Case Studies On Food Allergy And Detox Program

Case Study 1: Food Allergy – Sharon

1.a. Treatment plan

1.b) Diet plan for Sharon

Sharon should adhere to the diet plan as long as her symptoms subsides and would certainly do that after taking a follow up from the physician.

1.c) There are several clinics in Sidney that offers the food sensitivity testing. Sidney city nutritionist can be consulted with. The Naturopath Sydney and the Natural fertility Sydney offer reliable and effective food sensitivity testing.

Cost- A skin allergy test might cost $60 to $300 whereas a blood test may cost $200 to $1000.

1.d) In case the in-clinical pretesting is not available it is advisable for Sharon to stick to the diet plan, such as whole grain foods, rice, pasta. Eggs and fruits like banana can be avoided. Nuts and seeds should be avoided prior to a testing for the specified foods. Starch, butter and cream should be avoided (Gibson & Shepherd, 2012). Intake of sweetened or alcoholic drinks shall be reduced. Milk, wheat and grain, nuts like almonds, pine nuts or Brazil nuts should be avoided as these can be associated with the development of allergies. Wheat and other grains with gluten, including barley and rye can be avoided. Shellfishes can be avoided.

1. e)  one of the important life style changes is the alteration of the diets. Apart from the nutritional management for the allergies, few changes can be useful in mitigating the allergic reaction. It is advisable to keep the doors and the windows. It is better to stay protected to reduce the exposure if the pollen count is very high. Hydration plays a crucial role in expelling the mucus. Histamine secretion increases when the body is dehydrated that may trigger allergic reactions.  It is advisable to avoid pets as pet dander might exacerbate the allergic symptoms. The carpets of the house can be replaced by hard surface flooring for preventing the accumulation of the dust. Some probiotics can be advised as, Probiotics can be useful in reducing the allergic reactions as they are capable of maintaining the intestinal epithelial barrier and helps to suppress intestinal inflammatory responses. It is evident from the case study that Sharon dine out frequently and preferable stays on pizzas and fast foods. a chef card can be carried along while dining out in restaurants. Depending on the recipe most of the pizzas contains allergic ingredients like nuts, milk, eggs, soys and corns and should be careful enough while ordering the food.
2. f) Food sensitivity testing can be done to measure the response of the IgG antibody response of the body to various foods. The allergy tests determine the response of the antihistamines generated in the body against certain foods. Food sensitivity testing may include a skin testing where a very small drop of the liquid extract of the food is placed on the skin and the skin is lightly pricked. Presence of any raised bump or inflammation indicates allergy towards that food. Food sensitivity testing would help one to choose her diet plan, the type of food that should be avoided. A food sensitivity testing also helps a dietician to chalk out a proper diet plan for the client.  Adherence to proper food diet would probably alleviate the symptoms of allergic reaction and sinuses. The case study reveals that Sharon was fond of coffee, chocolates and sweetened beverages and fast foods. Whereas the results of her food sensitivity these reflects that she needs to change her diet plan totally and have to adapt herself to the habit of consuming more healthier food.

1.g) Diet plan for Sharon 

Breakfast

1. Bacon, Hash browns, brown toast, Orange juice
2. Waffles, margarine substitute for butter with brown toast pure maple syrups, V8 fruit juice.
3. Oatmeal with dehydrated cinnamon, cherries, fruit juice.
4. Homemade pancakes with EnerG egg replacer, fruits like papaya and melons.

Lunch

1. Sandwich made out of allergen free bread with pureed pumpkin squash on the bread with a drizzle of honey.
2. Squash and sausage soup, maple roasted acorn squash.
3.  Tortillas with roasted beans.
4. Homemade ranch and cucumber slices

Dinner

1. Pulled pork sandwich with barbeque sauce, green beans.
2. Fajitas
3. Corn tortillas instead of flour, marinated and grilled chicken.
4. Steamed broccoli, cooked carrots and brown rice.

Snacks

1.  Rice cakes
2. Crackers
3. Roasted chickpeas
4. Pretzels

Consumption of alcohol is prohibited during the treatment period.

Sharon needs to adhere to this diet plan for at least about 6 months with routine follow ups. After this Sharon is advisable to stick to a normal diet plan only after the consultation with a dietician. Foods falling under the range of high allergic responses should be totally avoided such as caffeine, chocolates. Sole garlic, lettuce cow milk should be avoided (Hechtman, 2013). Malted barley is used in breweries which fall under high allergic food for Sharon. Hence alcohol abstinence is necessary for Sharon even after the completion of the diet plan.  

1. g) Amino acid based formula is often used as a treatment formula for treating the allergic reactions. Probiotics helps in the maintenance of the guts by maintaining the intestinal microbiota (Hechtman, 2013). Saurkraut and Kimchi are also good sources of probiotics.  Amino acid based formula is often used as a treatment formula for treating the allergic reactions (Hechtman, 2013). Onions, peppers, berries; parsley contains quarcetin that reduces the histamine reaction. Vitamin C contained in Kiwi can be useful in cutting down the histamine level. The enzyme bromelein can reduce the irritation in allergic reactions caused due to food. Omega 3 fatty acids have been found to highly useful in reducing the inflammatory reactions (Sicherer & Sampson, 2010). Fishes like Salmon, Tuna contains high dietary supplements of polyunsaturated fatty acids that might be useful in mitigating the allergic exacerbations.
2. h) In order to manage the diets for the food allergy, some of the essential nutrients that are depleted are Protein, calcium, vitamin A, Vitamin B-12, riboflavin and phosphorus. Typical western diets rich in fats and saturated fatty acids affect the gut barrier. The gut barrier function can be affected in non IgE mediated food allergies (Mazzocchi et al., 2017). Higher concentration of zinc can reduce food allergies. The active form of the Vitamin D can enhance the phagocytic responses of immune cells (Pizzorno et al., 2016). The probiotics acts as immune modulators as they affect phagocytosis and the functions of the inflammatory cytokines and has been advocated as the therapeutic interventions to prevent allergic responses.

The present case study focuses upon Emma who is a 21 years old woman and is seeking a detox program on the recommendation of her friend. She has no significant medical history and has a regulated and clean lifestyle. The current study focuses upon the steps which could be taken by the nutritionist to help Emma with the detox program.

2a. The detox program can help one improve digestion as well as lose significant amount of weight. The detox program is aimed at the improving the functions of the vital organs of the body such as liver, kidneys as well as improve the bowel performance.

The  detox program could also give a boost to the immunity as well as restore the normal metabolic  functions of the body (Hechtman, 2013). Some of the specific information which needs to be collected from the patient before stepping her in within the detox program is her regular dietary patterns along with medication administration, if any. For example, it is necessary to note the amount of whole grains, vegetables, milk products Emma is used to consume. This is because removing the patient so stringently from her regular dietary habit can result in sudden weakness in the patient. Additionally, the patient will also be interrogated for the presence of liver related disorders such as – any past history of hepatitis, chronic fatigue syndrome.

Treatment Plan for Sharon

2b. When the body of an individual is used to particular dietary habits or patterns, withdrawal from such diet pattern can result in a number of contradictions within the patient such as headache, weakness, nausea, irritability and cravings within the patient for eating the same food in the same amount.

There are two different types of detox therapies which could be provided to the patients which are the chelation therapy and the intravenous vitamin therapy (Arthur, 2017). In this respect, Emma being the  patient can pressurise for prescribing of  a chelation drug which grabs all the harmful  bacteria, yeasts from the  blood circulation system and removed them out of  the body through the  faeces within  a short period of time so that patient feels fresh  and agile again.

In type IV detox infusion the vitamins are added directly to a solution containing slat and electrolytes and injected   into the bloodstream through the channel IV port. It facilitates quick absorption of vitamins within the cellular system which is often restricted owing to stressful lifestyle.

Therefore, as a nursing professional I need to make the patient understand to go the natural way. This is because using the chelating compounds can drop the toxins midway. Additionally, the type IV medications may work too fast making one fell overtly fatigued (Klein & Kiat, 2015).

2c. The liver detoxification mechanism could be divided into phase 1 and phase 2. Both the phases conjointly complete the process of metabolism. The phase 1 detoxification reaction involves process of oxidation, reduction and hydrolysis exposing the functional groups so that water solubility of the molecule is increased. The process is facilitated by the cytochrome P40 enzymes. The phase I is followed by phase II where the metabolites are eliminated by the process of biotransformation followed by a process of conjugation via glucuronidation (Hechtman, 2013). However, the molecules may be converted into active metabolites at this stage with altered specificity which may further increase the toxicity. Therefore, accessing the clinical condition of Emma it could be deciphered that she may be suffering from malfunctioning of cytochrome P40 enzymes. The reduced functioning of the cytochrome P40 enzyme could be attributed to the lack of important co-enzymes in the body (Yasutake et al., 2012).

1. d) Detox program for Emma

2.e) Some of the essential nutrients that are used in the detoxfication of the liver are as follows- Vitamin C- It is an essential antioxidant.

Choline and Methionine- They are lipotropic factors that supports fat metabolism (Ernst,2012).

Glutathione-It acts as an essential antioxidant and helps in phase II detoxification in the liver and also enhances the immunity.

Milk thistle-It is an essential antioxidant and helps in the regeneration of the liver cells.

Artichokes-It contains plant compounds such as caffeoylquinic acids that help to augment the bile flow and the digest fats (Klein & Kiat, 2015).

Broccoli-They contain the liver detoxification enzymes.

References

Arthur, R. (2017). The’ABC’of acid base assessment in clinic. Journal of the Australian Traditional-Medicine Society, 23(1), 8. Retrieved at : https://search.informit.com.au/documentSummary;dn=949609190962840;res=IELHEA

Ernst, E. (2012). Alternative detox. British medical bulletin, 101(1). Retrieved at : https://doi.org/10.1093/bmb/lds002

Gibson, P. R., & Shepherd, S. J. (2012). Food choice as a key management strategy for functional gastrointestinal symptoms. The American journal of gastroenterology, 107(5), 657. doi:10.1038/ajg.2012.49

Hechtman, L. (2013). Clinical naturopathic medicine-eBook. Elsevier Health Sciences. Retrieved at : https://books.google.co.in/books?hl=en&lr=&id=P0D3CQAAQBAJ&oi=fnd&pg=PP1&dq=Hechtman,+L.+(2013).+Clinical+naturopathic+medicine-eBook.+Elsevier+Health+Sciences&ots=G34Vwsytc6&sig=eB6V29bUjNtQddqN_P38A246QcA&redir_esc=y#v=onepage&q&f=false

Hechtman, L. (2013). Clinical naturopathic medicine-eBook. London: Elsevier Health Sciences, 211-221. Retrieved at : https://books.google.co.in/books?hl=en&lr=&id=P0D3CQAAQBAJ&oi=fnd&pg=PP1&dq=Hechtman,+L.+(2013).+Clinical+naturopathic+medicine-eBook.+Elsevier+Health+Sciences.+&ots=G34Vwsytga&sig=ivUctG0DOWn-z-Rm3KzE4iQLmco&redir_esc=y#v=onepage&q&f=false

Klein, A. V., & Kiat, H. (2015). Detox diets for toxin elimination and weight management: a critical review of the evidence. Journal of human nutrition and dietetics, 28(6), 675-686. Retrieved at : https://doi.org/10.1111/jhn.12286

Klein, A. V., & Kiat, H. (2015). Detox diets for toxin elimination and weight management: a critical review of the evidence. Journal of human nutrition and dietetics, 28(6), 675-686. Retrieved at :  https://doi.org/10.1111/jhn.12286

Mazzocchi, A., Venter, C., Maslin, K., & Agostoni, C. (2017). The Role of Nutritional Aspects in Food Allergy: Prevention and Management. Nutrients, 9(8), 850. Retrieved at : https://doi.org/10.3390/nu9080850

Pizzorno, J. E., Murray, M. T., & Joiner-Bey, H. (2016). The Clinician’s Handbook of Natural Medicine E-Book. Elsevier Health Sciences. Retrieved at : https://books.google.co.in/books?hl=en&lr=&id=LYwtDAAAQBAJ&oi=fnd&pg=PP1&dq=Pizzorno,+J.+E.,+Murray,+M.+T.,+%26+Joiner-Bey,+H.+(2016).+The+Clinician%27s+Handbook+of+Natural+Medicine+E-Book.+Elsevier+Health+Sciences&ots=AEmrMw9VDL&sig=T5dN-Y6seSOG5Txl8ZsLc40HM04&redir_esc=y#v=onepage&q&f=false

Sicherer, S. H., & Sampson, H. A. (2010). Food allergy. Journal of allergy and clinical immunology, 125(2), S116-S125. DOI: https://doi.org/10.1016/j.jaci.2013.11.020

Yasutake, K., Kohjima, M., Nakashima, M., Kotoh, K., Nakamuta, M., & Enjoji, M. (2012). Nutrition therapy for liver diseases based on the status of nutritional intake. Gastroenterology research and practice, 2012. Retrieved at : https://dx.doi.org/10.1155/2012/859697

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