О язве двенадцатиперстной кишки-About duodenal ulcer

To avoid cow’s milk, you have to stop eating dairy products made from it:

Milk Soured cream Evaporated milk

Butter Fromage frais Condensed milk

Yogurt Buttermilk UHT milk

Cream Ghee

Cheese Milk powder

You need to avoid using any of the above in cooking and avoid using butter as a cooking fat (e.g. in scrambled eggs and omelettes). Remember to avoid using milk products in:

Mashed potatoes Waffles Cakes

Sauces and gravy Yorkshire puddings Biscuits

Butter Breaded coatings Custards

Pancakes Puddings Any other baking

Avoid any processed foods containing milk products. Read labels. Avoid any foods containing the following which are components of cow’s milk:

Whey and whey powder Lactose

Casein Lactalbumin

Casemates

Avoid the following processed foods that contain milk and its products:

Battered products (e.g. fish)

Anything containing cheese Pancakes Custards

Waffles Egg custards

Yorkshire puddings Rice puddings

Ice cream Milk sauces

Sorbets Cheese sauces

Anything made of or containing milk chocolate

In addition, many types of the following foods contain milk products. Avoid these unless you have checked the labels, or you know from the manufacturer exactly what has gone into them. Many types of bread contain milk products. You will find them not just in bread, but also in breaded products such as fish, and in breadcrumbs in stuffing. A local baker or wholefood shop may be able to supply bread without milk components.

Bread Pies

Breadcrumbs Dumplings

Breaded products (e.g. fish, Cakes and baked goods

chicken legs) Soups

Margarine Sauces

Biscuits Canned food in sauces (e.g. Puddings – baked beans)

Powdered beverages

The following brands of margarine do not contain milk components: Granose, Tomor, Vitaquell, Vitasieg, found in wholefood shops. Look also for Jewish pareve or parve bread or margarine. Prepared to kosher laws, they will contain no trace of cow’s milk.

Lactose, a sugar derived from cow’s milk, is used commonly in tabletting drugs and home medicine remedies. Take your doctor’s advice about avoiding this in prescribed drugs. Stop taking any home medicines, including homeopathic remedies, which are sometimes tabletted in lactose.

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Symptoms can be delayed

Remember that you can get delayed reactions, due to late phase reactions in the body, that usually occur within five or six hours of meeting a substance to which you react, but sometimes not until the next day. Less commonly, reactions can happen up to a few days later; these very late reactions are more likely to be caused by foods than by other allergens.

A more common pattern of delay is that you will feel worse in the evening or night after encountering an allergen, or the morning after. In babies and children, wakefulness at night can often be caused by reactions to substances, especially foods, encountered during the day. So look back at the previous 12 hours and see what has happened.

Can you identify a trigger?

It may help to identify a date or time where you first noticed your symptoms, even if it was some time ago. Did anything particular change in your life around that time? Did you get a new pet? Did you change jobs, schools, or move house? Did the season change? Did you start using a new soap powder or change your carpet? Did you redecorate or have building work done? Did you change your hairstyle? Did you take a specific drug or have an operation? Is there anything at all you can pinpoint that might indicate a suspect?

Do your symptoms have a pattern?

Now that your thoughts are flowing, think about the pattern of your symptoms. Do you get them

• continually or intermittently?

• only in certain seasons?

• mainly at home?

• in a highly variable, random pattern?

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If, after you have tested fibres, you find that you are still reacting to clothing without apparent pattern of explanation, then fabric treatments and finishes may be the cause.

Detecting fabric treatments and finishes

Most fabric treatments and finishes wash out well. Unless you are exceptionally sensitive to the chemical traces left, you will not react to a well-washed garment. Wash all clothes well before wearing and only buy clothes that can be washed. The Iron Test can also give you a guide as to whether it is tiny traces of chemical from a garment that are upsetting you. Try this on any garment you suspect.

The Iron Test

This is a rough and ready test for fabric finishes. Iron a portion of a garment that you have just washed and dried. Do this with care in case you react strongly. The heat will cause any residual resins to be released from the fabric. Inhale the vapours gently. See if you detect any distasteful smell, or if symptoms arise.

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Most of us spend a third or more of our lives in bed. For the greater part of that time, our noses and mouths are pressed hard against bedclothes and mattress, inhaling substances that can cause reactions.

Sorting out your bed can reduce the load on your system and make you better able to tolerate substances when you meet them elsewhere during the rest of the day. It really is worth the effort to get it right.

This section deals with how to work out what is causing your reactions to bedding, including all your bedclothes, pillows and mattress. There is advice on the best choice of bedding, whatever you react to, and details of sources of supply.

The most common symptoms caused by your bedding are nasal, breathing, sinus and skin symptoms, but headaches, nausea, joint and muscle pain are also common. Do not exclude bedding as a cause of trouble because you have unconventional symptoms.

If you feel worse when you lie down in bed, or on waking first thing in the morning, the most likely cause is house dust mites, rather than the material of your bedding. Doctors have estimated that 80 per cent of people with any sort of allergy, and up to 90 per cent of asthmatics, are sensitive to house dust mites.

Your laundry agent or fabric conditioner may also be the cause.

Mould allergy is another frequent cause of reactions to bedding. Moulds grow invisibly even on slightly damp bedclothes and mattresses. You can control them by keeping beds warm and dry. If a pet sleeps on your bed during the day, this may also cause you problems later when you use the bed.

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How you deal with allergy to pets and animals will depend on how important they are to your life.

If You Are Not Highly Allergic

If you are not highly allergic to an animal or pet, it may be sufficient to take the following avoidance measures in your home. Make sure that the animal sleeps outside the house. Confine it, if you can, to certain areas of the home and above all keep it out of bedrooms, both during the day and at night. Groom or brush animals outside the house, or get someone else to groom them for you. Discourage animals from licking you, and particularly from licking young children and babies.

Use washable bedding for animals. Wash frequently, and beat or hose down outside the house. Vacuum or wash as frequently as you can any furniture or flooring on which the animal commonly sits. Use a washable hearth rug, and other washable flooring where possible.

Keep small mammals outside the house. Get someone else to clean out cages and litter trays if you are sensitive to these.

If you are sensitive to animals at work, using hand protection if you have contact allergies can help, as can limiting your close contact as far as you possibly can. Gardeners using horse manure can react to it if they are allergic to horses, so they should use a different kind of manure or compost. Zookeepers allergic to horses have been known to cross-react to related species – donkeys, mules and zebras – and have to avoid caring for these.

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