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stringlengths 12
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listlengths 384
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aspiration.\tGood\toral\thygiene\tshould\tbe\temphasized\tin\tthese\tsituations\tbecause\tthe\tthickening\tagent\nmay\tcontain\tfermentable\tcarbohydrate\tand\tcan\tbe\tsticky,\n\tand\tthe\ttype\tof\tdysphagia\tmay\tcontribute\nto\tinadequate\tclearing\tof\tfood\tfrom\tthe\toral\tcavity.\nFermentable\tcarbohydrates\tsuch\tas\tcandy,\tcrackers,\tcookies,\tpastries,\tpretzels,\tsnack\tcrackers,
|
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chips,\tand\teven\tfruits\tshould\tbe\teaten\twith\tmeals.\tNotably,\t“fat-free”\tsnack\tand\tdessert\titems\tand\n“baked”\tchips\tand\tsnack\tcrackers\ttend\tto\thave\ta\thigher\tsimple\tsugar\tconcentration\tthan\ttheir\nhigher-fat-containing\n\tcounterparts.\nTooth\tloss\tand\tdentures\nTooth\tloss\t(\nedentulism\n)\tand\tremovable\tprostheses\t(dentures)\tcan\thave\ta\tsignificant\teffect\ton
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] |
dietary\thabits,\tmasticatory\tfunction,\tolfaction,\tand\tnutritional\tadequacy.\tAs\tdentition\tstatus\tdeclines,\nmasticatory\tperformance\tis\tcompromised\tand\tmay\thave\ta\tnegative\teffect\ton\tfood\tchoices,\tresulting\nin\tdecreased\tintake\tof\tmeat,\twhole\tgrains,\tfruits,\tand\tvegetables\n\t(\nTsakos\tet\tal,\t2010\n).\tThis\tproblem
|
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] |
(\nTsakos\tet\tal,\t2010\n).\tThis\tproblem\nis\tmore\tpronounced\tin\tolder\tadults,\twhose\tappetite\tand\tintake\tmay\tbe\tcompromised\tfurther\tby\nchronic\tdisease,\tsocial\tisolation,\tand\tthe\tuse\tof\tmultiple\tmedications\t(see\t\nChapter\t19\n).\nDentures\tmust\tbe\tchecked\tperiodically\tby\ta\tdental\tprofessional\tfor\tappropriate\tfit.\tChanges\tin
|
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] |
after\tdenture\tplacement,\tmany\tindividuals\tmay\texperience\tdifficulty\tbiting\tand\tchewing.\tThe\tfoods\nfound\tto\tcause\tthe\tgreatest\tdifficulty\n\tfor\tpersons\twith\tcomplete\tdentures\tinclude\tfresh\twhole\tfruits\nand\tvegetables\t(e.g.,\tapples\tand\tcarrots),\thard-crusted\tbreads,\tand\twhole\tmuscle\tmeats.\tTherefore
|
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] |
dietary\tassessment\tand\tcounseling\trelated\tto\toral\thealth\tshould\tbe\tprovided\tto\tthe\tdenture\twearer.\nSimple\tguidelines\tshould\tbe\tprovided\tfor\tcutting\tand\tpreparing\tfruits\tand\tvegetables\tto\tminimize\tthe\nneed\tfor\tbiting\tand\treduce\tthe\tamount\n\tof\tchewing.\tThe\timportance\tof\tpositive\teating\thabits\tmust\tbe
|
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0.06395847350358963,
0.10810735076665878,
0.07764432579278946,
-0.044830262660980225
] |
Other\toral\tdisorders\nOral\tdiseases\textend\tbeyond\tdental\tcaries.\tDeficiencies\tof\tseveral\tvitamins\t(riboflavin,\tfolate,\tB\n12\n,
|
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] |
and\tC)\tand\tminerals\t(iron\tand\tzinc)\n\tmay\tbe\tdetected\tfirst\tin\tthe\toral\tcavity\tbecause\tof\tthe\trapid\ntissue\tturnover\tof\tthe\toral\tmucosa.\tPeriodontal\tdisease\tis\ta\tlocal\tand\tsystemic\tdisease.\tSelect\nnutrients\tplay\ta\trole,\tincluding\tvitamins\tA,\tC,\tand\tE;\tfolate;\tbeta-carotene;\tand\tthe\tminerals\tcalcium,\nphosphorus,\tand\tzinc\t(see\t\nChapter\t5\n).
|
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] |
phosphorus,\tand\tzinc\t(see\t\nChapter\t5\n).\nOral\tcancer,\toften\ta\tresult\tof\ttobacco\tand\talcohol\tuse,\tcan\thave\ta\tsignificant\teffect\ton\teating\n\tability\nand\tnutritional\tstatus.\tThis\tproblem\tis\tcompounded\tby\tthe\tincreased\tcaloric\tand\tnutrient\tneeds\tof\npersons\twith\toral\tcarcinomas.\tIn\taddition,\tsurgery,\tradiation\ttherapy,\tand\tchemotherapy\tare
|
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] |
modalities\tused\tto\ttreat\toral\tcancer\tthat\talso\tcan\taffect\tdietary\tintake,\tappetite,\tand\tthe\tintegrity\tof\nthe\toral\tcavity.\tSome\tbut\tnot\tall\tproblems\taffecting\tthe\toral\tcavity\tare\tdiscussed\there\twith\trelevant\nnutrition\tcare.\tPatients\tmay\ttry\tover-the-counter\tnatural\tproducts\tto\tprevent\tor\ttreat\toral\tdisease\tor\nconditions\t(see\t\nClinical\tInsight:
|
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] |
conditions\t(see\t\nClinical\tInsight:\n\tNatural\tProducts\tin\tOral\tHealth\n).\nCLINICAL\tINSIGHT\nNatural\tProducts\tin\tOral\tHealth\nNatural\tproducts\tinclude\therbal\tand\tdietary\tsupplements\tand\tprobiotics\t(\nNational\tCenter\tfor\nComplementary\tand\tIntegrative\tHealth\t[NCCIH],\t2015\n).\tThe\tfollowing\tlists\tsome\n\therbal\tand
|
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).\tThe\tfollowing\tlists\tsome\n\therbal\tand\ndietary\tsupplements\tthat\tmay\tbe\tused\tto\tprevent\tor\ttreat\toral\thealth\tissues.\tSee\t\nChapter\t11\n\tfor\nmore\tinformation\tabout\tthe\tefficacy\tand\tsafety\tof\tnatural\tproducts\tbefore\tchoosing\tto\tuse\tthem\tin\naddition\tto\tor\tin\tplace\tof\tconventional\ttherapy.\nOral\nUse(s)\nNatural\nProduc\nt\nUse\nConsiderations\nMucositis
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] |
Oral\nUse(s)\nNatural\nProduc\nt\nUse\nConsiderations\nMucositis\nHyaluronic\nacid\nTopically\t(oral\tgel)\nGerman\nchamom\nile\nOral\trinse\nMay\tcause\tallergic\treaction\tin\tindividuals\nsensitive\tto\tthe\tdaisy\tfamily.\nGlutamine\nOral\trinse\nIodine\nOral\trinse\t(in\tchemotherapy\ntreatment)\nKaolin\nOral\trinse\t(in\tradiation\ttreatment)\nAloe\nOral\trinse
|
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treatment)\nKaolin\nOral\trinse\t(in\tradiation\ttreatment)\nAloe\nOral\trinse\nOnly\tthe\tgel\tshould\tbe\tingested.\tAvoid\nwhole\n\tleaf\tand\taloe\tlatex.\nMucosal\nlesions\nSlippery\nelm\nTopically\t(lozenges)\nPeriodontal\ndisease\nCoenzyme\nQ\n10\nSystemically\nXylitol\nIn\tchewing\tgum\tor\tin\tplace\tof\nfermentable\tcarbohydrate\nNatural\tMedicines\tComprehensive\tDatabase\t(
|
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0.005688642617315054
] |
fermentable\tcarbohydrate\nNatural\tMedicines\tComprehensive\tDatabase\t(\nwww.naturaldatabase.com\n).\nPeriodontal\tdisease\nPathophysiology\nPeriodontal\tdisease\n\tis\tan\tinflammation\tof\tthe\tgingiva\twith\tinfection\tcaused\tby\toral\tbacteria\n\tand\nsubsequent\tdestruction\tof\tthe\ttooth\tattachment\tapparatus.\tUntreated\tdisease\tresults\tin\ta\tgradual
|
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loss\tof\ttooth\tattachment\tto\tthe\tbone.\tProgression\tis\tinfluenced\tby\tthe\toverall\thealth\tof\tthe\thost\tand\nthe\tintegrity\tof\tthe\timmune\tsystem.\tThe\tprimary\tcausal\tfactor\tin\tthe\tdevelopment\tof\tperiodontal\ndisease\tis\tplaque.\tPlaque\tin\tthe\t\ngingival\tsulcus\n,\ta\tshallow,\tV-shaped\tspace\taround\tthe\ttooth,\nproduces
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gingival\tsulcus,\tincreasing\tsusceptibility\tto\tperiodontal\tdisease.\tSevere\tdeterioration\tof\tthe\tgingiva\nis\tseen\tin\tindividuals\twith\tscurvy\tor\tvitamin\tC\tdeficiency.\tVitamins\tA\tand\tE,\tbeta-carotene,\tand\nprotein\thave\ta\trole\tin\tmaintaining\n\tgingival\tand\timmune\tsystem\tintegrity,\tand\tthere\tis\tnow\tevidence
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gingival\tand\timmune\tsystem\tintegrity,\tand\tthere\tis\tnow\tevidence\nthat\tsome\tantioxidants\tcan\tmediate\tthe\tinflammation\tassociated\twith\tperiodontal\tdisease\t(\nNajeeb\tet\nal,\t2016\n).\tWhen\tperiodontal\tdisease\tcauses\tpain\tand\tavoidance\tof\tfoods,\tnutrient\tintake\tmay\tbe\nlimited\tand\tshould\tbe\tmonitored\t(\nStaudte\tet\tal,\t2012
|
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limited\tand\tshould\tbe\tmonitored\t(\nStaudte\tet\tal,\t2012\n).\tModified\tfood\ttextures\tmay\tbe\tbeneficial\tto\nminimize\tnutrient\tdeficits.\tThe\troles\tof\n\tcalcium\tand\tvitamin\tD\trelate\tto\tthe\tlink\tbetween\tosteoporosis\nand\tperiodontal\tdisease,\tin\twhich\tbone\tloss\tmay\tbe\tthe\tcommon\tdenominator.
|
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In\tsocieties\tin\twhich\tmalnutrition\tand\tperiodontal\tdisease\tare\tprevalent,\tpoor\toral\thygiene\tis\talso\nusually\tevident.\tIn\tsuch\tinstances\tit\tis\tdifficult\tto\tdetermine\twhether\tmalnutrition\tis\tthe\tcause\tof\tthe\ndisease\tor\tone\tof\tmany\tcontributing\tfactors,\tincluding\n\tpoor\toral\thygiene,\theavy\tplaque\tbuildup,\ninsufficient\tsaliva,\tor\tcoexisting\tillness.
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0.09959175437688828,
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0.10717489570379257,
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0.02559947408735752,
0.06263784319162369,
0.04307255893945694,
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0.005422330927103758,
0.0728926733136177,
0.05352914333343506,
0.052866026759147644,
-0.04641488566994667
] |
insufficient\tsaliva,\tor\tcoexisting\tillness.\nManagement\tstrategies\tfor\tthe\tpatient\tor\tclient\twith\tperiodontal\tdisease\tfollow\tmany\tof\tthe\tsame\nguidelines\tas\tfor\tcaries\tprevention\tlisted\tin\t\nBox\t24.2\n.\tSevere\tperiodontal\tdisease\tmay\tbe\ttreated\nsurgically.\tDiet\tadequacy\tis\tparticularly\timportant\tbefore\tand\tafter\tperiodontal\tsurgery,\twhen
|
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0.040737949311733246,
0.11568260937929153,
0.06547654420137405,
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] |
adequate\tnutrients\tare\n\tneeded\tto\tregenerate\ttissue\tand\tsupport\timmunity\tto\tprevent\tinfection.\nAdequacy\tof\tcalories,\tprotein,\tand\tmicronutrients\tshould\tbe\tpart\tof\tthe\tpostoperative\tcare\tplan.\nOral\tmanifestations\tof\tsystemic\tdisease\nAcute\tsystemic\tdiseases\tsuch\tas\tcancer\tand\tinfections,\tas\twell\tas\tchronic\tdiseases\tsuch\tas\tdiabetes
|
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] |
mellitus,\tautoimmune\tdiseases,\tand\tchronic\tkidney\tdisease,\tare\tcharacterized\tby\toral\n\tmanifestations\nthat\tmay\talter\tthe\tdiet\tand\tnutritional\tstatus.\tCancer\ttherapies,\tincluding\tirradiation\tof\tthe\thead\tand\nneck\tregion,\tchemotherapy,\tand\tsurgeries\tto\tthe\toral\tcavity,\thave\ta\tsignificant\teffect\ton\tthe\tintegrity
|
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] |
of\tthe\toral\tcavity\tand\ton\tan\tindividual’s\teating\tability,\twhich\tmay\tconsequently\taffect\tnutrition\tstatus\n(see\t\nChapter\t35\n).\nIf\tthe\tcondition\tof\tthe\tmouth\tadversely\taffects\tone’s\n\tfood\tchoices,\tthe\tperson\twith\tchronic\tdisease\nmay\tnot\tbe\table\tto\tfollow\tthe\toptimal\tdiet\tfor\tmedical\tnutrition\ttherapy.\tFor\texample,\tpoorly
|
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controlled\tdiabetes\tmay\tmanifest\tin\txerostomia\tor\tcandidiasis,\twhich\tmay\tthen\taffect\tthe\tability\tto\nconsume\ta\tdiet\tto\tappropriately\tcontrol\tblood\tsugar,\tfurther\tdeteriorating\tglucose\tcontrol.\nIn\taddition,\tmany\tmedications\talter\tthe\tintegrity\tof\tthe\toral\tmucosa,\n\ttaste\tsensation,\tor\tsalivary
|
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taste\tsensation,\tor\tsalivary\nproduction.\tPhenytoin\t(Dilantin)\tmay\tcause\tsevere\tgingivitis.\tMany\tof\tthe\tprotease\tinhibitor\tdrugs\nused\tto\ttreat\tHIV\tand\tacquired\timmune\tdeficiency\tsyndrome\t(AIDS)\tare\tassociated\twith\taltered\ntaste\tand\tdry\tmouth.\tReduced\tsaliva\tcontributes\tto\tincreased\tcaries\trisk\tand\talso\tmay\talter\tthe
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ability\tto\tform\ta\tbolus\tand\tswallow\tfoods,\tespecially\tdry\tfoods\tthat\tcrumble\n\twith\tmastication.\tCare\nshould\tbe\ttaken\tto\tassess\tthe\teffects\tof\tmedication\ton\tthe\toral\tcavity\tand\tminimize\tthese\teffects\nusing\talterations\tin\tdiet\tor\tdrug\ttherapy.\nDiabetes\tmellitus
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] |
using\talterations\tin\tdiet\tor\tdrug\ttherapy.\nDiabetes\tmellitus\nDiabetes\tis\tassociated\twith\tseveral\toral\tdiseases,\tmany\tof\twhich\toccur\tonly\tin\tperiods\tof\tpoor\nglucose\tcontrol.\tThese\tinclude\tburning\tmouth\tsyndrome,\tperiodontal\tdisease,\tcandidiasis,\tdental\ncaries,\tand\txerostomia.\n\tThe\tmicroangiopathic\tconditions\tseen\tin\tdiabetes,\talong\twith\taltered
|
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0.04086184501647949,
0.05155383422970772,
0.033736225217580795,
0.005567129701375961
] |
The\tmicroangiopathic\tconditions\tseen\tin\tdiabetes,\talong\twith\taltered\nresponses\tto\tinfection,\tcontribute\tto\trisk\tof\tperiodontal\tdisease\tin\taffected\tpersons.\tTooth\tinfection,\nmore\tcommon\tin\tthose\twith\tdiabetes,\tleads\tto\tdeterioration\tof\tdiabetes\tcontrol\t(\nAl-Khabbaz,\t2014\n).\nFungal\tinfections
|
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0.013358360156416893
] |
Al-Khabbaz,\t2014\n).\nFungal\tinfections\nOropharyngeal\tfungal\tinfections\tmay\tcause\ta\tburning,\tpainful\tmouth\tand\tdysphagia.\tThe\tulcers\tthat\naccompany\n\tviral\tinfections\tsuch\tas\therpes\tsimplex\tand\tcytomegalovirus\tcause\tpain\tand\tcan\tlead\tto\nreduced\toral\tintake.\tVery\thot\tand\tcold\tfoods\tor\tbeverages,\tspices,\tand\tsour\tor\ttart\tfoods\tmay\tcause
|
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pain\tand\tshould\tbe\tavoided.\tConsumption\tof\ttemperate,\tmoist\tfoods\twithout\tadded\tspices\tshould\tbe\nencouraged.\tSmall,\tfrequent\tmeals\tfollowed\tby\trinsing\twith\tlukewarm\twater\tor\tbrushing\tto\treduce\nthe\trisk\tof\tdental\n\tcaries\tare\thelpful.\tOnce\tthe\ttype\tand\textent\tof\toral\tmanifestations\tare\tidentified,\ta
|
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] |
nutrition\tcare\tplan\tcan\tbe\tdeveloped.\tOral\thigh\tcalorie–high\tprotein\tsupplements\tin\tliquid\tor\npudding\tform\tmay\tbe\tneeded\tto\tmeet\tnutrient\tneeds\tand\toptimize\thealing.\nHead\tand\tneck\tcancers\nHead,\tneck,\tand\toral\tcancers\tcan\talter\teating\tability\tand\tnutrition\tstatus\tbecause\tof\tthe\tsurgeries\nand\ttherapies\tused
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] |
integrity\tof\tthe\toral\tmucosa.\tThick,\tropy\tsaliva\tis\toften\tthe\tresult\tof\tradiation\ttherapy\tto\tthe\thead\nand\tneck\tarea,\tcausing\n\txerostomia.\tDietary\tmanagement\tfocuses\ton\tthe\trecommendations\tdescribed\nearlier\tfor\txerostomia,\talong\twith\tmodifications\tin\tfood\tconsistency\tafter\tsurgery\t(see\t\nChapters\t35\nand\t\n39\n).\nHIV\tinfection\tand\tAIDS
|
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] |
Chapters\t35\nand\t\n39\n).\nHIV\tinfection\tand\tAIDS\nViral\tand\tfungal\tinfections,\tstomatitis,\txerostomia,\tperiodontal\tdisease,\tand\tKaposi’s\tsarcoma\tare\noral\tmanifestations\tof\tHIV\tthat\tcan\tcause\tlimitations\tin\tnutrient\tintake\tand\tresult\tin\tweight\n\tloss\tand\ncompromised\tnutrition\tstatus.\tThese\tinfections\toften\tare\tcompounded\tby\ta\tcompromised\timmune
|
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] |
response,\tpreexisting\tmalnutrition,\tand\tgastrointestinal\tconsequences\tof\tHIV\tinfection\t(see\t\nChapter\n36\n).\tViral\tdiseases,\tincluding\therpes\tsimplex\tand\tcytomegalovirus,\tresult\tin\tpainful\tulcerations\tof\tthe\nmucosa.\nStomatitis\n,\tor\tinflammation\tof\tthe\toral\tmucosa,\tcauses\tsevere\tpain\tand\tulceration\n\tof\tthe\tgingiva,
|
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-0.09639125317335129,
-0.03533406928181648,
0.02015170268714428,
-0.022558311000466347,
0.012063656002283096,
0.01026266347616911,
0.017105812206864357,
0.007314186077564955,
0.053856465965509415,
0.03420098498463631,
-0.03364263474941254,
0.007697465363889933,
-0.06818786263465881,
-0.07865653187036514,
-0.0216032937169075,
-0.05908465012907982,
0.04781556501984596,
0.021560195833444595,
-0.012628123164176941,
0.05768466740846634,
0.06132936477661133,
-0.027033468708395958,
0.014890442602336407,
-0.0586860328912735,
0.06835521012544632,
0.04421640932559967,
-0.03178519010543823,
-0.04569046199321747,
0.06427054107189178,
0.03476034849882126,
-0.1205289289355278,
-0.014951792545616627,
0.037877291440963745,
0.004575669765472412,
0.007598014082759619,
-0.088033027946949,
0.032479941844940186,
0.08709970861673355,
-0.012230204418301582,
0.05007794871926308,
-0.020090226083993912,
0.07375708222389221,
0.0664946660399437,
0.05428697168827057,
-0.008777419105172157
] |
of\tthe\tgingiva,\noral\tmucosa,\tand\tpalate,\twhich\tmakes\teating\tpainful.\t\nCandidiasis\n\ton\tthe\ttongue,\tpalate,\tor\nesophagus\tcan\tmake\tchewing,\tsucking,\tand\tswallowing\tpainful\t(odynophagia),\tthus\tcompromising\nintake.\t\nTable\t24.3\n\toutlines\tthe\teffects\tof\tassociated\toral\tinfections.
|
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0.03263228386640549,
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0.019670268520712852,
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0.026373932138085365,
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0.07196804136037827,
0.08861695230007172,
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0.024674570187926292,
0.10002382844686508,
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0.09441427886486053,
0.03476083278656006,
0.014607260003685951,
0.08627114444971085,
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0.07320915907621384,
0.01717321202158928,
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0.009006923995912075,
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0.00014193973038345575,
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0.006415069568902254,
0.06923699378967285,
0.017554612830281258,
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0.05266254022717476,
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0.08000685274600983,
0.017232531681656837,
0.01834019646048546,
0.00934567116200924,
0.0353994257748127,
0.019427191466093063,
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0.012186815030872822,
0.08602923899888992,
0.008053727447986603,
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0.14269010722637177,
0.01306840032339096,
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0.03672735020518303,
0.05468059331178665,
0.02761327289044857,
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0.05334404110908508,
0.08937378972768784,
0.08756118267774582,
-0.040390145033597946
] |
TABLE\t24.3\nEffects\tof\tOral\tInfections\nLocation\nProblem\nEffect\nDiet\tManagement\nOral\tcavity\nCandidiasis,\tKS,\nherpes,\nstomatitis\nPain,\tinfection,\tlesions,\taltered\nability\tto\teat,\tdysgeusia\nIncrease\tkilocalorie\tand\tprotein\nintake;\tadminister\toral\nsupplements;\tprovide\tcaries\nrisk\treduction\teducation\nXerostomia\nIncreased\tcaries\trisk,\tpain,\tdifficulty
|
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] |
Xerostomia\nIncreased\tcaries\trisk,\tpain,\tdifficulty\nwith\tmastication,\tlack\tof\tsaliva\tto\nform\tbolus,\ttendency\tof\tfood\tto\nstick,\n\tdysgeusia\nMoist,\tsoft,\tnonspicy\tfoods;\n“smooth”\tcool\tor\twarm\tfoods\nand\tfluids;\tcaries\trisk\treduction\neducation\nEsophagus\nCandidiasis,\therpes,\nKS,\ncryptosporidiosis\nDysphagia,\todynophagia\nTry\toral\tsupplementation\tfirst;\tif
|
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] |
Dysphagia,\todynophagia\nTry\toral\tsupplementation\tfirst;\tif\nthat\tis\tunsuccessful,\tinitiate\nNG\tfeedings\tusing\ta\tsilastic\nfeeding\ttube\tor\tPEG\nCMV,\twith\tor\nwithout\nulceration\nDysphagia,\tfood\taccumulation\nPEG\nCMV\n,\tCytomegalovirus;\t\nKS\n,\tKaposi’s\tsarcoma;\t\nNG\n,\tnasogastric;\t\nPEG\n,\tpercutaneous\tendoscopic\tgastrostomy.\nXerostomia
|
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] |
,\tnasogastric;\t\nPEG\n,\tpercutaneous\tendoscopic\tgastrostomy.\nXerostomia\nXerostomia\t(dry\tmouth)\tis\tseen\tin\tpoorly\tcontrolled\tdiabetes\tmellitus,\tSjögren’s\tsyndrome,\tother\nautoimmune\tdiseases,\tand\tas\ta\tconsequence\tof\tradiation\ttherapy\tand\tcertain\tmedications\t(\nBox\t24.3\n).
|
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] |
Box\t24.3\n).\nXerostomia\tfrom\tradiation\ttherapy\tmay\tbe\tmore\tpermanent\tthan\tthat\tfrom\tother\tcauses.\tRadiation\ntherapy\n\tprocedures\tto\tspare\tthe\tparotid\tgland\tshould\tbe\timplemented\twhen\tpossible\tto\treduce\tthe\ndamage\tto\tthe\tsalivary\tgland.\tEfforts\tto\tstimulate\tsaliva\tproduction\tusing\tthe\tmedication\tpilocarpine
|
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] |
and\tcitrus-flavored,\tsugar-free\tcandies\tmay\tease\teating\tdifficulty.\nBOX\t24.3\nMedications\tthat\tMay\tCause\tXerostomia\nAntianxiety\tagents\nAnticonvulsants\nAntidepressants\nAntihistamines\nAntihypertensives\nDiuretics\nNarcotics\nSedatives\nSerotonin\treuptake\tinhibitors\nTranquilizers
|
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Narcotics\nSedatives\nSerotonin\treuptake\tinhibitors\nTranquilizers\nIndividuals\twithout\tany\tsaliva\tat\tall\thave\tthe\tmost\tdifficulty\teating;\tartificial\tsalivary\tagents\tmay\nnot\toffer\tsufficient\trelief.\tLack\tof\tsaliva\timpedes\tall\taspects\tof\teating,\tincluding\tchewing,\tforming\ta
|
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] |
bolus,\tswallowing,\tand\tsensing\ttaste;\tcauses\tpain;\tand\tincreases\tthe\trisk\tof\tdental\tcaries\tand\ninfections.\n\tDietary\tguidelines\tfocus\ton\tthe\tuse\tof\tmoist\tfoods\twithout\tadded\tspices,\tincreased\tfluid\nconsumption\twith\tand\tbetween\tall\tmeals\tand\tsnacks,\tand\tjudicious\tfood\tchoices.
|
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] |
Problems\twith\tchewy\t(steak),\tcrumbly\t(cake,\tcrackers,\trice),\tdry\t(chips,\tcrackers),\tand\tsticky\n(peanut\tbutter)\tfoods\tare\tcommon\tin\tpersons\twith\tsevere\txerostomia.\tAlternatives\tshould\tbe\nsuggested,\tor\tthe\tfoods\tshould\tbe\tavoided\n\tto\tavert\tdysphagia\trisk.\tDrinking\twater\twith\ta\tlemon\tor
|
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to\tavert\tdysphagia\trisk.\tDrinking\twater\twith\ta\tlemon\tor\nlime\ttwist\tor\tcitrus-flavored\tseltzers\tor\tsucking\ton\tfrozen\ttart\tgrapes,\tberries,\tor\tsugar-free\tcandies\nmay\thelp.\tBecause\tthese\tfoods\tor\tbeverages\tmay\tcontain\tfermentable\tcarbohydrate\tor\tcontribute\tto
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She\tstates\tthat\ther\tdentist\ttold\ther\tshe\thas\txerostomia\tand\tperiodontal\tdisease\tand\twill\tneed\nmultiple\ttooth\textractions\tand\ta\tfull\tmaxillary\t(upper)\tand\tpartial\tmandibular\t(lower)\tdenture.\nBecause\tof\tthe\tcondition\tof\ther\tteeth\tshe\tconsumes\tsoft\tfoods\tand\tlots\tof\tdiet\tsoda\tbecause\n\ther
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family\tand\tfriends.\tShe\toccasionally\tconducts\tself-monitoring\tfasting\tglucose\tvia\tfingerstick\tand\nstates\n\tthat\ther\tusual\treading\tis\t150\tmg/dL.
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] |
Introduction\nThis\tsection\tcontains\tchapters\tthat\treflect\tthe\tevolution\tof\tnutritional\tscience,\tfrom\tthe\tidentification\nof\tnutrient\trequirements\tand\tthe\tpractical\tapplication\tof\tthis\tknowledge,\tto\tthe\tconcepts\tthat\trelate\nnutrition\tto\tthe\tprevention\tof\tchronic\tand\tdegenerative\tdiseases\tand\toptimization\tof\thealth.\tThe\trole
|
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25\nMedical\tnutrition\ttherapy\tfor\nadverse\treactions\tto\tfood:\tAllergies\nand\tintolerances\nL.\tKathleen\tMahan,\tMS,\tRDN,\tCD,\tKathie\tMadonna\tSwift,\tMS,\tRDN,\tLDN,\tFAND\nKEY\tTERMS\nadverse\treactions\tto\tfood\nallergen\nallergen\timmunotherapy\t(AIT)\nanaphylaxis\nantibodies\nantigen\nantigen-presenting\tcell\t(APC)\natopic\tdermatitis\n“atopic\tmarch”\natopy\nbasophils
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atopic\tdermatitis\n“atopic\tmarch”\natopy\nbasophils\nB-cells\nB-regulatory\t(B-reg)\n\tcells\ncomponent\tresolved\tdiagnostics\t(CRD)\ncow’s\tmilk\tprotein\tallergy\t(CMPA)\ncross-reactivity\ncytokines\ndiamine\toxidase\t(DAO)\ndendritic\tcells\t(DCs)\ndouble-blind,\tplacebo-controlled\tfood\tchallenge\t(DBPCFC)\ndual-allergen\thypothesis\ndysbiosis\nelimination\tdiet
|
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dual-allergen\thypothesis\ndysbiosis\nelimination\tdiet\neosinophilic\tesophagitis\t(EoE)\neosinophilic\tgastroenteritis\t(EGE)\neosinophils\nepigenetic\nepitope\nFAILSAFE\tdiet\nFood\tAllergen\n\tLabeling\tand\tConsumer\tProtection\tAct\t(FALCPA)\nfood\tallergen–specific\tserum\tIgE\ttesting\nfood\tallergy\nfood\tand\tsymptom\trecord\nfood\tautoimmune\tor\timmune\treactivity
|
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food\tand\tsymptom\trecord\nfood\tautoimmune\tor\timmune\treactivity\nfood-dependent,\texercise-induced\tanaphylaxis\t(FDEIA)\nfood\tintolerance\nfood\tprotein–induced\tenterocolitis\tsyndrome\t(FPIES)\nfood\tprotein–induced\tproctocolitis\tor\tproctitis\t(FPIP)\nfood\tsensitivity\ngalactose-α-1,\t3-galactose\t(alpha-gal)
|
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granulocyte\ngut-associated\tlymphoid\ttissue\t(GALT)\nhistamine\nhistamine-N-methyltransferase\t(HNMT)\nincreased\tintestinal\tpermeability\tor\t“leaky\tgut”\nIgE-mediated\treactions\nimmunoglobulin\t(Ig)\ninflammatory\tmediators\nlatex-fruit\tsyndrome\tor\tlatex-food\tsyndrome\nlipid\ttransfer\tprotein\tsyndrome\t(LTPS)\nlymphocyte\nmast\tcells\nmicrobiome
|
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lymphocyte\nmast\tcells\nmicrobiome\nnon–IgE-mediated\treactions\noral\tallergy\tsyndrome\t(OAS)\noral\tfood\tchallenge\t(OFC)\noral\ttolerance\npollen-food\tallergy\tsyndrome\t(PFAS)\nprebiotics\nprecautionary\tallergen\tlabeling\t(PAL)\nprobiotics\nsensitivity-related\tillness\t(SRI)\nsensitization\nsix-food\telimination\tdiet\t(SFED)\nskin-prick\ttest\t(SPT)
|
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sensitization\nsix-food\telimination\tdiet\t(SFED)\nskin-prick\ttest\t(SPT)\nstep\tup\t2-4-6-food\telimination\tdiets\nsystemic\tnickel\tallergy\tsyndrome\t(SNAS)\nT-cells\nTh\tcells\nTh1\tcells\nTh2\tcells\nT-regulatory\t(T-reg)\tcells\nT-suppressor\tcells\ntyramine\nAdverse\treactions\tto\tfood\tare\tcommon\tand\timplicated\tin\tmany\tconditions\tas\ta\tresult\tof\tthe\tinvolvement
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] |
of\tmajor\torgan\tsystems,\tincluding\tthe\tdermatologic,\trespiratory,\tgastrointestinal,\tand\tneurologic\tsystems.\nThe\tmanagement\tof\tadverse\treactions\tto\tfood\tis\tcomplex\tbecause\tof\tthe\tdiverse\tresponse\tby\twhich\tthe\nbody\treacts\tto\tfood\tand\tfood\tcomponents\tand\tthe\tmultifaceted\n\tnature\tof\tthe\tmechanisms\tinvolved.\tThe
|
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] |
nature\tof\tthe\tmechanisms\tinvolved.\tThe\nclinical\trelevance\tof\tadverse\treactions\tto\tfood\tshould\tbe\tcarefully\tassessed\tand\tevaluated\tusing\tthe\nnutrition\tcare\tprocess\t(\nFig.\t25.1\n).
|
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] |
FIG.\t25.1\n\t\nAdverse\treactions\tto\tfood.\nCMPA\n,\tCow’s\tmilk\tprotein\tallergy;\t\nEGE\n,\teosinophilic\tgastroenteritis;\t\nEoE\n,\neosinophilic\tesophagitis;\t\nFDEIA\n,\tfood-dependent,\texercise-induced\tanaphylaxis;\t\nFODMAPs\n,\tfructo-,\toligo-,\tdi-,\nmonosaccharides,\tand\tpolyols\tsyndrome;\t\nFPIE\n,\tfood\tprotein–induced\tenteropathy;\t\nFPIES\n,\tfood\tprotein–induced
|
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,\tfood\tprotein–induced\tenteropathy;\t\nFPIES\n,\tfood\tprotein–induced\nenterocolitis\tsyndrome;\t\nFPIP\n,\tfood\tprotein–induced\tproctocolitis;\t\nIBD\n,\tinflammatory\tbowel\tdisease;\t\nMSUD\n,\tmaple\nsyrup\turine\tdisease;\t\nOAS\n,\toral\tallergy\tsyndrome;\t\nPKU\n,\tphenylketonuria.\nDefinitions\nAdverse\treactions\tto\tfood
|
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] |
PKU\n,\tphenylketonuria.\nDefinitions\nAdverse\treactions\tto\tfood\n\tencompass\tfood\tallergies\tand\tfood\tintolerances,\tboth\tof\twhich\tcan\tinvolve\nmultiple\tsystems,\tcause\tdiverse\tsymptoms,\tand\tnegatively\timpact\thealth.\nFood\tallergy\n\tis\tdefined\tas\tan\tadverse\thealth\teffect\tarising\tfrom\ta\tspecific\timmune\tresponse\n\tthat
|
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that\noccurs\treproducibly\ton\texposure\tto\ta\tgiven\tfood.\tA\tfood\tis\tdefined\tas\t“any\tsubstance—whether\nprocessed,\tsemiprocessed,\tor\traw—that\tis\tintended\tfor\thuman\tconsumption,\tand\tincludes\tdrinks,\nchewing\tgum,\tfood\tadditives\tand\tdietary\tsupplements.”\tThe\tcomponents\twithin\tfoods\tthat\ttrigger
|
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immunologic\treactions\tare\tcalled\tantigens,\tand\tmost\toften\tare\tglycoproteins\tthat\tinteract\twith\timmune\ncells\tand\tinitiate\n\tthe\tdevelopment\tof\ta\tfood\tallergy\t(\nNational\tAcademies\tof\tSciences,\tEngineering,\tand\nMedicine\t[NASEM],\t2017\n).\nSymptoms\tcan\trange\tfrom\turticaria\tto\tlife-threatening\tanaphylaxis.\tFood\tallergy\telicits\treactions\tto
|
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] |
eosinophils\tin\tthe\tdigestive\ttract\n•\t\nReactions\tthat\taffect\tthe\tdigestive\tsystem\t(enteropathies)\tdue\tto\tproteins\tin\tmilk\tor\tsoy\n•\t\nGastrointestinal\tdisorders\tsuch\tas\tceliac\tdisease\t(gluten\tsensitive\tenteropathy)\twhich\thas\tan\nimmune\tcomponent\nFood\tintolerance\tis\tan\tadverse\treaction\tto\ta\tfood\tor\tfood\tcomponent\tthat\tlacks\tan\tidentified
|
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] |
immunologic\tpathophysiology.\tIt\tresults\tfrom\tthe\tbody’s\tinability\tto\tdigest,\tabsorb,\tor\tmetabolize\ta\tfood\nor\tcomponent\tof\tthe\tfood.\tThese\tnonimmune\tmediated\treactions\tare\tcaused\tby\tmetabolic,\ttoxicologic,\npharmacologic,\tmicrobial,\tand\tundefined\tmechanisms\t(\nSicherer\tand\tSampson,\t2018\n).\tFor\texample,\tan
|
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] |
Sicherer\tand\tSampson,\t2018\n).\tFor\texample,\tan\nindividual\tcan\tbe\tintolerant\tto\tmilk\tbecause\tof\tan\tinability\tto\tdigest\tthe\tcarbohydrate\tlactose\tor\nintolerant\tto\thistamine-containing\tfoods\tdue\tto\tenzyme\tdeficiencies\tor\tother\tmechanisms\t(\nTable\t25.1\n).\nTABLE\t25.1\nSome\tExamples\tof\tFood\tIntolerances\nCause\nAssociated\tFood(s)\nSymptoms
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] |
Some\tExamples\tof\tFood\tIntolerances\nCause\nAssociated\tFood(s)\nSymptoms\nGastrointestinal\tDisorders\nEnzyme\tDeficiencies\nLactose\nintolerance\n(lactase\ndeficiency)\nFoods\tcontaining\tlactose\tand\tmammalian\tmilk\nBloating,\tflatulence,\ndiarrhea,\tabdominal\npain\nGlucose-6\nphosphate\ndehydrogenase\nFava\tor\tbroad\tbeans\nHemolytic\tanemia
|
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] |
deficiency\nFructose\nintolerance\nFoods\tcontaining\tfructose\tor\tsucrose\nBloating,\tflatulence,\ndiarrhea,\tabdominal\npain\nFODMAPs\nintolerance\nFoods\tcontaining\tfructo-,\toligo-,\tdi-,\tand\tmonosaccharides\nand\tpolyols\nBloating,\tflatulence,\ndiarrhea,\tcramping,\nabdominal\tpain\nDiseases\nCystic\tfibrosis\nSymptoms\tmay\tbe\tprecipitated\tby\tmany\tfoods,\tespecially
|
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] |
Symptoms\tmay\tbe\tprecipitated\tby\tmany\tfoods,\tespecially\nhigh-fat\tfoods\nBloating,\tloose\tstools,\nabdominal\tpain,\nmalabsorption\nGallbladder\ndisease\nSymptoms\tmay\tbe\tprecipitated\tby\thigh-fat\n\tfoods\nAbdominal\tpain\tafter\neating\nPancreatic\ndisease\nInflammatory\nbowel\tdisease\nSymptoms\tmay\tbe\tprecipitated\tby\teating\nAnorexia,\tnausea,\ndysgeusia,\tand\tother
|
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] |
Anorexia,\tnausea,\ndysgeusia,\tand\tother\ngastrointestinal\nsymptoms\nInborn\tErrors\tof\tMetabolism\nPhenylketonuria\nFoods\tcontaining\tphenylalanine\nElevated\tserum\nphenylalanine\tlevels,\nmental\tretardation\nGalactosemia\nFoods\tcontaining\tlactose\tor\tgalactose\nVomiting,\tlethargy,\nfailure\tto\tthrive\nPsychological\tor\tNeurologic\tReactions\nPsychological\tor
|
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] |
Psychological\tor\tNeurologic\tReactions\nPsychological\tor\nneurologic\ndisorder\nSymptoms\tmay\tbe\tprecipitated\tby\tany\tfood\nWide\tvariety\tof\nsymptoms\tinvolving\nany\tsystem\nReactions\tto\tPharmacologic\tAgents\tin\tFoods\nPhenylethylamine\nChocolate,\taged\tcheeses,\tred\twine\nMigraine\theadaches\nTyramine\nAged\tcheeses,\tbrewer’s\tyeast,\tred\twine,\tcanned\tfish,
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] |
Tyramine\nAged\tcheeses,\tbrewer’s\tyeast,\tred\twine,\tcanned\tfish,\nchicken\tliver,\tbananas,\n\teggplant,\ttomatoes,\traspberries,\nplums\nMigraine\theadaches,\ncutaneous\terythema,\nurticaria,\tand\nhypertensive\tcrisis\tin\npatients\ttaking\nmonoamine\toxidase\ninhibitors\t(MAOIs)\nHistamine\tand\nhistamine\nreleasing\tagents
|
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] |
inhibitors\t(MAOIs)\nHistamine\tand\nhistamine\nreleasing\tagents\nAged\tcheeses,\tfermented\tfoods\t(e.g.,\tsauerkraut,\tyogurt,\nkefir),\tprocessed\tmeats\t(e.g.,\tsausage,\tbologna,\tsalami),\ncanned\tand\tsmoked\tfish,\tred\tbeans,\tsoybeans,\tcitrus,\navocado,\teggplant,\n\tolives,\ttomatoes\tand\ttomato\tproducts,\nchocolate,\tcocoa,\ttea,\tyeast,\tmany\tspices,\tmany\tfood
|
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] |
chocolate,\tcocoa,\ttea,\tyeast,\tmany\tspices,\tmany\tfood\nadditives\tand\tpreservatives,\tshellfish,\tegg\twhites,\navocado,\tstrawberries,\tpineapple,\tspinach,\tnuts,\tpeanuts,\nalcohol\nDizziness,\tflushing,\nhives,\terythema,\nrunny\tnose,\nheadaches,\tdecreased\nblood\tpressure,\nnausea,\tvomiting,\nshortness\tof\tbreath,\nedema,\turticaria,\neczema,\tpruritus
|
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] |
shortness\tof\tbreath,\nedema,\turticaria,\neczema,\tpruritus\nReactions\tto\tFood\tAdditives\nArtificial\tcolors:\ntartrazine\tor\nFD&C\tyellow\n#5\tand\tother\nazo\tdyes\nArtificially\tcolored\tyellow\tor\tyellow-orange\tfoods,\tsoft\ndrinks,\tsome\tmedicines\nHives,\trash,\tasthma,\nnausea,\theadaches\nBenzoates:\nbenzoic\tacid\tor\nsodium\nbenzoate
|
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] |
nausea,\theadaches\nBenzoates:\nbenzoic\tacid\tor\nsodium\nbenzoate\nProcessed\tfoods\tas\tantimicrobial\tpreservatives;\tcolor\npreservatives;\tbleaching\tagents\nNaturally\toccurring\tin\tberries,\tcinnamon\tand\tother\tspices,\ntea\nDishes\twith\n\tspicy\tsauces\tand\tcurry\tpowder,\tavocado,\tdried\nfruits,\tsome\tcarbonated\tdrinks,\talcoholic\tmixers,\tmilk
|
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fruits,\tsome\tcarbonated\tdrinks,\talcoholic\tmixers,\tmilk\nshake\tsyrup,\tsome\tcanned\tfoods\tlike\tbeans,\tflavored\nchips,\tsalad\tdressing\nHives,\trash,\tasthma,\nangioedema,\tnasal\ncongestion,\theadache,\ncontact\tdermatitis,\ndiverse\tdigestive\ttract\nsymptoms\nButylated\nhydroxyanisole\n(BHA);\nbutylated\nhydroxytoluene\n(BHT)\nProcessed\tfoods:\tused\tas\tantioxidants;
|
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] |
butylated\nhydroxytoluene\n(BHT)\nProcessed\tfoods:\tused\tas\tantioxidants;\n\talso\tused\tin\tfood\npackaging\tmaterials\nSkin\treactions\tsuch\tas\nhives\nMonosodium\nglutamate\n(MSG)\nProcessed\tfoods\t(canned\tfoods,\tchips,\tgravy,\tflavor\tpackets\nfor\tinstant\tsoups,\tetc.)\tadded\tas\ta\tflavor\tenhancer;\toften\nused\tin\tAsian\tcuisine.\tNaturally\toccurring\tglutamic\tacid
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] |
used\tin\tAsian\tcuisine.\tNaturally\toccurring\tglutamic\tacid\nis\tfound\tin\taged\tcheeses\tlike\tParmesan,\tfish\tsauce,\nmushrooms,\tspinach,\tmarmite\nFacial\tnumbness,\ntingling\tand\nnumbness\tin\n\thands\nand\tfeet,\tdizziness,\nbalance\tproblems,\nvisual\tdisturbances,\nheadaches,\tasthma,\nflushing,\tdiverse\ndigestive\ttract\nsymptoms
|
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Nitrates\tand\nnitrites\nProcessed\tfoods\tcontaining\tsodium\tnitrite,\tsodium\tnitrate,\npotassium\tnitrite\tand\tpotassium\tnitrate;\tcommonly\tfound\nin\tcured\tmeats,\tcanned\tmeats,\tsmoked\tfish,\tpate,\tpickled\nmeats\nFlushing,\thives,\nmigraine,\tother\nheadaches,\tdigestive\ntract\tsymptoms\nSalicylates\nNaturally\toccurring\tin\ta\tvariety\tof\tfruits,\tvegetables,\tand\nspices
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] |
Naturally\toccurring\tin\ta\tvariety\tof\tfruits,\tvegetables,\tand\nspices\nAngioedema,\tasthma,\nhives;\tpeople\nsensitive\tto\taspirin\tat\nhigher\trisk\tfor\ndeveloping\nintolerance\nSulfites\nSodium\tsulfite,\npotassium\nsulfite,\tsodium\nmetabisulfite,\npotassium\nmetabisulfite,\nsodium\tbisulfite,\npotassium\nbisulfite,\tsulfur\ndioxide
|
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] |
metabisulfite,\nsodium\tbisulfite,\npotassium\nbisulfite,\tsulfur\ndioxide\nShrimp,\tavocado,\tinstant\tpotatoes,\tinstant\tmashed\npotatoes,\tFrench\tfries,\n\tsausage,\tcanned\tfruits\tand\nvegetables,\tdried\tfruits\tand\tvegetables,\tacidic\tjuices,\nwine,\tbeer,\tcider,\tcolas,\tfresh\tfruits\tand\tvegetables\ntreated\twith\tsulfites\tto\tprevent\tbrowning,\tand\tmany
|
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] |
treated\twith\tsulfites\tto\tprevent\tbrowning,\tand\tmany\nother\tprocessed\tfoods\nAcute\tasthma\tand\nanaphylaxis\tin\tpeople\nwith\tasthma;\nreactions\tin\tskin\tand\nmucous\tmembranes\nReactions\tto\tMicrobial\tContamination\tor\tToxins\tin\tFoods\nProteus\n,\nKlebsiella\n,\tor\nEscherichia\n\tcoli\nbacteria\tcause\nhistidine\tto\nbreak\tdown\tto\ta\nhistamine
|
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] |
coli\nbacteria\tcause\nhistidine\tto\nbreak\tdown\tto\ta\nhistamine\nUnrefrigerated\tscombroid\tfish\t(tuna,\tbonito,\tmackerel);\nheat-stable\ttoxin\tproduced\nScombroid\tfish\npoisoning\t(itching,\nrash,\tvomiting,\ndiarrhea);\nanaphylactic-type\nreaction\nOther\tterms\tare\tused\tby\tclinicians,\tresearchers,\tpatients,\tand\tthe\tmedia\tbut\tare\tnot\tformally\taccepted
|
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] |
has\tbeen\tproposed\tby\tVojdani\tto\trefer\tto\tthe\tconcept\tthat\twhen\tthe\nbody’s\tnormal\ttolerance\tof\tfriendly\tantigenic\tsubstances\t(autoantigens\tproduced\tby\tthe\tindividual’s\nimmune\tsystem)\tis\tdisrupted\tbecause\tof\tdisease,\tinjury,\n\tshock,\ttrauma,\tdrugs,\tor\tblood\ttransfusion,\tthe
|
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] |
shock,\ttrauma,\tdrugs,\tor\tblood\ttransfusion,\tthe\ningestion\tof\tfoods\tcontaining\tantigenic\tsubstances\twith\ta\tcomposition\tsimilar\tto\tthose\tof\tthe\tbody’s\nautoantigens\tcan\tresult\tin\tthe\tproduction\tof\tantibodies\tthat\treact\tto\tthe\tfood\tantigens\tand\tthe\tbody’s\town\ntissues\t(\nVojdani,\t2015a\n).\t\nSensitivity-related\tillness\t(SRI)
|
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] |
tissues\t(\nVojdani,\t2015a\n).\t\nSensitivity-related\tillness\t(SRI)\n\thas\talso\tbeen\tproposed\tas\ta\tcondition\tthat\noccurs\twhen\tan\tindividual\tis\texposed\n\tto\tsome\ttype\tof\ttoxin\tor\tstressor\tand\tthen\tbecomes\tsensitive\tto\ta\nfood,\tinhalant,\tor\tchemical,\talthough\tthe\tmechanisms\tare\tunclear\t(\nGenuis,\t2010\n)\t(\nBox\t25.1\n).\nBOX\t25.1
|
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