Know Thy Tummy Ache


Feeling woozy? Fast fixes to six stomach woes.
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Identify the Cause

If the holiday buffet has your stomach in knots, you're not alone. "From Thanksgiving to New Year's, doctors are flooded with calls from holiday revelers who are fighting intestinal problems, including diarrhea, vomiting, and lactose intolerance," says Harry Clearfield, MD, a gastroenterologist at Hahnemann University Hospital, in Philadelphia.

Even during the rest of the year, summer picnics and anytime buffets or cookouts can leave you feeling less than happy about what you ate. Here's how to find relief:

Stop Stomach Poisoning

"The risk for food-borne illness is high over the holidays because people eat foods that are left out way too long at parties and buffets," says Susan Conley, director of food-safety education for the USDA's Food Safety Inspection Service.

More than two dozen types of bacteria and viruses can set up camp in your food and cause vomiting, diarrhea, and mild fever four to 24 hours after you've cleaned your plate. The Centers for Disease Control and Prevention (CDC), in Atlanta, estimates that 76 million people in the U.S. suffer from food-borne illnesses annually. Though most recover on their own, as many as 325,000 people require hospitalization.

A recent study by the CDC found that raw or undercooked eggs, a hot-bed of salmonella, were the most commonly determined cause of food-borne illnesses. Holiday favorites, including cookie dough, hollandaise sauce, and homemade eggnog are potential culprits. Other dangers may be hidden in your main course: turkey. In a study published in 1998, the USDA tested more than a thousand turkeys from across the country and found that 19 percent harbored salmonella, and 90 percent contained campylobacter, one of the most common bacteria implicated in food poisoning.

Prevention pointers: Only 12 percent of Americans regularly use a food thermometer while cooking, but it's the best way to make sure foods reach bacteria-killing temperatures. Cook poultry to 180°F, pork to 160°F, and roasts to 145°F. Take your reading in the thickest area, away from bone, fat, and gristle. And don't forget to check the stuffing, which should reach 165°F.

Fruits and veggies can also carry dangerous bacteria. Wash them thoroughly under running water, and avoid cross-contamination by using separate cutting boards for meats and vegetables. Leave leftovers unrefrigerated for no longer than two hours, and if you've cooked a large batch of food (say a pot of soup), divide it into shallow containers before storing. "Otherwise, the center of the dish may not cool down within two hours, and bacteria could have a field day," says Jackie Newgent, RD, a New York City-based spokesperson for the American Dietetic Association. If you must make a recipe with raw eggs, use the pasteurized variety.

If you're the guest at a holiday meal, pass on poultry that looks pink -- it's probably undercooked. Dining buffet style? Make your plate early, especially if cold food isn't on ice or hot food isn't on a burner, suggests Newgent. Pregnant women and people with weakened immune systems should take special precautions, avoiding hot dogs, soft cheeses (such as goat cheese), and deli meats because these can harbor listeria, a bacteria that can cause miscarriages, birth defects, and stillbirths.

Rx for relief: Get plenty of rest and stay hydrated. If you're vomiting, take small sips of water every 15 minutes. If you have diarrhea, eat salted crackers and drink about one half cup of white grape or apple juice diluted with one half cup of water every two to three hours. "This will replace the sugar and salt your body has lost," says Maria T. Abreu, MD, assistant director, research, at the Inflammatory Bowel Disease Center at Cedars-Sinai Medical Center, in Los Angeles. See your doctor immediately if you notice blood in your stool, a tip-off that the infection could be serious.

A few warnings: Don't take an antidiarrheal medication unless you have the green light from your doctor. "Diarrhea is your body's way of getting rid of the organisms that are making you sick," says Dr. Abreu. And avoid antibiotics. A recent study found that they may increase the risk of serious complications from food-borne illnesses, including liver failure.

Fight the Flu

Gastroenteritis, the medical term for the stomach flu, can be triggered by food poisoning, but a virus is usually responsible. The result? Twenty-four to 48 hours of nausea, vomiting, diarrhea, abdominal discomfort, headache, fever, and muscle aches. "It's difficult to distinguish between viral gastroenteritis and food-borne illnesses without lab tests," says Dr. Abreu. Of course, if several party-goers get sick at the same time, you can point the finger at food.

Seasonal sources: You catch the stomach flu the same way you do a cold -- by touching the hands of infected people and then touching your eyes, nose, or mouth. Since we socialize more over the holidays, it's easier for the virus to be passed around.

Prevention pointers: Wash your hands frequently, especially before and after eating finger foods. Scrub with soap and warm water for at least 15 seconds. Dry your hands completely with a clean or disposable towel. Be careful not to share food or utensils, which may also transmit a virus.

Rx for relief: Follow the same treatment as for food poisoning, getting plenty of rest and fluids. Also avoid antidiarrheal medications, which can prolong the illness.

Put an End to Extra Pit Stops

Don't be surprised if your Christmas bonanza has you bound for the bathroom again and again. "It's common for people's bowel movements to double from one or two to three or four daily at this time of year," says Dr. Abreu. "People call that diarrhea, but it's not." Diarrhea -- defined as frequent loose, watery stools -- almost always has an underlying cause, such as food poisoning.

Seasonal sources: Stress and fatty foods can help usher food through the digestive system, resulting in more bathroom breaks.

Prevention pointers: Indulge in one or two high-fat foods, but focus on healthier options like chicken or turkey breasts, sans the skin. Cut back on stress by scheduling time for yourself: Get a massage after you finish your holiday shopping, or hire a babysitter so you can have a night out with your husband.

Rx for relief: Let it ride its course, suggests Dr. Abreu. It will subside once your stress levels and eating habits return to normal.

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