Brain Dead on Ventilator: Can Hair & Nails Grow?
An internal medicine doctor answers the question of hair and nail growth in a legally dead (brain) body.
A person who has been declared brain dead, but is “breathing” due to a ventilator, and being fed via a feeding device, is considered legally dead, despite the beating heart.
So if the person is dead (despite warm skin and mechanical respiration), a fair question is: Does the hair and skin continue growing?
After all, the ventilator is pumping in air, and the beating heart is circulating this oxygen, and doesn’t oxygen (plus nourishment from the feeding device) make cells multiply?
Skin and hair continue to grow for some time after a deceased person is buried underground.
But what if a deceased (brain dead) individual is kept long-term even indefinitely, on a ventilator? Can their hair grow waist length, nails grow super long?
“Life exists in our body at many levels,” begins Jacob Teitelbaum, MD, medical director of the Fibromyalgia and Fatigue Centers nationally, and author of “The Fatigue and Fibromyalgia Solution.”
“As you noted, hair and nails continue to grow for days after a person dies, suggesting that cells continue to be alive.
“If one suggests that this means that death is not present, and all measures possible should be taken to continue cell death, then all of us will continue to be tortured to death over centuries, while our cells are cultured out on massive Petri dishes.”
Cells
“Put differently, at any funeral living cells continue in the body,” continues Dr. Teitelbaum. That does not mean that we call 9-1-1 and have the rescue squad come out and do CPR.
“In addition, the 10 trillion bacterial cells in our colon that make up part of our bodies (comprising as many cells as there are in the entire rest of our body) can continue to live on even months after a person is buried, so if the presence of any living cells means that CPR and all possible life support needs to be continued, we need to be digging up a lot of buried bodies.”
With all that said, just because the hair and nails continue to grow in a brain dead person on a ventilator, this does not mean that person is alive in the legal sense.
The hair and skin can grow for as long as they’re on a ventilator, but that person—as a person, as a whole—is no longer alive.
Dr. Teitelbaum
is a board certified internist and nationally known expert in the fields of fibromyalgia, chronic fatigue syndrome, sleep and pain.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
Birth Order & ADHD: Is There a Link?
When one child out of several in a family has been diagnosed with ADHD, it’s not uncommon for the parents to suspect that birth order had something to do with it.
To some parents, it may seem that every child they’ve ever known who had an ADHD diagnosis had the same place in the birth order of their siblings.
This could be the oldest, the youngest or the middle.
Or, it could be the middle of the same gender, or the youngest or oldest of the same gender.
Usually, though, it’s the oldest, middle or youngest overall. Each of these three positions of birth orders have stigmas.
- The oldest is stereotyped as being bossy.
- The middle child is stereotyped as being jealous.
- The youngest is stereotyped as being whiny and spoiled.
Ask yourself WHY birth order would have an influence on the development of ADHD symptoms.
Connection Between Birth Order and ADHD
“There is no research to show that ADHD is connected with birth order,” says Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing.
Dr. Myers is a clinical psychologist with 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
Dr. Myers adds, “It has been found to be more common in twins, which is one indication that at least in some cases there is a genetic basis for ADHD.”
The more children in a family, the less significant birth order is.
For example, if the youngest is always spoiled, what about the youngest of 12 kids, especially if the next youngest is only a year older?
What if the next youngest after that is a year older than the second youngest?
And what if the fourth one up is seven years older than the third youngest?
This can be a setup for ALL THREE of the youngest being spoiled by a slew of much older siblings!
Birth order is not related to ADHD.
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
Can Your I.Q. Be Too High to Have ADHD?
Can a Person Be Immune to ADHD Because of a High I.Q.?
Some people wonder if IQ can be too high for an ADHD diagnosis.
I know this question may seem quite silly, but it’s a popular one on at least one online support site for attention deficit hyperactivity disorder.
Thus, I decided to explore this topic with an expert in ADHD.
For this post I spoke with Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing.
Dr. Myers is a clinical psychologist who has 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
Is there a connection between high I.Q. and ADHD?
“The answer is absolutely no,” says Dr. Myers. “People with ADHD are most likely to have average to above average IQs. Some are very intelligent.
“This is the source of frustration and confusion for the person with ADHD and those around them. They ask, ‘How can such a bright person be so flakey?’”
The Explanation
Dr. Myers says: “The answer is that these people have deficits in what we call executive functions that are related to such things as paying attention, working memory and planning skills. Their other brain functions are working fine.”
Have you been recently diagnosed with ADHD?
If all along you’ve known that you’re pretty smart, and are now stunned to learn that you have ADHD, you should not jump to conclusions yet over this surprising diagnosis.
(Though in many cases of adult-diagnosed ADHD, the individual is not surprised at all, as they’ve been living with this condition’s challenges all their life.)
Dr. John Huber explains in this article what it really means when an adult is diagnosed with ADHD.
One of the things it could mean is that you have untreated sleep apnea.
Sleep apnea, which can affect thin people and even kids and teens, can cause symptoms that mimic those of ADHD.
This is particularly true for children. Steven Y. Park, MD, an otolaryngologist, explains in this post what the signs are that a child with sleep apnea has actually been misdiagnosed with ADHD.
If anything is often connected to the symptom features of ADHD, it’s untreated sleep apnea, not I.Q.!
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
Fidgeting Is Linked to ADHD and Has Benefits
A psychologist who specializes in ADHD talks about fidgeting.
Many people who’ve been diagnosed with attention deficit hyperactivity disorder (ADHD) would like to know if fidgeting is a behavior that comes with this collection of symptoms, and in addition to that, they’d like to know if it’s normal.
Sometimes they think it’s not normal at all.
For this article I spoke with Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing.
Dr. Myers is a clinical psychologist with 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
Dr. Myers explains, “Fidgeting is basically activity to work off excess energy. People who are nervous often fidget when they are worried about something.
“Fidgeting is a symptom often found in kids and adults with ADHD, and then it is a symptom of hyperactivity.
“If it’s not interfering with a person’s ability to do whatever they are doing and it’s not annoying to others, who cares.”
When I was 13, my biology teacher, a nun at the Catholic high school I attended, pointed out that I kept fidgeting in my seat (leg movement).
I told her that it burns more calories. My belief that it burned more calories was one reason I made a point to fidget, though it was also a subconscious habit.
She thought I was nuts and promptly discredited my theory that fidgeting burns more calories.
MANY YEARS later … research was conducted on this very idea, and showed that, indeed, fidgeting contributes to enough extra calories burned to make a difference to someone wanting to be five or even 10 pounds lighter.
And to think that when I was just 13, I was already figuring this out. Maybe I had ADHD, maybe I didn’t.
But realize this: Studies support fidgeting as a means of burning more calories, and those who fidget tend to be leaner.
It’s not natural for the human body to be dead still for long periods in a chair.
THAT’s when you should worry — when you sit for prolonged periods with little movement.
In fact, the more immobile a person is while seated, the higher the risk of developing a dangerous deep vein thrombosis.
ADHD is no reason to try to sit dead still, especially if the chair is not comfortable.
Having ADHD never means you should attempt to behave like a statue.
If you do a lot of sitting, make a point of fidgeting your legs, even if you have ADHD, because this will lower the risk of developing a blood clot (risk of blood clot goes up with inactivity).
This is why it’s strongly advised that when sitting in an airplane, you regularly move your legs about to prevent a deep vein thrombosis.
As I type this article, my left leg is going. The human body was not meant to sustain long periods of immobility.
Update
In March 2022 I was diagnosed with Autism Spectrum Disorder.
My “fidgeting” is the result of my autism. I did not meet the criteria for ADHD.
Nevertheless, my stimming (repetitive movements) makes my body burn more calories than if I didn’t engage in so much stimming throughout the day. It really adds up!
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
Can Leg Shaking Be Caused by ADHD?
A psychologist who specializes in ADHD comments on leg shaking.
“Leg shaking, like fidgeting, is often associated with anxiety or hyperactivity related to ADHD,” says Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing.
Dr. Myers is a clinical psychologist with 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
“Usually the person is not aware they are doing it. It is a habit that can occur whether the person is relaxed or stressed out.
“If it is bothering others, you could try to point it out so they can stop and perhaps become more aware of it and work on gaining control.
“Sounds easy, but for some it’s not as easy as you might think.”
Does ADHD Directly Cause One or Both Legs to Shake?
“ADHD” is a reference to a composite of symptoms including hyperactivity and difficulty maintaining focus on a task.
Other features include struggling to get tasks completed, disorganization, often losing items, difficulty waiting one’s turn, interrupting conversations, trouble with planning, poor time management and difficulty sitting still.
But despite the part of difficulty sitting still, ADHD does not directly cause anything to happen to a leg.
However, as Dr. Myers had pointed out, the symptoms that are associated with this commonly-diagnosed condition can cause shaking of the legs. This includes impatience with waiting for one’s turn.
Now, if a child or adult is in the habit of bouncing a leg up and down on the ball of the foot while seated, or rapidly moving the foot side to side while the leg is outstretched while seated or lying, or in some other way allows the leg to voluntarily quiver – this does not suggest that the individual might have ADHD.
It often just amounts to a nervous or comforting habit that makes time seem to pass more quickly depending on the circumstance, such as waiting for one’s dental appointment.
I see leg shaking all the time at the gym while people are resting in between sets of upper body exercises.
In fact, I’ve seen it while a person is using their phone in between sets.
It’s not accurate to deduce that all of these people have ADHD.
Leg Shaking and Autism
Leg shaking, which of course can come in various forms, can be the result of autism.
This doesn’t always mean nervousness or anxiety.
I myself have a clinical diagnosis of ASD (and autism only; no ADHD), and I’ve been bouncing a leg since childhood.
It’s a habit. It usually occurs subconsciously regardless of my state of mind.
It could be a quick bounce or a slow bounce. It could be up and down (“knee bouncing”) or sideways (thigh swaying).
It just doesn’t feel natural to sit still.
These movements, particularly when referring to autism, are known as “stimming” (self-stimulatory or self-regulating behavior).
It’s also important not to equate voluntary leg shaking with the involuntary quivering or trembling that may occur from a bout of intense exercise.
For example, intense use of a leg press machine can result in quivering legs.
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: Shutterstock/GBALLGIGGSPHOTO
Is Walking on One’s Toes Caused by ADHD?
Here is what a psychologist says about the connection between walking on one’s toes and ADHD.
Where did the idea ever originate that walking on one’s toes is a symptom or indicative of attention deficit hyperactivity disorder?
If a child (or adult) has difficulty locking their attention span on something, why would this cause them to walk around on their toes?
As silly as this question is, it’s one that a lot of people would like to know the answer to.
The Connection Between Toe Walking and ADHD
“Toe walking is not linked to ADHD,” says Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing.
Dr. Myers is a clinical psychologist with 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
He explains, “Toe walking can be a sign of a number of neurodevelopmental disorders and needs to be evaluated by a specialist.
“Some children with autism may have this symptom — as well as possible symptoms similar to children diagnosed with ADHD.
“My guess is that this is the cause for the confusion about this symptom.”
The idea that walking on one’s toes might be linked to ADHD is not widely supported by established research.
But yes, it has come up in clinical and layperson discussions, likely due to overlapping behaviors with autism or misunderstandings of motor patterns.
Toe-walking kids may also have been initially diagnosed with ADHD — only to be re-diagnosed later with autism spectrum without the ADHD.
This phenomenon could also explain the misunderstanding that ADHD causes habitual toe-walking.
Though an ADHD child may, indeed, at some point walk on their toes due to fleeting excitement or just for the heck of it, this motor pattern is not a universally acknowledge trait of ADHD.
Walking on one’s toes, even in adulthood, can also be due to a sensory processing disorder.
It’s also not uncommon for autistic adults to walk on their toes for sensory input or because they don’t like the feel of their heels making contact with a surface.
As children, adults with ASD would have very likely walked on their toes as well.
Do Typical Kids Walk on Their Toes?
Yes, all the time. You’ve seen it plenty: typical children walking around on their toes. There’s a novelty about it.
In fact, this helps strengthen the ankles. An adult may include a little toe walking during an exercise session for this very reason.
Of course, there is a time and place for everything.
If your child walks on their toes during inappropriate times, then this should be corrected (don’t scold or insult; just merely point out not to do it).
True signs of ADHD include what these letters stand for: a deficit in the ability to maintain one’s attention — what would be considered a normal degree of attention span for a child’s particular age — paired with hyperactivity and lack of impulse control that’s out of proportion for the event at hand.
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
Can Bad Sense of Direction Be Caused by ADHD?
An expert on ADHD answers the question: Can attention deficit hyperactivity disorder cause bad sense of direction?
A bad sense of direction can be evident in children when they ride their bikes or navigate the interior of their new school.
For older kids it can manifest itself inside a large retail store or unfamiliar neighborhood.
For adults with a bad sense of direction, they will be aware of this when driving in a new town, or hiking or running on unfamiliar trails.
Not everyone with a “bad sense of direction” has attention deficit hyperactivity disorder.
But the fair question remains: Can ADHD actually cause a poor sense of direction?
“Poor sense of direction such as confusing left and right sometimes goes along with dyslexia,” begins Dr. Robert Myers, creator of the Total Focus program at Legacy Publishing. Dr. Myers is a clinical psychologist with 30+ years of experience working with children, adolescents, families and parents, specializing in children and adolescents with attention deficit hyperactivity disorder.
“Some people with dyslexia may also have ADHD,” continues Dr. Myers.
This explains why some people wonder if attention deficit hyperactivity disorder actually causes a person to have a bad sense of direction.
But look at it in reverse: Imagine having a bad sense of direction. See if you can then imagine this having anything to do with ADHD.
The neurodevelopmental disorder known as ADHD can cause numerous issues.
These include frequently misplacing items, challenges with working memory, difficulty maintaining attention, becoming easily distracted, impulsiveness, excessive talking, poor time management, taking unnecessary risks, problems being organized and struggling to complete tasks.
Like Dr. Myers says, a person can have both situations — ADHD plus a poor sense of direction — but that doesn’t mean that the conditions are causally linked.
In fact, there has been no research showing any causal relationship between ADHD and getting lost easily.
Though some adults have a lousy sense of direction, keep in mind that by nature, very young children aren’t the best at navigating through unfamiliar surroundings such as a big house that they’ve never been inside of.
You should not assume that you, or your child, might have ADHD simply because the child’s or your sense of direction seems crummy.
Dr. Myers has 30+ years’ experience working with children, adolescents and parents, specializing in children and adolescents with ADHD. Total Focus is a comprehensive program to improve attention, concentration and self-control in children.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
MICROSCOPIC COLITIS: DIARRHEA, JOINT ACHES, OTHER SYMPTOMS
Did you know that microscopic colitis can cause joint aches?
The exact mechanism is not clearly known, but have you noticed that often, either in the days (or weeks) preceding a microscopic colitis flare…you have strange aching in your low back, ankles, neck, even wrists?
You may also have muscle aches, such as in the back of the upper legs and also where the top of the thigh meets the pelvic area.
Some people have even reported aching in their arm muscles.
All of these issues are most likely connected to this inflammatory bowel disease, and sometimes may occur at the same time as the diarrhea.
It’s a phenomenon called enteropathic arthralgia.
A small percentage of people with MC (lymphocytic and collagenous) experience enteropathic arthralgia.
“Enteropathic” refers to a disease process that involves the intestinal tract.
“Arthralgia” translates to joint pain. This is different from “arthritis,” because the “itis” means that something’s inflamed (the joint). “Algia” in medicine means pain.
Thank goodness that the enteropathic arthralgia in microscopic colitis is only a pain issue, rather than a degenerative issue of the joints.
The following links will take you to articles about microscopic colitis and enteropathic arthralgia.
Many of these articles contain information from gastroenterologists whom I interviewed, while the rest are based on my personal experience with this quirky but benign condition (I was diagnosed in 2010), and my extensive research.
ENTEROPATHIC ARTHRALGIA
- Time lapse between joint pain flare and diarrhea and how this process occurs
- How does MC joint pain compare to ulcerative colitis and Crohn’s?
- Detailed description of what microscopic colitis joint aches feel like
- PMS joint aches vs. those of microscopic colitis
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.
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Top image: ©Lorra Garrick
Elbow Pain: How to Get Your Deadlift Back
If you have elbow tendonitis, it can greatly interfere with the deadlift.
The type of elbow tendonitis that I had is called medial epichondylitis (golfer’s elbow).
Just a little gripping would aggravate it. My initial therapy (hand grips and very gradual over time increase of resistance on the close-grip hammer-grip pull-down) was working well.
Then I did some very heavy yard work and messed things up. The initial therapy then proved to be worthless.
I then decided to do the two exercises that aggravated the problem the most: farmer walks, and the deadlift.
To my distress, I discovered that a barbell deadlift (which I had been avoiding for a very long time due to this injury) of more than 50 pounds aggravated the tendon. A farmer walk with 15 pound dumbbells aggravated it as well.
You Need a Starting Point
But I decided to make that a starting point. Below is the program I used. It took approximately TEN MONTHS to get my deadlift up to 135 pounds (reps). I consider that a major milestone.
Keep in mind that my inability to initially deadlift more than 40 pounds was due to feeling a tweak in the elbow, rather than lacking the strength.
Same with the farmer walks; carrying the 15 pounders induced an unpleasant feeling in the elbow.
This sensation meant that the tendon was being aggravated.
So do not think in terms of strength. This is rehabilitation of the tendon in your elbow.
Shutterstock/solar22
Getting Your Deadlift Back After an Elbow Tendon Injury
Shutterstock/Nomad_Soul
– At first, six to seven days/week, do farmer walks.
– Deadlift twice a week (Monday and Thursday; Tuesday and Saturday; or Wednesday and Sunday).
– Use a weight for the farmer walks that you can walk around with, literally for five minutes nonstop without making you “feel” anything going on with your elbow. If you can feel anything that you shouldn’t, use a lighter weight.
– Do this three times a day for one week at the same weight.
– Every week, increase the farmer walk weight to the next possible increment. I had three sets of dumbbells at home: 10, 15 and 35 pounds.
Progressive Load of the Weights
Once I was ready to go heavier than 15 pounds, I decided to bring in sets of 3, 5 and 8 pound dumbbells.
I then took four paper grocery bags that had handles. I doubled them up, then placed a 15 pounder and 3 pounder in each (or a 10 and an 8). This way, I could farmer walk with 18 pounds.
Why not just hold the dumbbells without the paper bags?
Because this was being done at home (and daily) where I did not have access to every incrementally-weighted dumbbell at the gym.
After a week I put a 10-, 8- and 3-pounder in each bag, for a 21 pound farmer walk. The doubled bags were sturdy enough still.
I kept increasing over time, so that eventually, I had a 15- and a 10-pounder in each bag. I then put a 15-, 10- and 3-pounder in each bag.
When I was in the gym, I used their incremental dumbbells. However, once I got up to 28 pounds, I decided to par back the farmer walks to three times a week (only at the gym).
This is tedious work: walking around holding dumbbells for five minutes. But this should re-train a compromised elbow tendon to be efficient.
However, the five minute rule can be broken at around 20 pounds. Three minutes will do.
The progression with the farmer walks went a lot slower than with the deadlift.
This is due to the positioning of the hands while carrying the weights; it puts more stress on the tendon.
When I got to 40 pounds with the farmer walks, I still considered myself in rehab mode.
I was strong enough to use 50 pounders, but this would bring out the tweaky feeling in my elbow.
I then built up to farmer walks with a 45 pound plate in each hand (the style with the openings at varying points around the hole).
The plates are easier on the elbow tendon because they don’t require as much of a grip.
More on the Deadlift Rehab
– Do eight reps of the deadlift with 90-120 seconds in between sets, six sets total. This will be very tedious due to the long rests and the ridiculously light weight.
Shutterstock/Vladimir Sukhachev
Do not use a weight that makes you “feel” your elbow tendonitis. Work just below that point. Increase the weight five pounds every two weeks.
If the increase results in “feeling” the tendonitis, return to the previous weight! It took me 10 months with this approach to get from 50 pounds to 135 pounds.
The long rests will protect the tendon from over-work. Do half the sets with an underhand grip and half with an overhand. Do not mix.
– For deadlifts with pre-fixed barbells or an Olympic bar with 25 pound plates or less on it, there’s no need to touch the plates to the floor. Go down as far as you would if you were using 45 pound plates.
– When you get to 35 pound plates, it’s okay, but not necessary, to touch the floor with them.
– If you decide to make contact with the floor, DO NOT BANG THE PLATES! This will force the elbow tendons to absorb some of this!
Instead, gently touch the floor—so gently that you’re the only one who hears it. This includes at the end of each set.
– When you get to 95 pounds, increase the rest to two minutes. The set range can be six to eight.
– You are still increasing by only five pounds every two to three weeks. You’ll be tempted to make bigger increases if the weight you’re using is still very light relative to what you were lifting pre-injury.
The elbow tendonitis is the weakest link and it calls the shots, no matter how much weight your legs, back and shoulders want to lift.
– Don’t assume that once you get to, say, 120 pounds, you’ll be able to increase the incremental gains from five pounds every 2-3 weeks to 10 pounds. Stay with five.
I made a 10 pound jump and “felt it” in my elbow. So I backed down to the five pound increase (and my elbow felt fine).
– Don’t worry what people think when they see you using a light barbell, when you know that they’ve seen you in the past with a much heavier weight! This was difficult for me to digest, but I had to get used to it.
Getting your deadlift back from elbow tendonitis begins with accepting the fact that you will have to be lifting peanuts for many months.
Lorra Garrick is a former personal trainer certified through the American Council on Exercise. At Bally Total Fitness she trained women and men of all ages for fat loss, muscle building, fitness and improved health.
Lag Time Between Joint Pain & Diarrhea in Microscopic Colitis
Why can there be a time lapse between joint-pain onset of microscopic colitis and the onset of diarrhea?
It’s possible for a flare-up of microscopic colitis to consist of, initially, some joint aches (some patients may refer to it as “pain”), without the diarrhea, even though the gushing- or porridge-like diarrhea is a hallmark feature of this inflammatory bowel disease.
When a person with microscopic colitis has a flare, the joint pain and the diarrhea won’t always come at the exact same time.
The arthralgia may precede the diarrhea.
Why is this?
“Lag time may be caused by a combination of factors: diet, exercise, genetics, sleep patterns, stress, environment, ongoing medical conditions, viruses, infections, and your body’s individual inflammatory load,” explains Jeffrey Fine, MD, chief of gastroenterology at the Medical Surgical Clinic of Irving.
“The inflammatory load – how much inflammation the body is enduring and how much it can handle – varies from person to person.
We have built-in mechanisms that are supposed to help neutralize inflammation, but when your system becomes too overwhelmed, something has to give.”
To reduce inflammatory load, eliminate as many processed foods as possible. This means avoid eating foods from cans and boxes.
Eat as you would if there were no such thing as food factories or processing plants.
If you DO eat anything processed, opt for a minimally processed version, and make sure there are no unnatural ingredients. The more ingredients, the more processed.
The closer a food is to its natural form, the less pro-inflammatory it is: An apple is better than apple sauce is better than bottled apple juice is better than apple pie.
If you awaken one day with joint aches but no other new symptom, and you’ve already been diagnosed with microscopic colitis, and even if your last (and only flare-up) was several years ago, then consider this:
And that is the the possibility that this new-onset arthralgia is part of another flare-up of microscopic colitis and is simply lagging behind the characteristic diarrhea that will eventually be coming.
