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WHAT DO YOUR FARTS SAY ABOUT YOUR HEALTH?

March 3, 2020

Fluff, cutting the cheese, breaking wind, booty belch, whoopee, and anal salute are all different ways to refer to the standard and embarrassing fart. Did you know the average person farts approximately 14 to 23 times per day? As awkward as it may be, everyone needs to release gas from their body. It is part of the digestive process and is a necessary bodily function. What do your farts (passing gas) reveal about your general health?  

What is a fart? Flatulence, also known as a fart, is something everyone experiences. It's the release of intestinal gas, which forms as a result of digesting food. Gas can be found throughout the digestive tract, including the stomach, small intestine, colon, and rectum.

New York-Based Internist and Gastroenterologist, Dr. Niket Sonpal, explains what your flatulence is trying to tell you.

1. Do you have a balanced diet?

A balanced diet should provide the body with the proper number of vitamins and nutrients. Consuming the appropriate amount of fiber and healthy foods helps keep the digestive system working correctly. If you tend to pass gas more often than you would like, this could mean that the body is not receiving the correct nutrients. Avoiding foods that are processed and harder to digest and sticking to more natural ingredients, could decrease how often you toot. 

2. You may have a food intolerance.   

Not all food allergies can be life-threatening; however, they can still cause conflict day-to-day for some individuals. Food intolerances mainly affect the digestive system making it harder for the stomach to digest food properly. This can lead to smelly and awkward bloating, reflux, and diarrhea after a meal. For example, people with a dairy intolerance struggle to digest lactose, which results in the stomach becoming extraordinarily bloated and sends out foul smells out of the anus. 

3. Irritable Bowel Syndrome

Constantly farting throughout the day could be a sign of a health issue such as irritable bowel syndrome, diabetes, or, in extreme cases, colon cancer. Typically, these health issues cause extreme flatulence, odors or odd pressure on the rectum when they are about to be released. 

4. You are stressed. 

Symptoms of irritable bowel syndrome go hand in hand with stress. Stress and anxiety can lead to excessive swallowing of air, oxygen release, and digestion issues. These are three causes of having more gas than usual. When people are panicking or stressed, they often swallow more air than necessary, leading to bloating and pressure that needs to be released. On the other spectrum, hyperventilating allows an excess of oxygen to enter the bloodstream, which can also lead to gas problems. 

5.Pre-Menstrual Women  

That time of the month is already painful enough. There are changes in your bowel habits during this time caused by fluctuations in hormones. The shift in your hormones and bowel movements cause farting to become more frequent and smellier during this time of the month. Be mindful of accidentally passing wind while you are pre-menstrual.

6. You might have harmful gut bacteria.

Regular farting is an indicator of healthy gut bacteria and a properly working digestive system. Your body needs good bacteria in your intestine for it to remain healthy. Microbes in your gut are a positive thing because they eat up excess fiber and carbohydrates we do not use. Also, they produce beneficial bacteria. If you do not have any good bacteria, it can lead to constipation and bloating, which is unhealthy for your digestive system.

Read the latest issue of Athleisure Mag.

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PHOTO COURTESY | Christine SiracusaThis NYC Millenial Doctor Shares 6 Reason You Shouldn’t Starve for Weightloss and What to Do Instead.

PHOTO COURTESY | Christine Siracusa

This NYC Millenial Doctor Shares 6 Reason You Shouldn’t Starve for Weightloss and What to Do Instead.

DOES LOSING WEIGHT MEAN HAVING TO GO HUNGRY?

June 26, 2019

For many people losing weight is synonymous with restriction and sacrifice. In an effort to acquire the body of their dreams, patients obsess over every calorie and cut too many corners, leaving their body starved and tired. Dr. Niket Sonpal, an NYC Internist and Gastroenterologist, tells us malnourishment is not the key to a healthy lifestyle and could be the “gateway into difficult health problems.”

Dr. Sonpal, who is an Assistant Professor at Touro College of Osteopathic Medicine and Associate Director of Brookdale Hospital's Residency Program, says, “Starving yourself is a technique that quickly backfires on patients. It can cause ma ss to be stored, water to accumulate, and hormone imbalances, among other things. If we aren’t careful about our nutrition and our weight loss, we can end up worse than when we started.”

Hunger is defined by bodily sensations ranging from mild pains in the abdominal region, headaches, mood changes, a decline in energy or light-headedness. These sensations signal the body’s instinct that it needs to replenish energy by consuming food. Biological cues arising from hunger inform the body of what to how to operate some of its essential functions to adapt to your circumstance. Remember though society has evolved tenfold since the first Neanderthals roamed the earth, our biological instincts are still quite similar, and hunger is at the center of how our body assesses its ability to survive. Simply put, if our body is not receiving the energy it needs, it will adapt its functions to survive what it perceives as hard times. During this adapting period, we can undergo mild to serious health implications that run contrary to our overall goals of losing weight and improving our health.

Here are 6 Major Reasons to Refrain from Starving Yourself and what to do instead:

Your Metabolism

Prolonging your body’s state of hunger regularly and for extended periods can cause your system to slow down your energy expenditure during periods of rest. Your Basal Metabolical Rate dictates how much energy your body burns in order to fuel your essential bodily functions while at rest. In the absence of regular and consistent nourishment, your body may begin to store energy, often in the form of fat.

Many people get caught up in an unhealthy obsession with calories. While calorie counting is sometimes necessary to get rid of stubborn fat and techniques like intermittent fasting can help people jumpstart their metabolism. Studies show that for people who are already obese or lack muscle while packing excess body fat, extended periods of hunger can worsen their situation.

To avoid going down the path of starvation and fat storage, start to slowly and sustainably build a schedule and regiment that has you eating high volumes of low calorie and low carb foods. Vegetables and lean proteins are your friends. Instead of eating two or three huge meals, space them out throughout the day with space for small healthy snacks that keep your energy up throughout the day.

Stress and Bingeing

Hunger and stress have an interesting relationship. People come in a great many varieties, and they react to stress differently. However, it is common for stress, in short doses, to decrease appetite. Prolonged stress, on the other hand, can lead people to binge-eat, especially if someone has developed the habit of food-for-comfort over time. Hunger, prolonged periods of fasting, and eating disorders can increase the body’s production of cortisol, known as the stress hormone. This can make you moody, anxious, and uncontrolled. Stress also inhibits our ability to control our appetite, often leading to overconsumption of calories. Once your system becomes overwhelmed with stress, you break, and the result may very well be binge eating.

Instead, focus on eating as healthily as possible without sacrificing the fulfillment of feeling nourished. If you have a craving for sweets or some treat, navigate the situation reasonably. For example, if you are a fan of chocolate, as many of us are, treat yourself to a piece of dark chocolate after dinner. Dark chocolate is an excellent way to get a taste of cocoa without overdoing the sugar. As for your cortisol production, don’t revolve your entire life around dieting and counting calories. Take time to run outside and feel the sun. Working out is a natural stimulant of endorphins, the hormones that help us feel good. Endorphins are also helpful in helping relieve stress and pain.

Your Calorie Intake Helps Dictate Your Calorie Output

As previously mentioned, our bodies burn calories daily to cover our essential bodily functions while at rest. Reducing calories in an extreme way can reduce the number of calories you regularly burn in an extreme way also. This makes it more difficult over time to lose weight, maintain weight, and remain lean. This is especially true for people who are predisposed to having a hard time shedding pounds, such as postmenopausal women and people with a family history of high cholesterol, diabetes, or obesity.

Instead, focus on the quality of your calories. 200 calories of broccoli will not affect your body the same way as 200 calories of ice cream. Giving our bodies an appropriate amount of food at an appropriate amount of calories is key to our metabolic health. The best way to cover our bases on the calorie front and on the hunger front, meaning fulfilling our energy needs while still satisfying our hunger is to eat foods that are high on nutrients, fiber and vitamins.

Hydration is key to your health

In their incessant battle for an “Instagram-worthy” body, people concentrate overwhelmingly on the solid foods they eat and very little on the liquids they drink. Needless to say, our bodies are dependent on water to help keep them regulated, hydrated and refreshed. If we are dieting like madmen while drinking sugary drinks, dairy products, and alcohol all the time, we are essentially counteracting everything we have accomplished at the gym and the dinner table. In other instances, people forget to drink water leading to dehydration and water retention.

Drinking ample amounts of water is also an effective way to send signals to the brain, informing it that you are not on an empty stomach. Drinking water before a meal has been shown to effectively decrease the amount of a person consumes once they sit down to eat.

Keep in mind water is extremely useful in keeping your digestion working properly.

Fiber is your friend

Fiber is a useful tool for staying regulated and healthy. Fiber is interesting because, though it is a carbohydrate, the body is unable to dismantle the nutrient to convert it to a simple sugar molecule. This results in Fiber passing through our gastrointestinal tract accomplishing many beneficial tasks to help us with our diet and health goals. Fiber is a healthy way to increase fullness hormones in the body. For many people who have built up resistance to this hormone, called leptin, this becomes more beneficial as your body becomes leaner and you become healthier. Fiber also helps to keep you full and it shows up in a variety of foods from fruits to vegetables to grains. The versatility of fiber means it is easy to work it into your diet without a lot of stress. Fiber helps fill you up as well without the risk of it staying and accumulating in your body to be processed into fat.

Opt for healthier choices that are rich in fiber, as opposed to processed and sugary drinks with little nutritional value. Because of where fiber is found, odds are the foods you eat to incorporate it into your diet will be full of many other vitamins and nutrients that will help keep your body healthy.

Fat Storage

The term “starvation mode” is incredibly common and if you confess your fasting weight loss methods to a caring friend or family member, odds are they will mention starvation mode as a reason against going hungry.  You may be tempted to roll your eyes and ignore the advice, but your loved one may be right. When we are constantly hungry, skipping meals and only feeding our bodies with one or two big meals a day, even if the meals are mostly healthy the body will do everything it can to store as much fat and nutrients as it can. This is especially true if you eat at inconsistent times of the day. Why? Because the body’s biological clock does not know when its next meal will come and how big that meal will be. So while you go hungry, your body grows anxious and looks for ways to compensate for the insufficient and inconsistent way with which it is fed.

To avoid starvation mode, make sure you are eating consistently and snacking on something natural and healthy between meals. Make sure to never skip breakfast as it jumpstarts your metabolism. Breakfast is also a signal to the body that its overnight fast is now over. It helps to keep track of the times you eat and make an effort to stay relatively consistent when it comes to your eating schedule. This will help alleviate some of the body’s anxieties about being left without food until further notice.

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YOUR MOST EMBARRASSING HEALTH QUESTIONS ANSWERED BY A NEW YORK INTERNIST AND GASTROENTEROLOGIST

February 20, 2019

Many conditions like cancer and diabetes are difficult to talk about with your doctor because of the burden of these diseases and the hardship of the symptoms and treatment. Other ailments are just plain embarrassing. Not to worry, you are not alone in feeling bashful about certain issues you may be experiencing. The good news is, most of these embarrassing conditions are not life threatening and if you have the courage to speak to your doctor, “you will find that your doctor is trained to talk about sensitive issues in a manner that is both considerate and informative,” says New York Based Internist and Gastroenterologist, Dr. Niket Sonpal.

While you are still working up the courage to make an appointment with your doctor, here are the top 5 embarrassing questions you may have with insight from our expert.

1.     I’m still young and I get hemorrhoids. Why is this happening and what can I do?

Though hemorrhoids are more prevalent in adults 40 - 65 years old, young people may still have symptoms associated with hemorrhoids. It is estimated that 75% of the population gets them at some point. Hemorrhoids are common and usually not life-threatening. “What you need to keep in mind is that Hemorrhoids are a symptom of a variety of conditions,” says Dr. Sonpal. “Observe your symptoms and report to your doctor what you feel. Especially in the case of extreme rectal bleeding, lower stomach pain, and unexpected weight loss. These are all symptoms of a more serious condition like colon or rectal cancer, which is most common in people over 40. 

2.     I have a cold sore on my mouth, if I perform oral sex on my partner will I transmit to them?

“Yes, it is possible and common for someone with oral herpes to unknowingly transmit the virus to their sexual partner through oral sex,” explains Dr. Sonpal. Using protection is the safest way to prevent this from happening even during oral sex. Herpes is transmitted through skin contact so barriers like condoms are effective in reducing the risk to your partner. Usually, people are more cautious about unplanned pregnancies and diseases transmitted through fluids than they are about oral sex and it’s common for them to have oral sex without condoms. This can lead to, not just the transmission of herpes but other viruses like the previously mentioned HPV. Dr. Sonpal’s advice is to stay tested and don’t be afraid to ask your doctor for the pertinent exams if you know you’ve been exposed.

3.     Why is my stool green?

Dr. Sonpal explains that, “It can be jarring for people when they experience it the first time but it is rarely related to anything serious. Green is under the umbrella of acceptable stool colors. Most commonly stool will be brown but depending on what you eat you may have occasions where the volume of vegetables you eat affect the color of your poop due to the chlorophyll.”

Other causes can be food coloring, “Children are often exposed to the experience sooner or later because of cereals. Some kids think it’s cool. This is not related to something serious,” says Dr. Sonpal.

Other causes could be medications, coffee, alcohol, and spicy foods. Dr. Sonpal elaborates that if the green stool is not accompanied by diarrhea, nausea, or pain, which could indicate food poisoning, then you shouldn’t worry too much about it.

4.     Why am I gassier during my period?  

Studies have shown that high percentages of women, with and without Irritable Bowel Syndrome (IBS), complain about increased gas and bloating during their menstruation. “Your body’s hormones are acting up and you may be more sensitive to certain foods than normal,” explains Dr. Sonpal. He recommends avoiding foods high in fiber. These foods tend to increase the bloating as they are meant to keep you full for longer. “If you live a sedentary lifestyle your digestive system might already be slow. Don’t skip out your fitness routine or your late afternoon walk as it can be a key part of keeping your digestive system working during your period, says Dr. Sonpal. He also recommends cutting off the sugary and carbonated drinks which increase the bloat.

5.     I’m young, why am I having the constant urge to go urinate throughout the day and most of all at night?

This is a tough subject for many people. For older people, it is a sign of aging and they see it as such. The stigma of urinary incontinence keeps them from speaking to their doctors about it until the problem gets out of their control completely. For young people, experiencing urinary incontinence or hyperactive bladder is shocking. We grow up not realizing that these types of issues can affect people at a younger age. Urinary incontinence most commonly affects women and people over 40 but it is totally possible that a person in their 20’s can be dealing with this issue.

6.     I’m a woman- why do I have hair on my nipples?

 Dr. Sonpal states that, “Hairy nipples are normal for women. Seeing black, wiry hairs growing around the areolas can be surprising, but you’re not alone. The percentage of women who have hairy nipples is unclear, and many women don’t report it to their doctor.

In most cases, hairy nipples aren’t cause for concern. For most people, they’re a normal part of bodily changes.”  You don’t need to remove the dark hairs around your nipples. They won’t cause any issues. However, you can remove them for aesthetic reasons if you choose. Several treatment options may help. One can choose laser hair removal, electrolysis, waxing, trimming etc. Speak with your doctor about what is safest.

7.     Is it supposed to smell “down there?”

“Your vagina and its discharge should have a smell, but it shouldn’t be a bad smell and you shouldn’t be able to smell it from a distance,” says Dr. Sonpal.  He adds, “Vaginal discharge and smells are dependent upon hormonal changes, mood changes, hygiene habits, sexual activity, physical activity and clothing.”  If you’re sweating or you’ve recently had sex, you may notice an odor, but it’s normally nothing to worry about. However, if you experience odor plus itching, burning or irritation, it might be a treatable vaginal infection like bacterial vaginosis or the STI trichomoniasis. “Don’t douche,” cautions Dr. Sonpal. That will just remove the healthy bacteria your body needs to naturally clean your vagina.

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