To train or not to train…. It turned out to be ‘not to train’. I’ve had another week off. I had a week off lifting (but not training) a couple of weeks ago and hoped I’d get to a substantially improved back squat one rep max this week. But on Sunday I developed a shooting pain in my right knee and the advice was to rest it. So I’m resting it. And bored.
Not so boring, but not much fun either, another trip to A&E on Tuesday. This time though, Tony got a different potential diagnosis: march haematuria. To whit: Causes of Haematuria
Haematuria is the result of bleeding somewhere in the urinary tract, which is made up of the kidneys, the ureters (the tubes that take the urine from the kidneys to the bladder), the bladder, the urethra (the tube from the bladder to the outside world) and, in the male, the prostate.
There are many conditions that can cause haematuria, most of which are not life-threatening. However there are a number of serious causes of haematuria that need to be detected.
· Trauma. Traumatic injury to any part of the urinary tract, from the kidneys to the urethral opening, can cause haematuria.
· Urinary tract infection. Haematuria can be caused by an infection in any part of the urinary tract, most commonly in the bladder (cystitis) or the kidney (pyelonephritis).
· Drugs. Haematuria can be caused by prescribed medications such as blood thinners (anticoagulants) including heparin, warfarin or aspirin-type medications and cyclophosphamide.
· Cancers of the kidney of bladder (or prostate in males).
· Stones or calculi. These can occur in the kidney, the bladder or the ureters.
· Glomerulonephritis. Glomerulonephritis refers to a group of kidney diseases that have inflammation of the glomeruli, the filtering units of the kidneys. It can rarely be a complication of certain viral and bacterial infections. It can also occur in autoimmune disorders such as systemic lupus erythematosis (lupus or SLE) and diabetes mellitus.
· Exercise. This is also called ‘march haematuria’, as seen in soldiers on extended marches. Very prolonged exercise in athletics, jogging, horseback riding and bicycle riding can cause haematuria, which is a non-serious condition.
· Bleeding disorders, including genetic disorders such as haemophilia, can result in haematuria.
· Inflammation/infection of the prostate can lead to haematuria.
Isn’t that all just peachy? But if you had to choose just one of those vile causes, you’d choose march haematuria and that’s what we’re hoping is the cause of Tony’s symptoms, not least because 48 hours or so before every episode he’s done both heavy(ish) squats and double-unders in the same training session.
Meantime – paleo!
I spent most of today at the allotment, teaching and then tending crops. As a result I came home with lots of soft fruit: tayberries, redcurrants, blackcurrants, strawberries, and red and gold raspberries. We eat a huge amount of this fruit raw, but I decided as we had so much to make a compote. And when I’d made the compote I decided to sieve it, and then to make some compote custards with pistachio maple topping.
Gently cook a selection of summer fruits with 15 grams of honey for each 100 grams of fruit. No need to add water. Either cook until the fruit breaks down into a loose mass or cook for another five minutes and then sieve to get a thick puree or compote. The former is probably healthier but we eat enough raw fruit not to worry about getting sufficient roughage and trace elements. Once prepared, set aside to cool. Keeps for a week in a refrigerator, not that it’s ever been a problem in our house, we struggle to keep it more than 48 hours as we eat it on everything!
1 tablespoon butter at room temperature
1 tablespoon maple syrup
1 tablespoon chopped pistachios
This quantity of crumble tops four custards. Blend the ingredients together and set aside.
Two eggs per person
Teaspoon honey per four eggs
Beat the eggs together lightly with the honey. Pour into a pan over a low heat and cook until they just start to ‘turn’ and thicken, you don’t want to leave it a moment longer or you’ll have sweet scrambled eggs! Still good to eat, but not part of this recipe. As soon as it starts to thicken, pour into ramekins, then swirl some of the compote through the custard – don’t over fill as these custards rise (then collapse) during cooking. As you can see, judging how much is too much can be tricky! Drop a spoonful of the topping in the centre of each dish and cook for 15 minutes at 175 degrees. Allow to cool and enjoy!