No guts, no glory

I was originally going to call this blog post “Smörgåsbord”, and it’s not surprising I should have had food on my mind. I came down with gastroenteritis on Thursday, and since then I have subsisted mostly on dry toast, tea, water, and electrolyte drinks. Forays into peanut butter on the toast and lentil soup were unsuccessful. I have only been beyond the gates a couple of times since it all began; the excursion yesterday was to a GP in Camberwell. My loyal readership might think I am taking an attack of the runs a bit seriously to call in a medico. For those who have had immuno-suppressant treatments like chemotherapy, however, the recommendation I have read is to call in a GP if the gastro goes on beyond a couple of days. (This was also the suggestion of my oncologist Dr Parente, with whom I had a brief phone conversation yesterday.) So it’s not just me being a wimp!

A medication that Dr P recommended is called Gastrostop. This contains both loperamide, which helps the bowel contents to firm up, and another ingredient meant to reduce abdominal swelling (which can be quite painful). I can report that this combo works well. It is delivered via a chewable tablet, wherein lies its only disadvantage in leaving a bitter taste. (This may not happen for other people.) To get around this, I have been breaking the tablet up and swallowing it in water. When I did this this morning, I felt quite nauseated; fortunately, I wasn’t sick. This could have been related to my being unable to swallow the tablet fragments, and having to chew them after all. Maybe there is a reflex that makes you feel nauseated if you chew something you haven’t been able to swallow. For anyone remotely interested in how their tums work, I can recommend Gulp: travels around the gut, by Mary Roach. (The link points to the Boroondara Library service record.) This is a great piece of science writing. Just don’t read it in your lunch break: especially when she is talking about vomiting and elimination!

Further in this vein, a good source of information about gastroenteritis (which I sincerely hope you won’t need) is the Better Health Victoria web page . From this and other sources I learned that my gastro is viral, not bacterial. Bacterial is accompanied by vomiting and abdominal pain, and can be treated by antibiotics. Viral has neither of these effects, and can’t be treated by antibiotics, or anything much. The main recommendations here are rest, very plain food, water and electrolytes to replace the fluids. Paracetamol can help reduce fever, but won’t do anything for the gastro. (Something nobody points out — stay near a toilet — i.e. at home. And wash your hands every time you go. My beloved has so far not succumbed, although it is way contagious.) The BHV page is superior IMHO to the equivalent federal government one, which is well written, but contains some weird advice along the lines of “Eat normal meals if you feel hungry”. This is pretty much guaranteed to irritate the gut big time! Stick with dry toast, maybe chicken noodle soup, plain rice or noodles. Avoid coffee, alcohol, chocolate, butter, spicy food, and all other fun things. Some GPs feel that loperamide-based medications like Gastrostop prolong the condition by stopping you up, and thus inhibiting the virus from passing through the system. I tell you what, though — if you have been to the toilet ten times, a bit of stopping up starts to feel like a good thing! At the very least, if you want to get a half-way decent sleep, have one or two of these (as directed) before you go to bed.

Coincidentally with this happenstance, we have been down to one car (the GT) in which to get around. Someone ran into the Camry while my beloved had it parked at Chadstone shopping centre. (She wasn’t in it at the time.) Fortunately the driver of the other car left a note under her windscreen wiper, apologising profusely and including her contact details. After quite a number of phone calls, the mobile C-suite has a new bumper, paid for by the other lady’s insurance. Drop-off Thursday, recovered yesterday. (Fair play to the repairer, Capital Smart, for providing my beloved a free Uber ride home and back to the workshop in the wilds of Mulgrave.)

Things got faintly complicated when our insurer got involved as well. We had a comprehensive policy on the Camry at the time of the accident, and ended up paying them the excess on that policy for the current repair. (When our insurers are reimbursed by the other insurers, we should be fully refunded.) Before I got crook, I ferried my beloved around in the GT; fortunately she also had a couple of drives with me as the passenger. This came in handy when I couldn’t stray beyond the front door! She is a very capable driver, however, and got the hang of it in no time, looking very Agatha Raisin in her string-backed gloves and big sunnies. She ended up taking it out for quite a few spins, including a night-time trip to a pharmacy. We bought an automatic model partly so that we could both drive it, and this turns out to have been a good move. It is a very entertaining little device, and injects fun into the most mundane supermarket trip.

 

 

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