Though not one of the most common cancers, Marcie Lindstrom, APRN, says she’s seen liver cancer cases rise in recent years in line with national trends. Luckily, the gastroenterology provider at OSF HealthCare says treatment has evolved, too. And it’s another reminder to know your body and see your health care provider regularly because liver cancer is more treatable when caught early.

The liver: A recap

A primer on what the liver does for us: Lindstrom says the liver sits underneath the right ribcage and cleans toxins from our blood, helps digestion and produces proteins needed to live. In other words, it’s not an organ you can live without like a gallbladder or one kidney.

Liver cancer: Hidden and harmful

Lindstrom says primary liver cancer describes when the cancer starts there, and secondary liver cancer is when it spreads there (medical term: metastasizes), most commonly from the lungs, breasts or colon. Secondary is more common than primary.

“There are multiple causes of liver cancer. A person is at a higher risk if they have a damaged liver,” Lindstrom says. “Things that can cause a damaged liver include alcohol. So heavy alcohol use [is a risk]. Viruses that can infect the liver such as hepatitis B and C [are risks]. And we’re seeing an increasing number of people having fatty liver disease. That puts people at risk for liver damage. That damage can progress to cirrhosis [scarring], and cirrhosis puts you at a higher risk.”

These liver issues can be fatal if untreated. And unfortunately, Lindstrom says liver cancer often comes with no symptoms.

Diagnosis and treatment

That’s where regular visits to your primary care provider, and if needed, a specialist like a gastroenterologist or oncologist come in.

Lindstrom says your provider will go over your risk factors: do you have a family history of liver issues? What’s your own health history, specifically with hepatitis? How often do you drink alcohol? What’s your daily diet and exercise routine?

“If we determine somebody has a lot of scarring of the liver, they should be on regular surveillance looking for liver cancer,” Lindstrom urges. “Every six months, they should get some imaging and possibly a blood test that helps to detect cancer.” The person could also have a biopsy of their liver, where a provider will take a sample of liver tissue and send it to a laboratory to find out exactly what’s wrong.

Chemotherapy, radiation therapy, immunotherapy and liver transplant surgery are possible treatments.

“A liver transplant could be required if the tumor isn’t very large, but there’s a lot of damage or scarring of the liver,” Lindstrom explains.

Prevention

Lindstrom says if it’s caught early, liver cancer can be treated and even cured. Some things to keep in mind to avoid the disease:

• Eat a healthy diet, avoiding things like processed food, high sugar food and high fat food that can lead to liver issues.
   
• Get moving to avoid things like obesity, diabetes and high cholesterol. The American Heart Association says to aim for 150 minutes of exercise per week spread out over several days.
   
• If you do develop chronic conditions like diabetes, see your provider regularly to stay on top of managing the issue.
   
• Know your family history of liver and other health issues.
   
• Limit alcohol or avoid it altogether.
   
• There’s no vaccine for hepatitis C, but there is treatment. There is a vaccine for hepatitis B. The United States Centers for Disease Control and Prevention says the shots are safe, effective and have a schedule. Talk to a provider to see if you’re on schedule or if you need a shot now, for example if you’re at high risk.
   
• Take other steps to avoid hepatitis: practice safe sexual relations, avoid blood-to-blood contact with others and don’t share or reuse needles.
  
  “You have a history of blood transfusions prior to 1992. You got a tattoo or piercing in a less than sanitary situation,” Lindstrom lists as other hepatitis risk factors. “I’d recommend getting screened. In fact, it’s a current recommendation to be screened for hepatitis C at least once in adulthood.”
  
  Lindstrom says providers list 1992 as a hepatitis C benchmark because that’s when blood screenings were developed.

Learn more

Read more about how to keep your digestive system healthy on the OSF HealthCare website. Cancer care at OSF HealthCare also includes the OSF HealthCare Cancer Institute in Peoria, Illinois, which provides comprehensive care for the region.

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Have a plan.

It's something any health care provider will tell a person with diabetes. Plan your meals and know your body’s red flags and know how to respond. Then, you’re best able to enjoy meals, whether at home, work or out with friends.

Nikki McBeath, RN, BSN, a diabetes resource educator at OSF HealthCare, agrees. She’s sharing tips for a diabetes-friendly lunch that keep your blood sugar in check.

• Generally, McBeath says to choose foods that are high in protein, fiber and healthy fats. Healthy fats can be found in avocados, nuts, seeds, fish, peanut butter and olive oil. Avoid unhealthy fats, like processed meat, fried foods, full-fat dairy, coconut oil and palm oil.
   
• Take Sunday night to meal prep for the week. Then, you don’t have to think about your food choices. It doesn’t have to be a daunting task, McBeath says.
  
  “With a lot of the patients I see, I recommend going to the store and getting steamable bags of vegetables. It’s super easy. You put it in the microwave for three minutes,” McBeath recalls. “There are lots of simple versions of foods. Get them [at the store], and make them quickly at home. It’s easier than people think. They just have to be on the lookout at the store.”
  
  Simple-to-make bagged chicken is another healthy grocery store choice. In fact, a favorite dish of McBeath’s is garlic chicken, Brussels sprouts and brown rice. The American Diabetes Association also has healthy eating tips.
   
• Eating lunch at a restaurant can present challenges. It’s a limited menu, and there’s temptation to lather your morsels in sauces and dressings.
  
  “Go to restaurants that let you substitute ingredients or ask your meal be cooked a certain way. Ask how things are prepared,” McBeath suggests. “Avoid fried foods. Ask for light or fat free dressing. Be mindful of the extra calories that come with big portions.”
  
  When the waiter or waitress asks about dessert, McBeath says moderation is key. She says most desserts are high in carbohydrates due to high sugar, flour and dairy content.
  
  “Throughout the day, count your carbs. Leave some room [in your carb budget] for something sweet,” McBeath says. “Portion yourself. Have the dessert right after your meal. Don’t wait a couple hours because you might be hungry for more.
  
  “Try substitutions like dark chocolate for regular chocolate or white chocolate,” she adds. That’s because dark chocolate has less sugar substitute.
   
• Busy at work? Constantly on the go? Avoid making the fast food drive-through your second home. Instead, McBeath says you can choose a granola bar that’s high in protein, fiber and healthy fats. And watch the serving size. If it’s one or two bars, make that your meal, not the whole box.
  
  “Pair the granola bar with something like string cheese or peanut butter,” McBeath says. “Adding some fiber or protein can make it more of a meal and give it more of a balance for your blood sugar.”
   
• Know your body’s warning signs. Symptoms of high blood sugar, McBeath says, include dry mouth, increased urination and generally not feeling well. Low blood sugar, she says, is more concerning in the moment. You can feel shaky, anxious, have blurred vision and even pass out. So, always have supplies handy. You can eat hard candy, honey or glucose tablets as prescribed by a provider to counteract low blood sugar. Bring your glucose meter to lunch, too.
  
  “Better safe than sorry,” McBeath says.

Learn more

Visit the OSF HealthCare website for healthy recipes and more information about how to manage diabetes.

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We’ve heard that processed and ultraprocessed foods (foods changed from their natural state) can be bad for our health. High levels of trans fat, saturated fat, salt and sugar can be found in things like crackers, chips and soda. That can lead to heart disease, obesity, diabetes and other ailments.

But Rachel Bauman, a registered dietitian at OSF HealthCare, admits it’s sometimes a matter of convenience. Processed foods can be cheaper, easier to cook, have a longer shelf life and have a lower risk of food-borne illness.

So, how can we learn to live with processed foods? Bauman says as you grocery shop, look for healthier options that you can eat in moderation.

• Bread: “If you go to the store and they have a bakery, that bread would be considered processed,” Bauman says. It’s not a bad option.
  
  “If you go to the bread aisle for things more commercially baked, that would be ultraprocessed,” she adds. “With any ultraprocessed bread, I would look for whole grains and a high amount of fiber. That would be the healthiest choice that’s good for heart health and still has shelf life.”
   
• Meat: Freshly cut meat from the grocery deli is an option, but Bauman says the level of processing will vary by the store. Either way, lean toward chicken, turkey and seafood, she says. Steer clear of lots of hot dogs, sausage and dried meat like beef jerky. If you do want some red meat, try a lean cut like round or loin.
   
• Yogurt: Instead of a flavored yogurt with unhealthy sweeteners, opt for plain yogurt and add fresh fruit or honey.
   
• Beans: “Any bean that’s dried and doesn’t have additives would be healthy. Even with canned beans, you can find low sodium varieties,” Bauman says. “You can drain and rinse the beans, and that will cut back the sodium too.”
   
• Hummus: It’s a good source of fiber and heart-healthy fats, Bauman says. Look for hummus made with olive oil, she adds.
   
• Oatmeal and cereal: They’re ultraprocessed, Bauman says. But there are healthier kinds.
  
  “Buy varieties with less sugar and sodium. You’re still getting that fiber from the whole grains,” she says. “You can certainly continue to eat those foods.”

Change is hard but worth it

This subject is something Bauman says she talks with patients about a lot. Old habits are hard to break, as the saying goes. So what’s the advice to, say, swap out the chips for plain yogurt?

“Don’t put too much pressure on yourself. We have to be realistic with our budget and schedule,” Bauman says. “Take small steps. One or two changes a week. Slowly improve the diet. Don’t expect a full change overnight.”

It's also never a bad idea to talk to your primary care provider or dietitian about changing what you eat. And the OSF HealthCare website has plenty of healthy recipes.

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Read more stories featuring dietitians at OSF HealthCare in Pontiac, Illinois, here.

Anal and rectal cancer occur in parts of the body near each other, and they both have prevention steps and time-tested treatments. But they are different types of cancer, says Raman Kumar, MD, a colorectal and general surgeon with OSF HealthCare.

Rectal cancer

Dr. Kumar says the rectum is the last part of the colon, where stool is stored.

Signs of rectal cancer include bleeding, irregular bowel movements (such as the shape of the stool changing and the inability to have a complete bowel movement), weight loss, fatigue and pain in the rectal area.

Rectal cancer impacts men and women roughly equally, and it’s seen “at almost any age,” Dr. Kumar says. If you smoke and eat a lot of red meat and processed food, your risk will go up.

Anal cancer

Dr. Kumar says the anus is where stool comes out. He says signs of anal cancer can be like those of rectal cancer. But often, he says an anal cancer diagnosis starts when a person believes they have hemorrhoids, or when the veins or blood vessels around the anus and lower rectum become swollen and irritated due to extra pressure.

“It turns out not to be a hemorrhoid. It could be a mass or a lesion. You could have some bleeding, especially when you’re wiping with toilet paper or wet wipes,” Dr. Kumar says.

Anal cancer’s prevalence in the United States is “very low,” Dr. Kumar says, with around 8,000 cases per year. Around two-thirds of the cases are women, and it’s more common in age 50 and up.

“The number one cause of anal cancer is HPV, the human papillomavirus,” Dr. Kumar says. “So, it is considered a sexually transmitted disease.”

But he says you don’t have to be sexually active to get anal cancer. Regardless, there are vaccines for the most common HPVs that cause cancer.

Prevention and treatment

Symptoms aside, Dr. Kumar says there’s a must-do for anal and rectal cancer prevention: get on a colonoscopy schedule as advised by your health care provider. A colonoscopy is when a provider inspects your colon and surrounding areas using a tiny camera on the end of a tube. Dr. Kumar says generally, colonoscopies start at age 45. But they could start earlier if you have a family history of cancer.

Other tips: Don’t smoke. Exercise regularly. Eat a healthy diet with plenty of fruits, vegetables and fiber. Thirty grams of fiber per day is a good goal, Dr. Kumar says.

If you do have symptoms of anal or rectal cancer, see a provider to get checked out.

Dr. Kumar says treatment for anal cancer is usually chemotherapy and radiation therapy. He says when treated properly, the typical five-year survival rate is around 80%.

“The only times we would operate on anal cancer are to get the original [cancerous] mass out and if the cancer comes back,” Dr. Kumar explains.

For rectal cancer, Dr. Kumar says around 40% of people can also be treated with chemotherapy and radiation. Others will need surgery to remove the cancer. But Dr. Kumar says medicine has progressed to where people can typically avoid a colostomy, or when a part of the colon is diverted outside the skin to bypass a damaged part of the colon. This is temporary and comes with a bag that collects the waste that would normally leave your body via a bowel movement.

Learn more

Read more about prevention and treatment of rectal and anal cancer on the OSF HealthCare website.

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In the 2023 State of the Union Address, President Joe Biden renewed a call to cap the price of insulin for people with diabetes.

Five days later, the condition got nationwide attention again when singer Nick Jonas, a type 1 diabetic, starred in a Super Bowl commercial promoting a product that monitors your glucose level.

And a recent report from the U.S. Centers for Disease Control and Prevention predicted a rapid rise in cases of diabetes in young people over the next few decades.

It’s a good thing that influencers and medical professionals continue to preach diabetes awareness, says Uche Allanah, MD, an internal medicine physician with OSF HealthCare. That’s because if undiagnosed or untreated, diabetes can be fatal.

“It’s alarming,” Dr. Allanah says, referring to the number of patients she sees with symptoms or precursors of diabetes.

Prediabetes vs. diabetes

Diabetes is a disorder that affects how your body uses blood sugar, from which our blood cells get energy. Type 1 diabetes is when an autoimmune reaction stops your body from making insulin. Without insulin, blood sugar cannot move out of your bloodstream and into cells. With Type 2, your body still produces insulin but doesn’t use it efficiently. Gestational diabetes occurs in pregnant women. Diabetes symptoms include increased urination, increased thirst, increased hunger and unexplained weight loss.

Dr. Allanah says prediabetes describes when you are at risk for diabetes because your blood sugar is higher than normal. She says a blood test is necessary to diagnose prediabetes because you don’t present with symptoms. In fact, the American Medical Association says of the one in three U.S. adults with prediabetes, more than 80% don’t know they have it.

“It’s important to identify prediabetes because you can stall the development of diabetes and actually prevent a patient from becoming diabetic,” Dr. Allanah says.

Risk factors for prediabetes include obesity, sleep apnea and polycystic ovary syndrome in women. Providers also look at a person’s family history of the disease, and Dr. Allanah says certain groups -- African Americans, Hispanics and Latinos, Asian Americans and American Indians -- are at higher risk.

Dr. Allanah advises everyone to have regular checkups with their primary care provider to keep an eye on the risk factors you can control. Also, practice healthy habits from a young age.

“Eat right. Avoid processed food,” Dr. Allanah advises. “Exercise. A lot of people are sedentary, especially due to the pandemic. People who went to the gym no longer workout. Even now that the stay-at-home orders have been lifted, some people are just not back into their previous lifestyle.”

Dr. Allanah also says a prediabetes or diabetes diagnosis is a lot to handle. Some people may have to learn to safely give themselves shots. Others may have to constantly watch for low blood sugar to avoid fainting. Providers realize this and will be there to answer questions. But Dr. Allanah says it’s not uncommon for someone to see a mental health provider to talk about the emotional toll of the diagnosis.

Learn more

Learn more about diabetes care on the OSF HealthCare website.

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Greasy pizza, cookies, sugary drinks – you name it – junk food has a grip on many Americans including people between 50 and 80 years old.

About 13% of adults in that age group are addicted to highly processed foods (1 in every 8), according to a study by the University of Michigan’s National Poll on Healthy Aging. 

“It doesn't surprise me: these are the ages where people are looking to retire," says Jason Crum, a dietitian with OSF HealthCare.  "And they're looking at what they're going to eat. How quickly will it take to eat these things, cooking, and processing. People don't want to do that anymore. They're tired, they're fatigued, so they look for quick, easy things.”

More than 2,100 adults between 50-80 were polled so researchers could learn more about the unhealthy relationship with processed foods including sweets, snacks, and fast food. The most common symptoms were intense cravings, the inability to cut down on intake and signs of withdrawal that caused headaches and trouble concentrating.  

“These processed foods not only have sodium, but they also have sugar of various types," says Crum. "And those paired together instigate a hormonal response that most of us don't know how to really read and respond to. So we fill ourselves with the calories instead of the actual food or the nutrients that would make our hormones work better, so it makes the addiction stronger.”

The study found that women had a greater addiction to these foods than men, especially those in their 50s and early 60s. Older adults who were overweight or suffering from mental health issues or isolation also had a greater risk of addiction to processed foods.

“We have a disconnection between how our gut really feels and how we interpret that hormonally, but also our lifestyle, how active, how busy we are," says Crum. "We see our nurses, for example, running around for 12-14 hours a day. They don't have time to eat, but it's easy in four minutes to eat a piece of pizza and a burger and fries. And that's the disconnect between our gut and our lifestyle and how we interpret that.”

According to the study, one reason that processed foods can be addictive is how they can trigger the release of dopamine in the brain’s reward system just like the effects of nicotine and alcohol.

“For most people we emotionally eat, it’s something to distract us," adds Crum. "And we tend to go for the things that will give us that reward center in our brain, sugar rewards that center, and we look for that as a temporary fix to things.”

Instead, Crum suggests people eat more “real” foods and stay away from processed ones. Real food is unprocessed, free of chemicals and full of nutrients such as fruits and vegetables, whole grains, beans, dairy, eggs and meat, fish and poultry. Real foods are low in sugar, heart healthy, high in healthy fats, and good for your gut, among other reasons.

“The first thing to do is to ask yourself if you’re hungry," he says. "And what am I looking to eat? Do I even know what it's made of? The more real the food is, the better that's going to work for us than these processed foods. There's far less added sugar, there's far less added sodium to it. So it makes it easier for our body to use the nutrients and reduce any cravings and addictions.”

For more on nutrition and general wellness, visit OSF HealthCare. 


 

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