thanksgiving diet tips

[© Dmitriy Shironosov |]

And Any Upcoming Holiday Meal!

Everyone loves the holidays – a time for family and friends gathering and sharing meals and memories. Between turkey and stuffing and pies, this is also a time that is easy to fall off the healthy eating wagon and gain unwanted pounds. However, Thanksgiving does not always have to sabotage your waistline.

Below are some tips to enjoy your Thanksgiving while staying healthy:

  • Don’t overeat: It is easy on Thanksgiving with so many options and food in front of us to overeat. Skip the seconds by waiting at least twenty minutes after your meal to let your body realize if it is full or not. Have the turkey be the only thing that is stuffed this year!
  • Exercise: Put in a little extra exercise around the holidays before treating yourself to your Thanksgiving feast. Increasing the length of your workout and exercising to burn off the calories before you consume them is a good trick. In addition to exercising before your Thanksgiving meal, take a walk after dinner and plan a workout date for the following day.
  • Stay hydrated: Drinking water throughout the day will keep you hydrated and keep hunger pains, that may actually be thirst, to a minimum. Also, go easy on alcohol where calories can sneak up on you.
  • Eat breakfast: Many follow the myth of skipping breakfast to save their appetite for the Thanksgiving feast – but this could actually be detrimental. Not eating until later in the day can easily lead to binging.
  • Eat fewer appetizers: By staying away from appetizers that you can have any day of the year, you save your appetite for the main course.
  • Try healthier recipes: If you are cooking or bringing a dish to Thanksgiving, lighten up your dishes by using less sugar and fat. Typically, no one will notice the difference if you scale back and use lower calorie ingredients.

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IBD symptoms treatment

[© Lensonfocus |] Although no cure exists for IBD, dietary changes and medication may help. If left untreated, IBD complications can arise, affecting your quality of life and contributing to an added risk of cancer.

IBS and IBD…do these gastrointestinal disorder acronyms have you confused? Irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD) share some similar symptoms, but treatment varies significantly between the conditions, making it important to get an accurate diagnosis.

According to Johns Hopkins Medicine,
: the overarching name of two chronic diseases which cause swelling of the intestines or the colon: Crohn’s disease and ulcerative colitis.
IBS: a digestive disorder that causes abdominal pain, diarrhea, constipation, bloating, gas or a combination of these.

Crohn’s disease is a chronic, inflammatory IBD affecting all or only a small part of the gastrointestinal (GI) tract. This autoimmune condition can progress deep into affected tissue. Ulcerative colitis is an IBD where the inner lining of the large intestine and rectum become inflamed and ulcers can form.

The symptoms of IBD vary and are similar to other bowel conditions and include diarrhea, abdominal pain and cramping, fatigue, fistulas, incontinence, rectal bleeding and weight loss.

“IBD symptoms are not only found in the GI tract. Symptoms can be extra-intestinal (outside the intestine) to include arthritis and joint pain, rashes and eye redness,” says Grishma Joy, M.D., a gastroenterologist on staff at HCGH. “You should see a doctor if you have symptoms lasting more than a few weeks and/or have recurrent symptoms, persistent pain, unintentional weight loss and/or rectal bleeding.”

Diagnosing IBD
Initially, testing for IBD begins with blood work and a lab test to check for inflammatory markers in your stool. A colonoscopy, often combined with an upper endoscopy, to collect tissue samples and visualize the GI tract are important tools in diagnosing IBD.

What Causes IBD?
According to Dr. Joy, the exact cause of IBD remains unclear, but we know that genetics and environmental factors can trigger IBD. Potential risk factors include if you:

  • have had your appendix removed
  • used Accutane (a form of vitamin A used to treat severe acne)
  • have a relative with IBD
  • are of Jewish ancestry (although IBD can occur in all ethnic and racial groups)
  • if you have IBS or celiac disease, you can also have IBD.

There is no specific IBD diet, but Dr. Joy suggests the following tips that may decrease your symptoms:

  • include fewer foreign substances in your diet, such as processed foods
  • reduce fresh fruits/raw vegetables: the antigens found in these uncooked foods can trigger a chemical reaction that causes IBD symptoms; instead, cook fruits and vegetables before eating them to eliminate the antigens
  • avoid red meat – it is hard to digest. Animal fat, along with fat in general, causes inflammation. If you are already overweight, you have a higher level of inflammation in your body already, and you should concentrate on avoiding too much fat that will only further increase your inflammation levels.

Treating IBD
Although there is no cure for IBD, several medications are available to help. “Many of the side effects of IBD prescription medications can be concerning. However, it is important for those diagnosed with IBD to understand their importance. If IBD is untreated, your risk of cancer can be increased. Additionally, untreated IBD can result in complications as the disease progresses, including: perforation or tearing of the intestines as a result of deep ulcers; abscess or infection; a fistula attaching to other organs; or malnutrition,” says Dr. Joy. “IBD can really affect quality of life and, as such, those with IBD may suffer from depression. Recognizing and addressing this is a very important aspect of effective management of the disease.”

There are many studies that show over-the-counter probiotics can provide relief from IBD symptoms. However, probiotics do not heal the intestinal lining, so you will need to continue taking your prescription medications.

“There are many new FDA-approved medications showing promise for those with IBD, and much research is in the pipeline,” notes Dr. Joy. “Nevertheless, if you are not responding to medication currently available, surgery can be an effective treatment option that often brings significant relief.”


Grishma Joy, M.D., is a gastroenterologist with Digestive Disease Associates in Columbia.




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As summer turns to fall, I feel the seasons changeover with achy twinges in my joints. Some people with rheumatoid arthritis (RA), like myself, feel changes in the weather with their bodies. I can feel big storms, pressure changes, and shifts in humidity.

Frequently, the most challenging transition I encounter is when summer shifts to fall. I often feel my best during summertime. I experience less joint pain, swelling, stiffness, and have more energy overall. Unfortunately, as those warm summer days darken into chilly ones, my joints grow achier and harder to move.

Through the years, I’ve developed coping mechanisms to handle these seasonal changes. I don’t think I have a perfect routine, but I better understand what helps me to feel better and manage the changes in my physical condition.

      • Get more rest. Instead of getting angry at my body and denying the problem, I have to be gentler on myself and take time to get more rest. I try to go to sleep earlier, if possible, on week nights. And on weekends I may sleep in or take naps during the day. On especially bad days, I may scale back my schedule and replace activity with more resting.
      • Stay warm. When my joints become cold I have two problems. I feel worse, with more pain and stiffness. Plus, it takes a ridiculously long time for me to warm up and feel better. The best plan is to stay warm in the first place. I often dress warmer than most people—taking out the sweaters as early as September. And at night I have a heating blanket turned up on high. Taking proactive measures can help prevent bigger problems with my RA.
      • Keep up with gentle exercise. When my RA feels worse, it can be very difficult to motivate myself for exercise. It’s natural for my body to complain about moving when my joints ache and feel stiffer than molasses. But even on bad days if I do some gentle stretches and slow motions, then my bones loosen up and some of the pain dissipates. A little exercise can go a long way, which will hopefully help me feel better tomorrow as well.

Living with rheumatoid arthritis has its limitations, but I can still take care of myself with some gentleness. While I can’t necessarily fight the effects of winter, I can ease my body into it with a little self-care. Taking the time to observe how I feel and experiment with some techniques for combating the worst symptoms has helped me navigate the changing seasons.

Kelly Mack lives in Washington, DC, and works for a marketing communications firm.

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rheumatoid arthritis

[© Hriana |] RA is chronic autoimmune inflammatory arthritis that causes pain, stiffness, swelling, and limited mobility and function of many joints. If you or your primary care physician suspect RA, you should be evaluated by a rheumatologist to develop an appropriate management plan.

Understanding Rheumatoid Arthritis
Could you be one of the more than 1.5 million people in the United States who suffer from rheumatoid arthritis (RA)?  RA is chronic autoimmune inflammatory arthritis that causes pain, stiffness, swelling, and limited mobility and function of many joints. Typically, RA starts by affecting small joints in the hands and feet but can impact any joint. This systemic illness also can sometimes affect other organs, including the heart, lungs and eyes. Other symptoms may include low-grade fever, firm bumps, loss of energy and loss of appetite.

Approximately 75 percent of those with RA are women, and while the disease is most common between ages 40 to 60, you can be diagnosed at any age. Also, having a family member with RA can increase your likelihood of developing the disease, although you can still suffer from RA without having a family history of the disease.

No one knows what triggers rheumatoid arthritis, and since many diseases may behave like RA, if you or your primary care physician suspect RA, you should be evaluated by a rheumatologist to develop an appropriate management plan. This will help avoid unneeded tests for conditions that can mimic RA symptoms.

What can I do if I have RA?
Although there is not yet a cure for RA, there is a lot of research targeting a cure. Today, medication can dramatically improve or resolve symptoms of stiffness and swelling of joints, putting a patient in remission. In addition to medication, exercise, rest and joint protection are also forms of treatment.

The Arthritis Foundation suggests those with RA remember:
If left untreated, the inflammation caused by RA can result in permanent damage to joints or internal organ

  • The earlier you receive treatment, the better chance of preventing joint damage
  • Remission is possible
  • Your risk for heart disease is increased
  • Exercise helps: aim for at least 30 minutes of low- to no-impact aerobics five days a week and, if possible, include strengthening exercises
  • Stress management and rest are also helpful
  • Maintain open communication with your physician

The Howard County General Hospital Bolduc Family Outpatient Center offers physical therapy and exercise for those diagnosed with RA. For an appointment, call 443-718-3000.


Moe Zan, M.D., is a rheumatologist with Arthritis Care Specialists in Ellicott City. Make your appointment by calling 410-992-7440.

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With another flu season approaching, now is the perfect time to get a flu shot! Flu vaccines are now being offered at doctor’s offices, pharmacies and health fairs in Howard County, and are often offered free of charge or covered by insurance. This Friday, they are available at the 50+ Expo at Wilde Lake High School in Columbia, courtesy of the Howard County Health Department.

The flu can be a serious illness. According to the Centers for Disease Control (CDC), during recent flu seasons, between 80 and 90 percent of flu-related deaths have occurred in people age 65 years and older. Children and those with other health conditions may also become more seriously ill with the flu.

To get more facts about the flu and get all of your questions answered about the vaccine, visit the CDC for Key Facts About Seasonal Flu Vaccine.

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What if I Have Lupus?

lupus symptoms

[© Nandyphotos |] Lupus is a chronic, autoimmune disease that often causes joint pain, facial rash and fatigue. It can occur in anyone, but typically strikes non-Caucasian women ages 15 to 44 years old. Family history also plays a factor.

Living with Lupus
Lupus is a chronic, autoimmune disease that can affect any part of the body, most often the joints, skin and/or organs. It is a disease of flares and remissions and the most common symptoms are joint pain, facial rash and fatigue.

How do I know if I have Lupus?
Lupus can often be difficult to diagnose because the symptoms mimic a variety of other diseases. Generally, a blood test is used to diagnose lupus when a patient has joint pain or a facial rash. The severity and types of symptoms you have determine if you need to see a specialist. Most often, a rheumatologist will treat lupus, but in some cases, it can impact other areas such as the kidneys and nerves, and you will see a different specialist.

Who Gets Lupus?
Anyone can get lupus, but it is much more likely in women than men, especially women ages 15 to 44. Additionally, though all races and ethnic groups can develop lupus, women who are not Caucasian are more prone to be diagnosed. The likelihood of getting lupus also increases with family history. If you have lupus, your children have a higher chance of having it.

Often mistaken for being contagious through sexual contact, this is not a disease that you can “catch” or “give” to someone.

Lupus Flares
Lupus is a disease of flares (when symptoms appear and the disease worsens) that come and go, lasting anywhere from a couple of weeks to many years. Flares can be caused or worsened by:

  • Being out in the sun
  • Stress
  • Sulpha drugs

Lupus is a disease that varies in severity. While some people may have very severe cases, others’ cases are so mild it barely affects them. Although there is not a cure for lupus, a variety of medications can treat the disease and control symptoms.

One very common misconception that people have is that if you have lupus you will die from it. The reality is that more people have milder cases of the disease and, while they need to be treated, they can live a pretty normal life.

As with any medical condition, patients should work to stay healthy with these tips:

  • Join a support group
  • Exercise and stay active
  • Maintain a healthy diet (high in omega-3 fatty acids) and weight – this is additionally important because those with lupus have a slightly increased risk of developing cardiovascular disease
  • Get involved in your health care and see your doctor regularly
  • Avoid significant sun exposure and use high SPF sunscreen
  • Get sufficient rest and avoid stress

Drug-induced Lupus
Drug-induced lupus presents with lupus-like symptoms that have been caused by certain drugs. Some prescription drugs associated with this phenomenon are used to treat infection, hypertension, irregular heart rhythms and tuberculosis. Patients typically experience a milder form of lupus with a rash or joint aches. Not everyone who takes these drugs will develop drug-induced lupus and, typically, when you stop taking the medication, the lupus-like symptoms disappear.

Steven Geller, M.D., is an internal medicine physician with Centennial Medical Group in Elkridge. Appointments: 410-730-3399. (Chaim Mond, M.D., is a rheumatologist in Columbia. Appointments: 410-580-1330.)

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