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morning. hello, many people like to go to the pool, but to get the benefit you need to swim and swim and swim and swim. many people still swim, you know, with their heads carefully raised so that their hair does not get wet under the cap, the so-called sochi swimming, so that it brings even more health benefits. well, indeed there is exercises that can be done in the pool with

simple equipment in almost every pool. now you can find. these are the things that are called noodle, yes or noodles, uh, which are made of polyurethane foam, and which can be used as a simulator in the pool, by the way, the highest energy consumption, just during such exercises in water up to 900 kilocalories per hour are burned, that is, today water aerobics, but on land yes, the exercise is a simple starting position. this noodle is on the water. we take one the end is immersed in water. he, of course, will strive to get out, we will push him down, and at this moment we make a turn, the bodies further turn the node and make a movement in the opposite direction, a turn. turn turn turn turn turn turn turn turn turn turn, turn is such a simple exercise that works with the oblique muscles of the abdomen and with the muscles of the rotators

of the spine due to the fact that the noodle is immersed in water. it creates resistance, and the faster we make a turn, the resistance will be more. well, in fact, it is even more difficult in the water, of course, in addition to this stay in the water itself reduces the three falsity of a person, which is especially important now. well, let’s reduce anxiety and start a conversation, and autumn itself pleases us with bright colors, as soon as autumn comes, the season of bright tasty and very healthy berries begins, which is better than lingonberries or cranberries, we asked our viewers in the studio to vote with their taste buds. walks despite the fact that the first

the star went to the lingonberry. the second berry still has a chance to win. today we will compare cranberries and lingonberries in terms of useful properties. i want to invite the studio of two lovers of these berries angela and victoria good morning. good morning, the personification of these beautiful berries that we are discussing today, it means that we love cranberries very much today. hook knows that it is rich in many vitamins, especially vitamin c and that's why i love this berry even more cranberry mars well, what do you mean? or do you cook sometimes and herself, and you are victoria brusnikova, i love lingonberries. i love lingonberry jam, ours are going, yes, and diluted with water, you will also get a fruit drink. who will win cranberries or lingonberries today? who? let's better find out

together with our expert mikhail moiseevich ginsburg, nutritionist doctor of medical sciences mikhail moiseevich good morning. good morning. good morning. you are for cranberries or lingonberries, you know, if it were necessary to leave one berry, in general, this decision would depend on me. i would probably still leave lingonberries, but until the last i was waiting for the last one, that they would remove this fate from me , because both berries are tasty, both berries are healthy and the fact that they differ in taste a little. this is good, because we can want one thing and another. if you want, both of them will be present in our diet, and we will receive such a total benefit, because in terms of effects they still differ slightly, and let's find out. how exactly do they differ for the

benefits of lingonberries we have today. meets victoria and for the benefit of cranberries angela victoria let's get started lingonberries help you prevent cancer, what cranberries should answer, but hook in youth is a property, it’s kind of synergistic at the same time, because everything that prolongs youth simultaneously protects us from cancer. that is, we cannot say here that but lingonberries. yes, it protects against cancer, but at the same time it does not prolong youth, and it supposedly prolongs cranberries. but, unfortunately, this is not a total property, because cancer is an age-related disease with age. we accumulate breakage in the genetic code with age. in our country, the membranes become unbalanced with age, the level of so-called pro-inflammatory cytakines increases, which pull growth factors that stimulate this. here is the unrestrained reproduction

of cells, therefore, everything that protects us from aging. these are usually the antioxidants anthocyanins. uh, factors that reduce. ah for example level pro inflammatory.

the cranberry is indeed included in the clinical recommendations for the treatment of urological diseases as a source of inflammation. drugs. so glue the cranberries in front with a star. let's move on. victoria lingonberry helps with colds and flu, and the cranberry is struggling with edema, indeed. e lingonberries and as anti-inflammatory agents, the antipyretic agent also reduces the likelihood of getting sick with colds . just by increasing immunity and increasing the chances of transferring these diseases more easily. if they suddenly appeared, here, uh, here, in general, like this. and its action is based on such a moderate weak diuretic effect

of cranberries. well, cranberries irritate the urinary tract, eh there would be more fluid in there. as a result, we lose more fluid as some kind of prevention, and chokes here may be morning pastosity. it can be applied. i'm still an asterisk, i would give lingonberries. why because we don't have an epidemic of edema, but there are epidemics of sars, i agree you put pressure on the judge doctor. ha ha, and who is sinless michael well, really? i think that this score is 3:2, about which we spoke at the beginning, when my children, well, yes, and dressed for lingonberries, this does not mean that cranberries lost a lot. no, she practically lost, and it is useful and unique. well, given that, nevertheless, lingonberries received the first star for taste characteristics. and as they say, the taste and color of the felt-tip pens are different, therefore, in fact. it seems to me that we can say that there is parity here, that is, they correspond to each other. i wanted to ask you, here are

cranberries, they are bitter, sour and berries. yes, what gives them this taste of the polyphenol that is contained there, they have different tastes, in particular. here they give a light bitterness. here is this peculiar taste and we must understand, maybe even sometimes, agreeing that there are sweeter berries, yes, and it tastes better , that these two berries are very healthy and, by virtue of this, should be present in our diet if we are talking about count 3 :2 and we are talking about such a regular consumption, this is five servings. well, in this case, five tablespoons of berries a week, you can say so three spoons. yes vruchniki two spoons of cranberries. and you know, i thought that a can be eaten through money, like monday wednesday again, for example, cranberries during tuesday, thursday, saturday cranberries. and you can and you can take them in general, mix them up and one way,

probably even better. this is better. i thank our wonderful helpers. angelal victoria. thank you very much. thank you very much. today we found out that their cranberries and lingonberries are equally useful, so you need to use both. and i remember that every week the fresh newspaper arguments and facts of dr. gatkin answers your questions about health. send your letters to the editorial office of the newspaper arguments and fact, and talk about the main thing continues. further in the program, do pickles reduce anxiety and does insomnia lead to dementia to these and other questions, answers in the quiz minute of health, watch today a special edition of the 60 minutes program for all the latest news about the situation in ukraine and in the world. do not miss 60 minutes today at 11:30 and 17:30 on

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a kharkov woman, two-year-old ani smirnova, thundered all over the country, the girl was seriously injured from the explosion of shells, and he just heard a strong blow in the back, fortunately, the russian military turned out to be nearby, who urgently provided first aid and were delivered by helicopter to moscow, unfortunately, they were their father victor smirnov for a long time could not get out to look for you, everything is ready today at 16:30 on channel of russia meet this aliya from this day. she will train with us. yes, there are questions on the basis. with pain in muscles and joints on the air headings of our regular spectator

olga, who organically looks at our treadmills and is ready to learn a lot of new things. yes, just about health so we started constantly glasses for vision. harm to the eyes probiotics will cure low pressure stomach ulcers. too much hair improves their growth. yes, pumpkin seeds improve potency no. pickles reduce anxiety no if long looking at welding, you can go blind, you can pantyhose leads to cellulite warming up a blue lamp , useful for otitis media. when measuring pressure, the first reading on the tonometer is the most accurate

. and if a person constantly strains and squints. this can be harmful, you sleep with glasses doctor, of ​​course, i thought probiotics had some benefit, they have a certain benefit in this situation, but there is definitely no cure, sign of low blood pressure. you said, yes, it's true that low blood pressure is one of the signs. it's called morning dizziness. oppositional dizziness, that is, when a person rises and with a change of position, as the blood rushes to the legs, there is a relative deficit. in the head of a person, he really feels the head surrounded by

the correct answer through kabanov receives and cross you said yes, in fact no, and in australian scientists even conducted special studies. they forced the subjects to shave half their heads and half of the face. and after that, the hair growth rate on one and the other half was compared in order to exclude any different hormonal factors. it turned out that the growth rate is absolutely the same. how did a person go to the store, participating in this experiment, and seeds improve potency sideways. you said very confidently. no, right? the answer is yes, yes, because pumpkin seeds contain zinc. this is a micronutrient. our body needs it to produce testosterone. its deficiency causes testosterone levels to decreasing next a question sebaceous cucumbers declining. anxiety in looking for no, it really is, yes, but it is salty, not pickled. that is, those that have undergone bacterial fermentation, indeed, there are studies that

show that such salty sour vegetables like this really cause a decrease in anxiety. if you look at welding for a long time, you can go blind, you said, yes, indeed, because welding is a source of ultraviolet radiation. wearing nylon pantyhose leads to cellulite in the rock no. and really there is no connection anywhere. warming up a blue lamp is useful for otitis media , yes, they are really used in medicine , such as when the pressure changes, the first reading on the tonometer is the most accurate, you said no, really not the most accurate, moreover, of all the measurements, choose those that show the highest value. insomnia increases the risk of dementia. you said, yes there is such a connection with cognitive decline, both in the short term and in the long term with cancer. you said yes and that indeed, so, at least two

bowel oncologies we have eight out of 12 correct objects. that's a lot you have eight attempts to win today's prize. today, this is a blood pressure monitor , you turn over the letters, you have eight attempts already seven. found six. and so it becomes about health, then all editions of our program. you can find on the online video platform we watch the application on the site we look.ru. let the new knowledge from our health minute game benefit you, and we continue the conversation about the most important thing. when it comes to weight loss? the first thing we i think this is the motivation in what to look for it? i want to ask the audience in the hall. who wants to lose weight or

is trying to do it? hands up. tell me, please, good morning, what motivates you, but i also have to perform on stage. so you 're doing great. why would you lean read aesthetically look good, of course, and for yourself too. well, in general, they lost weight in their lives. how many kilograms did you lose two or three, and then gained. so you good morning. good morning. you know i have already lost 10 kg. i would like to drop it, but this motivation has become much easier to walk up the stairs. i just felt lightness down the street, especially at the initial stage, when a person had just made a decision and was about to lose weight about what was in the way, what helped on the way to losing weight.

today we plan to talk. the beautiful motivating nadezhda angarska nadezhda angarskaya is a permanent singer and actress, a participant in the popular women's show during the heyday of the humorous program, a fun girl of 130 kg. however, the dream of losing weight became for nadezhda not only desirable, but manic after 10 years of grueling struggle with being overweight. she finally managed to lose 46 kg. the experience shocked angarskaya's fans so much that now her advice is the most popular in the internet community. good morning. good morning. thank you for coming to us. uh, visit. you look amazing. it's just, well, i thought so a little even in the corridor at that moment. you are summer,

then i look at you lyalya and how much weight you lost , my maximum weight all my life was 136 kg 136 kg. yeah, why are you screaming like that? well why scare how many people did you lose? i moved to moscow and started working on television and met. by the way, i met her with someone from the producers. i met a doctor, an endocrinologist, a gynecologist, who told me you won’t lose weight, you won’t give birth. speaking of motivation, and i for the first six months, because i forgot really big, straight 30 kg. she easily dropped it herself, and the most difficult thing that was in the process of losing weight was not to go to the store, especially in transitions before , remember there were rolls everywhere, so i adore rolls with cottage cheese you go through and not everywhere you smell. you think, no, no, no, everything is closed. you turned off nothing. in fact, now i can say that i have chosen a very convenient system of behavior for myself. that is, i go to bed, i try to be early. went to school, i stand at 7:00 in the morning every day and took him to school. i have a

simulator at home, which i call edward and my subscribers. everyone says what kind of food art what is happening to you? yes, i'm going art, i have a long- range vision. and i have an ellipse in front of me tv, than you need to clean up the series like that. here, so that there, uh, the episode goes on for 48 minutes, and you put 48 minutes. it's 48 minutes. so the series is over. here you are, please. and how many calories do you pass, well, you put yourself a load in approximately different ways, for example, on an ellipse 14, it’s hard for you to twist, then you are in 48 minutes. well , you burn 500 calories. i'll tell you. so i set the hour to 16 and burn 600-700 calories. now yes the most important weight loss is that you can’t lose weight instantly, so you need long-term motivation when you sit your goal of losing weight and pro this way to the end. our expert anton valeryevich

masyakin, chief freelance specialist psychiatrist of the ministry of health of the moscow region , chief physician of the state budgetary institution of the central clinical psychiatric hospital of the moscow region, doctor of medical sciences, will tell about this. hello. do you have an ellipse at home with us? i have no other exercise routine regular gym. let's talk about how, after all, this long-term motivation to form a person, and the first. why are we let's start with the main goal. you had it as a child, of course, this is a universal rule, but do you study the language e to lose weight or do something? if you don't understand, why are you doing this? you will never achieve this goal. i just want to look good is not the goal. well, i'm going today.

tomorrow you like me. tomorrow i'm in a better mood. and i already, in general, even nothing. and if the goal is tangible, that is, to reduce blood pressure in centimeters, and to fit into your favorite dress, put on some kind of suit, that is, the goal should be be specific, tangible, like any goal, if a person understands what goal he is metrically measured by, he will most likely achieve what these are small steps, if we immediately set ourselves the ultimate goal there to lose 20 kg in 4 months, then first of all, it's very far away. secondly, each body loses weight in different ways, so the steps should be small and the person should praise himself for the result achieved by playing sports three times a week. i work out three times a week. i'm already done well indeed well done. that is, you don't have to look at the scales in this case, i didn't have dinner today. what a good fellow, if he does this regularly and he had the problem that da was full at night at 10:00 pm. and now he stopped eating after six or seven, this is also a reason

to praise himself. but here you can. i'm sorry, i 'll tell you now. here we have it written. forgive and cheer yourself up it is very important that next to us, when we go to the goal, there are people who will not speak of a good person. there must be a lot, yes, that's all, how to remove from your surroundings. no, i have another goal, if there is an opportunity, and if you want to talk, then, of course, there are already such people here. that's what you lose weight. yes, yes, it works, right? something is not visible like this, but here a few simple things will help us : make a schedule for the day and a schedule for the week, when a person says, well, you need to go to the gym. this is such an abstract thing, when a person takes a calendar and says, here is monday, wednesday, friday. i have a 19:00 gym. yes, that is, this is a very specific food diary. simple but an effective measure is simply to keep records. i

ate this, of the last three listed, the most effective, i’ll probably explain, because we psychologically do not perceive food, many things. well, for example, coffee with milk and syrup, the body took it as a drink, and if we wrote down that we did it and counted the color, then it would be equal. uh, one, maybe two meals or our snacks at work. i took a handful of nuts and took some slice of chocolate. and when you wrote it down, but you know how the expenses are in the family. yes i got better money cards, that is, i didn’t seem to buy anything. where did you disappear to? next in the program are the secrets of the slimness of the screen star. how to replace a traditional dinner? you killed at night is too large a rhinestone. and an unquenchable thirst for the

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the russia channel daughters of the premiere on saturday at 21:00 on the russia channel we'll talk about household tips. that is, how can you help yourself pipidastr. why does everything tell us

about physical activity, and if a person cannot have edward, cannot go to the pool, must exercise regularly, some kind of memory happened, therefore, if a person loses weight a man, for example, he never did not do household chores and leads himself to a regular schedule. i don't know, he helps his wife with cleaning. it will be physical activity. it seems to me that everyone can have their own way. and for someone it’s really possible to walk to work instead of taking the car there by subway, for someone it’s to start walking the dog. some people really have it at home. assembling, well, that is, everyone can find some option for themselves, the most ingenious, my friends, this is in my country house. here is my house. uh in the village right outside the village and our the store is located next door. leonov there, 2 km, 200 m and back. and where is the car? here, listen,

so you sit on the bike. then i began to consider that if i go for groceries at least once a day. here you are, five kilometers . what will you buy there cake or eggs? no? i will buy everything on the list there, by the way, speaking of what to buy. let's talk. many people. they start their weight loss, that they go to the store in the dietary products section and buy all kinds of sugar there. yes cookies on fructose and so on. in fact, not only do they not lose weight from this, but, on the contrary, they should gain weight even more, because the same fructose, for example, is approximately converted by 75%. the cheese is in the liver, so it's a bad substitute for sugar, what you buy in the store, the sweetest thing for me was the dates. recently dried mango. but if you eat a lot, it will also be harmful. yes, there are people who can't have jelly here, but skip

dinner. they say i can't do it, because they just turn it into my stomach and just for such people, this is a kissel of psyllium seeds, for example, well, there are different alternatives. they are not karina, they are wrapped around filming the stomach of a person. no. these hungry muk and kefir can be replaced, in principle, yes, but only kefir, unlike this jelly, still has some kind of calorie content, but here it’s right in general at zeros, in general kefir is cunning, it starts very well. uh, when he gets there, he starts eating there. talk take a crunch so tasty, he himself so and even add cinnamon. well, what if in on the air, we are psychologically formed from childhood attitudes. well, for example, here, uh, one of the stops that fruit juices are useful, although fruits are fruity from one thing, persimmons and grapes and bananas are another thing, apple is there, yes, with a pear, different content is a-and on sugars and second, of course juice .

yes, maybe one glass to drink a week, it is useful, but the lack of fiber. it is the sugar that enters the bloodstream that increases insulin levels if nothing is saved. like weight gain. this is the first, and the second is about dietary products. we also had a setup such diabetes is obesity, and if i come to the store and buy everything on fructose, then this is definitely not harmful, but for weight loss. it's not that it's not useful. this is either equivalent or even worse. and this is that doctor you brought the last birthday. yes, this is not dishes , you perceive it differently, that is, a person takes it. well, i don’t know, he puts 200 g of lice in such a plate, he has these 200 g somewhere in the middle, the brain thinks that it’s so little, he puts it. here in this plate 200 g in porridge. like this, respectively. he thinks so a lot for me is still very important that it be slow and beautiful, after all. well, as if

there is no food intake, and all t3 minutes. you are not in the frame a little slowly, you ate, looked and a little addition. that's about the color of the dishes. yes, any color that is not white, for example, yellow red, but still a calls. the association activates such a mood and a person will eat more from such dishes of course, eat from small dishes. thank you very much zavalevich position. you came to us, shared, charged all our spectators. look e. it looks amazing what ways to help increase the motivation to lose weight the most important conversation continues mrs. back in this studio we talked about how to lower sugar levels and

protect yourself from the development of diabetes, and also gave recommendations to our caterpillar maryana if you remember, don’t remember, let's remember how it was a month ago maryana asked for help in our sugar level program. when measured on an empty stomach. she had six and one in order to stop the development of diabetes, maryana agreed to participate in the experiment for exactly 1 month. she followed the doctor's advice. when the transmission showed sugar 6.1, i was very impressed. i didn't watch my diet. well, as if i thought that everything was fine with me and having received instructions from the leaders, i will definitely adhere to it for the whole month. i used to eat vegetables, but not as much. i now eat at

each meal, the proportion of vegetables was unusually unusual. and now, in principle, i got involved the hardest of all, i was given an increase in physical activity. that is, i started walking around the area around the house for 20-30 minutes. here are the last three weeks. and i recently added dancing. i followed all the recommendations of the hosts for the whole month and feel much better. i have lost weight, and i hope that my sugar has returned to normal. well, i lost weight, it became easier for me to walk. in general, health has improved. and i think, sure, how i would check at home. i have the sugar in it, well, it has decreased, let's see what we have

in the end a month ago, let me remind you, your sugar was rising. and when we took measurements. uh, you had six whole 1/10s or a liter on an empty stomach. well, let 's find out now. and nine in general turns out to be a doctor that you can really change your lifestyle and make sure that diabetes is bypassed. this reduces the risks. yes, indeed, type 2 diabetes, i propose to discuss today the myths about diabetes and do it together with our expert anton konstantinovich rogozin, doctor endocrinologist, head of the endocrinology department of the central clinical hospital of the administration of the president of the russian federation , candidate of medical sciences konstantinovich good morning. good morning. good morning. maryana we have today a real example of a person who destroyed the myth that it is difficult to protect yourself from diabetes, driving heredity is bad. yes, and you have been

pregnant no up to 17% of healthy pregnant women can have a carbohydrate metabolism disorder if a new level is diagnosed a child is born with a large weight and this child. and this mom has a future there is also a risk of developing sugar. guys of the second type it is important to know. let's now discuss all the myths about type 2 diabetes, such as all overweight people at risk for diabetes. i invite studio viewers to vote as they read, is this true or myth. well me not divided, but more inclined to the truth. like diabetes, these are heterogeneous diseases. that is, it comes in different hips. yeah, overweight is also different if you are overweight due to muscle mass. this is very good because ordinary butter is very difficult to completely exchange glucose, it is digested very differently. uh-huh and if it's body fat, of course, this is a risk of developing the second type of diabetes in the future, that is, not all excess weight is a risk factor, only if it is excess fat. that's right, by no

means are we saying this is a myth, moving on with diabetes. it is necessary to replace white bread with black bread, and sugar with honey. how do you think? 50 to 50. do you think this is true or a myth? i know it 's a myth honey. this is the same sugar, but black and white, bread. when you buy, you can look at the composition there is the same flour, just a little more rye and malt are added there, in my opinion, that’s all, in fact, all the products are white black bread, sugar, honey. these are all carbohydrates. honey differs from sugar in that there is more fructose, and it has a lower glycemic index, but a glycemic index. how quickly, after eating food, ssasom rises in the blood, with any diabetes, you should not eat foods that quickly rise in blood sugar. well, sugar, honey, they also apply bread with. well, this is the basis of nutrition, it is better to replace bread with bran bread, which have a lower glycemic index. this will probably be correct, and yet white black bread has almost the same glycemic index. you

understand sugar in the crimea yes, well, that is, in fact , it turns out that simply replacing one bread with another or replacing sugar with honey does not absolutely solve the issue. going further, going, diabetes cannot be cured. i ask you to. let's again, i have not divided our studio. here, me too it seems to be about true, no, really, i think, about 60 percent. yes, somewhere in fact, from the term remission of diabetes mellitus, which our patient did. she began to eat right. she began to move physically, and she normalized her morning, fasting sugar, and this, in principle, if you do a test or a glucose rate, which is a genetic procedure, and it will be normal, it will be called remission of diabetes, but if she stops maintaining a normal mass body will stop moving type 2 diabetes mellitus will occur again, so initially it is true, in principle, it turns out that we can induce a mission. well, for example,

a pregnant woman suffered remote sugar to the death of pregnant women. she gave birth. she took it upon herself to maintain a normal body weight, and her diabetes will never explode. well, that is , it turns out that this is true remission, you can achieve a complete cure. no, let's move on. an attack of acute pancreatitis, can lead to diabetes ? please vote. well, almost everything sure it's true, true 70, probably, yes, what do you say? well, to be honest, i know that these tools are produced by the pancreas, probably, yes, a very important human organ that performs two functions, one of them is ex-closed, the other is endocrine unlike endocrine. it produces hormones that are secreted in cafes and corrects enzymes, thanks to which we digest the food we eat. acute pancreatitis. this is a disease of the exocrine part of the gland. she, as it were, overcomes herself with this digestion.

it can also translate those endocrine cells that produce, among other things, insulin. that is, it is true, in my opinion, all the questions about diabetes. today we closed with your help. thank you very much. option once again i want to congratulate you and say that you are well done, do not stop, please. well, today we found out which statements about diabetes are true, and which myth of the conversation with the most important thing continues and right now dr. tashenovich, pavlenko will tell you how stress affects health, look at the intestines further in the program can stress lead to chronic bowel disease and how to reduce the risk of developing such conditions? hello, handsome, are you doing something here, i came to you today at 21:20 on the russia channel all together. the main thing is to go to your

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millions of women. one tablet in the morning two components, three actions protects blood vessels reduces fragility of capillaries increases the tone of the hungarians. just like one two three. the story of two-year-old kharkiv resident anya smirnova thundered throughout the country. the girl was seriously injured from the explosion of shells. i just heard a strong blow in the back, fortunately, the russian military turned out to be nearby, who urgently provided first aid and delivered to moscow by helicopter, unfortunately, their father viktor smirnov for a long time could not get out to look for you, everything is ready today at 16:30 on the channel, russia good morning. hello sorry stress is present in our lives almost constantly and there are a lot of factors that cause it, especially for people who live in

big cities and work actively. i would like to ask the audience. which organ do you think is most often affected by stress? yes, please, well, most likely the head is the brain is the nervous system. what other opinions? there is? yes, please, it seems to me the stomach. well, for example, i had one. yes i think the immune system and cardiovascular. what other options are there for heart pain in the heart, so genitourinary system opinions are very different. let's see what under this box still suffers the most from the intestines. yes , indeed, the intestines, probably, most quickly sharply and clearly react to any of our stressful situations for the release of hormones. stress and today we'll just talk. can stress lead to chronic bowel disease, does bowel disease provoke the occurrence of stressful situations, a reaction to stress? this is the topic of our

today's column, our tv viewer olga let's find out her story olga erokhina 45 years old. moscow for 15 years now. olga works as a designer. she admits that she devoted herself completely to the profession. i create apartment designs . hey, i'm decorating. i like people to bring beauty, but 2 months ago after a lot of stress. olga has health problems. and this was immediately reflected in my favorite work to urgently hand over a very important project. the client was a very difficult and constantly gentle person. i slept badly and against the backdrop of all this. problems started with intestines, that diarrhea, then constipation i have to constantly be distracted by running to the toilet, and i feel uncomfortable in front of my colleagues in front of the management olga also experiences feelings of embarrassment during meetings with clients. i am very worried that i will not

be able to work fully with my customers and i may lose them or lose my job. i would like to know about your experts. are my bowel problems really related to stress and what should i do in the studio? are you coming to us? please, good morning. hello, doctor. hello olga please tell me when there were problems with the intestines the last couple of months at work there were very urgent projects i didn’t have time to do a little sleeping a little man and problems with the intestines began appeared heartburn bloating diarrhea went to the doctor. i didn’t go to the doctor, i decided to change my diet, i removed fatty fried foods, i tried suspension tablets with my own means, but the problem remained sometime before there was such a reaction to a stress factor, no, well,

in order to figure out what is happening with our gastrointestinal tract with severe stressful situation. i want to invite an expert to the tea studio. dmitry stanislavovich gastroenterologist doctor of medical sciences, head of the department of pathology of the pancreas of the biliary tract and upper digestive tract of the loginov moscow clinical scientific center departments of health of the city of moscow please why stress affects the intestines in the first place, first of all, the digestive organs take a lot from us places in the body and a length of approximately 6 m. very difficult regulation once done. various functions of some kind of failure under the influence of stress can happen and indeed. we all know such an understanding as bear's disease, when diarrhea occurs against the background of acute stress. what symptoms will help to recognize that problems with the intestines are

connected precisely with stress, we most often deal with irritable bowel syndrome. this is a very common disease. well, we just have those, well, probably the most common symptoms on the plasma now, because this is a police syndromic disease, generally speaking, we have there is a very clear criterion for irritable bowel syndrome. this is the presence of abdominal pain at least once a week, which is associated with two of the three circumstances. it's with the stool frequency in the stool consistency and just the stool factor itself. so if there's pain and stool connection, we suspect it's irritable bowel syndrome. at the same time , it is very important to understand that functional diseases are diagnosed not only by the fact of symptoms, but also by excluding some other formidable diseases, because they are not specific if more diverse ones are combined with other functional pains, for example, the pain of zhenya 's pygaster feels fullness of the pyoplasts after eating; it is important that such symptoms never occur at night. conversely, in women

it may be related to the menstrual cycle. therefore, if we see such clinical manifestations. we say that probably, yes, probably, it is irritable bowel syndrome, but in any case, we are still conducting, and the necessary examination in order to connect a formidable pathology dmitry stanislavovich what is happening with our intestines during times of stress? why , in fact, all these symptoms occur, since the digestive organs are subjected to a very powerful regulation, the intestines are stretched, or a spasm occurs due to the fact that the regulation, motility is disturbed, we experience symptoms, which in themselves are also the cause of a change in the psycho-emotional status, and the symptoms appear with stress and formed such a pathological circle supported the situation. you see, everyone. here are our engines. opinion they are actually coming under the influence of stress hormones, first of all cortisol occurs with a groove in the smooth muscles of the intestine and then with a decrease in the level of cortisol, the intestines relax accordingly.

a truly wonderful self-regulating system. but day after day, such a situation arises for a duration of stress, a prolonged spasm of the intestines. at the same time, the patient is still stressed. sometimes it sticks, it doesn't always eat healthy food and a so -called vicious circle is formed. that is, this one. here the spasm of the intestine becomes habitual and causes these are the pains. moreover, it causes not only impaired motor function, impaired secretion. intestines, indigestion and many many other things. how can you deal with this situation. the doctor's task is to understand whether these are symptoms of a functional disease or symptoms of an organic disease. to do this, we firstly evaluate complaints, because they give us the most information. we understand whether some detailed further examination is necessary , let's say that i will be interested in the presence symptoms at night, a lost weight for a person whether there was blood in the stool. and how long ago the symptoms started, but anyway, because the patient

came to him. this is a serious concern that needs to be done before the examination. it usually includes a clinical blood test with a biochemical ultrasound . and sometimes we do a gastroscopy. sometimes according to indications colonoscopy looked for us occult blood. this is a mandatory uh, training component. yes, this is a screening. of course, we understand that curectal cancer is in second place in our structure. oncological diseases. in any case, we carry out all the necessary examinations to make sure ourselves and, most importantly, to convince the patient that this is a non-organic disease, because the symptoms are disturbing. and this anxiety creates additional stress. we must break this cycle. if we absolutely understand that the problem is caused by irritable bowel syndrome. we've made sure we're upset, right? yogi uh swim cap goggles probiotics sauerkraut here are some very simple guidelines you can completely get rid of e such unpleasant problems. is it true, when we say, is it possible to

completely cure functional diseases? well , we can’t honestly say to the sick person under certain circumstances under stress, he will remind himself of himself, but then the person is ready that this will happen even during an exacerbation. he will not perceive this excess emotionally. and then these exacerbations will be quite easy to pass the second moment irritable bowel syndrome does not increase the risk of developing organic diseases, life expectancy does not suffer with this disease, but the quality suffers, so our task is to explain the gene from the symptoms and teach to live in order to minimize their impact on the quality of life. and of course. uh, the first recommendation is physical activity, by the way, speaking about 10 years ago, was clinical research conducted that rational literacy on physical activity reduces the likelihood of colorectal cancer. moreover, swimming, walking, walking, yoga, stretching, really reduce the symptoms of manifestation. here this irritable bowel, what can we

say about a diet when we talk about a diet. we discuss with the patient. and what foods worsen the condition? from what bloating comes from what pain occurs and in fact we are talking about the individual selection of the diet that will minimize these manifestations. so if we are talking about probiotics. this is a separate issue. we understand bacterial overgrowth syndrome. yes, and just a violation of the composition of the microflora. the intestine is one of factors of pathogenesis, increased permeability of the intestinal wall and increased sensitivity of the intestinal wall, so the appointment of a number of probiotics, of course, is beneficial, but from the general recommendations. my friends, you see them. we have plasma. this is the so-called diet roadmap to follow the diet before. all this fructose must be eliminated sugar. that is, these are all those types of sugar that are found in fresh sweet fruits. it's lactose. these are dairy products. these are recommendations. you must remember this and attention to this. if you ever wanted to

eat a fresh ruddy apple in a relaxed state on vacation. yes, for god's sake, nothing terrible will happen to you according to the recommendations, everything is clear to you or there are some questions left. it is understandable to take up sports to add swimming to your life to calm down. oh god, thank you so much for coming to us. i hope our advice will help you. dmitry stanislavovich thank you very much for being with us after viral infections and lack of vitamins hair needs support introducing a novelty after 2 years of testing in pharmacies, for the first time, a series of products in the resuscitator with clinically proven effectiveness has appeared. shampoo-mask from the resuscitator accelerates hair growth, nourishes and strengthens hair follicles, increases hair density and density. today we talked about such a common symptom as

irritable bowel syndrome. i really hope that all the recommendations that were made today in our section will be useful to you. and we wish you a good day and good mood. be healthy. you had a program about the most important thing. hello on the russia vesti tv channel in the studio of irina rusius and the main topics by this hour vladimir putin signed the law on the entry of new territories into russia, this is a republic.