2340 Apple FEB MARCH 2016 MkII FINAL PROOF2
How do you feel? 20% of breast cancers can be found by self examination One in eight women will contract breast cancer. It is the commonest cancer in the UK with 80% of cases recorded in women aged over 50. by Dr. Sylvia Abramov 85% of patients survive breast cancer for 5 years or more so early detection is essential. Some risk factors are inherited, a history of breast cancer or other breast conditions, an early start of periods or late menopause also increases the likelihood of breast cancer. Other factors include the use of hormones in the contraceptive pill, a late first pregnancy (over 30 years old), obesity, smoking, excessive drinking and postmenopausal HRT. No scientific evidence supports the theory that antiperspirant, tight bras, termination of pregnancy or breast implants impact on risk. However, prolonged breastfeeding seems to be protective, as well as exercise. Brisk walking for just two hours a week reduces the risk of breast cancer by 18% About 20% of breast cancers are found by physical examination rather than mammography. Look in the mirror for uneven breast size or shape, nipple changes or discharge, or a rash. Check with arms raised too. Feel your breasts while lying down. Use the pulp of your fingers to check the opposite breast in small circular movements. Start from the nipple and move in larger circles, covering the whole breast to the armpit. Breasts can feel lumpy, but you are looking for a lump that feels different from the rest of the glandular tissue, or a palpable lymph node in the armpit. Regular selfexamination helps to identify changes early. Not all lumps are cancer but if in doubt, consult your Doctor. If a lump or nipple discharge is found, or as a regular screening tool for women between 50 and 70, a mammogram may be carried out. MRI scans can be used for screening high risk women too, or to examine a suspicious area. If an abnormality is detected, a biopsy is the only way to tell if cancer really is present. JDoc365 provides breast screening, advice and, where appropriate, referral to consultant breast surgeons. Call 0800 043 1492 for an appointment today. 6 JDOC365 APPLE MAGAZINE
AFFILIATE PARTNER FEATURE PROFBIOTICS.COM How much does food influence your mood? by Tara Whyand M.Sc, B.Sc, specialist dietitian and nutrition advisor to ProfBiotics.com If you have been diagnosed with irritable bowel syndrome (IBS), you may feel like it’s a never ending battle. You may have trialled a range of prescribed drugs or peppermint products but found many of their effects just do not last. Why is this? IBS is a functional bowel disorder, meaning bowel movements are affected. Apparently the cause of altered movements is down to changes in our gut bacteria, so unless you address the bacteria directly and work out what is affecting them, your symptoms will never go away. These bacteria can produce substances that cause inflammation, which is another good reason to nip this problem in the bud. One of the things often ignored is how our brain affects the bowel. Our state of mind impacts on the make-up of bacteria in the bowel, and effects the function and symptoms experienced. Stress and lower mood for example can also impact on the choice of foods and drinks consumed, which can then go on to make symptoms worse. Before seeing a Dietitian for any dietary manipulation it is really important for you to become aware of how your lifestyle affects your bowel symptoms. For this I recommend using a food and mood diary for at least 3 days, including 1 weekend day. It will help you see a link between your mood, and why you choose to eat or drink something. People often start the day with overstimulated ‘loose’ bowels which are linked to excess caffeine and stressful starts. Others miss meals or do not drink enough because they are rushed, leading to burping, constipation and bloating. Of course solving this is easier said than done. Stress management e.g. relaxation therapy, mindfulness, meditation, massage and all forms of exercise can help. Consider regular planned meals, frequent water sips and limiting to four caffeinated drinks a day too, before changing what food products you consume. For more information about ProfBiotics, visit the Blue Pages 13-15 in this edition of The Apple or visit www.profbiotics.com. FEBRUARY/MARCH 2016 7
- Page 1 and 2: THEApple TODAY’S NEWS FROM YOUR D
- Page 3 and 4: Sixth sense By Dr. Herschil Lewin A
- Page 5: MEET THE DOCTOR Dr. Heschil Lewin D
- Page 9 and 10: the er FEBRUARY/MARCH 2016 9
- Page 11 and 12: JDoc365 helps latest fundraiser at
- Page 13 and 14: TRIGGER FINGER By Professor Abhilas
- Page 15 and 16: They meet the quality, medical and
AFFILIATE PARTNER FEATURE<br />
PROFBIOTICS.COM<br />
How much does food<br />
influence your mood?<br />
by Tara Whyand M.Sc, B.Sc, specialist dietitian and nutrition advisor to ProfBiotics.com<br />
If you have been diagnosed with irritable<br />
bowel syndrome (IBS), you may feel like<br />
it’s a never ending battle. You may have<br />
trialled a range of prescribed drugs or<br />
peppermint products but found many of<br />
their effects just do not last. Why is this?<br />
IBS is a functional bowel disorder, meaning bowel<br />
movements are affected. Apparently the cause of<br />
altered movements is down to changes in our gut<br />
bacteria, so unless you address the bacteria directly and<br />
work out what is affecting them, your symptoms will<br />
never go away. These bacteria can produce substances<br />
that cause inflammation, which is another good reason<br />
to nip this problem in the bud. One of the things often<br />
ignored is how our brain affects the bowel.<br />
Our state of mind impacts on the make-up<br />
of bacteria in the bowel, and effects the<br />
function and symptoms experienced.<br />
Stress and lower mood for example can also impact on<br />
the choice of foods and drinks consumed, which can<br />
then go on to make symptoms worse.<br />
Before seeing a Dietitian for any dietary manipulation it<br />
is really important for you to become aware of how<br />
your lifestyle affects your bowel symptoms. For this I<br />
recommend using a food and mood diary for at least 3<br />
days, including 1 weekend day. It will help you see a link<br />
between your mood, and why you choose to eat or<br />
drink something.<br />
People often start the day with overstimulated ‘loose’<br />
bowels which are linked to excess caffeine and stressful<br />
starts. Others miss meals or do not drink enough<br />
because they are rushed, leading to burping,<br />
constipation and bloating.<br />
Of course solving this is easier said than done. Stress<br />
management e.g. relaxation therapy, mindfulness,<br />
meditation, massage and all forms of exercise can help.<br />
Consider regular planned meals, frequent water sips<br />
and limiting to four caffeinated drinks a day too, before<br />
changing what food products you consume.<br />
For more information about<br />
ProfBiotics, visit the Blue Pages<br />
13-15 in this edition of The<br />
<strong>Apple</strong> or visit<br />
www.profbiotics.com.<br />
<strong>FEB</strong>RUARY/<strong>MARCH</strong> <strong>2016</strong> 7
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