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Gale&urg fte9?3ter*Moij, Galesburg, IJL Wednesday, July J1, 1973 ;19 family Satt Substitutes Are Satisfactory Dr. Lamb By LAWRENCE LAMB, M.D. Dear Dr. Lamb — In my local paper-there was an article describing how to make substitute cream products and other recipes that you suggested. Among the ingredients mentioned is salt. I am 87 years old and on a salt-free diet because of an eight-year-old heart condition and congestive heart failure. Do you consider the Salt substitutes on the market safe to use? I am referring to those containing potassium chloride, monopotassium glutamate, glu tamic acid and tri-calcium phosphate. As my diet is rather restricted, your advice would be highly appreciated. Dear Reader — Yes, these salt' substitutes are quite satisfactory as far as your health is concerned. The reason salt is restricted is to eliminate the sodium. Ordinary table salt is sodium chloride. The sal substitutes literally substitute potassium for sodium. In the presence of heart failure and conditions where fluid accumulates, the body hangs on to sodium and thereby retains fluid. You could make these same recipes, or use any other recipes that call for salt, and use the salt substitute in its place. It will taste different. Sodium is in a lot of our natural foods. This includes ordinary milk and dry milk powder. Many animal products, including beef, poultry and fish normally contain sodium. Doctors often compromise on how severe the sodium restriction of the diet has to be and use water pills, which literally eliminate sodium through ithe kidneys to help control the problem, if the condition warrants it. Many patients get along very well by just not adding any salt in their food preparation or by using a salt substitute, such as you have mentioned. If this and the medications the doctor prescribes still won't handle the Bee Season problem, then it may be necessary to consider eliminating a ivjmber of foods that normally contain sodium. R's preferable not to have to go this route unless it's necessary because it eliminates so many important nutrients that the body needs. Dear Dr. Lamb — Please explain what peritonitis is and what causes it. , Dear Reader — The ending "itis" is used in medicine to mean inflammation. The peritoneum is the clear-like lining of the abdominal cavity. You can think of it as a thin sheet of plastic wrapping paper that's spread all over the inner surface of the abdominal cavity and coats the outer walls of the abdominal organs. It is made up of specialized cells. When it •becomes inflamed, one has peritonitis. A common cause for inflammation of.this membrane is a rupture of an organ within the abdominal cavity, for example, a ruptured appendix. The infected material inside the appendix can be spread over the lining of the abdominal cavity and cause the inflammation. Perforation of an ulcer, or any other event which allows material from the digestive tract to get into the abdominal cavity can cause it. When the appendix is first inflamed, the in- tented area may touch the peritoneal lining of the inner abdominal wall and cause a localized inflammation. This contributes to the tenderness and eventual- 1 ly even the stiffness or rigidity caused by muscle guarding over the appendix region. (Newspaper Enterprise Assn.) Send your question to Dr. Lamb, in care of this newspaper, P.O. Box 1551, Radio City Station, New York, N.Y. 10019. For a copy of Dr. I amb's new booklet on diver- ticulosis, send 50 cents to the same address and ask for "Di- verticulosis" booklet. Doctors Suggest Steps for Stings By PATRICIA MC COHMACK NEW YORK (UPI) - If you are like most humans; a bee sting will hurt and annoy you. It may interfere with the collection of strawberries or the pursuit of summer fun. You tweeze out the stinger, slap wet mud on the injured part or follow other ordinary first aid procedures. Science Today But if you are like 2 to 3 per cent of the population—many not identified—you may be grossly allergic to stings and bites from insects, winged and not. A bee sting can make you lose consciousness, experience circulatory collapse and death. That is why allergists during this peak insect sting period, July and August, are urging those who know they are superallergic to carry lifesaving emergency kits. That also is why they are urging those who have unusual reactions to get tests determining sensitivity. * Mary Ann Passero and Susan C. Dees of Duke University Medical Center, in Durham, N.C., make those points in a report in "Family Practice," a journal of the American Academy of Family Practice. The emergency kits, prescribed by a doctor, usually contain a preloaded sterile syringe of epinephrine, tourniquet, liquid antihistamine and an alcohol sponge. Some persons ialready carrying such emergency kits may know that epinephrine stored in a plastic syringe will age and turn brown. "Such aged epinephrine is ineffective," the doctors reported. "The emergency kit should be re-examined periodically to ensure freshness of medication." They also recommend that all insect sting-sensitive individuals wear medical identification ^gs. (Appropriate tags may be obtained from Medic Alert Foundation, Turlock, Calif.). The person who has been identified as super-sensitive— through skin tests the doctor will give—should follow other safety steps. "He should not live or work near commercial beehives," the doctors cautioned. His home should have adequate screens on windows and doors. Flowering shrubs and fruit trees which attract bees should not be planted near the home, and care should be taken when one is in such areas. "Wasp nests should be removed from eaves and bushes around the home, Refuse should be carefully (covered so that it does not attract insects, The patient 'should not walk barefoot outdoors," Bees are attracted to brightly (colored, dark and rough fabrics, as well as to strongly scented perfumes and powders. Some authorities advocate the superallergic persons wear white, hard-finished clothing. A minimum skin exposure is recommended. Woman to Direct Breath Campaign PRAIRIE CITY — Mrs. Paul Adams, Prairie City, has been named area chairman for the Breath of Life Campaign to fight children's lung diseases, according to Robert J. Wiesen, president of the Northern Illinois Chapter of the National Cystic Fibrosis Research Foundation. 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