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Q) I have been consuming at least 4 ounces of pure honey every day because of repeated urinary tract infections. Shouldn’t that help, or should I try D-Mannose? I’m an 80-year-old female.

A) Bladder and urinary tract infections occur when bacteria enter the urethra because of an interruption in the usual flow of urine, kidney infection, kidney stones, urethral strictures, an enlarged prostate in men or poor general hygiene. some patients with disorders such as diabetes, cancer and HIV are at increased risk of developing UTIs.

Symptoms may vary according to sex, age, and the location of infection in the urinary tract, and may include a frequent urge to urinate, pain, burning, a strong odor, a bloated feeling, cloudy urine or urine that has a reddish color because of the presence of blood.

Honey is known to contain anti-bacterial, anti-viral and antifungal properties, making it effective for some people in fighting bacteria that cause bladder infections, but honey may not always be the answer.

If symptoms worsen or even fail to improve, I recommend you seek medical attention. If you are prone to frequent attacks, I suggest your physician order a clean-catch midstream sampling for analysis.

Treatment will likely be through the use of an oral medication unless a person requires hospital admission and the use of intravenous antibiotics.

The best home remedy is prevention. this can be accomplished by increasing daily fluid intake, emptying the bladder at the first indication of needing to urinate, wearing cotton underwear, eating cranberries, blueberries and pineapple, drinking tea made with mint or olive leaf, or taking a vitamin C supplement.

Cranberries and blueberries contain antioxidants thought to help the immune system. Pineapple contains bromelain, which has anti-inflammatory properties that are believed to lower symptoms. Vitamin C is thought to increase urine acidity, which in turn reduces the growth of bacteria. Teas containing mint or olive leaf are antibiotic in nature.

Developing research suggests that eating yogurt enriched with L acidophilus daily might lower the chance of developing bacterial vaginal infections. However, it may not be effective when there is a history of repeated UTIs.

I think 4 ounces of honey every day is excessive. Remedies often call for 1 teaspoon of honey mixed with cider vinegar, cinnamon or a pinch of salt. I’ve never known a person to take 4 ounces. I urge you to speak with your physician about your habit and ask his or her opinion as to whether it is appropriate.

D-Mannose is a sugar supplement used for preventing UTIs. It might prevent certain kinds of bacteria from sticking in the urinary tract and causing infection. It appears to be safe for most adults, but might harm the kidneys, cause loose stools and bloating in high doses.

Write to Peter Gott, c/o United Media, 200 Madison Ave., Fourth Floor, New York, NY 10016.

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Amenorrhea (interruption of the menstrual cycle): Amenorrhea is present if there is an absence of at least three consecutive menstrual cycles, or if the person needs to take estrogen for her normal cycle to occur.
Bone loss (osteoporosis or osteopenia)
Extra sensitivity to cold
Bloated stomach after eating (since the stomach loses its ability to deal with a normal quantity of food at one sitting)
Lanugo–a fine hair that grows on the skin in response to the body's need for warmth
Yellowed skin (often from getting too much vitamin A as a result of eating only certain foods, like carrots)
Thinning hair
Mental and Behavioral Symptoms of Anorexia Nervosa
In addition to physical changes, friends and family may notice changes to the person's thoughts and behaviors:

Distortion of body image or excessive importance placed on body composition or shape
Denial of seriousness of low weight
Intense fear of gaining weight or becoming fat, even if the person is considered underweight
Confused thinking (since the brain needs fuel to function properly)
Ritualistic eating (including cutting food into a planned number of bites)
Spitting out food before swallowing
Much more attention paid to nutrition labels
Major increase in exercise output, even when exhausted
Hatred for foods that used to be favorites
Refusal to eat with others
Binge eating (for the binge eating/purging subtype of anorexia)
Increased or unnecessary use of laxatives, or vomiting after eating

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