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IN THIS ISSUE
Migraines
Stress and the Gut
Recipe of Week
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PRIMETIME

For all teenagers and college students interested in a new medical experience, pay attention.
Salisbury Pediatrics has opened a new wing dedicated to you. In Primetime we are only focused on your needs as an emerging adult. 
From the music when you enter, to the autonomy of your visit, we are sure that you will love a new way to see your doctor.


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Dr. Magryta
Chris
Go to www.salisburypediatrics.com,  if you would like to learn about Integrative Medicine or our practice

 

Issue: #25
June 10, 2013
Volume 3, Letter 25
 

June 10, 2013  

 

Migraines are a problem for many Americans. Children as young as 4 years old suffer from migraines. 

 

In a new study from the 
Journal of the American Medical Assocaition, 
Silvia Romanello et al. looked at the association between migraines and infantile colic. They looked at 799 patients who presented to the ER with headache or minor trauma. 73% of the patients with migraine had a history of infantile colic versus only 35% and 27% in the tension headache and control groups. 

The authors noted that the colic might result from a sensitization of nerves in the gut. This could be similar to the process that occurs in the brain with migraine.

While we are still unsure of the exact pathophysiology of the process of colic or migraines, we do know that much of what we call colic is caused by milk protein intolerance in the newborn period. The general recommendation from most physicians is to treat the symptoms of migraine with medicine. See the Mayo Clinic advice page.

In the current thinking of colic in general pediatric circles, we see that the symptoms of fussiness, reflux, skin eczema 
and abnormal stool patterns are caused by the infant reacting to the casein protein of bovine milk formulas. The reason that I bring this up is that based on this study. A logical conclusion that the authors did not discuss would be for migraneurs to trial off of dairy for a month to see if the casein protein is associated with their symptoms.
 
We find that many patients with migraine headaches and cyclical vomiting have food triggers. See the University of California at Berkley's nice trigger handouts
 
Expanding the preventative options for disease management is always preferable to treatment with medicine. Sometimes we have to read between the lines to find these associations.

 

 

Watch the dairy,

 

Dr. Magryta


Stress and Your Intestines

Stress has always been a problem for humans when it is chronic. Over the last 20 years evidence points to negative events happening in the GI tract in response to chronic stress. 

We have known for a long time that severe acute physical stress, trauma and burns, can cause increased intestinal permeability (gut leakage) and increased immune reactions at the gut level.
  
What is the effect of chronic mental stress? It appears that this type of stress also has a negative effect on our gut mucosa. In a excellent 2001 review in The American Journal of Physiology, Perdue et.al.looked at stress and found that this effect is profound on the ability of the gut mucosal lining to stay intact.
  
Science: the tight junctions of the mucosal lining are weakened and become more permeable. This permeability allows food and foreign proteins to cross over the barrier of the mucosa and into the immune layer. This has a chilling effect on human tolerance to food and other natural proteins like pollen. The effect we believe is to turn on auto immune cascades and food sensitivity patterns.
  
Many people think that the answer to this issue is to just remove a certain food and all will revert to normal, ala celiac disease and gluten. Not so fast. The answer, as this data is showing, is that we need to have a whole body approach. To stop the reaction and permeability we need to tackle our stressful nature while correcting food sensitivities and the subsequent mineral and vitamin deficiencies.
  
This article hones in on chronic mental stress as a major player. Think of ways to reduce your stress.
  
Here a few of my favourites:
  
1) prayer and meditation
2) journaling pain and thoughts
3) exercise (my personal favourite)
4) music listening or performing
5) spending time with loved ones
6) reading for pleasure
7) counseling with a challenging mentor or counselor
8) spending time forgiving and holding people in your positive thoughts
9) cooking a new meal
10 Hugging and spending time with an animal 



This will be standard of care soon,

Dr. M

 

Recipe of the Week

Broccoli and Cauliflower Mash

Ingredients:

Head of cauliflower
3 stalks of broccoli
EVOO
S and P

Directions:

Simply steam the broccoli and cauliflower until slightly soft. Place in mixing bowl. Hand blend and add 1 - 2 Tbsp EVOO to flavor to your liking. I am heavy handed and use the 2 Tbsp route. S and P to taste. Adding fresh oregano and basil will never hurt. 

This is a great substitute for mashed potatoes.

Dr. M

Newsletter Photos
 
If you have any pictures of your family that you wish to share for the header of this newsletter -
 
please send them to:
 
Newsletter@salisburypediatrics.com
 

 

 

The newsletter archive can be found in the links section.  New readers can now go back in time to learn about the future!

 

Copyright � 2010-2013 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.


 


Chris Magryta
Salisbury Pediatric Associates
Touchstone Pediatrics