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Showing posts with label disease. Show all posts
Showing posts with label disease. Show all posts

Saturday, 1 November 2025

Time to Rethink “Dog-Friendly” Dining. Why Dogs Don’t Belong in Eating Establishments

There’s a growing trend across the UK for cafés, pubs, and restaurants to brand themselves as “dog-friendly.” 

For many, it’s a charming idea, customers can relax with a coffee or a pint while their furry friend lounges nearby.

But after a recent experience, I can’t help but think we’ve taken the concept a step too far.

My wife and I recently visited one of our favourite café bars for a late lunch, a place we’ve enjoyed many times before. 

But this time, our appetites vanished the moment we saw a large dog standing on its hind legs, licking the surface of a dining table. The owner seemed oblivious. The staff didn’t intervene. And that was enough for us to quietly leave.

As we stepped outside, I turned to my wife and said, “You know, Tim Martin, the owner of the Wetherspoon pub and hotel chain, has a good point in not allowing dogs in his premises.” 

She nodded in agreement and added, “This isn’t the first time we’ve seen dogs licking tables in ‘dog-friendly’ places. I think it’s time dogs were banned from places that serve food.”

And she’s right.

While many pet owners are responsible and considerate, there’s a fundamental issue at stake, hygiene. Food establishments are held to strict cleanliness standards for good reason. Staff must wash hands, sanitise surfaces, and adhere to food safety regulations that protect the public. 

Yet somehow, in “dog-friendly” venues, it’s considered acceptable for an animal to put its paws, or tongue, on tables where people eat.

There’s also the comfort of other diners to consider. Not everyone enjoys eating next to a panting Labrador or a barking terrier. Some people have allergies. Others are frightened of dogs. And while a well-behaved dog under the table might not bother anyone, too often the reality is far less civilised.

Tim Martin’s Wetherspoon chain is sometimes criticised for its no-dogs policy, but it’s hard to argue with his logic. It’s not about disliking animals, it’s about maintaining an environment where food, drink, hygiene and safety come first. 

You’ll still find dog-friendly beer gardens and outdoor seating areas at many pubs, but once you step inside to eat, there’s a clear line between the dining table and the dog bowl.

Perhaps it’s time more establishments reconsidered their stance. By all means, love your dog, take them for a long walk, spoil them with treats, and visit dog cafés specifically designed for pets and owners alike. 

But in standard restaurants, cafés, and bars where food is being prepared and served to the public, the presence of dogs simply doesn’t belong.

If we wouldn’t allow a child to stand on a table and lick it, why should it be acceptable for a dog?

What diseases can be passed from a dog's tongue to a table surface it is licking? That's a good question. 

These include the following:-

Bacterial infections

Capnocytophaga canimorsus: Found in the mouths of healthy dogs (and cats). It can enter the body through bites, scratches, or contact with broken skin, causing serious infections in rare cases — particularly in people with weakened immune systems.

Pasteurella multocida:  Common in dog saliva. It can cause local skin infections or, more rarely, respiratory infections.

Staphylococcus aureus (including MRSA):  Dogs can carry MRSA and pass it to humans through saliva or close contact.

Campylobacter: Can cause food poisoning symptoms such as diarrhoea, fever, and cramps.

Salmonella: Dogs can shed Salmonella in their saliva and faeces, especially if they eat raw food diets.

Parasitic and fungal infections

Giardia: A microscopic parasite that causes gastrointestinal illness.

Cryptosporidium: Another parasite that can cause diarrhoea and stomach cramps.

Ringworm: Not an actual worm but a fungal infection; can spread through contact with saliva or contaminated fur.

Viral infections

Rabies: Rare in the UK due to vaccination and import controls, but still a major concern globally.

Why this matters in eating establishments

Even if a dog appears healthy, its mouth can carry pathogens from:

licking its own body, including its genitals or rear end, scavenging or eating spoiled food drinking from puddles or public water bowls, including those placed at the doorway of the food premises you are entering, interacting with other dogs.

Food safety and customer comfort should always come first.

Thursday, 17 July 2025

Understanding Sjögren’s Syndrome: A Hidden but Life-Changing Autoimmune Condition

What Is Sjögren’s Syndrome?

Sjögren’s Syndrome (pronounced “SHOW-grins”) is a chronic autoimmune disorder in which the body’s immune system mistakenly attacks its own moisture-producing glands. 

It primarily affects the salivary and tear glands, leading to persistent dry eyes and dry mouth, but it can also involve other organs such as the lungs, kidneys, joints, skin, and nerves.

Named after the Swedish ophthalmologist Henrik Sjögren, who first described the condition in the 1930s, this syndrome is still under-recognised today, despite affecting an estimated half a million people in the UK.

Primary vs Secondary Sjögren’s

Primary Sjögren’s Syndrome occurs on its own, without the presence of another autoimmune condition.

Secondary Sjögren’s Syndrome develops alongside another autoimmune disease, such as rheumatoid arthritis or lupus.

Symptoms to Watch Out For

Sjögren’s Syndrome can affect people in very different ways, but the most common symptoms include:

Dry eyes (burning, gritty sensation, redness, blurred vision)

Dry mouth (difficulty swallowing, frequent thirst, dental issues)

Fatigue – often severe and chronic

Joint pain or swelling

Vaginal dryness

Dry skin or chronic cough

Swollen salivary glands

Peripheral neuropathy – numbness or tingling in hands and feet

Because many of these symptoms overlap with other conditions, Sjögren’s is often misdiagnosed or dismissed, particularly in women, who make up 90% of diagnosed cases.

Who’s at Risk?

Most commonly affects women over 40, although it can occur at any age

Family history of autoimmune diseases may increase risk

People with existing autoimmune conditions like lupus or rheumatoid arthritis are more likely to develop it as a secondary syndrome

Diagnosing Sjögren’s

Diagnosis can be challenging and often delayed. Typical tests include:

Blood tests (checking for ANA, SSA/Ro, and SSB/La antibodies)

Schirmer’s test to measure tear production

Salivary gland biopsy

Imaging like sialography or ultrasound of the salivary glands

A rheumatologist usually oversees diagnosis and treatment.

Living with Sjögren’s Syndrome

Although there is no cure, many people manage symptoms successfully with a combination of:

Artificial tears and saliva substitutes

Immunosuppressive medications (such as hydroxychloroquine)

Good oral hygiene and regular dental care

Moisturisers for skin and vaginal dryness

Pacing and rest for fatigue

Support groups and mental health care for emotional wellbeing

A multidisciplinary approach is essential, as the syndrome can affect many different systems.

Impact on Daily Life

Sjögren’s can significantly affect quality of life. Chronic dryness, fatigue, and joint pain may make it hard to work full-time, enjoy social activities, or maintain energy levels. Yet because it’s often an “invisible illness,” sufferers may feel misunderstood or dismissed.

Raising awareness is vital to improving early diagnosis, reducing stigma, and offering better support.

UK Resources for Support

Sjögren’s Syndrome UK (SSUK): www.sjogrenssyndromesupport.org.uk Offers support, information, and community forums.

Versus Arthritis – For those with secondary Sjögren’s.

The British Sjögren’s Syndrome Association (BSSA): Provides leaflets, webinars, and advice on living with the condition. https://sjogrensuk.org

NHS.uk – For general medical guidance and referrals.

Sjögren’s Syndrome is more than just a case of dry eyes or mouth, it’s a complex, systemic condition that can affect every aspect of a person’s life. By spreading awareness and encouraging those experiencing persistent symptoms to seek help, we can bring this under-recognised condition out of the shadows and into the spotlight where it belongs.

What foods and supplements might help people with Sjögren’s Syndrome?

1. Omega-3 Rich Foods

Omega-3 fatty acids have anti-inflammatory properties which may help relieve dry eye symptoms and joint pain.

Fatty fish (salmon, mackerel, sardines)

Chia seeds

Flaxseeds

Walnuts

2. Hydrating Fruits and Vegetables

These support hydration and provide antioxidants.

Cucumber, celery, and lettuce

Watermelon and oranges

Berries (rich in vitamin C and polyphenols)

3. Anti-Inflammatory Foods

Reducing systemic inflammation may help with fatigue and joint discomfort.

Extra virgin olive oil

Tomatoes

Leafy greens (spinach, kale)

Turmeric and ginger (used in cooking or tea)

4. Soft, Moist Foods

These are easier to swallow and gentler on a dry mouth.

Soups and stews

Yoghurts and smoothies

Mashed vegetables or soft fruits

Supplements Worth Considering

1. Omega-3 Fatty Acids

Supplements such as fish oil or flaxseed oil may reduce eye dryness and inflammation. Always choose high-quality, mercury-free options.

2. Vitamin D

Many people with autoimmune conditions are deficient in vitamin D. Supplementation may support immune balance and reduce fatigue.

3. Vitamin C

Supports salivary gland function and overall immune health. Can be taken as a supplement or via diet.

4. Evening Primrose Oil or Borage Oil

Rich in gamma-linolenic acid (GLA), these oils may help ease dryness and joint pain.

5. Probiotics

May support gut health and immune regulation, especially if the patient is also taking immunosuppressants.

Things to Avoid

Alcohol and caffeine – both can worsen dryness

Sugary and acidic foods – may aggravate dental issues common in Sjögren’s

Ultra-processed foods – may increase inflammation

Conclusion

While no specific diet cures Sjögren’s Syndrome, a nutrient-rich, anti-inflammatory eating plan alongside targeted supplements may significantly improve symptom management. It’s vital to consult a GP, dietitian, or rheumatologist before starting new supplements, particularly when other medications are involved.

Wednesday, 16 July 2025

Catering for Coeliac Guests – From Cafés to Luxury Hotels

With Coeliac disease affecting something in the order of 1 in 100 people in the UK, catering for gluten-free needs isn’t just a nice extra, it’s a vital necessity. 

From the smallest café to the grandest hotel restaurant, creating a safe and welcoming dining experience for Coeliac guests is both a moral responsibility and a smart business move.

Understanding Coeliac Disease

Coeliac disease isn't a food fad or lifestyle choice. It is a serious autoimmune condition triggered by the ingestion of gluten, a protein found in wheat, barley and rye.

Even trace amounts can cause significant harm, leading to long-term health issues like malnutrition, osteoporosis, and even infertility. For someone with Coeliac disease, “gluten-free” must mean exactly that.

The Importance of Going Beyond the Label

Simply offering a few gluten-free options isn't really not enough if there is a genuine risk of cross-contamination. For many Coeliacs, eating out can feel like navigating a minefield, one misinformed staff member or one contaminated chopping board can lead to days or even weeks of illness.

Whether you run a local tearoom or a Michelin-starred hotel kitchen, ensuring your venue is truly Coeliac-safe means taking food safety and staff training seriously.

Tips for Safely Catering to Coeliac Guests

1. Staff Training Is Essential

Everyone, from the front-of-house team to the pot washers, needs to understand what Coeliac disease is and how to prevent cross-contamination. Servers should be confident in explaining which dishes are safe and what procedures are in place.

2. Dedicated Prep Areas and Utensils

If you’re serious about serving Coeliac guests, set up separate gluten-free prep areas, utensils, toasters, and fryers. Flour particles can linger in the air or cling to surfaces, so thorough cleaning routines are key.

3. Clear and Accurate Labelling

Menus should clearly label gluten-free options and be backed up by a kitchen that understands what that means. Avoid vague terms like “low gluten” or “gluten-friendly”, which can mislead or confuse.

4. Don’t Be Afraid to Say No

It’s better to explain honestly that you can’t safely cater for Coeliac disease than to serve something risky. Transparency builds trust.

5. Offer Variety

Too often, gluten-free diners are left with just one option, usually a rather boring salad. Be creative. Think risottos, naturally gluten-free world cuisines like Mexican or Indian, or gluten-free baked goods. Partnering with local gluten-free bakers can also boost your menu.

6. Get Accredited

Consider working towards Coeliac UK’s Gluten Free Accreditation. It’s a mark of trust that tells customers you take their dietary needs seriously and can open doors to new business opportunities.

Benefits for Your Business

Catering properly for Coeliac disease isn’t just about one customer — it’s about the group they bring with them. Families, friends, and colleagues all make dining decisions together, and many will favour places where their Coeliac loved one can eat safely.

Venues that take this seriously often find they build a loyal customer base, earn glowing reviews, and stand out in an increasingly health-conscious market.

Catering for Coeliacs is about more than ticking a box. It’s about empathy, education, and a commitment to making dining out safe and enjoyable for everyone. 

Whether you’re serving lattes and lunches in a village café or curating a five-course tasting menu in a luxury hotel, getting gluten-free right is a win-win for your guests and your reputation.

https://www.coeliac.org.uk

Monday, 8 July 2024

Living with Crohn's Disease: Tips, Supplements, and Foods for Better Management

Chrohn's: Often a painful condition 
Understanding Crohn's Disease:

Crohn's disease is a chronic inflammatory condition affecting the gastrointestinal tract. It can cause a range of symptoms including abdominal pain, diarrhoea, weight loss, and fatigue. The exact cause of Crohn's is unknown, but it is believed to involve a combination of genetic, environmental, and immune system factors.

Living with Crohn's can be challenging, but with the right approach, it is possible to manage the condition effectively.

Lifestyle Tips for Managing Crohn's Disease

Stay Informed and Connected:

Education: Understanding your condition is crucial. Learn as much as you can about Crohn's disease, its symptoms, triggers, and treatments.

Support Groups: Joining a support group can provide emotional support and practical advice from others who understand what you're going through.

Regular Medical Care:

Routine Check-ups: Regular visits to your gastroenterologist can help monitor your condition and adjust treatments as necessary.

Medication Adherence: It's important to take your medications as prescribed, even when you're feeling well.

Stress Management:

Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, and deep breathing can help reduce stress, which can trigger symptoms.

Counselling: Professional support from a therapist can help you cope with the emotional aspects of living with a chronic illness.

Exercise:

Regular Physical Activity: Gentle exercises such as walking, swimming, and cycling can help maintain overall health and reduce stress.

Supplements for Crohn's Disease

While it's important to consult with your healthcare provider before starting any new supplements, some have been found to be beneficial for individuals with Crohn's:

Probiotics:

Benefit: Probiotics can help restore the balance of good bacteria in the gut, which may be disrupted in Crohn's disease.

Sources: Supplements like Lactobacillus and Bifidobacterium, and fermented foods such as yoghurt and kefir.

Omega-3 Fatty Acids:

Benefit: Omega-3s have anti-inflammatory properties that may help reduce inflammation in the gut.

Sources: Fish oil supplements, flaxseed oil, and fatty fish like salmon and mackerel.

Vitamin D:

Benefit: Vitamin D plays a role in immune function and may help reduce inflammation.

Sources: Supplements, fortified foods, and exposure to sunlight.

Turmeric (Curcumin):

Benefit: Curcumin, the active ingredient in turmeric, has anti-inflammatory properties.

Sources: Turmeric supplements or adding turmeric to your diet.

Multivitamins:

Benefit: Crohn's can lead to nutrient deficiencies due to malabsorption. A daily multivitamin can help ensure you're getting essential nutrients.

Foods That Can Help Manage Crohn's Disease

Diet plays a crucial role in managing Crohn's disease. While trigger foods can vary from person to person, there are generally well-tolerated foods that can provide essential nutrients without exacerbating symptoms:

Lean Proteins:

Examples: Chicken, turkey, tofu, and fish.

Benefit: These proteins are less likely to irritate the digestive tract and provide necessary nutrition.

Low-Fibre Fruits and Vegetables:

Examples: Bananas, avocados, peeled apples, carrots, and squash.

Benefit: These foods are easier to digest and less likely to cause bloating and gas.

Refined Grains:

Examples: White rice, white bread, and pasta.

Benefit: These foods are easier on the digestive system than whole grains, especially during flare-ups.

Fermented Foods:

Examples: Yoghurt, kefir, sauerkraut, and kimchi.

Benefit: These foods contain probiotics that can help maintain gut health.

Healthy Fats:

Examples: Olive oil, coconut oil, and avocado.

Benefit: These fats are easier to digest and can provide anti-inflammatory benefits.

Bone Broth:

Benefit: Bone broth is nutrient-dense and easy to digest, providing essential minerals and amino acids that can help heal the gut.

Foods to Avoid

Certain foods can trigger symptoms in many people with Crohn's disease:

High-Fibre Foods:

Examples: Raw vegetables, whole grains, nuts, and seeds.

Reason: These can be hard to digest and may exacerbate symptoms.

Dairy Products:

Examples: Milk, cheese, and ice cream.

Reason: Many people with Crohn's are lactose intolerant.

Spicy Foods:

Examples: Hot peppers, spicy sauces.

Reason: These can irritate the digestive tract.

Caffeine and Alcohol:

Examples: Coffee, tea, alcohol.

Reason: These can stimulate the intestines and worsen diarrhoea.

Carbonated Beverages:

Examples: Soda, sparkling water.

Reason: These can cause gas and bloating.

Conclusion

Living with Crohn's disease requires a multifaceted approach that includes medical treatment, lifestyle adjustments, and dietary management. By staying informed, managing stress, and carefully selecting foods and supplements, individuals with Crohn's can improve their quality of life and manage their symptoms more effectively. Always consult with healthcare professionals before making any significant changes to your diet or supplement regimen.

https://crohnsandcolitis.org.uk