Constipation Relief
5 Evidence-Based Constipation Home Remedies by a Registered Dietitian Constipation is a common issue that affects one in five people following a Western diet. If you have ever suffered with this you will know how unpleasant the feeling is. Maybe you are currently suffering with ongoing constipation and are in need of some guidance, so please read on. I’m Gillian Killiner, a registered dietitian with 26 years of experience in helping thousands of individuals with their dietary and health needs. In this blog post, I share five evidence-based tips to assist with constipation. But first, let’s define constipation. What is Constipation? Constipation occurs when you haven’t had a bowel movement for more than three times in a week. You can assess your bowel movements by using a stool chart to evaluate consistency and type. Typically, constipated stools are hard, small lumps, or pebble-like Type 1 and 2. What is a normal bowel movement frequency as defined by the NHS? “It is normal to pass a stool everyday up to every 3 days; stools should be soft and easy to pass. You should not need to strain to pass a stool. Some people pass a stool once a day and some twice these are both normal.” So what factors in a Western diet contribute to constipation? Dietary Factors 1. Hydration for Constipation is Key One of the first and most crucial tips for relieving constipation is to stay adequately hydrated. Many people underestimate the importance of drinking enough fluids. It’s easy to forget to drink when we switch off our thirst receptors. To combat this, keep a drink, such as a glass or bottle of water, with you throughout the day. Aim for 1.5 litres minimum. You can also include herbal teas and coffee, but limit them to no more than four cups a day, and avoid making them overly strong. Excessive caffeine can contribute to dehydration, which worsens constipation. 2. Load Up on Fruits and Vegetables Consuming an ample amount of fruits and vegetables is another essential strategy for relieving constipation. Begin your day with a breakfast rich in vegetables or add fruits to your cereal. Incorporate fruits and vegetables into your meals and snacks as much as possible. Variety and color in your diet are key. These foods provide essential antioxidants, vitamins, minerals, and fibre, all of which promote healthy bowel movements. Don’t forget to consider the fibre content in your diet, which can come from sources like nuts, seeds, beans, pulses, and high-fiber grains. Aim for an average of 30 grams of fiber daily to keep your bowels moving smoothly. 3. Dried Fruits as a Natural Solution Dried fruits like prunes, dates, and raisins can also be valuable additions to your diet when dealing with constipation. They are rich in fiber and natural sugars, which can help stimulate bowel movements. Including these dried fruits in your diet can be a tasty and effective way to alleviate constipation, just keep to small portions. Lifestyle Factors 4. Embrace Exercise for Constipation Exercise plays a vital role in maintaining regular bowel movements. It helps reduce transit time, meaning food moves through your digestive system more quickly. This faster gut transit leads to improved bowel regularity. Additionally, exercise promotes the growth of beneficial gut bacteria, strengthening abdominal muscles, and overall gastrointestinal health. Aim for regular physical activity to reap these benefits. 5. Listen to Your Body Lastly, don’t ignore your body’s signals when it’s time to go to the toilet. Often, the morning after breakfast is the most opportune time to have a bowel movement. However, due to our busy lives and schedules, we sometimes ignore these cues. It’s essential not to hold onto stool if you feel the urge to go. Ignoring these signals can have negative long-term consequences. If you find yourself straining during bowel movements, consider changing your sitting position on the toilet. Squatting, for example, can create a more natural alignment for easier passage of stool. Constipation Conclusion Constipation is a common issue, but it can be effectively managed with evidence-based strategies. These five tips, including staying hydrated, consuming ample fruits and vegetables, incorporating dried fruits, embracing exercise, and listening to your body, can make a significant difference in your digestive health. Remember that there are numerous dietary, lifestyle, and supplement options available to alleviate constipation. The tips mentioned here provide a solid starting point. There are many more additional strategies out there so do get in touch if you are struggling. Often we see patients with alternating constipation and diarrhoea, which is so hard to live with. Not being able to predict how your day will go and fearful of your bowels not working smoothly can really impact on your quality of life. Our GUT Health programme is the best programme which can fix you in 6 weeks or less. Do check out my other blogs and my videos on my YouTube channel covering various aspects of diet and health, so don’t forget to like, subscribe, and share my content. Until next time, take care! If you want to book your programme TODAY we would love to help you. You can book a 121 Dietitian Programme today by clicking on the link below If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Do visit our YouTube Channel for more on keeping your health optimal. If you are interested in how I overcame my Thyroid Autoimmune Condition do check out the About section below Before you go please check out our 121 Dietitian Shop created specifically for optimising your health. Gillian x
High Blood Pressure Diet – Top Tips
Blood Pressure Diet What is hypertension and why is a Blood Pressure diet so important? It is something many of us never think about, but it keeps you alive and it is important to stay in a healthy range! In this blog, we cover all you need to know and how to improve it. Blood pressure is when your heart pumps blood through your arteries, putting pressure on the artery wall. This naturally goes up and down with your normal daily activities. A normal blood pressure level is less than 120/80 mmHg What do blood pressure numbers mean? Blood pressure is recorded with two numbers: The first number is called systolic blood pressure. This is the pressure in your arteries when your heart beats. The second number is called diastolic blood pressure. This measures the pressure in your arteries when your heart rests between beats. If you have never had this checked yourself you may have seen a Dr on TV using a cuff and stethoscope on patients to listen to their arm! This is checking blood pressure. An electronic blood pressure monitor is the up-to-date way of checking your home blood pressure: What is High Blood Pressure? High blood pressure, also known as hypertension, is when your blood pressure is higher than normal. The higher your blood pressure means you are at greater risk of heart disease heart attack heart failure stroke Not what you want to be hearing. High blood pressure also increases your risk of developing the following health problems Kidney disease Vision problems, retinal changes Sexual dysfunction, such as erectile dysfunction Circulatory problems, including peripheral artery disease (leg pain when walking) Atrial Fibrillation – Abnormal heart rhythms Vascular dementia Aortic Aneurysm – vessel swelling in the abdomen So how common is High Blood pressure? Nearly 1/2 the population in America have high blood pressure and in the UK it is not far behind with 1 in 3 adults (around 16 million) having high blood pressure (a reading of 140/90 or higher). This rises to at least 1 in 2 over-65s. Unfortunately, most people will never know they have high blood pressure as it is known as the silent killer. If you do have the following symptoms: Headaches, anxiety, nosebleeds, and palpitations do get them checked out as these can be signs of high blood pressure. Why do we get High Blood pressure? The top risk factors for high blood pressure include: Being overweight/obese – The more you weigh the more blood flow is required to the tissues to supply nutrients and oxygen. Blood vessels increase and so does the pressure inside your arteries. Too much salt (sodium) in your diet – your body retains fluid when there is too much sodium in your diet. This causes the arteries in your body to narrow. Both increase blood pressure. Too little potassium in your diet -Potassium is important to help balance the sodium in your cells. Potassium causes the smooth muscle cells in your arteries to relax, which lowers blood pressure. Not being physically active – Exercise lowers blood pressure by increasing blood flow through all the arteries of the body. This leads to the release of natural hormones and cytokines relaxing blood vessels. Lack of physical activity also increases the risk of being overweight which as we know now is a risk factor in itself. What lifestyle change lowers blood pressure the most? Weight loss for high blood pressure Weight loss is one of the most effective lifestyle changes for controlling blood pressure. If you’re overweight or have obesity, losing even a small amount of weight can help reduce blood pressure. Blood Pressure diet – Nutrient-rich foods Many people embark on trying to lose weight for multiple reasons, many due to health, and they hit a brick wall after a few weeks or months. Following macros, friends’ recommendations, or very kcal-restricted diets. They start with the best of intentions, but if they are not focused on the long game the diet becomes boring, and tasteless and can lead to far more problems than they started with. I have written about this in other blogs and also have several videos on my YouTube channel about weight loss, macros and intuitive eating. The focus for blood pressure is getting key nutrients in each day potassium, calcium and magnesium are just a few. These nutrients help control blood pressure. While building these in, reducing sodium, saturated fat and added sugars is critical. Salt/Sodium and High Blood Pressure Salt/sodium intake is directly correlated to high blood pressure and is found in so many processed foods – both sweet and savoury. Adults should eat no more than 6g of salt a day (2.4g sodium) – that’s around 1 teaspoon in all the foods and fluids you consume. Children aged: 1 to 3 years should eat no more than 2g salt a day (0.8g sodium) Bacon, sausages, ham, meat pies, sausage rolls, pizza, crisps, bread….. are all high-salt processed foods. One slice of pan-fried pork bacon alone has 194 milligrams of sodium! Thankfully there are no special foods required to reduce your blood pressure, just focus on eating a wide range of vegetables, fruits, and whole grains. Including low-fat dairy products, fish, poultry, beans, nuts, and unrefined oils. 121 Dietitian programmes are created especially for you to ensure you get all of the correct nutrients and still make it tasty and enjoyable lifelong. How did we design our Blood Pressure Diet? DASH The DASH eating plan was designed from the Dietary Approaches to Stop Hypertension clinical study funded by the National Heart, Lung, and Blood Institute in 1997. This study found that populations who consume diets rich in vegetables and fruits have a lower blood pressure than those whose diets are low in vegetables. In addition to fruits and vegetables, dietary fibre, potassium, calcium, magnesium, and protein were all essential. All these important nutrients are the cornerstone of our 121 specially designed programmes! Drinking less alcohol Having more than two drinks per day
Could fitness technology be causing you to gain weight?
Are you one of the many thousands of people who has invested in a piece of fitness technology or fitness tracker app in recent years? If so, you might want to read on… I have been a Dietitian for over 20 years and have observed the many nutritional changes and fads (fitness technology) that come and go. However, over the past two years, I have noticed an increasing but new reason as to why my clients are requesting advice for weight loss and healthy eating. They are coming to me totally confused and despondent. After originally embarking on a positive health change themselves, making a conscious effort to track their food and exercise, they have found instead of weight loss and health; additional weight gain and sluggishness from the commencement of using the gadget or app they purchased one to two years previous. Doing a little investigation, I am not alone in these findings and a research paper from JAMA September 20, 2016, entitled: ‘Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss: The IDEA Randomized Clinical Trial‘, found that the group selected to wear technology did not lose as much weight as the group who followed regular advice and exercise. Interesting indeed. As always, there are various factors involved behind research findings and as expected, limitations. However, what I took from this study in particular was the time factor: it was monitored for a full 24 months. Other studies have shown different results with 9 months or 6 months but when looking at a full two years, the study highlights that using technology doesn’t provide all the answers and the results are disappointing. So what now with fitness technology? Well, it is not time to throw out the technology just yet! What is however important to focus on – and what I feel is the most important element – is support. I know with my own personal health and well-being, if I did not belong to a running group I would not run the length of myself!! I do believe that support is still the foundation to success and people benefit from either individual or group support when needing advice and change. I’m sure like me you have all tried to do something new or different; from watching cooking shows, to learning an instrument. If teaching yourself, it is a really big challenge and commitment. Our self-doubt and often our over ambitious desires can derail our smallest but valid attempts and efforts. Putting this into something useful for you going forward…. Support is important, and one size does not fit all. Technology can only contribute to a portion of the puzzle when it comes to health. The watch may say ‘500 kcals burned’ but has your body the capability to metabolise at the rate the watch is set at? If you are not getting results you need to seek a personalised assessment and plan. For me the bottom line is this… whatever group or individual you choose, you need to know they have evidence to back up what they are providing. The support needs to be realistic, enjoyable and you need to be comfortable to see this advice through for the rest of your life. Knowing you are not alone and that you have expert support as required is golden. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 and Jan 2021.
Make October YOUR New Year!
A lovely lady recently came to me in August 2012 looking for help with her main 2011 New Year’s resolutions! She wont mind me sharing this as the progress she has made has been outstanding since she started! Her main problem was her disappointment that she had not come near to achieving her personal goal of “being as healthy as possible.” Despite her good intentions she had made disappointing progress and it was 8 months into the year. She was panicking. Many of us can relate to this. We have expectations for great changes and we feel motivated at the start, but events and responsibilities seem to work against us and we are left feeling frustrated and sometimes discouraged that the changes we want to see will never be accomplished. With this lady, and others, a few simple strategies can help make significant changes promoting health, fitness, and control. I advised this client that September through to October would be the perfect time to make her changes. The kids are back in school, the home routine is in place, and it is a long time till the Christmas rush! My Client was raring to get started, she focused, made the time and energy to commit to her new plan. The following are some of the goals we decided to focus on: Step 1: Start small. In the case of my client, instead of encouraging her to become a slave to the gym, we started with two 30-minute walks per week. Over the past three weeks, these have lengthened and she now looks forward to her evening walks most nights of the week. This simple change may add years to her life. Step 2: Be ‘SMART’ Identify specific, measurable goals. They must be realistic and linked to a period of time so you can assess your achievements. These goals are “SMART” goals (specific, measurable, achievable, realistic and timely.) My client’s goals were similar to many; ‘eat better and be more active’, but how do we measure success with a goal like this? As a starting point, we broke down her goals into three straightforward, but significant, changes: 1) Begin to eat breakfast within 30 minutes of waking five out of seven days per week. 2) Eat a portion of vegetables with both lunch and dinner six out of seven days per week. 3) Keep records of your food intake and exercise for five days to promote self-awareness of your eating and activity patterns. Step 3: Get Support Obtain support from a friend, spouse or family member. In this case of this client, her husband has been a great supporter. He reminds her to sit down and eat breakfast with him instead of running around after the kids and he provides the motivation for her to be fit by walking with her in the evenings. He and the kids are enjoying the health changes too, they are eating better and their mum is happier and healthier. In addition to her family support, my client has benefited from professional support. In working with a dietitian it has had help her make appropriate goals, identify obstacles and help overcome challenges. Professionals are trained to help provide creative ideas to make it a fun and interactive experience. My client laughs with pleasure as she informs others of her fears of making that initial contact. She expected I would whip her into shape and she would be mortified, but now instead she admits she enjoys the one to one webcam consultations, coming to the clinic weight session and the programme she is following. She says she does not feel deprived or different to anyone else only that she is already feeling much healthier and fitter. Step 4: Get accurate information As a Dietitian I spend a lot of time correcting people’s myths. Most of my clients come in expecting they will be told to eat salads, cut carbohydrates, and slave away on a treadmill seven days a week. We know from countless studies, that healthy eating does not mean dieting. While there are specific dietary requirements for many conditions, such as high blood pressure, diabetes, and cholesterol problems, most people do not have to cut anything out, they just need assistance in finding the right balance. Obtaining professional guidance ensures you learn which strategies are appropriate for you. If you have struggled with getting healthy this year, why not click on the contacts page and get your diet assessed by the professionals! Information checked & correct on 16th May 2018.
World Heart Day
This Saturday 29th September 2012 is World Heart Day. World Heart Day is dedicated to raising awareness of the world’s biggest killer, Cardio Vascular Diseases (CVD). CVD is a name given to disorders of the heart & blood vessels which include Heart Disease, Stroke & hypertension. In Northern Ireland 2010 there were 4476 deaths caused by CVD, a high figure given that 80% of CVD is behaviour related. Behavioural risks include smoking, increased blood pressure & being overweight and something we can do something about. Exercising regularly. Maintaining a healthy weight. Eating a healthy balanced diet. Not smoking. Eating for Heart Health Aim for 2 portions of fish per week, one of which should be oily e.g. salmon, trout & mackerel. Oily fish is a great source of omega 3, a fatty acid which helps to protect your heart. Eat whole grains & high fibre foods. Foods such as wholegrain bread, breakfast cereals, brown rice, whole wheat pasta, beans, oats, & lentils contain soluble fibre which can help to lower cholesterol. Limit your salt intake aim for no more than 6g salt per day. Remember most of the salt we eat is already in the foods we buy so check the labels. High intake of salt is linked to high blood pressure. Don’t drink alcohol excessively. This has been linked to increased formation of blood clots & increased blood pressure. Limit your total fat intake in particular saturated fats & trans fats. This will help to keep blood cholesterol down. Shopping tips for Heart Health Use traffic light labels to help you identify foods which are moderate (amber) & high (red) in salt, saturated fats & total fats. These foods should be eaten in moderate amounts. Aim for foods with more green lights. Go for wholegrain varieties of breakfast cereals, bread & past. Choose brown rice instead of white. Remember your 2 portions of fish. Include lots of fruit and vegetables in your shopping. These are a great source of fibre as well as vitamins and minerals. Never go shopping on an empty stomach or you are likely to be drawn to high fat/calorie foods. If it is an area you want to learn more about or need assistance in making those permanent changes then please get in touch, follow us on facebook and twitter. If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018.
