Archive for the “Gastrointestinal” Category

March 3, 2010 Categorized under Gastrointestinal

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BIOLOGICAL, HERBAL AND OTHER TREATMENTS OF SOME DISEASES
Neuralgia: B-complex, Bi2, B6, pantothenic acid, lecithin, calcium, sesame seeds, yeast.
Neurasthenia: Niacin, B-complex.
Numbness (“going to sleep” peripheral nerves in toes, fingers or other parts of the body): Vitamin B6.
Osteomalacia: Vitamin D (up to 50,000 units a week for short periods), plenty of sunshine, HC1 for older patients.
Paralysis (due to nerve interference, strokes, brain misfunction, etc.): B6, up to 2,000 mg, injected or orally, under doctor’s supervision only.
Pellagra: Niacin in large doses, B-complex.
The pill (to counteract carcinogenic effect of estrogen): Iodine (kelp). B-complex vitamins. Vitamin C. To counteract pill-induced pyridoxine deficiency and resultant depression: B6 supplement. To counteract deficiencies caused by birth control pills: B-complex vitamins, specifically ! 2 and folic acid.
Poison IVY (antidote): Jewel weeds, especially if crushed fresh and applied on affected area. Also, Dusty Miller and Aloe Vera.
Internally: 2,000-3,000 mg. vitamin
Poor circulation: Niacin, vitamin E, RNA, folic acid.
Pregnancy (to prevent toxemia, nausea and edema in pregnancy): Vitamins B6, B-complex and C, in large doses, preferably natural.
Prickly heat: Vitamin C, orally, 1,000 mg. or more. Wash with mild soap twice a day; apply apple cider vinegar (1/2 tsp. in glass of water) after bath.
Pyorrhea: Vitamin C-complex, with all the known bioflavonoids, A and Bi2. Rub the gums morning and evening with vitamin E.
Rectal itch: Hot sitz bath daily; after bath apply lemon juice or apple cider vinegar with a piece of cotton. Or, rub wheat germ oil on all affected parts after washing and drying.
Red eyes: Vitamin B2, brewer’s yeast.
Ring worm: Apply apple cider vinegar several times a day. Rub with borax. Rub with castor oil or chestnut oil.
Seborrhea: Vitamins B-complex, B2, brewer’s yeast, PABA.
Shingles: Massive doses of vitamins C, rutin, B-complex, calcium, lecithin, vitamin F. Apple cider vinegar topically, several times a day. Hot baths 2-3 times a week.
Sickle cell anemia: Zinc, , .
Sinus infection: Garlic, vitamins and B6. Herbs: saw palmetto, rose hips, mullein, golden seal, hops, red clover.
Slow pulse: Vitamin B1.
Sores (that do not heal): 1. Topically: Vitamin E, 200 IU a day. 2. Topical application of strong comfrey root and/or leaf tea. Also dressings of fresh comfrey leaves and root. 3. Dressing: paste made from raw garlic on gauze, for 8 to 10 hours. Orally: C, A, zinc, calcium.
Smell and taste (depressed): Zinc tablets, orally, 30 to 60 mg.
Sterility (female): Wheat germ oil, vitamin E, sprouted grains and seeds, raw nuts.
Swelling (due to edema, arthritis, bruises, sprains, infections, inflammations): bromelain, fresh pineapple enzyme, in tablet form, or in the form of fresh pineapple juice.
Teeth, stained or yellow: 1. Brush with fresh strawberries: place a strawberry on the toothbrush and brush as usual. 2. Brush with charcoal powder (obtainable in drug stores).
Tendonitis: Manganese supplement.
Thyroid insufficiency (Hypothyroidism): Kelp, granulated or tablets; vitamins and E; olive oil. Herbs: golden seal, bayberry, myrrh, black cohosh.
Vaginitis (vaginal yeast infection): B-complex, high potency, orally.
Vitiligo: PABA, pantothenic acid, hydrochloric acid.
*75/103/5*

March 3, 2010 Categorized under Gastrointestinal

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OBSTRUCTIVE SLEEP APNOEA (OSA): PERSONALITY AND PHYSIOLOGICAL CHANGES
Personality changes and memory loss
Memory deterioration and an inability to concentrate are symptomatic of sleep apnoea. The reasons for this are not completely understood but it is suggested that they result from the cumulative damage of perhaps many years of hypoxaemia during sleep. The disturbed sleep patterns of OSA are also likely to result in such impairment, and there is little doubt that both hypoxaemia and sleep fragmentation contribute to the problem of impaired memory and learning ability. As a consequence of the social readjustments that have to be made and the behavioural and personality changes which may arise, these people may be seen in the first instance by psychiatrists for treatment of depressive illness.
Physiological changes
The behavioural changes which become increasingly apparent to spouse and friends are accompanied by potentially serious physiological changes, particularly to the heart and circulatory system. Some of the changes occur rapidly in response to each of the many obstructive events during sleep. Blood pressure, for example, is normally slightly lower at night than during the day, but in OSA blood pressure rises during apnoeic periods. There can also be quite startling changes in heart rate when the hypoxaemia associated with obstruction induces a slower heart rate (bradycardia) followed by an increase (tachycardia) when normal breathing is resumed. Apnoea may also be associated with irregular heart beats or arrhythmias, which are potentially life threatening. Superimposed over the transient yet dramatic changes which occur during sleep are several long term and persistent abnormalities. Blood pressure often remains high and may be the first measurable symptom observed at an initial consultation. Increased blood pressure and other changes to the blood circulatory system also affect the heart which may become enlarged in an effort to overcome the harmful effects of hypoxaemia on the cardiovascular system.
*13/130/5*

March 3, 2010 Categorized under Gastrointestinal

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HEALTHY EYES: CATARACTS? TREATMENT

The biochemical process involved in cataract development results from enzyme activities. The enzyme count in your body drops as you get older, especially if less live foods such as sprouts are eaten. It’s suggested that you should consume adequate quantities of raw vegetables, fruits, and grains to prevent cataracts.
The only traditionally accepted treatment for correction is the eventual removal of the cataract-covered lens by means of one of three types of extraction: intracapsular, extracapsular, and phacoemulsification. Surrounding the mass of the cloudy lens there is a thin layer called the capsule. In intracapsular extraction the cataract is taken out along with the capsule. In extracapsular surgery, the posterior capsule is left in place while the cataract is removed. In phacoemulsification, the posterior capsule is let intact while an ultrasonic needle emulsifies and sucks out the cataract.
About three months after any of these operations, corrective lenses – either eyeglasses or contacts – are fitted to the eyes. Or, lens removal may be combined with implantation of an artificial lens so as to avoid the need for wearing externally fitted aids. The artificial lens is theoretically intended to give patients normal vision.
Ninety-five percent of all cataracts are operable. Certain complications are common to all types of cataract surgery, but the chance of their occurring varies according to which operation is used. Most eye surgeons are using the extracapsular type of extraction because it seems to reduce the incidence of such complications as retinal detachment, infection, and swelling of the macular (as we defined it, the area of most distinct vision of the retina).
*13/127/5*

March 3, 2010 Categorized under Gastrointestinal

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MANAGEMENT OF ACUTE CONFUSIONAL STATES
Before diagnosis and management, the important fact of a carer recognizing that something is wrong has to occur. This may be straightforward if the confusion is associated with markedly abnormal behaviour plus incontinence or other physical symptoms. It is less easy when the confusion is not severe and there are no obvious other symptoms. If an elderly person becomes confused and this is picked up by carers, medical advice should always be sought. The sufferer themselves may be reluctant to see a doctor and carers may ‘not want to bother the GP’ but these feelings should be overcome because the sooner the correct diagnosis is made the better the outcome.
Once the cause is found, specific treatments can be given. In the more serious cases admission to hospital may be necessary. Common causes such as urinary tract and chest infections usually respond very well to antibiotics. Confusion associated with slight strokes may take longer to respond. In addition to the specific treatment of the cause of the confusional state, there are general measures that can be undertaken both at home and in hospital. The elderly person should be cared for in a calm environment. Loud noises (frightening for anyone) should be avoided and the room should be well lit. This will help stop the sufferer misinterpreting shadows etc. and thus forming visual hallucinations. If very confused the person should have a carer present. This will lessen the person’s anxieties and the carer will be able to cater to their needs (drinks, trips to the toilet etc.) If in hospital, the patient should be allocated the same nurse as often as possible to avoid frightening frequent changes of faces. A quiet, warm, well-lit room has a very calming effect on an agitated confused person. The drinking of plenty of fluids should be encouraged (water, tea and diluted squash NOT the super-concentrated sugary fizzy drinks guaranteed to make almost all old people develop sugar diabetes.) The taking of full meals for a few days is less important.
Treatments will obviously take a few days to work and during this time the elderly person may be quite agitated and distressed. Someone in this state must never be physically restrained unless they are just about to do something harmful to themselves or others, then minimal force should be used to stop the action. Restraining encourages aggressive outbursts. A guiding hand and calm but firm voice works well and distracting tactics are effective. Tip-back chairs with restraining trays, cot-sides and a tying down of limbs have no place in the management of acute confusion or any other state and should be abhorred. If a person is in great danger of falling out of bed due to agitation, then the mattress should be placed on the floor. Cot-sides and tip-back chairs by increasing the agitation mean that the confused person can injure themselves very badly, defeating the desired effect.
*13/128/5*

March 3, 2010 Categorized under Gastrointestinal

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HOW TO SURVIVE YOUR DOCTOR: ANTISEPTICS, ANXIETY
Antiseptics
Antiseptics are chemicals that kill invading micro organisms as well as their human hosts. For this reason antiseptics are often used on the outside of the human body. Well known antiseptics are Savlon, Betadine, Tea Tree Oil and Dettol. Antiseptics also kill bacteria on the surface of fixtures, fittings, furniture or appliances. The best antiseptics of all are those containing iodine. Given time and sufficient concentration iodine containing antiseptics will kill bacteria, bacterial spores, viruses and even fungi.
Home Remedies
The preferred antiseptic for cuts and scratches is one of the iodine preparations. A few people react to iodine and develop a contact dermatitis whenever iodine products are used. If this happens Savlon, Dettol Cream or Tea Tree Oil are satisfactory alternatives. A phenol based antiseptic like Dettol solution, Pine O. Clean or even Home Brand antiseptic are entirely appropriate products when sterilizing surfaces in the bathroom and kitchen.
Anxiety
Anxiety is an emotion that can range from an uneasy state of mind or simple concern about some future event to a morbid state of excessive uneasiness. Sometimes individuals can become completely incapacitated by their body’s reflex responses to the expectation of a fearful event.
*12/131/5*

March 3, 2010 Categorized under Gastrointestinal

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CONTROLS FOR DIGESTIVE ACTIVITY
Digestion includes the mechanical and chemical processes by which foods are broken down to their nutrients so that they may be absorbed into the circulation. Mechanical and chemical changes take place simultaneously on the carbohydrates, fats, and proteins in foods. The autonomic nervous system continuously controls the motor and secretory activity of the intestinal tract.
The mechanical processes include the chewing of food, the churning actions in the stomach, and the muscular contractions of the intestinal tract. The rhythmic contractions, known as peristalsis, break up food into smaller and smaller particles, mix them intimately with the digestive juices, and continually move the food mass along the intestinal tract.
The chemical reactions in digestion involve the addition of water to the protein, fat, and carbohydrate molecules and their splitting up into nutrients that the tissues can use. This process is known as hydrolysis. The final end products of digestion are
Carbohydrates to the simple sugars – glucose, fructose, galactose
Fats to fatty acids and glycerol
Proteins to amino acids
Water, mucin, hydrochloric acid, enzymes, and hormones are interrelated in the orderly processes of digestion.
Water. The digestive juices supply an abundance of water at all points of the intestinal tract. Water holds the foods in suspension during movement throughout the tract, facilitates the peristaltic movements, and brings food particles into intimate contact with the enzymes.
Mucin. The glands of the intestinal tract secrete mucin, a polysaccharide that gives the slippery consistency to mucus. The walls of the stomach are protected from irritation and erosion by acid because of the coating of mucus.
Foods move more readily along the tract because of the lubricating effect of mucus.
Enzymes. The chemical reactions require helpers called enzymes. Sometimes enzymes are called living catalysts. A catalyst is any substance that hastens a chemical reaction but does not itself become a part of the compounds that are formed.
Enzymes are composed of specific proteins. They are named for the substance upon which they act; for example, protease is an enzyme that digests protein, and oxidase is involved in the addition of oxygen. Each enzyme is highly individual in its action. An enzyme that digests fat will not digest starch. Some enzymes act only in an acid medium, such as pepsin in the stomach, whereas others act only in an alkaline medium, such as trypsin in the small intestine.
Hormones are chemical messengers that control the mechanical and chemical processes of digestion. They arc produced at a given site in the presence of a specific stimulant such as acid chyme, polypeptides, or fat.
*12/234/5*

March 3, 2010 Categorized under Gastrointestinal

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PRIMROSE OIL AND ECZEMA
As long ago as the 1930s it was known that essential fatty acids are vital for healthy skin and hair.
But it is only in the last ten years or so that essential fatty acids – evening primrose oil in particular – have proved to be an effective treatment for some common skin complaints, especially eczema.
What happens to the skin when there is a low level of essential fatty acids has been shown in animal studies. The main findings are:
? The skin becomes scaly and rough and sheds dandruff-like scales. In severe deficiency, an eczema-like dermatitis may develop and the skin may break down.
? Wounds take longer to heal.
? There is greater water loss from the skin, making it drier and making it age more quickly.
Atopic eczema
Atopic eczema is a chronic, patchy, mild inflammation of the surface of the skin which almost always begins in infancy or early childhood. It can be made worse by irritants, but often occurs without any apparent cause. The main signs and symptoms are dry, scaly, itchy red patches on the skin. Atopic eczema is different from contact eczema which is an inflammation caused by contact with an irritant, such as a chemical or a cosmetic. In recent years, evening primrose oil has had excellent results in the treatment of atopic eczema, in both adults and children. In several trials done so far, the results of evening primrose oil on atopic eczema are good or very good in about three quarters of all patients.
Improvement does not happen overnight. The first signs of improvement in moderate or severe cases of atopic eczema will be in the first four weeks at the earliest, but almost certainly between four and 12 weeks after starting to take evening primrose oil.
Many people who have taken evening primrose oil to treat their eczema have carried on taking it after the end of the period of trial, sometimes for years.
*13/60/5*

March 3, 2010 Categorized under Cardio & Blood, Gastrointestinal

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Other names: Prinivil
Prilosec (Omeprazole)
OBSTRUCTIVE SLEEP APNOEA (OSA): SYMPTOMS, SLEEPINESS
Symptoms
Many of the features of OSA are not a direct result of snoring per se but are a consequence of obstructive events during sleep which cause blood oxygen levels to drop to dangerously low levels. The absolute priority given to the body’s need for oxygen can be put into perspective when we consider that a healthy human can survive without food for several weeks, survive without water for days, but will die within minutes of oxygen deprivation. Not surprisingly, snoring is the most prevalent symptom of OSA, occurring in about 95% of patients with the syndrome. A cluster of other symptoms is also very common and will be found to a greater or lesser extent depending on the number of apnoeas experienced in a night and the severity of oxygen deprivation.
Sleepiness
The patient with OSA is classically prone to daytime sleepiness, often found slumped in front of a television or at the table during a dinner party. Most alarming are those patients who seek help after falling asleep behind the wheel of a car or while operating dangerous machinery. The tendency to fall asleep during the day is attributed to poor quality sleep at night caused by arousals associated with each obstructive event. Anyone who has observed a patient with OSA will be aware of the repetitive nature of airway obstruction and the resulting sleep fragmentation. Airway collapse is followed by increasing respiratory efforts to overcome the obstruction and to relieve intolerably low blood oxygen levels (hypoxaemia). The degree of sleep disturbance probably relates to the severity of the apnoeic period; some patients experiencing a mild arousal from REM to NREM states, while others will be fully awakened by such an episode. Sufferers of advanced OSA are caught in a cruel cycle. The relentless process of obstruction and arousal many times a night leaves the sufferer sleep deprived, lethargic and irritable. He cannot help trying to make up for lost sleep at every opportunity yet it is sleep which sets in motion events such as loss of upper airway tone which in turn result in obstruction and arousal.
*12/130/5*

March 3, 2010 Categorized under Gastrointestinal

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ACUTE CONFUSION: SPECIAL SENSES
Failing vision and hearing are common in the old – so common that many people take them for granted as ageing processes. These two complaints should always be taken seriously and acted upon as soon as possible. There are numerous causes of both that are fully treatable or at least helped. Cataracts (opacities in the lens of the eye) are eminently treatable by surgical removal, even in the very old and frail. Glaucoma (failing vision due to increased pressure in the eye) needs to be diagnosed early so that eye drops or surgery can save what sight is left. Wax in the ears is the commonest cause of deafness and is easily sorted out. Deafness should be vigorously investigated and hearing aids supplied where necessary. Increasingly, hearing therapists are giving practical help and advice on the hearing disorders of the elderly. Sadly a minority of elderly people do have significantly impaired vision and hearing. The two conditions occurring together are especially disabling. The person concerned is apt to misinterpret vision and sound, rendering them very prone to confusional episodes. These risks can be lessened by maximizing their existing vision and hearing as much as possible.
The person usually relates very well to their familiar environment and carers, and within reason these should not be changed. Great problems occur when such a person has to be moved or carers change. A lot of time has to then be spent patiently re-orientating the client to their new surroundings, both environmental and human.
*12/128/5*

March 3, 2010 Categorized under Gastrointestinal

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REASONS FOR VISION IMPAIRMENT: CATARACTS
For 2,500 years glaucoma and cataracts were confused until a French ophthalmologist, in 1709, finally differentiated the two conditions. Cataracts are the chief single cause of blindness in the United States, and about three million Americans suffer with them. Of everyone residing in industrialized Western countries who reach age sixty, almost 60 percent of them have some cataract formation. And 100 percent of those reaching age eighty become victimized to some extent by the eye problem.
Cataracts are degenerative conditions of the eyes resulting in cloudiness or opacity in one’s aging crystalline lenses. They interfere with vision. The opacities may be tiny, which cause little difficulty, to large, dense areas of cloudiness which shut out much of the light that should be entering the eyeball. The retina gets insufficient light to record an image for the brain to readily recognize.
As the lens becomes progressively cloudy, vision becomes dim and blurry. The victim requires a brighter light for reading, or he may need to bring objects quite close to the eye in order to see them. Double vision may occur, as in the perception of a street light from a distance. Stationary spots tend to appear in front of the eyes–appearing as dust spots on eyeglasses when actually they are opaque spots on the human lens. And vision could be more accurate for the cataract patient when he performs an activity in twilight. Eventually the cataract becomes rather obvious to an outside observer by the milky, grayish-white appearance of the person’s pupil.
It takes approximately two years for a cataract to develop to the point where it totally obstructs the lens. The most common cause is simply increasing age-senile cataract-which occurs from the lens adding new cell layers to the outside periphery similar to the growth of rings of a tree. Such additions make changes in lens resiliency and clarity. The lens tends to get more rigid and less transparent with time. All of us are subject to such lens rigidity and loss of focus, which is known as presbyopia. The decreased transparency taking place later in life is the cataract.
Other less common types – secondary cataracts – are not related to aging. Congenital cataract, present at birth, is a metabolic disease. Galactose cataract, another metabolic condition, comes from milk sugar accumulation. It results from the patient’s lack of a body enzyme to break down this sugar during metabolism. Such a deficiency leads to absorption of water into the lens and a blocking out of the light. An injury to the eye or lack of suitable
protection against occupational hazards, such as excessive heat or radiation exposure, may also result in cataract formation. Cataract development may be hastened by diabetes, by various nutritional deficiencies, and as a negative side effect of medication used for the treatment of another disease. All of these types are secondary cataracts.
*12/127/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTION: APPENDIX
Now that we have taken these side excursions from the main channel of the alimentary canal, we will again follow down its watery current. The terrible infections of the old days, such as cholera and typhoid, attacked the small intestine. I should say that on the whole it is fairly exempt from disease now.
Cancer, for instance which at present strikes all parts of the body, is not common in this portion. And we reach the large intestine and progress an inch or so before we meet the appendix, a nuisance to nearly all of us except the needy surgeons.
The appendix is possibly the best advertised organ in the body. Who does not know that appendicitis occurs down in the right lower portion of the abdomen? Unfortunately for amateur diagnosticians, there are many other things that occur right down there, such as small stones in the urinary passages, inflammation of the glands in that area, and a heap of others not worth listing. So it is a very wise idea to see a skilled physician when your suspicions are aroused. One of the most interesting aspects of appendicitis is that the beginning pain does not occur in this area but rather in the upper middle portion of the abdomen. Perhaps with the advent of the antibiotics, there is not so much appendicitis as there used to be; but it is still fairly common, and if a real good case occurs, there is no doubt in my mind that the best treatment is to have a surgeon take out the appendix pretty pronto. Once again you should be reminded that the worst thing to do in the case of appendicitis is to take a cathartic. That stirs things up in a very dangerous manner.
*7/276/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTIVE DISEASES: FIBER POWER!
At 57, Clarence Dedmon has lived under the cloud of diabetes for 3 years. Every day for most of that time, Mr. Dedmon, a church custodian from Lexington, Kentucky, had injected himself with insulin. Six months ago, he began eating lots of cereals, beans, fruits, and vegetables. He has thrown away his insulin needle.
If you had visited Helena LeBow at her New Jersey home last year, you might have found her curled up like an infant, clutching a hot water bottle to her gut. She suffered the excruciating pains of an irritable bowel. A few months ago, she took up Mr. Dedmon’s diet. For good measure, she dusted a tablespoon of wheat bran on her breakfast cereal. She hasn’t had pain since.
John Griffin, who teaches physical education at a Toronto college, discovered a few years ago, at the age of 30, that the level of fats in his blood was five times above normal. He feared a heart attack. Mr. Griffin cut his meat and white bread intake and substituted 2 cups of beans a day. His blood fat (triglyceride) level plummeted and is now below average.
And in his laboratory at Syntex Research in Palo Alto, California, Dr. Gene Spiller had fed rats a powerful chemical that ignited cancer of the large bowel or colon. When he fed the rats pure cellulose along with the killer chemical, fewer of them developed cancer. A stringy material that is found in every plant, cellulose apparently protected the rodents from the disease.
Scientists have identified the powerful agent that may control diabetes, bowel disease, blood fat, and colon cancer. It is dietary fiber, a part of all plants, including beans, whole-grain cereals, fruits, vegetables, seeds, and nuts. Once they called it roughage, bulk, residue, or simply bran and labeled it “undigestible.” They thought it worthless, possibly harmful.
Now they know that this natural plant product may protect us from numerous ailments, including heart attacks, obesity, gallstones, chronic constipation, appendicitis, varicose veins, piles, stomach ulcers, and hiatus hernia, a condition that causes severe heartburn.
That does seem unbelievable. And, indeed, many scientists caution against too much enthusiasm at this stage. But they say that if we want to benefit from fiber, we must regularly eat a variety of fruits, vegetables, beans, nuts, and cereals.
In essence, joining the fiber revolution means this:
? We will eat more legumes (peas, beans, lentils and chickpeas), potatoes, corn, other vegetables, and fruits.
? We will cut down on fatty meat – such as beef, lamb, and pork – even lean poultry, and all other excess fats and oils.
? We will look for whole-grain cereals like Grandma used to make – wheat, oats, barley, buckwheat, and rye – that were hardly touched by the miller’s grindstone. We’ll make whole-grain dishes and breads and forget white flour. In short, we’ll triple our fiber intake to about 60 grams a day.
*7/266/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTION: SPLEEN
The spleen lies at the left upper part of the abdomen, touching the stomach, and protected by the lower ribs. It is said to enlarge slightly after meals, and that is the only evidence that it has any connection with digestion. Since the portal vein is presumably extra busy at that time, one might see here an analogy to the five o’clock traffic congestion in our civic centers. At any rate the physiologists have determined that the spleen disposes of old, worn-out, or diseased red blood cells. It leaves the good, healthy cells alone. The tremendous spleens of sufferers from chronic malaria, in which disease the cells are filled with parasites, is a striking demonstration of this. Secondly, the spleen is a reservoir for red blood cells. The discovery of this fact is another example of serendipity, which is so common in medicine: the search for something of value, resulting in the finding of something else of even more worth.
Some physiologists had gone to the Andes to study mountain sickness, which occurs when the blood has difficulty in getting enough oxygen out of the thin air on the mountain heights. It makes no difference except to those whose love of adventure takes them to the Himalayas or to jobs with copper mining companies which carry them up the high Andes. But these investigators found that high altitudes increased the number of red cells in the blood. (Exercise does the same.) These demand more oxygen, and the more red blood cells that are circulating, the more oxygen is delivered. Following this up, they found that the spleen stores blood and lets it out into the general circulation as it is needed. Thirdly, some white blood cells are manufactured in the spleen.
So the spleen is a valuable organ but we certainly do not need it for digestion. Every little while a bad accident ruptures the spleen and, as it is a vascular (that is, bloody) organ, it is necessary to operate and remove it. Having once got over the operation, such patients do not miss their spleens at all.
*6/276/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTIVE DISEASES: GOOD NEWS ABOUT THE COLON; IRRITABLE BOWEL
Good News about the Colon
The colon is a very vulnerable site. It frequently becomes inflamed for no known reason (as in ulcerative colitis and Crohn’s disease); it sometimes contracts in spasms, resulting in diarrhea or constipation; it may develop pouches that become infected (diverticulitis); and at the nether end, engorged veins may pop out (hemorrhoids).
Happily, progress has been made against these afflictions. Laser light can eliminate hemorrhoids without surgery, with little or no pain to the patient; steroids can help in the treatment of Crohn’s disease and diverticulitis.
Doctors estimate that they could save 30,000 lives a year if persons older than 40 would have annual bowel exams. Each year, doctors in the United States diagnose 138,000 cases of colon or rectal cancer. About 56,000 Americans die of the disease yearly.
Colon cancer prevention includes an annual test for hidden blood in the stool plus a rectal examination and an exploration of the bowel with the fiber-optic tube. The American Cancer Society says the fiber-optic examination should be done annually in everyone at ages 50, 51, and 52. After that, if two consecutive exams prove normal, you can wait 3 to 5 years for the next one. The doctors look for polyps ? wart-like growths in the bowel, which often turn cancerous. If found, the growths are removed. The ACS says the survival rate for colorectal cancer when found early is 82 percent, which means that more than 49,000 lives could be saved each year if the cancers were detected and treated promptly.
Irritable Bowel
Sometimes the bowel contracts spasmodically in an allergic reaction to a particular food. For many patients, elimination of that food cures the irritability; for others, a high-fiber diet quiets the intestines.
More than 2 million Americans suffer from inflamed bowels. Because victims of ulcerative colitis are prone to cancer, surgeons often remove the diseased bowel. Patients then void their wastes through an opening that brings the small intestines to the surface of the abdomen, through a procedure known as an ileostomy.
Doctors now are testing olsalazine, a drug that seems to calm the burning colon. Perhaps, one day soon, other new drugs and treatments will make surgery a rare occurrence for digestive tract disorders.
*6/266/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTION: STOMACH
The esophagus, or gullet, is a short tube from the mouth to the stomach. This latter thick-walled churn mixes up the food with the pepsin mentioned above, and with hydrochloric acid.
Pepsin will not work without it. If analysis of the stomach contents shows it to be absent, then look out. Two bad diseases, cancer of the stomach and pernicious anemia, are each associated with lack of hydrochloric acid.
I have called the stomach a churn. William Hunter said: “Some physiologists will have it that the stomach is a mill, others that it is a fermenting vat, others again that it is a stew pan; but in my view of the matter, it’s neither a mill, a fermenting vat nor a stew pan; but a stomach, gentleman, is a stomach.” It has become more and more evident in the two centuries since then that there is nothing like a stomach. Its mysteries are not unfolded yet, though we have a great deal of firsthand knowledge of what goes on in the stomach, obtained by direct observation.
Some years ago a group of us stopped at Mackinac Island where Lakes Huron and Michigan join. At that idyllic period of no autos, as we rode along behind a team of horses, I told the story of William Beaumont for which the island is famous. At the end of my tale, the driver turned with a grin, saying, “When there is a doctor in the group, my work is half done for me. I hold the reins; he gives the talk.”
The first time in history that a man could look into the stomach of a living person was a dramatic stepping stone in medicine. William Beaumont, born in Connecticut, was an army surgeon at the frontier fort of Mackinac Island in the first quarter of the nineteenth century. One summer’s day, a young trapper, Alexis St. Martin, was struck in the chest and abdomen by the discharge from a shotgun two feet away. It tore away some of his ribs, part of his diaphragm, and a portion of his stomach. His case, of course, was “hopeless”; but Dr. Beaumont did not proceed on that assumption and St. Martin survived the hardships of life in the wilderness, and got drunk at every opportunity until he was about eighty, when Beaumont had been dead thirty years.
The hole in the stomach never closed, so a contract was made. Dr. Beaumont gave St. Martin surgical care and supported him, and in return was allowed to make physiological studies. Thus he was able to describe the chemistry of the gastric juice, the movements of the stomach, and the appearance of its lining when the patient ate “pig’s feet, wild goose, and venison.” What is more, he noted the profound influence of the emotions. Even to this day most of our knowledge of stomach pathology comes from the studies of Beaumont. One of his pieces of wisdom is pertinent today. “The system requires much less than is generally supplied to it. . . . Dyspepsia is oftener the effect of overeating and overdrinking than of any other cause.”
At the lower end of the stomach is the pylorus, a sphincter muscle, that is, a sort of puckering string. Every little while it relaxes, and lets some of the contents of the stomach into the duodenum. In this neighborhood occur most “stomach ulcers,” to use the popular phrase. Physicians, when grouping them all together, speak of “peptic ulcers.” Nearly all of them are duodenal. When a surgeon operates for a perforated ulcer, he locates the pyloric sphincter, a firm narrow raised band of tissue; and nine times out of ten, he will find the hole, if present, practically touching this, but on the duodenal side.
*4/276/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTIVE DISEASES: SEARCHING THROUGH THE BOWEL
In April 1984, George Poydinecz, a real estate investor in Clifton, New Jersey, traveled to Georgia to watch a golf tournament. While in a restaurant, he felt weak. In the men’s room he found he had passed a dark, bloody stool. “I didn’t have pain,” he says. “I just felt weak – my blood pressure dropped. I was bleeding inside.”
Doctors tried to pinpoint the digestive tract area that was bleeding. Barium X rays and CAT scans found nothing. Then, at Mount Sinai Medical Center, Manhattan, Dr. Henry Janowitz ordered a new search.
Dr. Stanley Goldsmith, of Mount Sinai’s nuclear medicine department, put radioactivity on the job. He took some blood from Mr. Poydinecz’s vein, mixed it with radioactive technetium, and injected it back into his patient. The red blood cells then sent out radioactive rays. Using a special camera to detect those rays, Dr. Goldsmith tracked the circulated radioactive blood. He found a pool of blood in Mr. Poydinecz’s small intestines, where a dilated vein had burst. Two days later, surgery solved the problem.
Such techniques are revealing the fundamental behavior of the entire digestive tract. By mixing radioactivity with food, scientists can see exactly how each digestive organ handles food. In some people, food is dumped quickly from the stomach, but it slows down in the small intestine. In others, it stays longer in the stomach but passes quickly through the rest of the digestive tract. Such individualized information helps doctors improve treatment for severe constipation, gas pains, and heartburn.
By linking radioactivity to cancer-seeking antibodies, chemicals that attach themselves to cancers, doctors can locate tiny cancers in the large intestine long before any symptoms show.
Finally, gastroenterologists (digestive tract specialists) use a fiber-optic tube, an instrument that enables them to see every nook and cranny of the digestive system. It consists of fine glass fibers bound together in a bundle as thick as a pencil and 9 feet long. Light travels down the tube even when it bends and moves, so the doctor can see into the twisting labyrinth.
Recently, doctors at Mount Sinai reported being able to examine the entire length of a small intestine in about 5 hours, with no damage to the patient. They could locate the kind of bleeding that afflicted George Poydinecz. Previously, physicians could use such fiberoptic tubes to explore no more than 6 feet of the intestine at a time.
*5/266/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTIVE DISEASES: HOW DIGESTION WORKS
Normally, everything in the digestive tract works nicely to break down the food you eat so it can be absorbed by your blood and used for energy and body repair.
Chewed food is swallowed and drops down the food pipe, or esophagus, into the stomach. The stomach then churns and bathes it in acid and enzymes. In less than an hour, the stomach begins pushing the food through the pyloric sphincter and into the duodenum. More digestive fluids come from the liver (bile, which is stored in the gallbladder) and pancreas. From there, the food moves into the narrow, 20-foot-long small intestine, where more enzymes break down the proteins, fats, and starches into food molecules that pass into the bloodstream. Finally, the undigested food – mostly plant fiber – moves into the wider, 5-foot-long large intestine, or colon.
The conquest of heartburn? Trouble can start right in the esophagus. One American in 10 suffers daily from heartburn, so called because it generates a burning sensation in the region of the heart. Rick Tucker, 40, a car dealer in Wytheville, Virginia, had such a severe case of heartburn; he thought he was having a heart attack. “I started to get chest pains,” he says, “and symptoms of a heart attack – shooting pains in my chest and left arm. Just thinking it was a heart attack made my heartburn worse.”
Basically, heartburn occurs if your stomach splashes acid up into your esophagus. The bitter, acidic fluid gets past the cardio-esophageal sphincter, the muscle between the stomach and the esophagus, and burns the food pipe’s delicate lining. Doctors once blamed this condition on a hernia in the hiatus (opening) of the diaphragm, which leads to the stomach, but many hiatus hernia patients have no heartburn.
Dr. Richard McCallum, of the University of Virginia School of Medicine, Charlottesville, contends that many heartburn patients’ stomachs empty too slowly, causing the acid to collect and rise. Drugs are being developed to treat this.
Dr. Donald O. Castell, of Wake Forest University’s Bowman Gray School of Medicine, Winston-Salem, North Carolina, says heartburn has many causes, including excess stomach acid, which drugs can reduce. Doctors also now have bethanechol and metoclopramide, drugs that tighten the cardio-esophageal sphincter to help keep acid out of the food pipe.
*4/266/5*

March 3, 2010 Categorized under Antibiotics, Gastrointestinal

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Other names: Asacol, Pentasa, Asacol
Canasa (Mesalamine)
EVERYTHING ABOUT VITAMINS: VITAMIN D [CALCIFEROL, VIOSTEROL, ERGOSTEROL, "SUNSHINE VITAMIN"]
Facts:
Fat soluble. Acquired through sunlight or diet. [Ultraviolet sunrays act on the oils of the skin to produce the vitamin, which is then absorbed into the body.]
When taken orally, vitamin D is absorbed with fats through the intestinal walls.
Measured in International Units [IU].
The RDA for adults if 400 IU.
Smog reduces the vitamin-D-producing sunshine rays.
After a suntan is established, vitamin-D production through the skin stops.
What it can do for you:
Properly utilize calcium and phosphorus necessary for strong bones and teeth.
Taken with vitamins A and it can aid in preventing colds. Help in treatment of conjunctivitis. Aids in assimilating vitamin A.
Deficiency disease:
Richets, severe tooth decay, osteomalacia, senile osteoporosis.
Best natural sources:
Fish liver oils, sardines, herring, salmon, tuna, milk and dairy products.
Supplements:
Usually supplied in 400 IU capsules, the vitamin itself is derived from fish liver oil. Daily doses most often taken are 400 to 1,000 IU.
Toxicity:
25,000 IU daily over an extended period of time can produce toxic effects in adults.
Dosages of over 5,000 IU daily might affect some individuals adversely.
Signs of toxicity are unusual thirst, sore eyes, itching skin, vomiting, diarrhea, urinary urgency, abnormal calcium deposits in blood-vessel walls, liver, lungs, kidney and stomach.
Enemies:
Mineral oil, smog.
Personal Advice:
City dwellers, especially those in areas of high smog density, should increase their vitamin-D intake.
Night workers, nuns, and others whose clothing or life-style keeps them from sunlight should increase the D in their diet.
Children who don’t drink D-fortified milk should increase their intake of D.
Dark-skinned people living in northern climates usually need an increase in vitamin D.
Do not supplement your dog’s or cat’s diet with vitamin D unless your vet specifically advises it.
*25/134/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTION: TEETH
While the motion of chewing increases the flow of saliva and thus helps soften food, the chewing itself is equally important in making what we eat more easily digestible. The toothless baby needs soft food; the dog, however, with his remarkable power of digestion, can bolt his meat in large hunks, including even bits of bone.
Man is provided with three kinds of teeth: the incisors, in front, to cut the food; the canine to tear; the bicuspids (or pre-molars) and the molars to grind it. We start early with “milk” or temporary teeth, and at six or seven begin to shed these and replace them one by one with thirty-two permanent ones. Our teeth have a pulp or soft interior of tissue with blood vessels and nerves; these latter are what make a trip to the dentist a sad ordeal to many people. Outside the core are two layers, cementum and dentine, much like bone only denser; and the very outer surface, enamel, resembling porcelain. All these layers are alive.
A striking example of the value to people of their teeth, or perhaps the trouble they cause, is shown in the yellow pages of our city’s telephone directory. The list of physicians, who take care of the whole body, is 111 inches long; that of dentists, who confine their ministrations to the jaws alone, takes up 59 inches, or over one half the length for physicians. The only inference I can draw from this measurement is that the teeth form the part of the human body least able to stand the “progress” of civilization. This is strange, for their importance in feeding and fighting caused them to develop early in the history of the race, and in an individual they form before the bones. Teeth decay even in wild animals and aborigines but contact with civilization speeds up this degeneration and nobody really knows why this happens. There is much talk of the effect of acid in the mouth, especially from eating sugar since bacteria form acids from sugars and other substances. Of course infectious bacteria play a role, for the mouth is, in a way, the dirtiest part of the human body. This has been sadly realized by many a street fighter who beat up his opponent but cut his knuckles on the other fellow’s teeth. The resulting infection was very wicked.
What is to be done to save the teeth? On the whole you will do well to go slow on sugar, keep your mouth as clean as possible, and have any cavities attended to promptly. But authorities tell us that in spite of the conscientious effort of the public to fight dental caries with the tooth brush and dentifrice, tooth destruction is as active as ever. An acrimonious discussion has long waged regarding the value of fluorine. As in the case with everything else in the human body, “just enough” gives excellent results. Overdoses of fluorine result in mottling of the teeth. If there is a fluorine deficiency, then decay increases. The theory is as simple as that; the application is difficult.
Practically all our organs deteriorate with disuse, and the teeth are no exception. The increasing use of soft mushy foods requiring little use of our teeth is presumably a great factor in their decay. However, with all their imperfections, they, or the store teeth with which many of us have replaced them, do a good job in preparing our food so that it may be in better shape for digestion.
*3/276/5*

March 3, 2010 Categorized under Gastrointestinal

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DIGESTIVE DISEASES: ILLNESS NO ONE TALKS ABOUT
It’s still not considered a subject for polite conversation. Far too many people turn away at the mere mention of the topic – and risk early death from disease of the stomach and bowel.
Digestive tract ailments kill thousands of Americans each year. Few people talk about them; even fewer ask for information about them – information that could save their lives.
Now more than ever, medical science can stop the onslaught of peptic ulcers, irritable bowel, colon and rectal cancer, chronic heartburn, even piles and constipation. But doctors need help: you first have to overcome your embarrassment and tell them where you hurt.
Alice Bull, 66, of Red Bank, New Jersey, owes her life to a simple test that pinpointed a small but deadly cancer lurking in the far reaches of her large intestine. It was the same sort of test that led doctors to find and remove the cancer from President Reagan’s bowel in 1985.
“I heard about the test on TV,” says Mrs. Bull. “I sent for it and took it. The test revealed hidden blood in my stool. And when I had X-rays, there was the cancer.” Surgery removed the growth.
The test was offered in 1979 in the New York area by the American Cancer Society (ACS) in cooperation with WCBS-TV News, for which I was health and science editor (now retired). More than 60,000 people sent in 2 dollars for the test, but only 15,000 (25 percent) returned their specimens. The others, it seems, couldn’t bear to take a tiny sample of their own feces. That squeamishness probably caused more than 100 deaths: the cancers were there, waiting to be detected and treated. But the victims never knew – until it was too late.
Seven years later, after the world had learned all the details of President Reagan’s bowel cancer, the ACS offered the test again. This time, 35 percent sent back specimens.
*3/266/5*

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