Tuesday, October 12, 2010

Your Food Can Make You Sick - Reactive Arthritis Caused by Contaminated Food

Reactive arthritis, also called post-infections arthritis, is a painful inflammation that can affect joints, the eyes or the urinary tract, with symptoms including pain and tenderness, swelling, and heat in the affected areas. Symptoms may last a few weeks or for as long as a year, and for a few unfortunate people, it may become a chronic condition.

Joint symptoms include pain in one or both heels, or in the hips, knees, or ankles. Urinary tract symptoms include painful (burning or stinging) urination, incontinence, urgency, and redness and inflammation of the genitals. Men may experience pain in their penis. Symptoms of the eyes and skin can include skin redness, pain, and inflammation; eye redness and pain, and small pimples inside the mouth and on the penis.

Reactive arthritis is caused by the body's response to infections which originate elsewhere in the body. One important cause of this painful disorder is infections in the digestive tract caused by contaminated food. Infectious agents include the bacteria Shigella, Salmonella, and Campylobacter, all of which are introduced into the body in contaminated food.

In the US, Salmonella is the commonest of these food contaminants. Every year about 40,000 Salmonella infections are reported to the CDC, Centers for Disease Control. The CDC estimates that the actual number of Salmonella infections may be over one million annually, as only the most serious cases get reported.

The term Salmonella refers to a group of bacteria which live in the digestive tracts of many animals and some humans. The infection is transmitted to humans when tiny particles of feces from infected animals come into contact with foods. Onset occurs one to three days after eating contaminated food. The victim will be acutely ill with symptoms of severe abdominal cramping, diarrhea, and fever. Bed rest and consumption of fluids to replace those lost through diarrhea are usually sufficient.

Most people who suffer a bout of Salmonella will recover within a week. They may continue to experience bowel irritability for several months, with symptoms of gas, abdominal pain, bloating, cramping, diarrhea and/or constipation. A minority of people then develop the continuing complication of reactive arthritis.

Milk, meat, and poultry, and are the most frequent carriers of Salmonella, but vegetables also present a risk if animal manure is used for fertilizer, and vegetables are not properly washed during harvesting, and again in preparation. Unpasteurized milk is another source of contamination. Eggs are another high risk food, because bacteria can enter the chickens' digestive tract and lodge in the egg before the shell is formed. The best protection is never to eat uncooked eggs. They should always be cooked until the yolk is firm.

Safe food handling practices, including basic hygiene, pasteurization of milk, and thorough cooking of meat and poultry greatly reduce the risk of Salmonella infection and reactive arthritis. The basic rule of safe food handling, in homes and restaurants alike, is that everyone must wash their hands before they touch food. Raw poultry and meat should be stored and processed in a separate area from other foods to avoid contamination

If you believe that you have suffered a Salmonella infection, and that you have reactive arthritis, you should consult your health care provider for evaluation of your condition and for treatment to lessen pain and other symptoms.

If your Salmonella infection and reactive arthritis are the result of careless or negligent food handling practices, you may have a claim against the food handler or supplier. If you believe you have a claim, you should consult an experienced food safety attorney as soon as possible. Most states have laws called statutes of limitation, which prescribe how long you have to file a claim or a lawsuit. If you delay past the time limit, your right to seek restitution for your injury may be denied.


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1 comment:

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