Lung Cancer
PodcastDX
Lung cancer is the third most common cancer in the U.S. It’s caused by harmful cells in your lungs growing unchecked. Treatments include surgery, chemotherapy, immunotherapy, radiation and targeted drugs. Screening is recommended if you’re at high risk. Advances in treatments have caused a significant decline in lung cancer deaths in recent years. Lung cancer is a disease caused by uncontrolled cell division in your . Your cells divide and make more copies of themselves as a part of their normal function. But sometimes, they get changes (mutations) that cause them to keep making...
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Home Eye Safety
PodcastDX
Did you know that about half of all eye injuries happen right at home? Home activities that can injure your eyes include: Cleaning. Chemicals like bleach in household cleaning products cause 125,000 eye injuries each year. Home Improvement. Screws, nails and hand tools can launch into the air—and into your eyes. Power tools can also send wood chips or other substances flying into the air. Yard Work. Lawn mowers, trimmers and even shovels can throw dirt and debris into the air. Branches, twigs and thorns can also be dangerous. Unfortunately, only about three out of 10 people wear...
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Change the Outcome with Nutrition & Exercise
PodcastDX
This week we discuss changing the outcome of your health with nutrition & exercise. Our guest today is Dr. James Thompson, the author of Fearless Wellness and a passionate advocate for transformational change. He completed medical training 35 years ago and has dedicated my career to empowering others to live healthier, more fulfilling lives. He experienced a life-changing event in 2012 and participated in a 2 with my church community. Though the three-week diet, equivalent to a whole food plant-based diet, was intended to emphasize prayer, the impact of the food intrigued...
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Dangers of Impaired Driving
PodcastDX
This week we discuss the dangers of impaired driving. Impaired driving poses significant dangers, leading to thousands of fatalities and injuries each year due to reduced coordination, judgment, and reaction times. Definition and Causes Statistics Effects of Impairment Preventive Measures Conclusion Impaired driving is a serious public safety issue that leads to numerous preventable deaths and injuries each year. By understanding the dangers and implementing effective preventive measures, we can work towards reducing the incidence of impaired driving and...
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Falls Prevention
PodcastDX
Falls are a threat to the health of older adults and can reduce their ability to remain independent. However, falls don't have to be inevitable as you age. You can reduce your chance of falling or help a loved one prevent falls. There are proven ways to reduce and prevent falls, even for older adults. We identify older adults as anyone 65 years and older. Physical changes and health conditions — and sometimes the medications used to treat those conditions — make falls more likely as you age. In fact, falls are a leading cause of injury among older adults. Still, fear of falling doesn't...
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BiPolar Revisited
PodcastDX
Due to a scheduling glitch we are doing a rerun today of an episode Paris Scobie did with us earlier this year. Paris is a Mental Health Speaker, Host of the top 1% globally ranked podcast, , & Best-Selling Author of her memoir, . Paris launched Live Well Bipolar to use her lived experience to help others overcome the shame, fear and isolation that can so often accompany living with bipolar. She shares how she went from being a patient struggling from inside the walls of a psychiatric hospital newly diagnosed with bipolar to returning to work at this same hospital years later....
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Working as an Autistic adult
PodcastDX
This week we discuss strategies autistic adults can use as employees. Temple Grandin PhD is our distinguished guest this week. Her website gives a great explanation of her theory on how best to prepare autistic children for a more independent life and active social integration through employment. She emphasizes that in earlier generations, (Temple grew up in the 1950s) activities such as newspaper delivery provided young people with formative work experiences. She suggests that, in the absence of such opportunities today, parents can help children build similar skills...
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Bartonella
PodcastDX
Bartonella is a genus of Gram-negative bacteria. It is the only genus in the family Bartonellaceae. Facultative intracellular parasites, Bartonella species can infect healthy people, but are considered especially important as opportunistic pathogens. Bartonella species are transmitted by vectors such as fleas, sand flies, and mosquitoes. At least eight Bartonella species or subspecies are known to infect humans. Bartonella henselae is the organism responsible for cat scratch disease. History Bartonella species have been infecting humans for thousands of years, as...
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Haemophilus influenzae H-Flu
PodcastDX
This week we are not featuring a guest, but will be discussing Haemophilus influenzae, or H. influenzae, a kind of bacteria. It can cause bacterial infections ranging from mild (such as bronchitis) to severe (such as septic arthritis). Treatment includes antibiotics but you may also require hospitalization depending on the severity of your condition. Haemophilus influenzae (H. influenzae) is a type of bacteria that can cause several different kinds of infections. These bacterial infections can range from mild, such as , to severe, such as . The infections typically affect children...
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Haemophilus influenzae H-Flu
PodcastDX
This week we are not featuring a guest, but will be discussing Haemophilus influenzae, or H. influenzae, a kind of bacteria. It can cause bacterial infections ranging from mild (such as bronchitis) to severe (such as septic arthritis). Treatment includes antibiotics but you may also require hospitalization depending on the severity of your condition. Haemophilus influenzae (H. influenzae) is a type of bacteria that can cause several different kinds of infections. These bacterial infections can range from mild, such as , to severe, such as . The infections typically affect children...
info_outlineThis week we will discuss Bile acid malabsorption (BAM), a gastrointestinal disease. It’s a common cause of chronic diarrhea. When bile acids aren’t properly absorbed in your intestines, they build up, upsetting the chemical balance inside. Excess bile acids trigger your colon to secrete extra water, leading to watery stools.
What are bile acids?
Bile is a substance your liver makes while filtering your blood. Your liver sorts waste products, such as toxins, dead blood cells and excess cholesterol into bile. Bile acids come from synthesizing these products together. The different acids in bile help to stabilize the lipids in the mix and keep them in a liquid form.
Your liver sends bile through your bile ducts to your small intestine to help with digestion. Bile acids in your small intestine help break down fats for absorption. When that work is done, they are supposed to be reabsorbed themselves, returning to your circulation and then your liver to be recycled into bile again.
What is malabsorption?
Malabsorption is any failure of your intestines to absorb all of the chemicals they’re meant to. Malabsorption can be a problem with your intestines themselves, or it may result from a chemical imbalance. For example, you may have too much or too little of a certain chemical for your intestines to absorb.
Who does bile acid malabsorption affect?
BAM has been historically underdiagnosed due to a lack of accessible ways to test for it. But studies now show that at least 30% of those diagnosed with functional diarrhea disorders may have BAM. Functional disorders are those that have no apparent cause and are likely to go undetected during a medical examination, such as irritable bowel syndrome (IBS).
BAM is seen in people with conditions such as:
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Diarrhea that persists after a bacterial infection.
It can also happen in people who receive certain medical treatments including:
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Surgical bypass or resection of the ileum, the last section of the small intestine.
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Gallbladder removal (cholecystectomy).
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Radiation therapy, especially in the abdominal-pelvic region.
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Metformin, a treatment for type 2 diabetes.
What are the symptoms of bile acid malabsorption?
Typical symptoms include:
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Watery diarrhea.
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Painful stomach cramps.
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Urgency and difficulty holding bowel movements in.
Some people also have:
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Steatorrhea (fatty stools.)
Long-term symptoms can include:
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Weight gain.
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Weight loss.
About half of people have constant symptoms, and the other half only report occasional symptoms.
What causes bile acid diarrhea?
The symptoms of bile acid malabsorption — primarily, bile acid diarrhea, or BAD — result from the buildup of bile acids in your colon, where food waste turns to poop. Normally, 95% of the bile acids in your small intestine are reabsorbed in the last segment (the ileum) before passing on to your colon.
When too many are left over, however, they pass into your large intestine with the rest of the waste. Bile acids in your colon irritate the mucous lining, triggering it to secrete extra fluid and speeding up the muscle contractions that move poop along. This causes frequent, urgent diarrhea and cramping.
What causes bile acid malabsorption?
What causes bile acids to build up in your intestines is another question.
Researchers have classified the possible causes of BAM into four different types. Sometimes they classify BAM as either primary or secondary.
Primary BAM is caused by your liver overproducing bile acids (types 2 and 4.)
Secondary BAM is caused by damage to your small intestine due to disease, surgery or radiation treatment (types 1 and 3.)
Type 1 BAM is caused by a problem with your ileum itself. This is considered true malabsorption, because the problem begins at absorption stage of the bile acid cycle. You may have type 1 BAM if you’ve had the last part of your small intestine surgically removed, altered or bypassed to treat another condition. Certain diseases, such as Crohn’s disease, and treatments such as radiation therapy can also damage the ileum. Significant damage impairs its ability to absorb.
Type 2 BAM has sometimes been called “idiopathic,” which means that it happens spontaneously or for unknown reasons. However, current research suggests that it's a problem with the chemical signaling between your intestines and your liver. This signaling is what normally regulates your bile acid cycle (enterohepatic circulation.) Chemicals in your blood signal when your liver should produce and deliver more bile acids and when it’s time to stop, reabsorb and recycle them. But with type 2 BAM, your liver doesn't get the memo to stop. So, it keeps sending bile acids — too many for your ileum to absorb.
Type 3 BAM is caused by gastrointestinal diseases that can affect your ileum along with other parts of your digestive system. These include celiac disease, chronic pancreatitis and small intestinal bacterial overgrowth (SIBO).
Type 4 BAM is caused by excessive bile acid production as a side effect of taking Metformin.