Photo: Kai Pilger

Why did stores stop selling alfalfa sprouts?

They've even disappeared from some major grocery store chains after numerous outbreaks traced to sprouts in recent years. The problem is in the way sprouts grow: Seeds need warm, moist growing conditions to sprout — exactly the conditions that illness-causing bacteria, such as Salmonella and E. coli, need to thrive.

u.osu.edu - alfalfa sprouts | Chow Line - The Ohio State University

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My teenage son has taken a keen interest in healthy eating, and as part of this, he has started growing his own sprouts. I remember there was an issue with raw sprouts a few years ago. Are they safe to grow and eat?

It’s great that your son is interested in eating more healthfully, and if you do any home gardening, you know how inspiring it is to grow and enjoy your own food. But raw sprouts do have some inherent issues related to food safety. In the last 20 years, there have been at least 30 outbreaks of foodborne illness associated with different types of raw and lightly cooked sprouts. A 2011 outbreak from fenugreek sprouts in Germany made thousands of people ill and was linked to 50 deaths. Most sprout-related outbreaks are caused by Salmonella and toxin-producing E. coli, and often the bacteria is traced back to the seed. And therein lies the problem: The warm, moist conditions seeds need to sprout into, well, sprouts, whether at home or in a commercial facility, are also exactly the type of conditions bacteria need to multiply rapidly. And since any bacteria on the seed is incorporated into the sprout, you can’t even partially remove it like when you rinse other types of produce under running water. The opportunity for problems to arise is great enough that public health authorities urge anyone who is at greatest risk of foodborne illness, including children younger than 5, the elderly, pregnant women or anyone with a chronic health condition such as diabetes or cancer, to refrain from eating raw sprouts all together. If your son is otherwise healthy, the sprouts he grows may not pose a serious health risk. But it might be wise to be on the lookout for signs of foodborne illness, which can strike anywhere from few hours up to eight days after ingesting the bacteria. Symptoms include cramps, diarrhea, fever and vomiting. In addition, encourage your son to reduce the chance of illness as much as possible by following recommended practices. The University of California has a fact sheet, “Growing Seed Sprouts at Home,” online at anrcatalog.ucanr.edu/pdf/8151.pdf. It includes detailed recommendations for buying, treating and growing sprout seeds to minimize risk. For example, the fact sheet spells out how to soak seeds in a hydrogen peroxide solution, followed by rinsing them and soaking them in clean water. At that point, you can remove any debris or other seed material that floats to the surface — an important step, as, the fact sheet says, most contamination has been tied to that material. The authors also emphasize the need to carefully sanitize the containers used for sprouting the seed and provide thorough instructions for doing so. However, even with carefully following the steps outlined in the fact sheet, be aware that there is still no way to guarantee the safety of raw sprouts that are contaminated prior to germination.

For more information about food safety, see foodsafety.gov.

Chow Line is a service of the College of Food, Agricultural, and Environmental Sciences and its outreach and research arms, Ohio State University Extension and the Ohio Agricultural Research and Development Center. Send questions to Chow Line, c/o Martha Filipic, 2021 Coffey Road, Columbus, OH 43210-1043, or filipic.3@osu.edu. Editor: This column was reviewed by Sanja Ilic, food safety specialist with Ohio State University Extension.

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Why am I throwing up undigested food hours after eating?

mayoclinic.org - Rumination syndrome - Symptoms and causes - Mayo Clinic

Overview

Rumination syndrome is a condition in which people repeatedly and unintentionally spit up (regurgitate) undigested or partially digested food from the stomach, rechew it, and then either reswallow it or spit it out. Because the food hasn't yet been digested, it reportedly tastes normal and isn't acidic, as vomit is. Rumination typically happens at every meal, soon after eating. It's not clear how many people have this disorder. Treatment may include behavioral therapy or medications. Behavioral therapy that involves teaching people to breathe from the diaphragm is the usual treatment of choice.

Symptoms

Effortless regurgitation, typically within 10 minutes of eating

Abdominal pain or pressure relieved by regurgitation

A feeling of fullness

Bad breath

Nausea

Unintentional weight loss

Rumination syndrome isn't usually associated with retching.

When to see a doctor

Consult a doctor if you or your child persistently regurgitates food.

Causes

The precise cause of rumination syndrome isn't clear. But it appears to be caused by an increase in abdominal pressure. Rumination syndrome is frequently confused with bulimia nervosa, gastroesophageal reflux disease (GERD) and gastroparesis. Some people have rumination syndrome linked to a rectal evacuation disorder, in which poor coordination of pelvic floor muscles leads to chronic constipation. The condition has long been known to occur in infants and people with developmental disabilities. It's now clear that the condition isn't related to age, as it can occur in children, teens and adults. Rumination syndrome is more likely to occur in people with anxiety, depression or other psychiatric disorders.

Complications

Untreated, rumination syndrome can damage the tube between your mouth and stomach (esophagus).

Rumination syndrome can also cause:

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