Nestle USA is voluntarily recalling all of their Toll House refrigerated cookie dough products today after reports of a possible E. coli outbreak linked to the ingestion of raw cookie dough. The FDA and the CDC are investigating reports of 66 cases of illness across 28 states related to these Toll House products. Now, I’m sure we’ve all indulged in a handful of raw cookie dough at one point or another, but this recall is just another reminder (aside from the WARNING printed on the label) — that it’s not safe to eat until it’s heated!

Because of the popularity of these products, we’ve been getting a lot of questions about E. coli, its symptoms and how to prevent infection. Here’s a quick Q&A to help clear things up for you.

What is E. coli?
E. coli is a kind of bacterium called Escherichia coli that lives in the digestive tracts of animals and humans. There are many different strains of E. coli bacteria, and for the most part, many of them are harmless. But some strains can cause extreme abdominal discomfort, diarrhea, bloody stools and vomiting — while others strains can lead to urinary tract infections, respiratory illnesses, anemia, kidney failure and even death.

Where does it come from?
Contaminated food:
The most common way people in the U.S. become infected with E. coli is from eating contaminated food. In fact, the CDC estimates that 85 percent of E. coli infections come from ingesting infected food or water. Because E. coli bacteria live in the intestines of healthy animals, like cows, it is possible for processed meats to become contaminated. If the contaminated meat is not heated to 160°F during preparation, the bacteria can survive and infect you when you eat it.
Raw foods can also carry E. coli. It’s important to check the labels and make sure that all your dairy products are pasteurized, or heated to kill off bacteria before hitting the store shelves. Raw fruits and vegetables can become contaminated if they come in contact with manure or animal feces.

Contaminated water:
While not as common as foodborne E. coli infections, people can also become ill from drinking or ingesting contaminated water that has not been properly treated. And sometimes, accidentally swallowing lake or pool water that has come in contact with human or animal feces can put you at risk for becoming infected with E. coli.

Person-to-person:
E. coli can also be spread from person-to-person if someone does not wash their hands thoroughly after a bowel movement. This is not as common, but it’s especially important for people who work in the restaurant/food preparation industry because they can spread the bacteria from their hands to other objects — including your dinner! I know it’s not a nice thought, but it happens more often than you think, so it sounds simple, but washing your hands is one of the easiest ways to prevent all kinds of infections.

What are the symptoms?
Symptoms usually start 3-4 days after exposure to the bacteria and can include:

• Stomach cramps
• Diarrhea
• Bloody stools
• Nausea
• Vomiting
• Mild fever
• Dehydration

Who is at risk?
People of all ages can become infected with E. coli, but the risk for serious complications is higher for young children, the elderly and those with compromised immune systems or underlying health problems.

How is it treated?
E. coli infections will usually clear on their own in about a week in a healthy person and treatment involves resting and staying hydrated. Often, people just assume they have a stomach bug and don’t go to the doctor, so they don’t know that E. coli caused their illness, but a simple stool test can diagnose the condition. As a rule of thumb, you should contact your physician any time there is blood in your stool.

• How can E. coli infection be prevented?
  Wash your hands thoroughly after using the bathroom and before preparing or eating food;
• Cook meats thoroughly at a temperature of at least 160°F/70°C (use a thermometer to test the meat if you’re not sure);
• Do not drink raw milk, unpasteurized dairy products, and unpasteurized juices (like fresh apple cider);
• Avoid swallowing water when swimming or playing in lakes, ponds, streams or swimming pools;
• When traveling abroad to countries that may have unsafe drinking water, don’t drink tap water or get ice in your drinks. Also, avoid raw fruits and vegetables, except those with skin that you can peel yourself;
• Wash your hands often, and always wash them after you use the bathroom or change diapers — it’s the best way to prevent infection with any bacteria.

Dr. Cynara Coomer is an assistant professor of surgery specializing in breast health and breast cancer surgery at Mount Sinai Medical Center in New York City. She is a FOX News Health contributor providing medical expertise on a variety of topics in cancer research with a focus on women’s health, breast diseases and tips for healthy breasts at any age.

I recently read an article about a cancer patient who chose to use herbal remedies over a surgical procedure that could quite possibly have saved her life. Leslee Flasch was barely 50 years old when doctors told her she would need surgery for her rectal cancer that would leave her wearing a colostomy bag for the rest of her life. She had tried other conventional therapies, but refused surgery and turned to herbal supplements she had researched on the Internet. Her condition worsened and she eventually died.

This story is just the latest in what seems to be a growing trend of alternative treatments breaking into mainstream medicine — and in some cases, replacing it. In fact, a recent report even suggests that 60 percent of cancer patients try herbal remedies — and sometimes, the consequences are deadly.

Leslee Flasch’s story has prompted some questions about colorectal cancer and about the treatment of cancers with alternative therapies, so I sat down to answer some of them here. 

1. What is the difference between colon cancer and rectal cancer?
Colon and rectal cancers are actually very similar — but the difference lies in what part of the large intestine the cancer affects. The colon and rectum make up a long, muscular tube that most people know as the large intestine. The first part of the large intestine is the colon and at the end of it is the rectum.

Cancers in the colon and rectum usually grow slowly and may start as benign polyps. These polyps are found during a colonoscopy, and early removal of polyps may prevent it from becoming cancer. Over 95 percent of colon and rectal cancers start in the cells that line the inside of the large intestine.

Cancer of the colon and/or rectum is the third leading cause of cancer in men and the fourth leading cause of cancer in women worldwide.

 
2. Who is at risk for colorectal cancer?
There are several risk factors for developing cancer of the colon and/or rectum including:

• Age — people aged 50 and over should be screened, with frequency depending on medical history;
• Medical history — a personal history of polyps or colorectal cancer increases your risk;
• Family history — a family history of colon cancer also raises your risk of developing the disease;
• Inherited syndromes — certain syndromes such as Familial Adenosis Polyposis (FAP) also increase your chances of developing colorectal cancer;
• Ethnicity — Studies have shown higher incidence of colorectal cancer in African-Americans and Ashkenazi Jews;
• Diet & lifestyle — diets high in red meat and overcooked foods, smoking, obesity, heavy alcohol consumption are all risk factors;
• Overall health — underlying conditions like type 2 diabetes can increase your chances of developing colon and/or rectal cancer.

 
3. What is the treatment and survival rate for rectal cancer?
Surgery is usually the most common treatment for stages I, II and III rectal cancer — although radiation and chemotherapy will often be given before surgery to try and shrink the tumor and kill off cancerous cells in affected tissue.

There are several types of surgery for rectal cancer. Stage IV rectal cancer is treated primarily with chemotherapy and palliative surgery, if necessary. Palliative surgery provides a treatment that will relieve a problem (such as a bowel obstruction) but does not lead to a cure.  In the case of obstruction, a colostomy surgery would be performed.

4. What does it mean to have a permanent colostomy bag?
Colostomy is a surgical procedure that brings a portion of the large intestine (colon) through the abdominal wall. Waste (stools) moving through the colon drain into a bag that is attached to the abdomen. It is done when the cancer is removed from the rectum or to bypass an obstruction caused by colon cancer. 
 
Contrary to people’s perception, having a colostomy bag is hygienic and can be very discreet because the bag can be well-hidden under clothing.
 
For some patients suffering from rectal cancer, colostomy surgery may be part of a curative treatment, while for others, it may be relief for an incurable situation. But either way — patients who are candidates for this procedure often see significant improvements in their quality of life.

5. What would Leslee Flasch’s quality of life have been like if she had sought conventional treatment?
There’s still a lot we don’t know about this particular case. But I can say that If her cancer was caught in the in the early stages, the chances of her being cured would have been very good.  Colorectal cancer is almost always treatable if caught early.  She may not have required a colostomy if the cancer was treated in the very early stages when it was still small in size. 

Even in stage II and III, she could have been treated with surgery and chemotherapy and had an excellent prognosis. If she had agreed to a colostomy, she would have been able to return to her normal activities and lifestyle — and nobody would even be aware of the bag. 

In general, when treated at an early stage, most colorectal cancer patients survive at least 5 years. If the disease does not come back during this time, they are considered cured. Stages I, II, III are considered potentially curable.  Once the cancer spreads to other areas of the body (stage IV), the 5-year survival rate drops, and most cases are not curable.

6. What do you think about this trend of patients trying to treat themselves with herbal remedies?
I think that including alternative treatments with conventional medicine can be very beneficial to patients as long as it’s under the guidance of a medical doctor who supports this course of treatment and monitors a patient’s progress and overall health. I certainly don’t think that alternative treatments should replace conventional therapy and patients need to be careful because there are a lot of scams out there that may or may not be harmful, and can take a financial toll.

7. What are some of the reasons a person might seek alternative treatment?
One of the most effective uses of alternative medicine in cancer patients is to alleviate pain associated medical treatment. For example, acupuncture has been proven to help with pain and other negative side effects like nausea brought on by chemotherapy or surgery. Certain types of relaxation therapy can relieve anxiety associated with a course of conventional treatment. And there are some natural herbs that aid in calming nausea or vomiting — which are often side effects of chemotherapy.

So for patients who want to use alternative medicine to alleviate negative side effects of medical treatment or to enhance the healing effects of conventional therapy — physician-monitored alternative treatments can help. But again, there is no evidence to support alternative therapies being used in place of conventional medicine — whereas we have a wealth of evidence supporting the effects of chemotherapy, radiation and surgery in the treatment of cancer.

8. What advice do you have for people thinking of skipping out on medical treatment and trying alternative therapies for cancer?
Often when people are initially diagnosed with cancer, they often don’t feel sick (especially if the cancer is caught early) so a lot of times, the thought of going through medical treatment seems beyond the realm of comprehension.

There are no regulations for alternative treatments, and in most cases, no proof they work. If doctors give a medication and patients have severe negative side effects — that medication is studied and pulled from the market. But with a lot of these herbal remedies, there is no proof that these treatments work. Each patient is different and each situation is different. So what a patient really needs to consider when they talk to their doctor about their diagnosis, is how much they really want to risk.

It comes down to what your current treatment options are, and their effect on your quality — and ultimately quantity — of life.

Leslee Flasch is a perfect example of someone whose quality and quantity of life could have been extended by conventional therapy.

Dr. Cynara Coomer is an assistant professor of surgery specializing in breast health and breast cancer surgery at Mount Sinai Medical Center in New York City. She is a FOX News Health contributor providing medical expertise on a variety of topics in cancer research with a focus on women’s health, breast diseases and tips for healthy breasts at any age.

It’s a good thing I never became a judge, because if I had, Stewart Parnell, president of Peanut Corp. of America would have been in jail by now.

The public evidence is overwhelming: He showed blatant disregard for the safety of millions of Americans, including children. He allowed contaminated peanut products to end up in our food supply.

People have died here! Where is the outrage??!! Stop the hearings, and send this guy and people like him to jail! Just this afternoon, medical examiners confirmed another salmonella-related death in Ohio, which brings the death toll up to nine people that have fallen victim to this profit-mongering filth.

Earlier today, e-mails were released as evidence where Parnell was quoted as saying he wanted to “turn the raw peanuts on our floor into money.” And this man had the audacity to respectfully decline to answer questions at his hearing on the advice of his counsel.

I believe in due process, but I also believe that there are certain circumstances that call for more immediate action.

I have three beautiful children, all school-aged, and one of them had to come home from school today because he was nauseous. Yes, this is probably your run-of-the-mill flu virus, but for a fleeting moment, I actually thought to myself, “I hope he didn’t contract salmonella.”

When anyone or anything threatens the welfare of our children, due process must change and you should be guilty until proven innocent.

CLICK HERE FOR THE LIST OF RECALLED PEANUT PRODUCTS. (You can also find the list on our Health home page next to the most up-to-date salmonella story in headlines)

Health Officials Report Salmonella-Linked Death | RECALL

A 17-year-old Georgia high school student died unexpectedly of meningococcal disease, a rare bacterial infection characterized by a sudden onset of fever, intense headache, nausea, vomiting, stiff neck and a rash, FOX 24 WGXA reported.

Brittany Rae Jones on Sunday died of the disease, which is spread through saliva and can be passed by sharing a drink or kissing.

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