5 Tips for Staying Regular (And Feeling Great!)

dietary fiberYou’ve heard it for years: eat more fiber to stay regular—but you might not understand what that means. Fiber is the part of the grain, vegetable, or plant that we cannot digest. It passes through your system without breaking down and adds weight and bulk to your stools.

Eating more fiber decreases constipation, reduces straining because bulky stools are easier to pass, and helps you feel great. You’ll want to aim for a certain amount of fiber per day, so you’ll need to read ingredient labels or research fiber amounts online to see how much each food has. According to the Mayo Clinic, men under 50 need at least 38 grams per day, while men over 50 need 30. Women under 50 should have at least 25 grams, and those over 50 should have at least 21 grams.

Good sources of fiber include fruits, vegetables, whole grains, beans, nuts, and seeds. The more of these you eat, the more you’ll find what works best for you. It’s easy to work fiber into your diet; for example, you can eat high-fiber cereal or cook with high-fiber vegetables. You can also use over-the-counter fiber supplements such as Metamucil, though whole foods should be your first choice.

To stay regular, you might try some of the following ideas in addition to extra fiber. These ideas will also help after breast reconstruction surgery,  as the procedure itself can be constipating.

Drink plenty of fluids.

Water helps keep your stools soft and easy to pass. Hot liquids, especially those with caffeine, stimulate colon action. You might try hot water with lemon juice first thing in the morning.

Don’t ignore the urge to go.

Many of us will simply hold off on using the bathroom if the urge hits at an inconvenient time. Always answer the call of nature. Regularly ignoring it can cause constipation or hard stools that are difficult to pass. Not going when the urge hits can also contribute to poor bowel action.

If you have a habit of ignoring urges, you may want to establish a certain time of day when you go to the bathroom.

Get more exercise.

Exercise helps you stay regular because the movement stimulates your body and helps your colon move waste. There’s a reason dogs tend to go during daily walks. Laughter has also been found to stimulate the colon, so if you’re having trouble, watch your favorite funny movie.

Know your medications and compensate.

Some medications can be constipating, so you may need to be extra vigilant about your fiber intake and add more water, prunes or stewed figs, or even a stool softener.

Take precautions when you travel.

Traveling tends to make you irregular, so be sure to stay well hydrated and eat plenty of fiber before and during your trip. The time difference may mean you’re using the bathroom at very odd times. Go with it and don’t ignore your body.

What’s your favorite tip for staying regular?

 

 

 

 

 

 

How Can I Alleviate Scar Pain and Tightness After Surgery?

The question below is answered by Charleston breast surgeon, Dr. Richard M. Kline, Jr. of The Center for Natural Breast Reconstruction.

I had a Phase 1 SIEA flap reconstruction in February 2010, and a Phase 2 in November 2010. Abdominal and drain scars were revised in November 2010, but I’m still having severe pain, tightness, and discomfort, including bad scarring on part of the big abdominal incision and on both abdominal drain sites. I’m assuming that I need another surgery (I’m seeing my plastic surgeon soon). Is it correct to assume there’s a chance any new revisions might not work? And are there any techniques that could alleviate some of the abdominal tightness?

I’m sorry that you are experiencing a rare, but, unfortunately, persistently recurring, complication – not specifically of breast reconstruction surgery, but of any surgery.

Any time skin or other body structures are cut, myriad nerves, a few named, most unnamed, are unavoidably divided, or at least damaged. Most of the divided or damaged nerves “wither away,” and cause no problem. A very few of the damaged nerves stay “irritated,” and some of the divided nerves form “neuromas,” or very tender balls of nerve tissue. These account for much of the chronic pain, which some people experience following surgery. Why this occurs when it does, and how to predict or prevent it, are questions all surgeons would love to know the answer to. It is not preventable – the best a surgeon can do is warn patients that it could happen.

As a practical matter, re-operating for painful scars may not be very productive. When our patients have chronically painful surgical sites, we refer them to pain management specialists for treatment. Usually this involves injections of local anesthetics, steroids, or other agents. We have generally been pleased with the results we have seen from this.

If there are other reasons to revise your surgical site, it is not completely unreasonable to think that more surgery may favorably affect the pain, and we wish you the best of luck in that scenario.

–Dr. Richard M. Kline, Jr.

Have a question for one of the Charleston breast surgeons at The Center for Natural Breast Reconstruction? Ask us!

What Are My Reconstruction Options After a Lumpectomy?

DIEP flapThe below question is answered by The Center For Natural Breast Reconstruction team:

What are the options for reconstruction surgery after a bilateral lumpectomy?

Great question! Your options would be very similar to those you would have if you had a mastectomy. Keep in mind that if your lumpectomy was followed by radiation, the behavior of the radiated skin and tissue can complicate a reconstruction procedure utilizing implants and your best option may be to use your own tissue to restore your breast size and shape. Nonetheless, it’s your plastic surgeon’s responsibility to tell you all of the options available to you and let you choose how to proceed. Also, discuss with your surgeon any procedure that may need to be done on your unaffected breast to achieve symmetry.

Here’s my short list of options:

1. Tissue expanders and subsequent replacement with permanent implants. Ask about silicone vs. saline implants. How about the use of a skin and tissue replacement like fat or a dermal matrix (like Alloderm)?

2. Autologeous reconstruction with latissimus flap (back). Will implants be needed, as well?

3. TRAM flap (transverse rectus abdominus muscle). Uses the muscle, skin, and fat of the abdomen to rebuild the breast. Make sure you have been told of the risks involved in removing this muscle.

4. DIEP, SIEA (deep inferior epigastric perforator or superficial inferior epigastric artery). Uses the skin and fat of the abdomen to rebuild the breast but leaves the muscle of the abdomen intact.

5. GAP (gluteal artery perforator). Uses the skin and fat from the upper (inferior) or lower (superior) buttocks. Like the DIEP, no muscle is removed for this procedure.

6. TUG (transverse upper gracilis). Inner thigh donor area, utilizes skin, fat, and muscle of the upper inner thigh.

7. Intercostal perforator. Utilizes skin and fat from under the arm.

8. Maybe you’re happy with the size of your post-lumpectomy breast but would like the shape addressed. Procedures such as mastopexy or reduction mammaplasty on the unaffected breast may be the procedures to investigate.

9. If it’s a small defect, a simple fat transfer from another part of your body may remedy the problem.

Best Wishes,

The Center for Natural Breast Reconstruction Team

How Long Should I Wait to Have a DIEP Flap After Radiation?

Dr. James Craigie

The below question is answered by Dr. James Craigie of The Center for Natural Breast Reconstruction.

How long should I wait to have a DIEP flap after radiation?

Radiation therapy is part of the treatment of breast cancer and will affect the results of breast reconstruction. The treatments can miraculously kill some growing cancer cells but they also change the area of the body left behind after surgery.

All of the elements of the body can be affected: blood vessels, scarring, healing function, and appearance.  The effects of radiation occur in two phases. Short term occurs during and immediately after the treatments. Elective surgery at this time is not possible, for obvious reasons. The long term effects develop after the early “burn-like” injury “settles down.” The long term reaction occurs for approximately the first six months.

The experience can be widely different from one person to the next. We have experienced difficulties with the receiving blood vessels after radiation when we did not wait for the body to recover from both long and short term damage. These types of problems could possibly increase the chance for the new breast to fail. Avoiding these problems may be possible by waiting and that is why the long recovery is needed before reconstruction is started.

—Dr. James Craigie

Celebrating Those Who’ve Won the Battle Against Breast Cancer

It was an afternoon of motivation, education, and celebration at the Annual Komen Lowcountry Survivor Celebration held at the Embassy Suites Convention Center in Charleston, SC, on March 27. Survivors, along with their friends and families, gathered together for some afternoon tea to celebrate those who have won the battle against breast cancer—both here, in the Lowcountry, and around the world.

Guests enjoyed entertainment by singers from the Charleston County School of the Arts and Jazz Saxophonist Devon Gary. Survivor, Alex Costanzo, provided some laughs and good cheer with her “Top 10 Perks of Being a Breast Cancer Survivor.” Dr. Gretchen Meyer from Lowcountry Hematology & Oncologist provided the medical update portion of the program while Mona Palmore-Haynes stirred the crowd’s hearts and minds with her motivational speech about her own breast cancer experience.

The program closed with a moving candle lighting ceremony honoring the survivors in attendance. Congratulations to Gene Glave, who was the well deserved recipient of this years’ Charlene Daughtrey Award for her work with the Susan G. Komen for the Cure—Lowcountry Affiliate.

Thanks to Susan G. Komen for the Cure—Lowcountry Affiliate for such a truly beautiful and memorable day and The Center for Natural Breast Reconstruction for their sponsorship.

See more images from the event below:

breast cancer events

 

breast reconstruction surgeon

Dr. Richard Kline and Chris Murkami RN

Dr. Richard Kline

Dr. Richard Kline and his nurse, Chris Murkami RN

Visit our Facebook page to view videos from the event!