Ask Dr. Kaye: Why do foods like lentils calm me down?

I endure anxiousness and melancholy and I’ve seen once I eat sure foods – roots and fermented drinks like lentils and kefir, I really feel calmer. What’s occurring and what else will cheer me up?

The intestine is in fixed communication with the mind by way of the nervous system and by releasing hormones and chemical compounds referred to as neurotransmitters. A very good instance is while you really feel nervous earlier than an examination or a job interview. As nicely as anxious ideas, folks usually expertise lack of urge for food, nausea and even diarrhea.

An vital a part of this gut-brain axis is the microbiome – the billions of micro organism, viruses, fungi and different microorganisms that reside fortunately in our digestive tract. The microbiome additionally helps regulate the immune system, and there may be some preliminary proof that the well being of our intestine impacts many neurological and psychological circumstances, and vice versa.

I endure from anxiousness and melancholy and I really feel calmer once I eat sure foods – fermented foods like pulses, lentils and kefir. What’s occurring and what else will cheer me up?

We know that stress is linked to adjustments within the variety of microbes within the intestine, however it’s not clear why.

It’s vital to notice that no single meals or weight loss plan can treatment melancholy or anxiousness. But some small-scale research present that consuming a wholesome, balanced weight loss plan and limiting refined and processed foods like sweets is related to improved temper in depressed sufferers. There can be restricted proof that prime caffeine consumption might worsen anxious ideas.

It definitely cannot be due to the meals itself – we all know that merely taking higher care of your self and getting night time’s sleep may be an vital step in coping with psychological well being points.

Foods like kefir – fermented yogurt – pulses and lentils are recognized to assist help a wholesome and numerous microbiome. If a affected person tells me that consuming foods like this makes them really feel higher, I might encourage them.

Note: Fermented and high-fiber foods, reminiscent of lentils, are more durable to digest and may trigger bloating and different digestive signs, so do not eat an excessive amount of too early. Start slowly. If somebody is scuffling with their psychological well being, it is vital to inform a health care provider – there’s a lot of help we are able to provide.

I’m getting a knee substitute and the thought scares me. Just a few years in the past I had a blood clot in my lung and I’ve been on blood thinners for the remainder of my life. Will the surgical procedure be too harmful?

Almost all medical interventions have a level of danger. This should be weighed in opposition to the advantages of that remedy in every case to determine the very best and most secure plan of action.

Knee substitute surgical procedure may be life-changing, stopping knee ache and restoring motion.

Risks of surgical procedure embody bleeding, an infection, and deep vein thrombosis (DVT), the place a blood clot kinds in a deep vein, often within the leg, and may then journey to the lungs.

I'm getting a knee replacement and the thought scares me.  A few years ago I had a blood clot in my lung and I have been on blood thinners for the rest of my life.  Will the surgery be too dangerous?

I’m getting a knee substitute and the thought scares me. Just a few years in the past I had a blood clot in my lung and I’ve been on blood thinners for the remainder of my life. Will the surgical procedure be too harmful?

Patients usually expertise numbness when mendacity in mattress or with much less motion for lengthy durations of time throughout restoration. Lack of train causes blood vessels to stream extra slowly, rising the danger of clots. It is vital for anybody with a medical historical past of epilepsy to tell their medical workforce earlier than surgical procedure, as this may assist them higher handle this danger.

There are additionally issues sufferers can do: Smoking will increase the danger of DVT, so stop should you can and preserve a wholesome weight.

Patients are given compression stockings to put on after surgical procedure – these cut back the danger of DVT. Getting cellular as quickly as doable and shifting your toes and ankles even whereas in mattress can even assist.

I’ve to pee 5 instances an evening, disrupting my sleep. I attempt to keep away from caffeine and do not eat or drink something after 6pm. I had a hysterectomy 30 years in the past.

Nocturia is the medical time period for waking up repeatedly through the night time to urinate – and it may be an indication of many issues. In males, this can be as a consequence of an enlarged prostate. In ladies, after menopause, recurrent urinary tract infections and urinary tract infections are frequent – this may be handled with topical vaginal estrogen. It’s secure for many and there isn’t any danger of HRT – actually it is now an over-the-counter remedy.

Oxybutynin is prescribed for overactive bladder, however it could actually trigger negative effects reminiscent of dry mouth. Avoiding caffeine, which is a diuretic, ought to assist, and I might additionally advise avoiding alcohol. But ingesting much less is just not a good suggestion. If your bladder is overactive, it is going to contract even when it’s not full. The much less you drink, the extra concentrated the urine is, so even a small quantity can irritate the bladder and worsen labor.

If your physician thinks you’ve gotten an overactive bladder, they might advocate bladder coaching, which goals to get the bladder to carry extra urine. This means steadily rising over time and holding for a couple of minutes when you should go.

Sexism in medication must cease


If you’ve gotten any questions for Dr Ellie Cannon, please e mail

Dr. Cannon has no entry to personal correspondence and his responses should be taken of their common context

Thousands of girls are being denied coronary heart assault remedy due to ‘medical sexism’, a research has concluded.

Women usually expertise totally different coronary heart assault signs than males, together with chest ache, dizziness, fatigue, ache, or indigestion or shortness of breath.

Researchers at Imperial College London examined knowledge from 420,000 circumstances between 2005 and 2017 and located that one in 20 ladies who had a coronary heart assault had been misclassified as not at excessive danger of demise. Some say it is only a “humorous twist,” which researchers say has tragic penalties.

Historically, ladies have been excluded from medical analysis—scientists have been reluctant to check medication due to ladies’s month-to-month hormonal adjustments or the opportunity of being pregnant.

It is obvious that extrapolating knowledge from male-only trials is inadequate. Just as a result of we’re totally different from males, it’s improper to neglect our well being.

Are you continue to struggling to afford HRT?

The authorities’s HRT czar is stepping down after simply 4 months. Madelaine McTiernan has been given the job to handle a widespread scarcity of some hormone substitute remedy medication, however I am unable to see my state of affairs bettering as a GP.

Women nonetheless battle to get much-needed hormone medicine, and if something, the scarcity now impacts a a lot wider vary than it used to.

The government's HRT czar is stepping down after just four months.  Madeleine McTiernan has been tasked with addressing the widespread shortage of hormone replacement drugs.

The authorities’s HRT czar is stepping down after simply 4 months. Madeleine McTiernan has been tasked with addressing the widespread scarcity of hormone substitute medication.

Patients are being given prescriptions for HRT solely to search out the chemists have run out, that means they should see one other physician for an alternate which might take weeks. New guidelines launched beneath McTiernan’s watch imply pharmacists can prescribe an analogous product if a prescription drug does not exist, however many do not appear to learn about it. Of course, there may be extra work to be completed. Struggling to get HRT? Let us know.


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