Carb-Face & Gout

Carb-face: before carbs & after!!!

It happened to me!  I can still hardly believe it!  I got a raging case of carb-face on Thanksgiving day after waking up from my post carbalicious luncheon nap.  The corner of my left eye swelled up like a tiny water balloon because I had been lying on my left side, which ironically is supposed to be better for circulation & blood return to the heart - a habit I picked up during my pregnancies (see links below for more info on SOS - sleeping on side).  Evidently, my face inflated due to post-carb binging water retention, which then pooled into the dependent  (ie hanging down) portion of my face during my snooze!  http://well.blogs.nytimes.com/2010/10/25/the-benefits-of-left-side-sleeping/  http://www.babyzone.com/askanexpert/sleeping-positions-pregnancy


What is carb-face?  It is the bane of all Hollywood starlets as well as many regular folk.  http://www.dailymail.co.uk/femail/article-1168651/Could-Hollywoods-beauty-gurus-turn-Anna-Richardson-starlet-just-weeks.html  Carb-face is a catchy way to describe bloating that shows up, especially in the face, after consuming a large amount of simple carbohydrates (sugar, white rice, pie, cornbread stuffing, etc!!!).  Some doubt that it is real but now I am a believer!

Why does carb-face happen?  We expect bloating after having a lot of salty foods or sports drinks but not so much with sugary or starchy foods.  In a nutshell, insulin acts on the kidneys to retain sodium while dumping potassium.  This link to a research abstract describes this in technical lingo: http://www.ncbi.nlm.nih.gov/pubmed/2676669

In fact, the following review article abstract explains something that I had also observed during my low carb sojourn: http://www.ncbi.nlm.nih.gov/pubmed/9377725  The effect of insulin on the kidneys is such that uric acid is not cleared as effectively from the blood. http://ajpendo.physiology.org/content/268/1/E1.abstract  Increased uric acid concentrations can lead to gout (joint pain due to uric acid crystal formation in the synovial fluid). http://arthritis.about.com/od/gout/a/gettoknowgout_2.htm   I used to suffer with joint pain in my hands, which weakened my grip & things constantly slipped out of my hands, and in my bunions, which felt like an icepick stabbing into my feet.  When I went low carb, absolutely unexpectedly, my chronic joint pain disappeared.  I had been to the point of consulting my doctor who then referred me to a rheumatologist.  But before I made the appointment with the specialist, I noted the disappearance of the pain.  It does come back after cheating with high carb treats but it resolves again when I eat clean.  This link is to a blog by a DO (osteopathic doctor; they go through a slightly different medical school program than MDs but go through the same internship & residency programs to practice medicine & gain specializations) who explains the phenomenon in a more understandable way than the more technical papers & abstracts: http://www.nemechekconsultativemedicine.com/?page_id=1364

This uric acid retention also tends to promote kidney stone formation: http://www.medscape.com/viewarticle/539022  Kidney stones are supposed to be exquisitely painful, something I hope never to experience myself!

Some may think that one is vanity driven to be concerned about carb-face.  But carb-face may be a surface indication of more insidious, health-damaging processes occurring inside your body - arthritis & joint disfigurement and kidney stone formation.  It's not vanity to want to protect your mobility and renal function!  Check out the Lance Armstrong Foundation website for info on how to beat carb-face: http://www.livestrong.com/article/251123-how-to-burn-facial-fat/