver cells secrete the bile they make into small canals within the liver. The bile flows through the canals and into larger collecting canals (ducts) within the liver (the intrahepatic bile ducts). The bile then flows within the intrahepatic bile ducts out of the liver and into the extrahepatic bile ducts. From the extrahepatic bile ducts, the bile flows into the intestine where the bile mixes with food.

In primary sclerosing cholangitis, the intrahepatic and extrahepatic bile ducts become inflamed, scarred and thickened (sclerotic), narrowed, and finally obstructed. Obstruction of the ducts can lead to abdominal pain, itching, jaundice, infection in the bile ducts (cholangitis), and liver scarring that leads to liver cirrhosis and liver failure.

How common is primary sclerosing cholangitis?

Primary sclerosing cholangitis is a rare disease with an estimated prevalence in the United States of 6 per 100,000 people. It is more common in men then in women; approximately 70% of primary sclerosing cholangitis patients are men. The mean age at diagnosis of primary sclerosing cholangitis is around 40 years of age.

There is a strong association between primary sclerosing cholangitis and chronic ulcerative colitis. Primary sclerosing cholangitis can also occur alone or in association with Crohn's disease, a disease of the intestines that is related to ulcerative colitis.
What causes primary sclerosing cholangitis?


The cause of primary sclerosing cholangitis is not known. A small subset (approximately 10%) of primary sclerosing cholangitis patients has a rapidly progressive form of the disease with early onset of abdominal pain, fever, and itching that responds dramatically to treatment with corticosteroids. Since corticosteroids (such as prednisone) are medications for treating immune diseases such as ulcerative colitis, Crohn's disease, and systemic lupus erythematosus, this small subset of primary sclerosing cholangitis patients are believed to have an immune disorder causing their primary sclerosing cholangitis.

What are the symptoms of primary sclerosing cholangitis?

Most patients with early primary sclerosing cholangitis have no symptoms, and the presence of primary sclerosing cholangitis is recognized only because of abnormally elevated blood levels of liver enzymes (particularly alkaline phosphatase levels) that often are performed along with a routine physical examination.

Early symptoms of primary sclerosing cholangitis include fatigue and bodily itching (pruritus). As the disease progresses, patients may develop jaundice (yellowing of skin and darkening of urine). Jaundice is due to the accumulation of bilirubin in the body. The bilirubin accumulates because it is not able to be eliminated in the bile due to prolonged obstruction of the bile ducts. The accumulation of bilirubin turns the skin and whites of the eye (sclera) yellow. The reason for the pruritus is not entirely known. It may be due to accumulation of bile salts in the body, also as a result of obstruction of the bile ducts.

As primary sclerosing cholangitis progresses, patients typically develop right upper abdominal pain, fever, fatigue, pruritus, and jaundice. These patients also are at risk of developing primary sclerosing cholangitis complications.

The patients with the autoimmune form of primary sclerosing cholangitis have more rapid and early onset of symptoms of abdominal pain, jaundice and fever than the majority of patients with the more indolent form of primary sclerosing cholangitis.
What are the complications of primary sclerosing cholangitis?


Cirrhosis

As primary sclerosing cholangitis progresses, the disease causes cirrhosis of the liver (irreversible scarring of the liver) and liver failure; leading to the consideration of liver transplantation. Primary sclerosing cholangitis is, in fact, one of the more common reasons for liver transplantation. Patients with advanced cirrhosis may develop frequent infections, fluid in the ankles and the abdomen (ascites), internal bleeding from rupture of esophageal varices, and mental confusion with progression to coma (hepatic encephalopathy).

Cholangitis

The narrowing of the bile ducts predisposes the bile to bacterial infection (cholangitis). Cholangitis is a serious and potentially life-threatening infection with fever, shaking chills (rigors), jaundice, and upper abdominal pain. Cholangitis can result in bacterial infection spreading to the blood stream (a condition called sepsis). Sepsis can cause damage to kidneys and lungs and even cause shock.

Cholangiocarcinoma

Cholangiocarcinoma (cancer of the bile ducts) is more common among patients with primary sclerosing cholangitis. An estimated 9%-15% of patients with primary sclerosing cholangitis will develop cholangiocarcinoma, a very lethal type of cancer. Patients at highest risks for developing cholangiocarcinoma are primary sclerosing cholangitis patients with cirrhosis who also have long-standing ulcerative colitis.

Colon cancer

Long-standing chronic ulcerative colitis alone is a risk factor for colon cancer. Patients with both primary sclerosing cholangitis and ulcerative colitis have an even higher risk for developing colon cancer than patients with ulcerative colitis alone.
How is the diagnosis of primary sclerosing cholangitis made?


The diagnosis of primary sclerosing cholangitis is suspected from the symptoms (such as fatigue, itching, and jaundice) and abnormal laboratory tests (such as abnormally elevated blood levels of alkaline phosphatase and other liver enzymes); and is confirmed by demonstration of abnormally thickened bile ducts using special radiological tests. It is also important to exclude other diseases that can mimic primary sclerosing cholangitis. These diseases include primary biliary cirrhosis (PBC), gallstones in the bile ducts, bile duct cancers and strictures.

Blood tests

The blood level of alkaline phosphates is usually elevated in primary sclerosing cholangitis. The blood levels of other liver enzymes (AST and ALT) may also be mildly elevated. Except in those patients with the autoimmune form of primary sclerosing cholangitis, the bilirubin usually is normal but gradually increases as the disease progress. Antimitochondrial antibody (AMA), which is elevated in patients with PBC, is usually normal in patients with primary sclerosing cholangitis.

Radiologic tests

Endoscopic retrograde cholangio-pancreatography (ERCP) and magnetic resonance cholangio-pancreatography (MRCP) are commonly performed to visualize the intrahepatic and extrahepatic ducts. These ducts are typically normal in appearance in patients with PBC, but in primary sclerosing cholangitis patients, these ducts have a beaded appearance (multiple narrowings along the ducts with areas of widening in between).

MRCP is noninvasive and safe. ERCP is more invasive and carries a 5%-6% chance of causing an attack of acute pancreatitis. However, ERCP has the advantage of obtaining cell samples (a process called brush cytology) from the bile ducts. Brush cytology is not very accurate, but sometimes can help to diagnose cholangiocarcinoma. Also, during ERCP, doctor can also insert balloons and stents across major areas of narrowing (dominant strictures) to relieve obstruction and treat infection.

Colonoscopy

Patients with primary sclerosing cholangitis have a high likelihood of also having ulcerative colitis, and, as mentioned previously, patients with primary sclerosing cholangitis and ulcerative colitis have higher risks of developing colon cancer. Thus, colonoscopy is important to both diagnose ulcerative colitis and for early detection of cancer or precancerous conditions.
How is primary sclerosing cholangitis treated?


The treatment of primary sclerosing cholangitis includes:
cholestyramine (Questran) or rifampin (Rifadin) to diminish itching

Antibiotics for infection, specifically cholangitis

Vitamin D and calcium to prevent bone loss (osteoporosis)

Medications such as ursodiol (UDCA) to retard the progression of primary sclerosing cholangitis

ERCP with balloon dilatation and/or stenting (a procedure in which the bile ducts are stretched open) for primary sclerosing cholangitis patients with dominant extra-hepatic duct strictures

Liver transplantation for patients with advanced cirrhosis

Medications

Many medications [such as ursodiol (UDCA), prednisone, methotrexate (Rheumatrex, Trexall), colchicine, 6-mercaptopurine, tacrolimus (Prograf), cyclosporine (Neoral, Gengraf)] have been studied to treat primary sclerosing cholangitis. Except in the case of prednisone for autoimmune form of primary sclerosing cholangitis, none of the other medications have shown a consistent benefit on survival or decreased need for liver transplantation.

UDCA

Ursodiol (UDCA) is a bile acid that is given orally and replaces other bile acids in the body. UDCA is believed to protect against damaging effects of other bile acids on the liver cells and also induce formation of antioxidants. UDCA is the most extensively studied medication for primary sclerosing cholangitis. At standard doses (15 mg/kg/day), it has been shown to improve fatigue, and improve blood levels of liver enzymes in patients with primary sclerosing cholangitis. In higher doses (20-30 mg/kg/day) UDCA has been shown to improve blood liver enzymes, decrease bile duct inflammation, and decrease liver scarring. However, there is still no conclusive evidence that UDCA actually prolongs life or decreases the need for liver transplantation in primary sclerosing cholangitis patients. Doctors are currently awaiting the results of a multi-center, placebo controlled trial of high dose UDCA in primary sclerosing cholangitis.

Meanwhile, most doctors are treating primary sclerosing cholangitis patients with high dose UDCA (20-30 mg/kg/day) since UDCA is safe and well tolerated, and it may improve bile duct disease and retard the development of liver cirrhosis. Moreover, at least one study showed that UDCA may decrease colon cancer risk in patients with both primary sclerosing cholangitis and chronic ulcerative colitis.

Treatment of dominant strictures

Dominant strictures are major narrowings in the extrahepatic bile ducts. Dominant strictures of the extrahepatic bile ducts occur in 7%-20% of primary sclerosing cholangitis patients. In selected primary sclerosing cholangitis patients with dominant strictures, ERCP and balloon dilatation (stretching) of the stricture can improve symptoms and abnormal blood levels of liver enzymes and bilirubin. Some doctors also believe that successful dilatation of dominant strictures decreases the risk of developing cholangitis. However, ERCP and dilatation of dominant strictures should be done in centers with highly experienced physicians. During ERCP, doctors often also perform brush cytology of the dominant strictures to exclude cholangiocarcinoma.

Surgery is another treatment for dominant extrahepatic strictures in primary sclerosing cholangitis patients. In carefully selected patients, surgical resection of the stricture followed by creation of a choledocho-jejunostomy (an artificial passage for bile formed by attaching the bile duct from above the stricture directly into the small intestine) can improve symptoms, delay liver transplantation, and lower the risk of cholangiocarcinoma. However, few surgeons recommend surgical resection of dominant strictures because they are concerned that scarring around the liver from such surgery may complicate future liver transplantation.

Liver transplantation

Even with modern management, most primary sclerosing cholangitis patients will die within 10 years of the time of diagnosis without liver transplantation. Transplantation is now the definitive treatment in primary sclerosing cholangitis patients with advanced cirrhosis and liver failure. One year survival following transplantation is 85%-90%, and five year survival is as high as 85%. Reasons for liver transplant in primary sclerosing cholangitis patients are similar to those in other forms of end-stage liver disease. They are:
Internal bleeding due to rupture of esophageal varices

Severe ascites that are refractory to medical treatment

Frequent episodes of bacterial cholangitis

Hepatic encephalopathy

The Mayo clinic devised a scoring model to help doctors predict the life span of primary sclerosing cholangitis patients not having a liver transplant. This model includes age, blood levels of bilirubin, albumin, AST and a history of bleeding from esophageal varices. The model suggests that when a patient's score estimates 6 month-survival is less than 80%, the patient should be considered for liver transplantation.
Primary Sclerosing Cholangitis At A Glance

Primary sclerosing cholangitis is a chronic, progressive disease of the liver.

The cause of primary sclerosing cholangitis is not known though an immune cause is suspected in at least a minority of patients.

Primary sclerosing cholangitis has a strong association with ulcerative colitis and cancer of the bile ducts.

The primary symptoms of primary sclerosing cholangitis are due to obstruction of the bile ducts and cirrhosis of the liver.

Primary sclerosing cholangitis is diagnosed on the basis of abnormal blood tests and radiologic imaging of the bile ducts.

, is treated with medications, endoscopy, and liver transplantation.

Tuesday 16 August 2011

Hydrangea - Uses and Benefits

Hydrangea - Uses and Benefits
Alternative Names:

Botanical Name is Hydrangea arborescens (LINN.),Hydrangea macrophylla  is a species of hydrangea Common names include Bigleaf Hydrangea ,French Hydrangea ,Lacecap Hydrangea,Penny Mac, Hortensia.Oher names for Hydrangea include Mountain Hydrangea,Hydrangea Arborescens,Seven Barks, Smooth Hydrangea, Wild Hydrangea.
Herb Description

 Hydrangeas are flowering shrubs which are easy to grow and can provide color in the garden from mid-summer through fall. They are used as specimen plants and in shrub borders. Hydrangeas the name comes from the Greek "hydra" meaning "water" and "angeon" meaning "vessel" referring to the plant's preference for moisture and to the shape of the seed capsule. The genus Hydrangea is undergoing a revival of interest which is much deserved, and we hope to be able to contribute by providing clear and accurate information, and drawing attention to the historical connections between hydrangeas and history.

Hydrangeas produce flowers from early spring to late autumn .These are carried in bunches, at the ends of the stems. Each individual hydrangea flower is relatively small.Hydrangeas have large blooms that bring flamboyant colour to the garden in late summer and autumn. They are easy to grow, dependable and improve with time. we can use them in big, bold groups in the border, or even in large containers.One of the simple ways to propagate hydrangea is by layering. This is done by digging a trench near the plant and bending a section of limb down into the trench. Use a knife to remove a small ring of outer bark about one inch wide all the way around the limb where it contacts the soil. Then, cover the limb with soil, leaving six to 12 inches of the tip growth uncovered.

Lady in Red' hydrangea is a wonderful addition to any shade area, adding color interest to perennial borders, groupings or mass plantings. The vibrant autumn color makes it a great container plant for the fall. Best if used in part shade

There are few variety of hydrangea:

 Lacecap hydrangeas,The mountain hydrangea,Panicle hydrangea , The oakleaf hydrangea , Smooth hydrangea
 Lacecap hydrangeas ( H. macrophylla  var. normalis ) have an inner ring of small, fertile flowers surrounded by an outer ring of large, showy flowers.
The mountain hydrangea ( H. macrophylla  subsp. serrata ) is a subspecies of bigleaf hydrangea that has slightly smaller leaves and flowers . Delicate in appearance, mountain hydrangea is particularly well suited for placement at the edge of a wooded area.
Panicle hydrangea ( H. paniculata ) is the most cold hardy member of the genus. It can be reliably grown in USDA cold-hardiness zones 4 to 7. which are borne in 6- to 18-inch long panicles, are produced in mid-summer
The oakleaf hydrangea( H. quercifolia ) is one of two Hydrangea  species that is native to the U.S. It is found growing primarily in moist woodlands in the southeastern U.S. Plants generally grow 6 to 8 feet in height.
 Smooth hydrangea( H. arborescens ) is the other U.S. native. It is grows in the eastern U.S. from New York to Florida and west to Iowa and Louisiana. In cultivation, plants usually reach about 5 feet in height, with a similar or greater spread.

It is a deciduous shrub growing 1-3 m tall. The leaves are opposite, simple ovoid-acute, 7-20 cm long, with a coarsely toothed margin. Its flowers are pink,white & blue depending on soils pH. In acid soils the flowers will be blue, in alkaline soils the flowers will be pink, and in neutral soil the flowers will be white
 
uses and benefits

Hydrangea is an herbal medicine used to treat bladder problems and kidney stones.

 Hydrangeas are susceptible to leaf spots, blights, wilts and powdery mildew. Insect pests on hydrangea include aphids, leaf tiers, rose chafers, oyster scale and red spider mites. Powdery mildew is common on some varieties, but is rarely life threatening. gardeners should make choices based on parietal resistance, and desired traits. A little research goes a long way in making the best selection for your garden.

 Peegee hydrangea is best suited to the far corners of a landscape or in mixed shrub borders where its coarse texture will not stand out. gardeners think peegee hydrangea is more attractive when pruned to tree form. With thoughtful pruning it can be an attractive specimen as a shrub or a tree.

The foliage of the hydrangea is excellent and adds greatly to its ornamental qualities. Flowering occurs on new wood, so out-of-scale plants can be cut to the ground in winter. Other uses of the hydrangea include foundation, border, and specimen plantings.

Hydrangea is well recognized in the treatment of inflamed or enlarged prostate glands. This herb is valued for its solvent properties that help break down and prevent further formation of stones

The flowers of some species can be dried and used in flower arranging and crafts.


side effects

The most common reason for hydrangeas failing to bloom is winter injury. Other reasons may be too much shade, poor fertility and too much nitrogen fertilizer.

Hydrangeas are susceptible leaf spots and powdery mildew. Insect pests on hydrangea include aphids, leaf tiers, rose chafers and red spiders.

Following problem are given below
Breathing problems or tightness in your throat or chest
Chest pain
Skin hives, rash, or itchy or swollen skin



 You may have the following side effects, but this medicine may also cause other side effects. concern the doctor if you have side effects that you think are caused by this medicine.
 Stomach upset
 May cause a rash when used on the skin
 Taking too much may cause you to feel dizzy or have chest tightness

Its better to avoid long term use of HYDRANGEA ROOT (Hydrangea arborescens )

,Horsetail - Uses and Benefits(Equisetum arvense)

  Horsetail - Uses and Benefits
Plant Description

 Horsetail(Equisetum arvense) is a herbal plant which has many great uses. .The name Equisetum  is extracted from latin word, equus which means "hourse" & seta means "bristle". It was used traditionally to stop bleeding, heal ulcers and wounds, and treat tuberculosis and kidney problems. Horsetail used from ancient Roman and Greek times as an oral treatment of edema & diuretic. Horsetails absorb heavy metals from the soil , and are often used in bioassays for metals. European and Chinese herbalists have long valued horsetail as topical remedy for wounds, skin conditions, frostbite, and chilblains.

 Horsetail has been used to heal hemorrhoids and stem the flow of blood from nosebleeds. Urinary problems such as bladder infections and various forms of incontinence, especially bed-wetting in children. There were giant and small horsetails growing in enormous quantities in the Carboniferous period and large amounts of the plant formed the coal seams we have depended on for fuel. Horsetail resembles a stalk of asparagus, with solitary shoots protruding from the ground.  Only the portion of the plant that grows above ground is used for medicinal purposes . Fossil evidence indicates that many extinct horsetails were treelike and attained a far greater size than do living types, although the stems of a sprawling tropical American species ( E. giganteum ) grows to more than 30 ft (9.1 m) in length.

It contains silica, which helps with the repair of tissue, growth of hair and nails, and helps to prevent osteoporosis.
Uses and Benefits

Horsetail is beneficial in the followings:
 dropsy, gravel and kidney affected areas, kidney and bladder trouble.
 The Burn ashes of the plant are considered very valuable in acidity of the stomach, dyspepsia, etc.
 it is of efficacy for haemorrhage, cystic ulceration and ulcers in the urinary passages.
 it contain enzymes that kill germs and other foreign substances
 it also stop the bleeding of wounds and quickly heal them, and will also reduce the swelling of eyelids.it improves the functioning of the entire immune system.if taken in doses of 3 to 10 grains.
 its also occasionally used for osteoporosis, nephrolithiasis, urinary tract inflammation, and wound healing (topical). These uses have largely been based on anecdote and clinical tradition, rather than scientific evidence.
 for stopping both internal and external bleeding, as well as with speeding wound healing.
 also used as a hair rinse it can eliminate fleas, lice and mites
 also be used as a polish for wooden floors and furniture. The infused stem is an effective fungicide against mildew, mint rust and blackspot on roses.
Horsetail ( silica ) reduces the risk of excessive bleeding and contributes to the building of healthy blood cells. Research has shown that Horsetail increases the number of phagocytes.
Herbalists have also recommended horsetail for osteoporosis, gout, rheumatism, arthritis, and joint pain.

its used in some of the given disorders like:
 inflamed prostate,
urethra or bladder,
 diuretic and styptic properties,
 healing tissue such as in the bones, ligaments, tendons, cartilage, lung, muscles and joints.

In a few places horsetail was recognized as a folk remedy for such serious conditions as cancer, tuberculosis, diabetes, and congestive heart failure. The stems are very rich in silica. They are used for scouring and polishing metaland as a fine sandpaper. The stems are first bleached by repeated wetting and drying in the sun.

The Water Horsetail that contain high silica in the stems has been used by both Europeans and Native Americans for scouring, sanding, and filing wounds especially in children. Early spring shoots were eaten. Medically it was used by the ancient Rootstocks and stems are sometimes eaten by waterfowl .

Horsetail is used as a diuretic in conditions of swelling; for kidney and bladder stones (to help in flushing them out), urinary tract infections, and in the past, any condition involving the kidney or bladder.  Horsetail  was used extensively in the treatment of wounds,It also makes a good liquid feed. The black roots have been used for imbrication on coiled baskets . 

 horsetail may be useful in the following conditions taken in two ways first & second externally

 If taken internally
 Kidney stones
 Urinary Tract Infection
 Inflammation or mild infections of the genitourinary tract
 Heavy menstruation and bleeding ulcers

If taken externally
 Wounds (especially poorly healing ones)
 Burns
 Rheumatic conditions
Fractures
 Sprains

 Some herbalists have suggested a horsetail gargle for sore throats. The herb was also used for fevers and loss of hair.
Side Effects:

Some of these suggested uses are for conditions that are potentially very serious and even life-threatening. Horsetail has been suggested for many uses based on tradition or on scientific theories.but there is limited scientific evidence about safety or effectiveness You should consult with a health care professional before taking horsetail for any unproven use. its not recommended while pregnant.

Studies in mice suggest that horsetail may change the activity of the kidneys, causing abnormal control of the amount of water and potassium release. Low potassium, which in theory may occur with horsetail, can have negative effects on the heart. While taking horsetail powder for its diuretic effect, be sure to drink extra water for maximum benefit. Remember if there are kidney stones. Avoid to take horsetail herb if you take an ACE inhibitor for high blood pressure and you have congestive heart failure, as the combination of the herb and the drug can cause accumulation of excessive potassium. Taking horsetail in conjunction with other diuretics may result in lowering the blood potassium levels and dehydration .

It contains nicotine and caution is advised if you are a smoker or on nicotine replacement treatment. Excess nicotine might cause muscle weakness or weight loss. Large doses of horsetail may cause symptoms of nicotine overdose, including fever, cold hands and feet, abnormal heart rate, difficulty walking.
Interactions

 Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, before starting a new therapy you should speak with a qualified healthcare provider.
Dosage

if taken in one half to one teaspoon per cup of water, simmered for 5 minutes, then left to steep for 30 minutes, three times a day. Purchased tinctures vary in strength. Please follow the directions on the bottle. It should not be used for a period longer than a month without a break, and should be used only with consultation with a holistic practitioner.

Horsetail powdered, taken three or four times a day, has proved very effectual in spitting of blood.
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Monday 15 August 2011

Magnesium for Anxiety

Magnesium for Anxiety

Overview

The mineral magnesium plays several important roles in the body. Low levels can lead to a number of symptoms and according to the University of Maryland Medical Center, anxiety ranks among them. This suggests supplementing with magnesium might alleviate anxiety, but according to the University of Michigan Health System, the evidence for this therapeutic benefit is weak. Some dosage guidelines exist but consult with your doctor for guidance on whether or not magnesium supplementation is appropriate and at what dose.

Research

Austrian researchers wanted to conduct an experiment to test the idea that magnesium deficiency influences mood. The study, published in the December 2004 issue of "Neuropharmacology," examined the effects of a magnesium-deficient diet on the behavior of mice. They observed this change in diet led to an increase in anxiety-and-depression-related behavior.



A study published in the January 2009 issue of the "Australian and New Zealand Journal of Psychiatry" found a strong correlation between magnesium intake and levels of depression in community-dwelling adults. The link between magnesium and anxiety was "weaker and not statistically significant." Whether or not magnesium will actually help reduce your anxiety is not clear but being a generally safe supplement, it cannot hurt to try.

Suggested Dosage

The University of Michigan Health Center notes magnesium supplementation might help with mild anxiety. It notes a typical dose of 200 mg to 300 mg three times a day.

Caution in Certain Individuals

If you have heart disease or kidney disease, do not take magnesium supplements without consulting with your doctor first. If you are pregnant or nursing, your magnesium intake should not exceed 350 mg, which is the safe upper limit in this instance, according to the Beth Israel Deaconess Medical Center. Because the recommended dosage for treating anxiety far exceeds this, magnesium supplementation for anxiety appears an inappropriate option.

Other Considerations for Use

Make sure to get enough B-6 either through diet or supplementation as inadequate levels will decrease magnesium absorption. Magnesium might inhibit absorption of several classes of antibiotics -- take these supplements one hour before or two hours after the medications. Supplementing with larger amounts of magnesium can create a calcium deficiency if you already have insufficient levels. Consider getting your calcium levels checked before using magnesium supplement.

Muscle Twitching?


Muscle Twitching?

Muscle twitches are small involuntary movements involving small areas of muscle or muscle fibers. These twitches often go unnoticed, and when you do feel them, they tend to feel worse and more noticeable than they actually are. Twitches, also known as fasciculations, can occur in the arms, feet, fingers, hands, head, legs, stomach, and other parts of the body. Twitches can also occur in the eye muscles.
Muscle twitches are usually harmless and are more of an irritation than a cause for concern. In most cases they disappear shortly after they appear or when the underlying cause is seen too. In some rare cases, however, muscle twitching can be a sign of a neurological disorder.
Muscle twitching in Babies and Children;
When your child is suffering from muscle twitching it can be a very uncomfortable and nerve wrecking for you as a parent. However, knowing the exact cause of muscle twitching can be extremely beneficial in making sure your child gets the right treatment. Although it isn’t common for a child’s muscles to twitch involuntarily, it does happen. Children can also suffer from benign and diet deficient twitches just like an adult. Dehydration is another cause of muscle twitching, especially if your child suffered from the stomach flu which rapidly depletes the nutrients in his/her body. However, other more disturbing causes of muscle twitching in children include Epilepsy, Tourette syndrome, and Muscular Dystrophy. It is imperative to see your pediatrician immediately if you notice muscle wasting on your child or they show any signs of weakness.

What Causes Muscle Twitching?

Causes of muscle twitching include:
  • Pregnancy
  • Stress or anxiety
  • Excessive caffeine
  • Hypothyroidism
  • Bug Bites or Stings
  • Mono
  • Parkinson's Disease
  • Side-effects of certain drugs or medication (such as diuretics, corticosteroids, or estrogens)
  • Dehydration
  • Lack of certain vitamins and minerals, often a Magnesium deficiency
  • Lack of sleep and fatigue
  • Benign twitches (twitches without known cause often affecting eyelids, calf and thumbs)
  • Genetics
  • Withdrawals from certain medications (particularly benzodiazepines)
  • Benign fasciculation syndrome
  • Multiple Sclerosis
  • Amyotrophic lateral sclerosis (ALS or Lou Gehrig’s disease)
  • Damage to the nerve that leads to a muscle
  • Muscular dystrophy
  • Spinal muscular atrophy
  • Weak muscles (myopathy)

Help for Muscle Twitching

Natural Remedies

Muscle twitching can be quite a bothersome problem, which may seem difficult to address. Luckily, there are a wide range of herbal and homeopathic ingredients that can help ease muscle twitching and bring you much needed relieve from this troublesome symptom.
Hyoscyamus is an excellent herb to relieve muscle twitching. Its powerful antispasmodic properties make it ideal for soothing nervous irritations and it is often used to treat tics, twitches and Tourette’s syndrome and Parkinson’s disease.
The homeopathic ingredient Zinc met is also highly recommended as it aids in the absorption of minerals such as magnesium, helps to soothe the nervous system, and relieves muscle spasms, twitches and fidgety movements, especially those related to exhaustion and stress. Cina is also excellent for relieving twitching and muscle spasms while Chamomilla is very soothing and can help to relive underlying stress and restlessness.
 How to manage Muscle Twitching ;
  • Cut down on your caffeine by drinking less tea and coffee. Opt for fruit juice and plenty of water instead.
  • Learn to relax and de-stress. Try deep breathing and muscle relaxation techniques to help you relax after a long day. Yoga and Pilates are also great.
  • Make exercise an essential part of your daily routine, 30min of moderate exercise can go a long way in reducing stress and encouraging healthy sleep.
  • Make sure you are eating enough magnesium. Magnesium rich foods include green vegetables such as spinach and broccoli, as well as beans, peas, nuts, and seeds.
  • Ensure that you are getting enough good quality sleep and try to stick to a good sleep routine. If you suffer from insomnia, then take the necessary steps to resolve it, or help manage it.
  • Massage therapy is also a great tool to help to manage and relieve muscle twitches.
  • If muscle twitching persists, or becomes severe then it is always s good idea to get a professional opinion from your health care provider.

Sunday 14 August 2011

Elevated Cholesterol in Children

Elevated Cholesterol in Children


Overview
An elevated cholesterol level can negatively impact your child's health, increasing his chance of developing heart disease or stroke later in life. The Kids Health website from Nemours reports that the dramatic increase in childhood obesity puts more and more children at risk of developing these health problems. Controlling your child's diet and using medication when necessary can help lower your child's cholesterol to a safe level.
Identification

Cholesterol is a type of fat called a lipid that the liver produces. Cholesterol combines with proteins to form lipoproteins. Lipoproteins circulate through your bloodstream, helping to form hormones and the membranes of your body's cells. High-density lipoproteins, also referred to as "good" cholesterol, move cholesterol from the arteries back to the liver.



Low-density lipoprotein, or LDL, is the type of cholesterol that causes elevated cholesterol levels. If your child has too much low-density lipoproteins, or "bad" cholesterol, in her bloodstream, cholesterol can build up on the walls of the arteries that lead to the heart and brain, according to Kids Health. When cholesterol builds up on artery walls, it hardens into plaque, a substance that causes vessels to stiffen or narrow.
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Risk Factors

Your child may be at increased risk of developing an elevated cholesterol level if he is obese and fails to get enough exercise or eats a diet that is high in trans and saturated fats. The tendency to develop high cholesterol can also be inherited. The Cleveland Clinic reports that in most cases, children with high cholesterol have a parent who also has elevated cholesterol.
Elevated Levels

A total cholesterol level of 200 mg/dL of blood or higher is considered high. If a child's level falls in this range, your doctor may recommend a follow-up blood test to determine the high- and low-density lipoprotein levels. According to the American Academy of Pediatrics an LDL-cholesterol level between 110 to 129 mg/dL is borderline, while a level of 130 mg/dL or higher indicates that your child has high LDL cholesterol.
Considerations

Your doctor may recommend that your child be tested for an elevated cholesterol level if you have high cholesterol, your child is overweight or smokes, or if there is a family history of heart disease. The American Academy of Pediatrics recommends screening children whose parents or grandparents had such conditions as a heart attack, peripheral vascular disease, sudden cardiac death or angina pectoris before the age of 55.
Making Dietary Changes

Changing your child's diet may be helpful in lowering your child's cholesterol level. According to the Cleveland Clinic, consumption of fat should be limited to 30 percent or less of your child's daily total calories if your child is over age two. Increasing fruits and vegetables in your child's diet, offering low-fat milk and using olive oil, canola oil and other types of unsaturated fats to prepare meals may help in lowering an elevated cholesterol level.
Using Medication

Medication is only prescribed if your child has a high cholesterol level that doesn't change after diet modification. Cholesterol-reducing medications should be considered for children who are older than eight and have high LDL levels, according to the American Academy of Pediatrics. The Academy recommends that younger patients should focus on weight reduction and increased activity while receiving nutritional counseling.

Read more: http://www.livestrong.com/

Saturday 13 August 2011

Uses Of Hydrangea

 

Hydrangea has been used for hundreds of years as a treatment for enlarged or inflamed prostate glands, and is often combined with Horsetail for this purpose. It is one of the best herbal remedies for treatment of pain related to kidney problems, especially kidney stones, by reducing the size of the stones and allowing them to pass painlessly. It is believed to be of general benefit for overall kidney and bladder function, thereby benefiting many who suffer from general urinary tract problems and infections.


Dried/ Preserved Hydrangea
The dried flowers of Bigleaf Hydrangeas are favorites of florists


Medicinal Uses of Hydrangea
The name hydrangea comes from the Greek word meaning water vessel, very appropriate due to its action on our water processing organs. Hydrangea is indigenous to the United States where it grows from New York to Florida and then west to Iowa and Oklahoma. Several varieties of hydrangea are cultivated around the world to adorn gardens with their splendor,                                          
such as Hydrangea hortensis. This variety is native to North America, although it is widely found in gardens in China and Japan for its aesthetic beauty. Hydrangea macrophylla is of Asian origin and is used medicinally. The Cherokee Indians used hydrangea for kidney and bladder stones and introduced it to the early settlers. It became very popular with the eclectic American herbalists of the 19th century.                                           

The root is the part of the Hydrangea plant that is used internally for medicinal purposes, and fresh root can be dug in the fall and used as a syrup with honey and sugar, or simply steeped in water and drunk as a tea. The root becomes quite hard and difficult to work with once harvested, so cut into pieces and dry for long-term use.
Externally, Hydrangea bark can be peeled and used as a compress or ointment for treatment of bruises, burns, sprains, and sore muscles.
Scientific Name: Hydrangea arborescens
Part used: Bark
Uses: Prostate
Prostatitis, in many ways, is a mystery to health care practitioners. We know that prostatitis starts with a bacterial infection. Bacteria take up residence in the prostate and as it proliferates, the person possessing the infected prostate becomes aware of a problem. The person with an infected prostate gland very quickly appears at the general practitioner’s surgery demanding treatment. They are given antibiotics to kill the bacteria.
It is at this point in the story things become mysterious. Even after the bacteria have been killed, or should have been killed, the sensations and discomfort continue. Course after course of antibiotic are used and still there is a constant desire to urinate and a long list of unpleasant sensations issue from below the belt. Some health care practitioners feel that the problem is that the antibiotics cannot get into the prostate and completely clear the infection. Other practitioners feel that the bacteria are actually gone but the nerves have been affected so that the sensations remain. No one really has an answer to this riddle, but the fact remains many people, despite having been treated with many courses of antibiotics, continue to suffer with prostatitis.
This is very much where wild hydrangea comes in. Though the scientific community may not know what the problem really is, the patient will tell you there is something wrong. Wild hydrangea, according to the physicians of the last century, was a tonic to the entire genito-urinary system, which includes the prostate. Tonics were medicinal plants that were seen to generally improve the health of a part, in this case the prostate. The doctors of the day did not entirely understand how tonics worked, but they observed that when they were used, the health of the lungs, the stomach, or the prostate was improved. Someone with prostatitis is in need of a prostate tonic which is exactly what they get with wild hydrangea.
Beyond this tonic activity, prostatitis is very much about unpleasant sensations and discomfort. Wild hydrangea is very specifically active in reducing unpleasant sensations issuing from the urinary tract, whether due to a stone or prostatitis.
Most of hydrangea’s health benefits come from the root, which is usually collected in the fall. The most common use for hydrangea is for the kidneys and bladder because of its effective diuretic quality which helps increase the flow of urine. This takes impurities out of the system and lessens the likelihood of infection along the entire urinary tract, which includes the kidneys, bladder, prostate (in men) and urethra. Diuretic herbs like hydrangea are a helpful addition to cleansing programs to assist in the elimination of toxins.
Hydrangea is considered an anti-lithic herb, which prevents stones or gravel from forming in the kidneys and bladder. Anti-lithic herbs can also assist the body in removing stones and gravel from these organs. This was a significant use of hydrangea by Native Americans.
Like most diuretic herbs, hydrangea is an excellent choice for treating inflamed or enlarged prostate glands. It is commonly combined with horsetail for this purpose. Maintaining healthy urine flow keeps the prostate less likely to constrict around the urethra, which prevents stagnant urine from causing more infection. This can also reduce inflammation by eliminating impurities from the prostate.
This wonderful herb is also known to be a tonic, as it produces a healthy reaction from the kidneys and bladder so that they can function better. When an organ works more efficiently, there is less strain on the entire system so that the rest of the body is rejuvenated.
Other uses for hydrangea include its diaphoretic properties (promoting perspiration and cooling the body) and its influence on the circulatory system. The bark was used by the American Indians externally for wounds, burns, sore muscles and sprains.
Hydrangea is found in herbal combinations and tinctures and is a welcome addition to any herbal program that addresses cleansing, elimination or general conditioning. It is an outstanding herb for those concerned with kidney, bladder, prostate and general urinary tract health. This simple herb can be a major benefit to both your body and your garden.

Selenium in Georgia Soils and Forages: Importance in the Livestock Industry;


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Selenium in Georgia Soils and Forages: Importance in the Livestock Industry;

Selenium (Se) is one of at least 17 essential minerals needed in animal diets. Selenium is a structural component of several vital enzyme systems, such as glutathione peroxidase, that play vital roles in animal and human physiology and health. Though it is an essential micronutrient in animal and human diets, Se is also toxic to animals and humans when too much is consumed; therefore, it merits special attention in animal feeding to ensure that the concentration range is appropriate.
This publication highlights the following:
  • The role of Se in animal nutrition;
  • Se concentration and distribution in soils and feedstuffs (grains and forages) produced in various parts of the United States and in Georgia;
  • Disorders resulting from Se deficiency or toxicity;
  • Various methods of Se supplementation; and
  • Recommendations for Se management in Georgia.
This publication is intended to serve as an educational resource for university researchers and Extension specialists, county Extension agents and livestock, forage and feed producers, among others.

Functions of Selenium

In normal animal and human metabolism, oxidation breaks down (or burns) carbohydrates, fats and proteins from feeds or foods to produce carbon dioxide, water and energy. This energy is utilized in various body functions such as work, weight gain, milk production, etc. However, oxidation of a body’s structural (e.g., cell membranes) and functional (e.g., enzymes and intracellular substances) components is very harmful. A simple analogy is that gasoline is burned to drive a car, but it is also necessary to protect the car’s components from the extreme heat of combustion. The body must also have a defense mechanism to protect its components from oxidation-induced damage. This defense is provided by an antioxidant defense mechanism, or antioxidant activity.
Water is produced by reduction (the opposite of oxidation) of molecular oxygen. The process of sequential reduction of molecular oxygen to water leads to the formation of the following reactive oxygen species (ROS) in sequence:
  • superoxide anion (which is both an ion and a radical)
  • peroxide (hydrogen peroxide; organic peroxides)
  • hydroxyl radical (the most reactive of all)
Figure 1 provides further information about these ROS. In addition to ROS, breakdown of proteins results in the formation of nitrogen free radicals (NFRs) like nitric oxide (NO).
Figure 1. Various reactive oxygen species§ that can form in sequence during reduction of molecular oxygen Figure 1. Various reactive oxygen species§ that can form in sequence during reduction of molecular oxygen [Adapted from Bowen (2003).
Available online at: http://www.vivo.colostate.edu/hbooks/pathphys/misc_topics/radicals.html (accessed May/24/2011).
§Reactive oxygen species (ROS) are ions or very small molecules that include superoxide anion, free radicals and peroxides (both inorganic and organic). They are highly reactive due to the presence of unpaired valence shell electrons.
¶Equivalent to sequential addition of electrons.
Note: The hydroxyl radical differs from the hydroxyl ion; the neutral form is a hydroxyl radical and the hydroxyl anion actually carries a negative charge.
Both ROS and NFRs are powerful oxidizing agents. If ROS and NFR are not destroyed, they can damage living cells by attacking their proteins, lipids (fat) and nucleic acids (e.g., DNA). Unsaturated fatty acids, which are the major component of all cell membranes, are particularly susceptible. Their oxidation by ROS results in the formation of lipid hydroperoxides (organic peroxides), which are quite damaging. Membranes particularly at risk of such damage include those in mitochondrial, red blood and gastrointestinal cells.
The glutathione peroxidase family of enzymes helps prevent the formation of ROS and NFR. They also destroy the hydrogen peroxide (by converting it to water) and lipid hydroperoxides (by converting them to lipid alcohols), thus preventing oxidative damage and ensuring cell membrane integrity. Because Se is an integral component of glutathione peroxidase, an adequate level of Se in the animal body is essential for maintaining proper levels of the enzymes. Selenium deficiency decreases the activity of glutathione peroxidase and other Se-dependent enzymes involved in antioxidant activity, thereby reducing the body’s defenses against oxidative damage.

Interaction of Selenium with Vitamin E and Other Nutrients

Several vitamins, including vitamin E, are important in human and animal nutrition. Some vitamins are soluble in water whereas others are soluble in fat (or lipid). Vitamin E is fat soluble, whereas Se is water soluble. Both Se and vitamin E reduce oxidative damage as follows:
  • Vitamin E blocks ROS attacks on lipids, thereby reducing the formation of lipid hydroperoxides.
  • Selenium, being a part of glutathione peroxidase, prevents the formation of ROS and destroys (via reduction) hydrogen peroxide and lipid hydroperoxides.
Thus, the occurrence and extent of oxidative damage depends on the antioxidant protective mechanisms of:
  • the lipid-soluble vitamin E that is present in the cell membrane, and
  • the level of water-soluble Se containing glutathione peroxidase in the aqueous fluid within the cells.
Animals require adequate levels of both Se and vitamin E because of their interrelated functions. The amount of either needed by the animal depends on the availability of the other as illustrated in Figure 2.
Figure 2. Interactive need of vitamin E and Se in animal and human diets. Figure 2. Interactive need of vitamin E and Se in animal and human diets.
Optimum amounts of both Se and vitamin E are necessary to minimize oxidative damage. Thus, Se and vitamin E should be considered together with regard to both the animal’s requirements and the effects and treatment of a deficiency of either.
In Georgia’s dairy industry, feeding vitamin E to pregnant and milking cows represents a large cost to producers. There is considerable potential for reducing these costs by focusing more attention on maintaining proper levels of Se in forages and grains.
A number of additional substances also have antioxidant activity and can decrease vitamin E and Se needs when their intake is high, but increase vitamin E and Se needs when their intake is low. These include:
  • the sulfur-containing amino acids cystine and methionine,
  • vitamin C, and
  • the synthetic antioxidant ethoxyquin, which is commonly added to commercially prepared feed.
Certain minerals affect the absorption and metabolism of Se and can alter the dietary Se requirement. These include:
  • Calcium: Digestibility and absorption of Se is reduced when cows are fed diets with either high (around 1.4%) or low (around 0.4%) concentrations of calcium, thereby increasing the requirement for dietary Se. Se absorption is maximized when dietary calcium is around 0.8%.
  • Sulfur: Increased consumption of sulfur (from sulfate salt) reduces Se absorption, thereby increasing the requirement for dietary Se. Excessive intake of feeds that are high in sulfur such as molasses, beet pulp, plants in the cabbage family, distiller’s grains and other corn-distilling co-products like corn gluten feed may aggravate Se deficiency even when the Se level in the diet is adequate. The high sulfur content of Georgia forages may result in higher Se requirement by animals.
  • Copper: Adequate copper in the diet helps Se absorption in small ruminants.

Selenium Requirement

The National Research Council recommends the following dietary Se requirements for different classes of animals.

Table 1. Recommended Se concentrations in the diets of selected livestock classes.

Animal
Se Requirements
(mg/kg diet)
Beef Cattle
0.10
Dairy Cattle
0.30
Sheep
0.10-0.20
Growing Pigs
0.15-0.30
Gestating and Lactating Sows
0.15
Horses
0.10
Immature Laying Chickens
0.10-0.15
Laying Hens
0.05-0.08
Broiler Chicks
0.15
Note: Under specific situations, the actual Se requirement may be higher than what has been cited in Table
1. For example, nutrient oxidation for energy needs increases with exercise, which increases the production of ROS, thereby increasing the Se requirement for removing the extra ROS produced. Similarly, a higher desired level of weight gain or milk production may also raise the dietary Se requirement. Even though calculation of dietary Se requirements based on appropriate equations may be higher than what is presented in Table 1, it is important to comply with the regulation of the Food and Drug Administration, which does not allow Se supplementation greater than 0.3 mg/kg in a complete diet.

Selenium in Georgia Soils and Forages

The Se content of most U.S. soils varies between 0.1 and 2 mg/kg. The maximum reported soil Se content in the U.S. is less than 100 mg/kg. High Se soils (called seleniferous soils) with 2 to 10 mg/kg occur in South Dakota, Montana, Wyoming, Nebraska, Kansas, Colorado and New Mexico.
Soils containing less than 0.5 mg/kg total are classified as Se deficient. According to NRC (1983), Se-deficient regions in the U.S. include New England, New York, New Jersey, Delaware, Pennsylvania, Maryland, West Virginia, Florida, Ohio, Indiana, Illinois, Michigan, Wisconsin, Washington state, Oregon, Montana, Arizona, and coastal regions of Virginia, the Carolinas and Georgia. However, a recent survey revealed that Se-deficient soils may occur throughout Georgia (Figure 3).
Although Se is not an essential element in plant nutrition, the consumption of plants and plant products is the primary route by which animals and humans receive their dietary Se in the absence of any special supplementation. See Table 2 for a general interpretation of selenium and other trace element contents of forages (Mortimer, 1999).
Figure 3. Soil Se levels in Georgia by county. Figure 3. Soil Se levels in Georgia by county.

Table 2. Classification of trace elements in forages relative to their abilities to meet the dietary requirements of animals [According to Mortimer (1999)]*.

Element
Deficient
Marginally
Deficient
Adequate
MTC**
Aluminum (mg/kg)
-
-
-
1000
Copper (mg/kg)
< 4
4-9.9
≥ 10
100
Iron (mg/kg)
< 50
-
50-200
1000
Manganese (mg/kg)
< 20
20-39.9
≥ 40
1000
Molybdenum (mg/kg)
-
-
< 1
5
Selenium (mg/kg)
< 0.100
0.100-0.199
0.200
5
Sulfur (%, Dry Matter Basis)
< 0.1
-
0.15-0.2
0.4
Zinc (mg/kg)
< 20
20-29.9
≥ 30
500
* This is a general interpretation of forage Se content across all animal types. The requirements change among animals. For example, the requirement for dairy cattle is 0.30 mg/kg.
**Maximum Tolerable Concentration (NRC, 2005).
In the U.S., most cereal grains for livestock and human consumption are grown in areas with inadequate or moderate Se reserves. Forages and grains (or complete feed) containing less than 0.1 mg/kg Se may result in a Se/vitamin E deficiency disorder. A much higher incidence of this disorder occurs when the Se concentration drops below 0.05 mg/kg.
The map in Figure 4 was produced by the NRC to show the regional distribution of low, variable and adequate Se levels in forages and grain across the U.S. Areas in the U.S. that produce grains and forages low in Se generally have soils that contain < 0.5 mg/kg Se.
In NRC’s mapping, the forages and grains produced along Georgia’s coastline were generally deficient in Se (about 80%). About 50% of the forages and grains produced in the other areas of the state were also Se-deficient (Figure 4).
Figure 4. Regional distribution of forage and grain Se content in the United States (Adapted from NRC, 1983). Figure 4. Regional distribution of forage and grain Se content in the United States (Adapted from NRC, 1983).
However, a recently conducted survey of forage Se across the state of Georgia revealed that Se deficiency in Georgia forages is much more severe than what was reported by the NRC’s nation-wide study (Figure 5).
Figure 5. Forage Se levels by county in Georgia. Figure 5. Forage Se levels by county in Georgia.

Selenium Deficiency

The most severely manifested clinical sign of Se deficiency in animals is called white muscle disease (or nutritional myopathies), which results in degeneration and necrosis in both skeletal and cardiac muscle. This disease may be congenital (present at birth), or it may develop over time. However, a more common consequence of Se deficiency is poor reproductive performance as a result of an increased incidence of early embryonic death and retained placentas. A more detailed listing of Se deficiency signs in ruminants and non-ruminants (i.e., monogastric animals) is given in Figure 6.
Figure 6. Selenium deficiency signs and symptoms in various animals. Figure 6. Selenium deficiency signs and symptoms in various animals.
Clinically, one of the most effective ways to diagnose Se deficiency is by determining the Se concentration in the liver. Liver levels of 0.8-1.0 ppm on a wet weight basis are considered adequate, and levels below 0.2 ppm are considered deficient. Whole blood samples can also be utilized as a general indicator of potential Se deficiencies. Concentrations of 0.05 ppm and below are considered deficient.
In ruminants, sheep are more susceptible than cattle to Se deficiency, and goats are more susceptible than either sheep or cattle. Sudden death within a large, fast-growing population in commercial animal operations is commonly attributed to Se and/or vitamin E deficiency. The phenomenon occurs most frequently in areas of the U.S. where the forages and grains are low in Se, suggesting that Se concentrations in forages and grains are important for preventing deficiency disorders in animals.
In some national-level studies, Georgia was categorized as a state with mild Se deficiency, which often remains hidden without any diagnostic sign. This is certainly damaging to animal performance and can cause substantial loss of revenue in livestock operations; however, the extent of these losses have yet to be fully realized and assessed.

Selenium and Sulfur

Sulfur (S) and Se share many of the same physical and chemical properties. These similarities give rise to an important nutritional interrelationship. Upon intake, Se replaces the S of methionine and some other S-containing essential amino acids. The most important and commonly produced of these are selenomethionine (SeMet) and seleno-methyl-selenomethionine. The SeMets are an integral part of the glutathione peroxidase enzyme family – the primary source of antioxidant activity in animal bodies.
Conversely, when levels of S intake become excessive, replacement of S by Se in methionine and formation of SeMet is reduced due to the competitive action of S. The same is true for other S-containing metabolites, resulting in a decrease in Se absorption and an increase in excretion. Thus, the addition of sodium sulfate to the animal diet (total dietary S > 0.33%) may increase the incidence of white muscle disease. Animals grazing on S-fertilized herbage may exhibit lower blood glutathione peroxidase activity than those grazing on unfertilized herbage. As compared to grasses, legumes contain cyanogenic glycosides and higher levels of S, and thus pose a greater potential risk for the development of white muscle disease. The high levels of S in some Georgia forage crops may interfere with proper Se nutrition and should not be ignored when planning Se supplementation in animal feeding.

Selenium Supplementation

Because grain and forage produced in many areas of the U.S., including Georgia, are typically either deficient or marginally deficient in Se, some amount of Se supplementation is required. Current regulations allow the following sources of Se supplementation in livestock operations:
  • Inorganic Supplements: Both sodium selenite and sodium selenate are recommended and are more or less equally effective, but because of its lower cost, sodium selenite is more commonly used. The supplements can be provided in several ways:
    • Diet: Selenium intake in the diet can be increased by using Se-rich feed ingredients or by providing selenized mineral supplements. The FDA permits manufactured premixes to contain Se of no more than 200 mg/kg and mineral supplements may contain Se not exceeding 11.8 mg/kg. The total Se content of the diet should NOT exceed 0.3 mg/kg or total daily supplement should be no more than 3 mg/ head/day. However, this level can be added to the diet regardless of the natural Se content of the feed.
    • Direct injection or oral drenching: Sodium selenite solution can be used as an intramuscular or subcutaneous injection or periodic oral drench at 0.1 mg Se per kg live body weight (LBW) for grazing animals that are not provided other concentrate feeds. The suggested application intervals are one to three months for small ruminants, and every three to four months or during the critical production stages for beef and dairy cattle.
    • Ruminal placement: A heavy pellet of elemental Se and iron filings may be placed in the reticulum of rumen (forestomach) of ruminant animals. This pellet slowly dispenses Se over an extended period of time (up to one year). It is used in Australia, New Zealand and some European countries; however, this pellet is NOT yet approved for use in the U.S.
Slow-release ruminal glass boluses that contain Se from sodium selenite can be retained in the rumen and release Se over several months.
Another product is an osmotic pump that delivers 3 mg Se per day. The soluble glass boluses, heavy pellets and an osmotic pump are shown in Figure 8.
Figure 8. Soluble glass boluses (left), iron-based heavy pellets (back right) and an osmotic pump (front right). Figure 8. Soluble glass boluses (left), iron-based heavy pellets (back right) and an osmotic pump (front right). Source: Oldfield (1999). Available online at http://ohioline.osu.edu/sc167/sc167_04.html (accessed May/24/2011).
  • Organic Supplements: As an alternative to inorganic supplements, FDA-approved Se-enriched yeasts can provide Se in organic form. The organic Se yeast provides a variety of organic Se compounds, but SeMet is the primary component (more than 50% of the total Se) in Se yeasts. Thus, the Se composition of this product closely matches that found in most grains. The SeMet of Se-enriched yeast is readily available and actively absorbed from the intestine. Biotransfer of Se from Se-enriched yeast to milk and fetus (via placental transfer) and retention of Se in meat are substantially higher than from sodium selenite.

Inorganic versus Organic Selenium Supplementation

In 1974, the FDA approved inorganic Se as a feed supplement and sodium selenite became the most commonly used Se supplement for poultry and other livestock. However, commonly used plant- and animal-based feedstuffs contain Se almost exclusively as organic compounds known as seleno-amino acids. The predominant compound of this class is SeMet. As a supplement, inorganic Se is inferior to organic sources for several reasons. First, a majority of the inorganic Se that is consumed is excreted and therefore unable to build and maintain Se reserves in the body. As a consequence, even if inorganic Se supplementation occurs, it may not provide sufficient Se nutrition in the animal. This is demonstrated in a study that is summarized in Table 3.

Table 3. Blood selenium status of U.S. beef cows and heifers by regions: Effect of inorganic selenium supplementation (Source: Dargatz and Ross, 1996: J Anim Sci. 74:2891-2895).

Whole Blood
Selenium Class
Inorganic Selenium Supplemented Farms
Not Supplemented Farms
West
(19%)
Central
(55%)
Southeast†
(61%)
West
(81%)
Central
(45%)
Southeast†
(39%)
% of the total animal examined
Severely deficient
(0 to 0.050 mg/L)
4.4
0.0
16.7
4.9
7.9
29.1
Marginally deficient
(0.051 to 0.080 mg/L)
8.0
3.6
23.3
4.4
9.2
32.0
Sub-Total (Deficient)
(0 to 0.080 mg/L)
12.4
3.6
40.0
9.3
17.1
61.1
Adequate
(0.081 to 0.160 mg/L)
20.3
30.9
40.9
13.1
36.5
30.8
High adequate
(>0.160 mg/L)
67.3
65.5
19.1
77.6
46.4
8.1
Sub-Total (Adequate)
(>0.080 mg/L)
87.6
96.4
60.0
90.7
82.9
38.9
Grand Total
100
100
100
100
100
100
†Included 53 animals from three Georgia herds.
This study showed that even though inorganic Se supplementation in beef cattle farming is a common practice (in 61% of farms) in the Southeastern U.S. [especially relative to central (55%) and western regions (19%)], Se deficiency was common. Animals produced on farms from these areas demonstrated Se deficiency in blood samples 61% of the time when they were produced without Se supplementation. Even with inorganic Se supplementation programs, 41% of the animals on the Southeastern farms were found to be Se deficient.
Another reason that inorganic Se supplementation strategies are inferior to organic Se supplements is that the selenite is frequently degraded because of interactions with other feed ingredients. A common example is where sodium selenite interacts with vitamin C in the premix and the chemical reaction between them causes reduction of selenite to elemental Se (it often appears as pink particles in the premixes) and oxidation of vitamin C. This reduction of selenite to elemental Se can happen in the premix/feed during storage or even in the digestive tract during digestion and absorption. Some other components in the premix like glucose monohydrate, cornstarch or sucrose can also reduce selenite to elemental Se. Because elemental Se is not absorbed in the digestive tract (hence, it is excreted) and oxidized vitamin C is devoid of biological activity, the nutritional benefit of the Se and vitamin C supplementation is lost if these reactions occur.
Inorganic Se supplementation also can result in potential toxicity via pro-oxidant activity if the supplementation rate is too high. Pro-oxidant activity is the opposite of the desired function (antioxidant activity). Pro-oxidant activity resulting from inorganic Se supplementation may also enhance multiplication of some pathogenic viruses.
Furthermore, the transfer of Se to milk, meat and egg products is inefficient when inorganic Se supplementation is used. This reduces the health benefit to the human diet and is further complicated by pro-oxidant activities of sodium selenite on the shelf-life of milk, meat and eggs.

Selenium Toxicity

Historically, Se toxicity (called selenosis), rather than Se deficiency, was a major concern. The risk of Se toxicity triggered extensive research on Se in animal nutrition (NRC, 2001). As discussed in previous sections, a number of detrimental effects occur if the diet contains less than 0.1 mg/kg Se. However, concentrations exceeding 5 mg/kg Se are harmful and can lead to Se poisoning in livestock (Buck and Osweiler, 1976). The body attempts to rid itself of excess Se through urine, bile and respiration or sequestering it in various tissues, thus making it less available. The portion that overwhelms these excretion and sequestering systems produces toxic effects.
Some plant species, when grown on seleniferous soil, can accumulate Se up to 3,000 mg/kg (NRC, 2000) as compared to 5 mg/kg, which is the maximum tolerable concentration in forages (NRC, 2005). Fortunately, Se accumulator plants usually have an unpleasant garlic-sulfur odor that makes them unpalatable to livestock and grazing animals usually avoid these plants unless pastures are overgrazed or other forages are not available. The risk of grazing Se accumulator plants is low in Georgia because the soils are generally acidic and low in total Se and these Se-accumulating plant species are not found in the state.
Other sources of selenosis risk include excessive administration of inorganic Se supplementation due to improper weighing of Se premixes and administering injectable preparations exceeding the recommended limit. Miller and William (1940) determined the minimum lethal doses of Se from sodium selenite (used for Se supplementation) for horses, cattle and swine as 1.5, 4.5-5.0 and 6-8 mg Se per kg live body weight (LBW).
Responses to toxic levels of Se are characterized as acute (effects manifest within a short time period) or chronic (effects manifest over a long time period). Acute Se poisoning associated with sudden death occurs due to pulmonary congestion and edema and can occur when cattle are fed 10 to 20 mg Se or injected with more than 0.5 mg/kg LBW (NRC 1983; NRC, 2001). In swine, acute selenosis occurs when Se is injected at more than 1.65 mg/kg LBW (Diehl et al., 1975) or fed at more than 20 mg/kg LBW (Mahan and Moxon, 1984). Chronic selenosis has been reported to occur when diets or feedstuffs contain Se at 5 to 20 mg/kg DM for swine (Kim, 1999) or 5 to 40 mg/kg DM for both dairy and beef cattle (NRC, 2000; 2001) over a period of several weeks or months. The recommended dietary Se requirement (0.3 mg/kg) is approximately 16 times less than the lowest dietary level (5 mg/kg) that has been related to chronic selenosis. In chronic excess, Se inhibits cellular enzyme oxidation-reduction reactions, especially those involving S-containing amino acids, methionine and cystine, which affects cell division and growth (Rosenfeld and Beath, 1964). These effects are greatest on hoof and hair, which are the body tissues that contain the highest concentrations of these amino acids, and manifests as clinical signs of abnormal hoof and hair conditions. The common signs of acute and chronic Se toxicosis are depicted below in Figures 9 and 10.
Figure 9. Common Se toxicity signs in animals. Figure 9. Common Se toxicity signs in animals.
Figure10. Blind staggers in sheep caused by acute selenium toxicity (left) and Alkali disease in cattle (right) caused by chronic Se toxicity.
Note the severely damaged hoofs resulting from Se excess. Figure10. Blind staggers in sheep caused by acute selenium toxicity (http://www.ansci.cornell.edu/plants/toxicagents/ selenium.html) (left) and Alkali disease in cattle (Oldfield, 2001) (right) caused by chronic Se toxicity. Note the severely damaged hoofs resulting from Se excess.

Summary

  • Selenium is a vital micronutrient in animal nutrition that is required in trace amounts. At the same time, it exerts serious toxic consequences, including death, when intake exceeds the tolerance limit.
  • Forages and grains used as animal feedstuffs are either deficient or marginally deficient in Se when they are grown on soils with low plant available-Se. Many areas of the U.S., including Georgia, fall in this category.
  • In previous nationwide mapping, a large portion of Georgia was shown as marginally deficient in Se, where about 50% of the produced grains and forages are low in Se content (< 0.10 mg/kg). The soils in the Coastal Plain were shown to be clearly Se deficient, producing animal feedstuffs containing low concentrations of Se in 80% of cases.
  • A recent study revealed that Se deficiency in Georgia soils and forages is much more severe than previously described. Severe Se deficiency occurs all over the state rather than just in the Coastal Plain.
  • Inorganic Se supplementation, as reported for 61% of the beef cattle farms in the Southeast, does not eliminate Se deficiency in the livestock industry. The animals still suffer from varying degrees of Se deficiency that are often not recognized.
  • Se deficiency in Georgia’s livestock industry is a hidden problem that reduces animal performance and profitability, and merits more attention, assessment and management.
  • The geographical coincidence of Se deficiency in animals and low Se contents of forages and grains used as feed in the U.S. suggests that adequate Se concentrations in feedstuffs are important in preventing Serelated health problems in animals.