Breath

Breath

Breath

Have you ever taken a deep breath to steady your nerves or calm yourself? Your breath is powerful; just a single deep breath can help change your focus or mood.

Breathing is one of the few automatic processes in our bodies that we can have some control over. Breathing is information. If you breathe fast and shallowly, your brain will read this as a signal of fear. In our fight or flight response, our nervous system kicks in and tries to make our breathing quick and shallow in an attempt to increase oxygen levels, especially to our muscles, so we can fight or run away from predators.

The reverse is also true; deep breathing is an effective way of making the brain feel safe. If you breathe slowly and deeply, your brain will receive signals that you are in a place of calm and this promotes our nervous system to switch to “rest and digest”.

In a modern world of persistent, low-grade stress (usually these are mental stressors, rather than actual lions!), our breathing is often fast and shallow.

Breathwork brings awareness and control of your breathing to change your physical and emotional state. It has been a significant practice in many cultures and religions for thousands of years but the benefits of breathwork are now far more widely recognised.

“Breathwork” may sound complicated, but it doesn’t need to be. There are many variations, but the core idea is simple; breathe in slowly and deeply through your nose, letting your belly rise, pause briefly and then let out a slightly longer breath.

Like any technique, it takes regular practice. There is plenty of evidence to show that slow, deep breathing can help to reduce stress, depression and persistent pain

These techniques, like many others, are not necessarily changing or healing tissues in the body, but they are sending comforting and distracting sensory input to the brain. It’s also something we can do for ourselves, which is empowering.

You could try some of the techniques below (“Watch This” and “Read This”) or seek out a local yoga class to help your nervous system switch from “fight or flight” to “rest and digest”.

A word of caution before you dive in that there are some possible side-effects:

  • If you have a history of trauma, only start a breathwork practice following consultation with your healthcare provider as it can be triggering for some people.
  • “Overbreathing” can disrupt the balance between oxygen and carbon dioxide in your bloodstream and cause symptoms such as dizziness, tingling and difficulty concentrating. Some breathwork practices have you holding your breath and this is not suitable for anybody with high blood pressure or who is pregnant or prone to fainting.
  • Most breathwork practices encourage you to breathe through your nose. Breathing through your nostrils is safer; tiny hairs and mucus trap foreign particles, and breathing through your nose warms and humidifies the air before it enters your lungs, stopping everything then from drying out. For more on the benefits of nasal breathing, check out the podcast below or listen here.
  • Breathwork can be a bit like drinking alcohol! Your experience will be different almost every time based on lots of different factors, such as how hydrated you are, how much exercise you’ve done and how tired you are, so take it steady and don’t push too hard.

I am sharing some of my favourite resources, including techniques for you to try, if you would like to delve deeper.

 

Join in with some calming breath work with Dr Rabia and Dr Rupy.

 

Dr Chatterjee leads you through some well known breathing techniques to help you manage stress. There are also videos demonstrating each technique.

Discover the science behind, and the benefits of, nasal breathing (30 mins).

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Headspace is just one of many great apps for breathwork and meditation. They all offer free trials so why not check out a few?

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Calm is another mindfulness app but you can follow them for nuggets of wisdom related to mindfulness and breathwork.

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All content and information on this website is for for informational and educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before making any decisions in respect of your healthcare.

Women’s Health

Women’s Health

Women’s Health

After years of whispering in corners and secrecy, it seems like people are now talking much more openly about women’s health (to include people assigned female at birth). I am not sure why now, but I think it’s great.

I am not a women’s health specialist and the purpose of this post is to highlight some issues and signpost resources that may be helpful. I have also written posts on menopause and pelvic health with further links. The posts on pain science and patient experience of living with pain may be useful if you live with a condition such as pelvic pain or fibromyalgia.

Gynaecological issues often take years to diagnose. The symptoms can be quite vague and are often mistaken for digestive symptoms. If your periods are very heavy or painful (ie if they interfere with your daily life), please speak to your GP. Women often consider things to be “normal” when they are indications that there may be an underlying issue. Often imaging or keyhole surgery is required to confirm a diagnosis.

But it’s not just about periods and reproductive health. Women are twice as likely as men to develop Alzheimer’s and they are more prone to brain tumours and strokes; the reasons why are not clear yet but Dr Lisa Misconi (see video below) is fascinating on the subject of the the female brain. She is a strong advocate for women’s health not being reduced to “bikini medicine”!

Although women in the UK live a little longer than men, women in the UK spend a greater proportion of their lives in ill health or disability compared with men and those statistics are getting worse. This is now being referred to as the “Gender Pain Gap”.

Women are more likely to have conditions such as fibromyalgia, long covid or migraine and to develop persistent pain. They are 50% more likely to receive a wrong initial diagnosis if they have a heart attack.

Why is this? Female bodies are different from male bodies and, historically, men are used in research trials because female bodies and hormones are deemed too complicated! As I write this (November 2022), it’s in the news that female footballers are more at risk of injury as they are wearing boots and heading footballs designed for men. If this is something you want to find out more about, then check out the book “Invisible Women” here.

I am sharing some of my favourite resources (on conditions, rather than my feminist ramblings) if you would like to delve deeper.

Dr Lisa Mosconi chats to Dr Chatterjee about how women can keep their brains functioning at maximum capacity.

 

Self-compassion is linked to better emotional, physical and mental health. Dr Kristin Neff writes specifically about self-compassion for women and how to silence your inner critic.

Woman’s Hour presenter, Emma Barnett, on infertility, IVF and endometriosis.

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Dr Nitu Bajekal provides a wealth of clear information on women’s health issues and has written a book on Polycystic Ovary Syndrome (PCOS) with her daughter, Rohini.

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Dr Anitra Mitra – the Gynae Geek – For “no nonsense information on ‘down-there’ healthcare”!

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All content and information on this website is for for informational and educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before making any decisions in respect of your healthcare.

Sleep

Sleep

Sleep

I suspect most of us underestimate sleep as a vital part of our wellbeing and also its importance in rehabilitation/convalescence, preferring to devote our energy to more marginal gains. We spend nearly one third of our lives asleep, why wouldn’t it be hugely important?

It follows that if we improve the quality of our sleep, we will improve our quality of life. To name just a few benefits, better sleep can:

  • boost productivity
  • improve mood
  • make it easier to lose weight
  • improve immune function and recovery
  • reduce the risk of developing chronic diseases like type 2 diabetes
  • reduce the risk of developing Alzheimer’s

So, how much sleep do you need and how do you know if you are getting enough? Waking up feeling refreshed is a good indicator of overall health and waking up at the same time without an alarm is a sign you are getting enough sleep. Conversely, not being able to drop off within 30 minutes of trying could indicate a problem.

If you are concerned about your sleep, you can take the NHS sleep self-assessment.

The problem is, when you are not sleeping well, you worry about not sleeping – not helped by people like me telling you how important sleep is! All the experts agree that you sleep better when you stop worrying about your sleep – easier said than done.

What can you do if you don’t sleep well? A lot of it is about body clock, physiology and melatonin (our sleep hormone); in our fast paced, modern world, it’s hard to give our brains a chance to switch off and we are fighting our natural biology. Things that can help include:

  • Try and get at least 20 minutes of natural light early in the morning to regulate melatonin production (without sunglasses, ordinary glasses are ok)
  • Limit caffeine to before lunch and reduce alcohol (it stays in your system for a long time)
  • Eat before 7pm if possible, so you have time to digest
  • Try and keep your evenings relatively calm and have a bedtime routine, as you would for a child, to help your brain wind down
  • Charge your phone away from your bedroom and get an old fashioned alarm clock
  • Make your bedroom really dark (use black out blinds or an eye mask and don’t have a TV or electronic devices in there) and keep it cool (17° is optimal)

Like everything, what works for one, won’t work for all. My sleep had never been great and after 2 pregnancies and feeding 2 babies through the night, it was shocking (by which time both children were sleeping through – oh the irony!). This is what works for me:

  • decreasing caffeine
  • having a craft project on the go – I find knitting and crochet really meditative
  • reading a good book – it makes me want to go to bed and read a few chapters and means I relax for half an hour (often more) before turning out the light
  • going to bed when I am tired – avoiding the rush of “2nd wind” hormones

Interestingly, it has worked so well that whilst many of my friends are now struggling with sleep due to menopause and perimenopause (more on that here), my sleep has remained good.

I am sharing some of my favourite resources if you would like to delve deeper.

“Sleep yourself well – don’t wake yourself to death.” A 15 minute TedX talk on the science of sleep, why it is so important and how to sleep better.

For many people this is THE book on sleep. I know many people who have changed their sleep habits after reading it.

A compilation of sleep top tips from experts.

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Insight Timer is a free app with thousands of guided meditations to help you drift off to sleep or clear your busy mind.

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The Sleep Charity have lots of information and advice as well as a helpline.

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All content and information on this website is for for informational and educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before making any decisions in respect of your healthcare.

Anti – Inflammatory Diet

Anti – Inflammatory Diet

Anti – Inflammatory Diet

“What you choose to put on your plate is the most important health intervention you can make.”

Dr Rupy Aujla @doctors_kitchen

I think that diet, along with sleep, is an undervalued part of health and well-being. Although I think we all fundamentally know that we feel better when we eat a wide variety of fresh foods and consistently get enough sleep, we mostly let “life get in the way” and disrupt our good intentions.

Inflammation is our body’s natural response to threats or injury; our immune system sends out chemicals to repair damage and increase blood flow to the injured area or fight infection. Inflammation can be acute, e.g. when you get an infection or injury, or chronic, lasting months or years.

If inflammation continues for long periods, it can have a negative impact on our health. Long-term inflammation is linked to many major diseases including dementia, type 2 diabetes, some cancers and heart disease. It follows that if we are able to tackle inflammation, we may be able to reduce our risk of developing these conditions.

Recent research has shown that what we eat can be an important cause of long-term inflammation and, therefore, it is important that we understand how to eat to reduce our risk of these conditions.

Some of my other posts refer to an anti-inflammatory diet, but what is it? It is based on a Mediterranean diet which is a style of eating, rather than a prescriptive diet; it emphasises:

  • eating at the table
  • good quality healthy fats (i.e. plant based, such as olive oil, nuts and avocado)
  • herbs and spices
  • lots of colours and variety of fruits and vegetables
  • beans and pulses
  • fewer animal products (i.e. meat and dairy)
  • plenty of water
  • swapping refined carbohydrates (e.g. white bread, rice and pasta) for wholegrains like quinoa, wholegrain rice and wholemeal bread
  • minimal processed foods and added sugars

I think these broad principals are much easier to implement than a long list of foods that you should eat or foods you should avoid. It is always easier to sustain small changes than to try to change everything at once. For example, if you know you don’t drink much, start carrying a water bottle around with you or, if you rarely eat at the table, try to sit there for one meal a day.

There is not enough evidence currently that inflammation causes weight gain but there is clear evidence that increased weight causes inflammation. There is also a known link between poor sleep and increased weight so, as always, we need to think broadly about our health and lifestyle. Have a look at my post on behaviour change for ideas about how to make changes stick.

I am sharing some of my favourite resources if you would like to delve deeper.

Dr Andrea Furlan talks you through the basics of an anti-inflammatory diet and how it can help with many inflammatory conditions and persistent pain. It’s short (~10 mins), straight forward and easy to understand.

After she was diagnosed with an auto-immune condition, Ella Mills (Deliciously Ella) managed to regain her health through dietary changes. All the recipes in this book are both dairy and gluten free and I’ve not made anything I’ve not liked (note: I sometimes use gluten/dairy in the recipes).

Identical twin brothers (both doctors) explore the effects of eating ultra-processed food in this fascinating podcast series.

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Mr Megan Rossi specialises in gut health and there’s a huge link between gut health and inflammation. She knows her onions!

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Dr Rupy is my go to when it comes to nutrition – a medical doctor who produces great content and cook books and now has a recipe app.

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All content and information on this website is for for informational and educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before making any decisions in respect of your healthcare.

Behaviour Change

Behaviour Change

Behaviour Change

I find behaviour change fascinating. We assume we behave rationally which implies that if we know something is good for us, we’ll do it and, conversely, if we know something is bad for us, we won’t. If only it were that simple!

In order to improve our health, we often need to change our behaviour. Conventional approaches are based on education, but, for most people, they don’t work because there isn’t a gap in our knowledge. I don’t know any smokers who think smoking is good for them and, yet, they continue to smoke…

We are all inclined to give ourselves a hard time when we “give into temptation” or “fall off the wagon”. This is a scenario that is familiar to everyone, which is a strong indication that it is not so easy.

Motivation and willpower are finite but are great to get you started. Over 50% of our behaviour is habitual. Therefore, if we can make new healthy habits, we are onto a winner.

So, how do you form new habits? There are several things that can really help:

  • If you want your behaviours to become habits, they have to be really easy. Before you start, ask yourself “how likely am I to be able to do that on a scale of 1 to 10?” If it’s less than about 8, then you need to make it easier. You can always build it up once you’ve established the habit. Consistency is key.
  • Habits are sticky, so you need to “stick” a new behaviour onto an existing habit, like brushing your teeth or watching the news. Think about your daily routine and transition points in your day, such as when you get home from work or put the children to bed. These are often good times to add in a new behaviour.
  • Respect your body clock. If you are a morning person you might find it easy to exercise in the morning. If you struggle to get out of bed, then 6am Boot Camp is never going to be for you. Also, try and do your new behaviour at the same time every day; science shows you are much more likely to form a lasting habit.
  • Plan your environment. We are fundamentally lazy so make it easy for yourself to achieve your new behaviour. If you leave your exercise kit next to your bed, you are more likely to put it on and do some exercise first thing. If you have a drawer full chocolate in the house, you’ll eat it, but you probably wouldn’t bother to go out to buy some.
  • Be positive. Think about the language you use when you talk to yourself. If you are trying not to eat an unhealthy snack, tell yourself “not now”, rather than thinking of it being “bad”, or you could focus on the first step, like choosing your exercise playlist.
  • Celebrate your success – every time you do your new behaviour. This way you focus on the journey rather than the destination and reinforce the new behaviour to help it become a habit. It might seem childish, but a sticker chart or a jar you fill with buttons every time you’ve achieved your new behaviour can be really motivating.
  • Be kind to yourself. Inevitably, things will get in the way and derail you. In the words of Heather McKee (see listen below), when this happens (and it will happen) see it as “a bend in the road, not the end of the road”.

Keep it simple and start small. The consistency of small changes can layer up to make a huge difference.

I am sharing some of my favourite resources if you would like to delve deeper.

BJ Fogg, author of “Tiny Habits” shows us that the key to lasting change does not lie in planning big, monumental changes, but in thinking really, really small.

The steps outlined above come from “Feel Better in 5”. Dr Chatterjee asks you to give him 5 minutes of your time, 3 times day for 5 days a week to make lasting changes to your health.

Dr Heather McKee is an expert in behaviour change and weight loss psychology. She discusses evidence based, sustainable alternatives to quick fixes and fads.

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If you are keen to give it a try, sign up for BJ Fogg’s free 5 day program to get you started.

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James Clear, author of “Atomic Habits”, shares lots of wisdom re habits – and life in general!

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If you would like any further information or resources, or have any suggestions on how I could improve this blog, please let me know.

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All content and information on this website is for for informational and educational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your GP or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before making any decisions in respect of your healthcare.