Thursday, 30 August 2018

Croutons!




Ingredients:

1. 4 slices of bread (old bread) 
- many recipes remove the crusts. I did not as I did not want to waste them.
2. Butter
3. Sea-salt

----------------------------------------

1. Line a baking tray with baking paper.

2. Preheat oven at 180C. 

3. Place the 4 slices of bread on the baking paper.

4. Spread butter over the bread generously. 

5. Sprinkle some sea-salt.

6. Cut the bread into cubes.

7. Place in oven and bake for 20 mins (or until golden brown and crispy).

8. Allow to cool.

9. Keep in airtight container. 

10. You can enjoy them with soup or eat them on their own.

Bon appetit!



Thursday, 23 August 2018

It's About Time!

The F.D.A. has finally approved a generic Epi-Pen!

The no-stock, malfunctioning pens and sky rocketing prices have gone on for far too long.

Click on LINK to read more about the generic pens.


Monday, 20 August 2018

Thermomix Chicken Powder Seasoning


Ingredients:

(I amended this recipe from the TMX cook book to suit my dietary needs. The recipe book used garlic and onion which I cannot have due to FODMAP. They used some spices and herbs too.)

1. 1000gm of minced chicken breast (I used minced instead of cut up chunks of chicken breasts to ensure faster cooking)
2. 300gm carrots (peeled and cut into chunks)
3. Chives (about 4 stalks)
4. 2 celery sticks
5. Sea-salt (about 100gm)
6. Coconut nectar (optional)
7. Sarawak white pepper powder (optional)

--------------------------------------

1. Place everything into the TMX jug.

2. Close the lid but not the MC.

3. Set 60minutes/Varoma/Speed 2.

4. Place the simmering basket above the cover to avoid any splattering of sauce.

5. Check on it occasionally.

6. If the mixture is still in paste form, set 10minutes/Varoma/Speed 2.

7. Repeat step 6 until paste has turned into powder.

8. Once it has turned into powder form, remove the simmering basket and cover with the MC. Set 10 seconds/Speed 8.


9. Scoop it up into a bottle and allow to cool.

10. Keep it in the fridge to ensure freshness. It can be kept in the fridge for a few months. You can add this chicken powder seasoning which is free of artificial flavourings and enhancers to your soup, dishes or congee/porridge.

Bon appetit!

Wednesday, 15 August 2018

It's All About Diet (Part 5 - FODMAP [Food Additives & FODMAPs])

Those who are following a low-FODMAP diet should be aware of the E numbers/food additive numbers as some of these can irritate the gut.
  1. E100-199 = colourings 
  2. E200-299 = preservatives 
  3. E300-399 = antioxidants & acidity regulators 
  4. E400-499 = thickeners, stabilisers & emulsifiers 
  5. E500-599 = acidity regulators & anti-caking agents 
  6. E600-699 = flavour enhancers 
  7. E700-799 = antibiotics 
  8. E900-999 = glazing agents, gases & sweeteners 
  9. E1000-1599 = additional additives 
* the list above is taken from HERE

Sugar polyols are widely used as sweeteners in food. They are:

1. Sorbitol (E420 or 420)
  • This is often used in diet drinks, ice-cream, mints, cough syrups and sugar-free chewing gums. This is also found in mouthwashes and toothpastes.
  • Sorbitol is also used as a laxative or enema because of its 'laxative effects'.
2. Mannitol (E421 or 421)
  • This is used as a coating for hard candies, dried fruits and chewing gums. Mannitol is also added to chewable tablets.
3. Isomalt (E953 or 953)
  • This is used in hard-boiled candies and sugar sculpted cakes. It is mainly used as edible decorations in cake decorating.
4. Maltitol(E965 or 965)
  • This is used in sugar-free hard candies, chewing gums, chocolates, baked goods and ice-cream.
5. Lactitol (E966 or 966)
  • This is used in sugar-free candies, cookies/biscuits, chocolate and ice-cream. This is also an ingredient in the drug called Adderall. 
6. Xylitol (E967 or 967)
  • This is used in drugs and dietary supplements. It is also used in confectionaries, toothpastes and chewing gums. 
When sugar polyols are eaten in a large amount, it can cause some gut irritation even for people without IBS. What more for people with sensitive guts. Polyols cause extra water to be dragged into the intestines, thus triggering soft/liquid stools or can result in diarhoea. 

To read more about this, click on FODMAP BLOG. 


Tuesday, 14 August 2018

Can't Keep Calm!

So the flu ran its course. It's been already two weeks!

I felt better.

Or so I thought.

I started to spit bloody mucus out. The fever came back with vengeance. And then I started to leak bloody mucus from my nose. I became worse as the day went by. The pressure in my sinus was so bad that it caused a migraine and teeth pain. I couldn't eat. I couldn't sleep. I was so miserable.

Damn.......

A sinus infection. I had only one sinus infection and it was about 12 years back. I have never had any problems with my sinus.

I called my ENT up and went to see him the very next day.

He said my sinus was severely infected. My ear drums were dull. I had laryngitis. I had a severely raw throat. The insides of my nose were completely swelled up and clogged with mucus.

He said I had to have antibiotics. I had caught a secondary bacterial infection. Augmentin is the best for sinus infection. And I had to have it for one week.

I have not had antibiotics for about 4 to 5 years.

It was horrible as it made my digestion go haywire. I was hungry all the time. My intestines were churning and very gassy. I was nauseated. My mouth had a metallic taste all the time and there was a layer on my tongue. And it caused me to have morbid thoughts about dying. I felt that I was going to die a horrible death. I had anxiety attacks and became depressed. I felt doomed. (It was very different from the feeling of doom before I had the anaphylactic attack 10 years ago.)

Click on LINK to read about the side effects of Augmentin.

During the 2nd or 3rd day, rust-like liquid flowed out of my nose. The ENT doctor said that it was stale blood.

Gross......

Today's the 6th day and things have improved very much. Hopefully my immune system will get stronger and be able to be in tip-top condition for another year(s)!


*picture taken from HERE


*picture taken from HERE

Sunday, 5 August 2018

Thursday, 2 August 2018

Behold the Flu!

This is the third year.

Every July/August I will succumb to the flu bug. Even when the people around me fall like flies or have a cough-a-ton, I could withstand it all. But come July/August, I will be the one who will be the flu-zombie.

Currently red-nosed, tearing and puffy eyes, having sneeze-a-tons, cough-a-tons and using up boxes of tissues.

July/August is usually a time where it is extremely dry, hot and hazy.

I guess the immune system is much better now to only succumb to the flu once a year.

I hope to be able to last longer the next round.



P.S. : It's been 100 days of being Nexium-free. No reflux/IBS unless I eat high FODMAP food or overeat. Could even go H2/Zantact-free for weeks at times.


Monday, 30 July 2018

It's All About Diet (Part 4 - FODMAP [The Low Fodmap Vegan Protein Guide])


For those who are on the low-salicylate diet, chickpeas, lentils, tempeh, tofu, edamame, quinoa are permitted. Some people can tolerate pumpkin seeds.

*picture taken from HERE


Wednesday, 25 July 2018

Thermomix Chicken Floss


Ingredients:

1. Chicken meat from 1 whole free-range chicken used to boil soup OR 2 chicken breasts (make sure it's in small pieces so that it's easier for the TMX to shred it).
2. Sea-salt
3. Coconut nectar (OR Maple syrup for salicylate sensitive)
4. Pepper (optional)
5. Sesame oil (OR sunflower oil for salicylate sensitive)

---------------------------------------------------------------------

1. Place meat into TMX jug. Add all seasonings to the meat. Set to 40minutes/70C/speed 1.


2. If it's not dry enough, you might want to add some extra time (depending on how dry you want the floss to be).

3. The alternative way would be to place the chicken floss into the oven and bake it. You can preheat oven at 180C. Bake for another 1/2 hour or until golden brown.

4. You can add the floss to your porridge, rice, noodles or sandwich.

5. It can be kept longer in an airtight container placed in the fridge.

Bon appetit!



Tuesday, 17 July 2018

Napa Cabbage (Wombok or Chinese)


I found out that this cabbage (called Napa or Nappa, Wombok or Chinese cabbage) is low in FODMAP. Apparently, it is also low in salicylates (if it is not, please leave a comment).



I guess it's another addition to the food I can take. It seems to be loaded with vitamin C and calcium.

I boiled the Chinese cabbage with one whole kampung chicken in the pressure cooker. It was delicious.

Tuesday, 10 July 2018

Look Alike Sound Alike Medications


I saw this in an ER. Thought that it is a very good chart to be aware of.


Saturday, 7 July 2018

Product Review (6) - NASOCARE NASAL SPRAY


I was given this by a doctor sometime back. This is a sea-salt nasal spray which is used to cleanse the nostrils. It works great except that it has Xylitol added to it. That totally ruined it for me. Each time I used it, it felt like I was spraying brown sugar water into my nostrils which flowed down to the back of my throat. I've used nasal sprays which only have sea-salt. Those were great. 

Verdict: I hated this. It would have been great without Xylitol. 

Thursday, 5 July 2018

Aspirin & NSAIDs Allergies


*picture is taken from HERE


NSAIDs stand for Non Steroidal Anti-Inflammatory Drugs. They are usually used for pain, inflammation, heart diseases and even fever.

Even though NSAIDs provide relief for many people, there are people who are allergic to them. Some people have hives (urticaria), swelling (angioedema), a sudden severe asthma attack and anaphylaxis.

Apparently many cold, sinus and allergy medication contain NSAIDS!

There are many types of NSAIDs which are sold. The four main NSAIDs are aspirin (Bayer, Bufferin, Ecotrin), ibuprofen (Advil, Motrin), naproxen (Aleve, Anaprox DS, Naprosyn) and celecoxib (Celebrex).

There are so many variations of NSAIDs sold today. *And drug manufacturers combine NSAIDs with other medications such as narcotic pain medications, muscle relaxers, anti-histamine and decongestants, caffeine headache medications and anti-acid medications.

*taken from HERE

Below is a list of NSAIDs in medications. This list is taken from HERE.

ASA
Actiprofen
Actron Ketoprofen
Acular ophthalmic
Acular LS ophthalmic
Acuprin
Acuvail ophthalmic
Adran
Addaprin-
Advil
Advil Cold & Sinus
Advil Congestion Relief
Aggrenox
Aleve
Aleve-D Sinus & Cold
Alka Seltzer
Alka Seltzer Plus
Alor
Amersol
Amibufen
Amigesic
Anacin
Anaflex
Anaprox
Anaprox DS
Anflagen
Anco
Anodynos
Andran
Ansaid
Apo-NaproNA
Apo-lbuprofen
Apo ASA
Apo Asen
Apo Keto
Apo Naproxen
Apo Piroxicam
Apo lndomethiacin
Aposulin
Apsifen
Aquaprin
Argesic SA
Arthra G
Arthrinol
Arthrisin
Arthritis Pain Formula
Arthritis Strength Bufferin
Arthropan Liquid
Arthrotec
Artria AR
Asacol
Ascriptin
Ascriptin A/D
Ascriptin with Codeine
Asperbuf
Aspercin
Aspergum
Aspir-Low
Aspirin
Aspirtab
Astrin
BC Tablets and Powders
Bayer Aspirin
Bayer Children 's Aspirin
Bayer Childrens  Cold Tablets
Bayer Time Release Tablets
Bluton
Brufanic
Brufen
Brufort
Buff-A Comp Tablets
Buffaprin
Buffasal
Bufferin with or without Codeine
Buffetts ll Tablets
Buffinol
Buburone
Butylenin
Butalbitol/ Aspirin
Cataflam
Caldolor
Cap-Profen
Capron capsules
Cama Arthritis Pain Reliever
Canasa
Cataflam
Choline Magnesium Triasalicylate
Choline Salicylate
Clinoril
Codral
Combunox
Congesprin
Cope Tablets
Coricidin
Coryphen  asa
Cosprin Tablets
Counterpain
Damason
Daprisal
Darvon Compound
Darvon Compound with ASA
Darvon Compound with Aspirin
Darvon Compound 65
Daypro
Diclofenac
Difenac
Diflunisal
Difluzenal
Dimetapp Sinus
Disalcid
Doan’s Pills
Dolgin
Dolgirid
Dolgit
Dolobid
Dolocyl
Dristan Sinus
Durasol
Ebufac
Easprin
Ecotrin
EC Naproxyn
Efficin
Emagrin
Emodin
Emperin
Empirin with Codeine
Emprazil
Endodan
Entrophen
Epobron
Epromate- M
Equagesic
Esaprin
Etodolac
Equagesic
Excedrine
Excedrine Migraine
Excedrine lB
Femadon
Fenbid Spansule
Feldene
Fenoprophen
Fenoprofen
Fiorinal
Fiorinal with Codeine
Flector
Flurbiprofen
Froben
Gelprin
Gemnisyn Goodys
Genacote
Genpril
Halfprin
Haltran
Helidac
Heptogesic
IBU
Ibufen
Ibumetin
Ibuprin
Ibuprocin
Ibuprohm
Ibutid
Ifen

Inabrin
Indocin
Indocin SR
Indo-Lemmon
Indomethacin
Indomethagan
Inoven
Lamidon
Lebrufen
Ledifen
Liptan
I-prin
Ketoprofen
Ketoprofen ER
Ketorolac
Ketorolac tromethamine injection
Lanorinal
Liquiprin
Lodine
Lodine XL
Lortab ASA
Magan
Magnaprin
Magsal
Marnal
Maximum Bayer Aspirin
Measurin
Meclofenamate
Meclofenamate Sodium
Meclomen
Medipren
Mediproxen
Mefenamic Acid
Meloxicam
Menadol
Mesasal
Methocarbonal with Aspirin
Meprogesic
Micranin
Midol (see illustration)
Mobic
Mobidin
Mobigesic
Momentum
Mono-Gesic
Monogesic
Motrin
Motrin lB
Mynosedin
Nabumetone
Nalfon
Nalfon 200
Napacetin
Naprapac
Naprelan
Naproxen
Naxen
Neoprofen
Nobfelon
Nobfen
Nobgen
Norgesic
Norgesic Forte
Norwich
Novahistine
Novasal
Novasen
NovoGent N
Novo-Naprox
Novoprofen
Novo-Sundac
Novomethacin
Novopirocam
Nu-Naprox
Nu-lbuprofen
Nu-lndo
Nuprin
Nupryn
Nurofen
Orafen
Orphengesic
Orphengesic Forte
Orudis
Oruval
Oxaprozin
Oxycodone HCL/ Ibuprofen
Oxycodone HCL/ Aspirin
Oxycodone HCL/ ASA
Pantrop
Paxofen
P-A-C Analgesic
Pediaprofen
PMS- ASA
PMS-Pirocam
Pabalate SF
Pamprin
Panasal 5/500
Pentazocine HCL/ Aspirin
Pepto-Bismol
Percodan
Percodan-Demi
Persantine
Persistin
Pirocam
Piroxicam
Ponstel
Profen
Propoxyphene Compound 65
Propoxyphene HCL/ Caffeine/ ASA (aspirin)
Proprinal-
Rafen
Rebugen
Relafen
Rexolate Sodium
Rhovail
Robaxisol
Roidenin
Roxiprin
Rufen
Saleto Tablets
Sal-Fayne
Salflex
Salgesic Sodium
Salsalate
Salsitab
Seclodin
Sine-Aid lB
Sloprin
Sodium Thiosalicylate
Solaraze
Soma Compound
St. Josephs Aspirin
Stanback
Sudafed Sinus and Pain 12 hour
 Suldinac
Supasa
Suspren
Synalgos-DC
Synflex
Synflex DS
Tabalon
Tabprofen
Talwin compound
Tecnal
Tolectin
Tolectin DS
Tolectin 600
Tolmetin
Toradol
Trendar
Tricosal
Trigesic
Trilisate
Tromethamine tablet or injection
Ultraprin
Urem
Vanquish
Vicoprofen
Voltaren
Voltaren ophthalmic
Voltaren Gel
Wal-Profen Cold & Sinus
Zipsor
Zorprin

Pepto Bismol is a stomach medication which is used to prevent traveler's tummy. This contains bismuth subsalicylate.

Saturday, 30 June 2018

Shit Happened (Part 7)

Today is the 67th day since I weaned off Nexium.

It was really tough as the craving for Nexium was terrible. During the first 2 to 3 weeks, the reflux was terrible as the stomach was trying to adjust digestion without PPIs. It was haywire. I smelt a medicine smell exuding from my pores. I had withdrawal migraines. My mood was terrible as I was like a drug addict who went cold turkey. I had cold sweats. My palms were shaking. My mind was having a freak-storm. I was exhausted from fighting the withdrawal. If I remember correctly, I think this happened too when I weaned off Xyzal last year. But during these 67 days, all the horrible pain and severe acid reflux that I had been suffering since December slowly disappeared.

The cause of these 6 months of suffering was rebound-acid-reflux caused by Nexium! Instead of helping me with my GERD (which I thought I had), Nexium was destroying my gut system and caused it to become haywire.

During these 67 days I was off Nexium, as long as I maintained a low-FODMAP diet, I did not have any acid reflux (sometimes it was minimal). I have not had peace in my stomach (and PPI-free days) for such a long time. What Mr. Gastro said was 110% spot on. FODMAP caused IBS which mimicked GERD. By watching my diet and playing around with the FODMAP bucket (it's the same thing with salicylate), I could then live a life free of PPIs (and pain).

During this 67 days, the yellowness in both my palms (and at one time, my face) disappeared. I had thought I had jaundice at one point! I guess I was being poisoned by Nexium.

On days where I overloaded on FODMAP, the acid reflux/gassiness/heartburn would return. I would rinse my mouth and gargle with baking soda. Sometimes I needed to take Ranitidine/Zantac to help with the acid reflux. Once the IBS settled, the acid reflux and heartburn would be gone.

There were times where I had 1 whole week of peace and quiet! The severe pain in the upper, middle abdomen had even disappeared.

But as with foods with FODMAP, I am still learning the ropes as food with FODMAP contains prebiotics which help and promote the growth of probiotics (good bacteria). Food with FODMAP also helps with smooth digestion/pooping. I have to experiment (it's like learning how to balance food with salicylates all over again) the level of FODMAP my digestion is able to take before the bucket overflows which will trigger the cycle of IBS and then GERD all over again.

As I have been on PPIs for so many, many years, my digestion was affected. Absorption where vitamin B12 was not good at all. Thus, I started to take a vitamin B12 supplement. Dr. Yadav had advised me to do so too last year as he said that as we age, vitamin B absorption is not as good as when we were young. Plus, I have been on PPIs for such a long time. Imagine my levels of absorption! I have been taking B12 (Metylcobal) since mid-April. I started with one tablet a day at first. And then as the weeks went by with no reactions to it,  I slowly increased to two tablets a day. Currently, I am still on two tablets a day. The numbness, tingling and muscle weakness slowly went away. Sleep became more stable. I had more deep sleep, more quality sleep and became more refreshed, energised and did not have so much fatigue.

Click on HOW TO WEAN OFF PPIs AND WHY to read and understand more.

Click on LINK to read about how to wean off PPIs if you have GERD.

And if you do plan on weaning off PPIs, please consult your doctor/gastroenterologist before doing so!