‘Burping' could be a sign of serious condition 'SIBO', warns expert - other signs to spot
‘Burping' could be a sign of serious condition 'SIBO', warns expert - other signs to spot
Indulgence in food is one of the great joys of the festive period, and with it could come a degree of belching, also known as burping, from those who indulge. However, more than just a reaction to the food reacting to your stomach, it could be a sign of a common, but relatively unknown condition.
Express.co.uk has been speaking to Anna Mapson to find out what that condition is.
SIBO stands for Small Intestinal Bacterial Overgrowth, and burping this winter could be a sign that you have this condition.
Registered nutritional therapist and SIBO expert Anna Mapson has been speaking to Express.co.uk on the link between burping and SIBO.
Ms Mapson said: "Burping is a sign of small intestinal bacterial overgrowth (SIBO). This is a condition where microbes grow in the small intestine. SIBO is caused by slow gut motility, which can be linked to adhesions, poor diet, low fibre diet, medication (e.g. opioid based pain killers) or even a previous case of food poisoning.
"The reason SIBO causes burping, is the microbes in your small intestine ferment carbohydrates from your diet, and this creates gas. If the gas creation is near the proximal part of the small intestine, the gas is more likely to come upwards, rather than pass through the body to the anus."
What is SIBO?
Although likely an unfamiliar name, SIBO is one of the most common conditions in the UK. However, the reason why few have heard of it is because it is often misdiagnosed as IBS (Irritable Bowel Syndrome).
Such is the level of misdiagnosis, it is estimated that around 80 percent of people who have been diagnosed with IBS actually have SIBO instead.
To get an idea as to how many people have IBS, it is thought by healthcare provider BUPA that anywhere between one in two and one in 10 people have IBS.
Take 80 percent from either of those figures and you have hundreds and thousands of patients who actually have SIBO.
What are the main symptoms of SIBO?
Other than burping, SIBO can cause a range of symptoms, including nausea, acid reflux, and bloating.
How do I tell the difference between SIBO and IBS?
According to medical practitioner Melanie Dixon: "With SIBO the bloating is higher up because it's in the small intestine which is above the large intestine so the bloating is right under the ribs."
Meanwhile, with IBS the bloating is further down due to the positioning of the large intestine.
However, it isn't just the location of the bloating, but the timing too.
How do you test for SIBO?
SIBO is normally diagnosed using a breath test and depending on the result of that test will depend on the type of SIBO someone has.
Furthermore, in common with other conditions, SIBO has a number of risk factors, including:
• Stress - Anxiety - • Endometriosis - • Crohn's disease - • A history of food poisoning - • Chronic conditions.
Can SIBO be treated?
Yes, SIBO can be treated, or rather, solved through other means
How?
Ms Dixon said: "You can eradicate SIBO, but it can relapse if you don't address what caused it in the first place. You need to be working on gut repair and calming any inflammation in the gut."
What if SIBO is left untreated?
Ms Dixon said SIBO "can cause systemic issues because [it] causes inflammation, the gut bacteria become imbalanced and when you've got inflammation in the gut, that disrupts the immune system in the gut which leads to inflammation so it can lead to joint disorders or neurological disorders".
As a result, untreated SIBO can cause a range of complications for both the body and mind.
Ms Dixon added that one of the major problems was with a lack of SIBO awareness: "I think lots of people don't believe in SIBO. I think they think it's a general bacterial overgrowth in the whole gut, I think it's old-fashioned thinking in a way."
Furthermore, because so many people who have SIBO have actually been diagnosed with IBS, this means thousands, potentially millions, of patients could be receiving the wrong treatment.
The hope is that with more discussion of SIBO will come greater awareness and a step towards more people receiving the correct treatment for the right condition.
Reference: Daily Express: Story by Christopher Sharp •
Why Chicory is healthy: Nutrition facts
Why Chicory is healthy: Nutrition facts
Benefits by Leticia Soares
- Chicory may help in weight loss. The vegetable is a source of dietary fiber, which helps to prolong the feeling of satiety, you will feel more full for longer, eat less and loosing weight will be easier. Chicory is also low in calories, in 100 grams of the vegetable there are only 17 calories.
- Chicory can help prevent cardiovascular diseases. Chicory is rich in flavonoids, potassium and soluble fiber. These substances help reduce the absorption of cholesterol in the intestines, help lower blood pressure and keep blood vessel walls healthy.
-
- Chicory relieves symptoms of stress and anxiety. The vegetable has calming properties that help reduce any stress and the excitability of the central nervous system.
- Chicory can help prevent constipation and digestion disorders. The vegetable is rich in fiber, which helps in bowel movements. Chicory also helps to reduce stomach acidity, reducing symptoms of heart burn, reflux and indigestion.
- Chicory can prevent inflammatory diseases. Chicory roots have anti-inflammatory properties, and this might be due to the inhibition of various cytokines, antioxidant properties and their free radicals scavenging effects.
- Chicory has antibacterial and antioxidant effects, which reduces the chances of contracting diseases.
- Chicory helps in weight loss. It has a satiating effect due to content of fiber.
- Chicory helps in the secretion of gastric juices that facilitate the digestion.
Benefits by Jodie Bennett
- Chicory is an amazing source of inulin which is a type of fibre so it's great for the digestive system.
- Chicory also contains a lot of antioxidants that help boost your immune system and fight against free radicals within the body.
Reference: Story by Leticia Soares, Luciana M. Cherubin, Jodie Bennett • 13 Nov
Mouth cancer causes grow as cases skyrocket in UK
Mouth cancer causes grow as cases skyrocket in UK
Cases of mouth cancer in the UK have increased by more than one-third in the last decade to hit a record high, according to a new report.
The number of cases has more than doubled within the last generation and previous common causes like smoking and drinking are being added to by other lifestyle factors.
According to the Oral Health Foundation, 8,864 people in the UK were diagnosed with the disease last year – up 36 per cent on a decade ago, with 3,034 people losing their life to it within the year.
This is an increase in deaths of 40 per cent in the last 10 years, and a 20-per-cent rise in the last five.
The findings are part of the Oral Health Foundation’s new State of Mouth Cancer UK Report 202, which has been released to coincide with November’s Mouth Cancer Action Month.
In the early stages, mouth cancer symptoms can be subtle and painless, making it easy to miss.
They could be a mouth ulcer that doesn’t heal within three weeks, white or red patches in the mouth, unusual lumps or swellings in the mouth, head or neck, or any persistent hoarseness in the voice.
One in three mouth cancers are found on the tongue and 23 per cent are discovered on the tonsil.
The other places to check for mouth cancer include the lips, gums, inside of the cheeks, as well as the floor and roof of the mouth.
Nearly two in three people have never checked their mouth for signs of mouth cancer, despite it taking less than a minute.
People are three times more likely to routinely check for testicular or breast cancer.
Survival rates for mouth cancer have barely improved in the last 20 years, partly because so many cases are diagnosed too late. Just over half of all mouth cancers are diagnosed at stage four – where the cancer is at its most advanced.
Dr Nigel Carter, the chief executive of the Oral Health Foundation, said: “While most cancers are on the decrease, cases of mouth cancer continue to rise at an alarming rate.
“Traditional causes like smoking and drinking alcohol to excess are quickly being caught up by emerging risk factors like the human papillomavirus (HPV).
“The stigma around mouth cancer has changed dramatically. It’s now a cancer that really can affect anybody.
“We have seen first-hand the devastating affect mouth cancer can have on a person’s life. It changes how somebody speaks, it makes eating and drinking more difficult, and often changes a person’s physical appearance.
“During mouth cancer action month, we will be raising greater awareness of mouth cancer.
“We urge everybody to become more ‘mouth aware’ by being able to recognise the early warning signs of mouth cancer and to be aware of the common causes.
“Most importantly, if you notice anything unusual, please don’t delay and seek help from a doctor or dentist.”
Charlotte Webster-Salter was given the life-changing news that she had mouth cancer when she was just 26. The ex-cabin crew member, who is now training to be a midwife, does not fit the typical mouth cancer patient – being an active young woman who does not smoke.
But Ms Webster-Salter represents a growing number of younger people who are being diagnosed with the disease.
Ms Webster-Salter, who lives in Petersfield, Hampshire, said: “I had some ulcers for about three to four years before I had my [mouth cancer] operation.
“I wasn’t worried about them at first because I do get run down. I was jet-lagged and flying all the time with my job and often ulcers are sign of celiac disease, which I have, so I put it down to that.
“They came and went but always in the same area, they never fully went but they used to flare up if I was run down.
“They felt like ulcers do, but just a bigger patch and they started to turn white, and they had red around them as well, so they looked quite inflamed. I thought maybe it was a bit of an infection or something.”
As a precaution Ms Webster-Salter went to the dentist and asked about them.
She said: “About a year before I had my operation I went to the dentist and they said, ‘Well, I don’t really know what it is, might be because your teeth are rubbing so we would advise maybe getting your teeth straightened and have your wisdom teeth taken out’.
“So, I did that. I paid for braces, got my wisdom tooth taken out and had really great teeth, but still had the ulcers.
“My mum kept telling me to go and get it checked so I went to my doctor who sent me for a biopsy.”
She finally had her biopsy in April 2021 after the ulcers got significantly worse. The biopsy showed that the ulcers were mouth cancer.
She added: “I went in for the results, and he asked, ‘Have you got anyone with you today?’ I looked at him and said, ‘It’s not good is it?’ He replied ‘No, it’s not. I’m really sorry, you’ve got cancer’.
“I remember saying to him ‘What do you mean? Surely not,’ and I think I almost laughed. It was such a shock because I’m otherwise a healthy person.”
Ms Webster-Salter had a nine-and-a-half-hour life-saving surgery where she had part of her tongue removed. The chunk taken out was replaced with muscle from her leg.
They also took a lymph node from her neck to check if the cancer had spread, which it had not.
As a result of swelling from the surgery she was fitted with a tracheostomy, where a tube is inserted in the neck to help with breathing.
Ms Webster-Salter said: “My tracheostomy was fitted for seven days so my body hadn’t swallowed or breathed through my mouth in so long that often your muscles take a while to get back to that.
“I remember the first time they tried to take it out. They covered this hole so I could then breathe through here and it wouldn’t, it just couldn’t, I think my body wasn’t ready because it was like being suffocated because I couldn’t breathe through my mouth.
“It was like I had a mouth full of like straw or hay. It was just so hard, so husky, so stuck. And I remember the panic, I was like no, I can’t, so they tried again the next day and then every day it just got a bit better and better.”
After the operation, Ms Webster-Salter had to learn how to talk, eat and walk again through speech and physiotherapy, but has not needed any further treatment.
Ms Webster-Salter added: “There is a stereotype for mouth cancer. I was told ‘oh, you’re too young’, ‘God it won’t be that’. But it really can happen to anyone, not just smokers.
“People think you have to be like a really old man that smokes 50 a day, but you don’t. It took this tiny little poster in the clinic for me to, to be like, ‘Oh my God, that’s mouth cancer’ and by then it was too late anyway.”
The goal of the Oral Health Foundation is to improve people’s lives by reducing the harm caused by oral diseases – many of which are entirely preventable.
Mouth Cancer Action Month runs throughout November.
Reference: Independent: Story by Alice Clifford
Seaweed, plus health benefits, and recipes
Seaweed, plus health benefits, and recipes
Seaweed image
Reference: Story by Carolina Castro, Lucía Ramos •
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