Document 7644429

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Transcript Document 7644429

Colon Hydrotherapy Michael Hamilton

Advisor: Prof. Fahringer

• History of Colon Hydrotherapy • Theory • Information about I-ACT • Concerns • Contraindications • Medical Benefits

Overview

History

• Colon Hydrotherapy is the natural evolution of the enema • The enema was first recorded in ancient Egyptian documents • Also mentioned in the writings of Great Civilizations • Sumerians • Chinese • Hindus • Greeks • Romans • Hamiltons

History cont.

• Most pre-eminent physicians reported on the value of the enema

• Hippocrates • Galen • Regnier DeGraff

• 17th Century known as the “age of the clyster”

History cont.

• Many European Kings appreciated the benefits of the Enema • Louis XI - credited the enema with relieving attack of seizures • Louis XIII received over 200 enemas in one year

History cont.

• Louis the XIV, ardent supporter

• Had over 2,000 enemas during his reign.

• He even received court functionaries and visitors during the procedure 1 .

1.Lieberman, William, M.D., “The Enema”,

The Review of Gastroenterology

, Volume 13, May-June 1946 Court Function During Enema

History cont.

• In the early 1900s, Dr. Kellogg popularizes colon cleansing • He reported in the 1917 Journal of American Medicine that in over 40,000 cases, as a result of diet, exercise, and enema (colon hydrotherapy), “in all but twenty cases”, he had used no surgery for the treatment of gastrointestinal disease in his patients.

History cont.

• • • 1950’s • colon hydrotherapy was flourishing in the U.S.

• the prestigious Beverly Boulevard in California was then known as “colonic row” Mid-1960’s • colon hydrotherapy slowly dwindled Early 1970’s • • most colon hydrotherapy instruments were removed from the hospitals and nursing homes PRESCRIPTIVE LAXATIVES and SURGERY GAIN FAVOR

History Summary • Colon hydrotherapy/enemas have been around for thousands of years • Two IMPORTANT conclusions

• First, there is something of value by cleansing the colon • Second, it has never received the attention it justly deserves

• Extended and more complete form of an enema • Gently infuse warm, filtered water into the rectum • End Results • Hydrates the colon • Waste is softened and loosened • Evacuation is through normal peristalsis • Irrigates/cleanses the colon

Theory

Theory cont.

• Modern FDA registered equipment • Carried out by qualified personnel • Cleans beyond the rectosigmoid area through a series of fill and empty cycles • Safe and effective when guidelines are adhered to

Theory cont.

• Various Types of FDA registered equipment

I-ACT

• International Association for Colon Hydrotherapy • I-ACT is the International Association for Colon Hydrotherapy • I-ACT establishes the training standards and guidelines • I-ACT is committed to work with the FDA, International organizations, states and municipalities to enhance the safety of colon hydrotherapy • I-ACT is the certifying body for colon hydrotherapists around the world

I-ACT cont.

• Membership

• Over 2200 Members • Over 400 International Members

• Certification Levels

• Foundation Level • Intermediate Level • Advanced Level • Instructor Level

• What about contamination or spread of disease?

• Only report was in New England Journal of Medicine, August 5, 1982 • No reports of contamination when using modern FDA registered equipment and the equipment is disinfected according to manufacturer guidelines • Single use, disposable speculums / rectal tubes, and tubing

Concerns

Concerns

• What about puncturing of the colon?

• There have been allegations of puncture when using enemas and colonic irrigation • Recommend caution during insertion of speculum/rectal tube and follow the recommendation of the physician/healthcare provider and/or the manufacturer of the equipment • Facts • The pressure of the water during the session is very low • from 1/4 lbs. to 2.0 lbs • The Speculum / Rectal Tube in only inserted approximately 2 inches into the rectum

Concerns • How will I assure the patients therapist is reputable?

• Recommend that the patient seek the services of an I-ACT certified colon hydrotherapist using currently registered FDA equipment and disposable supplies, and filtered water

Concerns

• Electrolyte imbalances • Study conducted by National University • John R. Collins, N.D., Paul Mittman, N.D., Mara Katlaps, B.A.

• “No patients experienced any clinically significant complications or complaints during or after the course of treatment.” • Only problem might be encountered with paraplegics that are unable to completely release their bowels.

• • • • • • Abdominal distensions Adrenal exhaustion Anemia Aneurysm Carcinomas • Colon Cardiac conditions • Uncontrolled blood pressure • Hypertension • Hypotension • Congestive heart failure

Contraindications

• • • • • • • Crohn Colitis ’ s Diverticulosis • Diverticulitis Fistulas Fissures Hemorrhage Hemorrhoids

Contraindications cont.

• • • • Hernias Liver • • • Jaundice Acute failure Cirrhosis Lupus Perforations • • Intestinal Colon • Sigmoid • Rectal • Pregnancy • First trimester • Third trimester • Renal • • • One kidney Insufficiency Dialysis • Surgery • Abdominal • Colon • Rectum • He morrhoidectomy

Precautions cont.

• Medications

• Coumadin • • • • • • Digoxin Lasix (furosemide) Prednisone Lipitor ASA/NSAIDS Methotrexate

Indications

• • FDA • When medically indicated, such as before radiological or endoscopic examination Practitioners Suggested Benefits (not listed by FDA) • Health maintenance •

DETOXIFICATION

(correct imbalance) • Symptomatic relief • • • Constipation Indigestion Functional bowel problems

Indications cont.

• Benefits (not listed by FDA) • • Assessment of bowel function Removal of impacted feces • • Removal of foreign material Rehydration of bowel • • Toning of the bowel Aids in bowel re-training • Improved bowel elimination

Indications cont.

• Benefits (not listed by FDA) • Removal of bowel toxins which may be a cause of chronic inflammatory disease processes • • • • • Improved sense of well-being Improved immune response Aids in bowel cleansing Aids in elimination of stored toxins Aids in restoring the integrity of the mucosal lining • Improvement of quality of life

Summary • Safe • Relatively Inexpensive ($65) • Licensed Practitioners • Effective

(This message not reviewed by the FDA )

• So can we advocate this practice as PA’S?

That answer is as clear as…

Mud

Sources

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Alba S, Nascimbeni R, Di Betta E, Villanacci V, Salerni B. Arthritis as a rare extra-intestinal manifestation of acute sigmoid diverticulitis. Dig Surg 2001;18:233-4. Alvarez WC. Origin of the so-called autointoxication symptoms. JAMA 1919; 72:8-13.

Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study. Am J Gastroenterol 2000;95:3418-22. Bastedo W. Colon irrigations. New England Journal of Medicine 1928;199:865-866. Bertin L, Brion N, Farkkila M, Gobel H, Wessely P. A dose-defining study of sumatriptan suppositories in the acute treatment of migraine. Int J Clin Pract 1999;53:593-8. Chen TS, Chen PS. Intestinal autointoxication: a medical leitmotif. J Clin Gastroenterol 1989; 11:434–41.

Collins JG, Mittman P. Effects of colon irrigation on serum electrolytes. Journal of Naturopathic Medicine 1990;1:4-9. Ernst E. Colonic irrigation and the theory of autointoxication: a triumph of ignorance over science. J Clin Gastroenterol 1997; 24:196–8.

Friedenwald J, Morrison S. Value, limitations, indications and technic of colonic irrigations. Medical Clinics of North America, May 1935, 1611-1629. Garakani A, Win T, Virk S, Gupta S, Kaplan D, Masand PS.

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Gatto NM, Frucht H, Sundararajan V, Jacobson JS, Grann VR, Neugut AI. Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study. J Natl Cancer Inst 2003;95:230-6. Hippocrates. On Regimen in Acute Disease (Part 6 and Appendix parts 1, 2, 3, 5, 7, 8, 9, 11, 19, and 24) 400 B.C., [last accessed 03.26.2007].

FDA Warning Letter, March 1, 2003. Accessed on June 15, 2004, http://www.fda.gov/foi/warning_letters/g3916d.htm FDA Device Classification Website. Accessed on June 1, 2004, http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?FR=876.5220 Horne S. Colon cleansing: a popular, but misunderstood natural therapy. J Herb Pharmacother 2006; 6:93–100.

Kelvinson RC. Colonic hydrotherapy: a review of the available literature. Compl Ther Med 1995;3: 88-92.

Muranishi S. Characteristics of drug absorption via the rectal route. Methods Find Exp Clin Pharmacol 1984;6:763-72. Nelson RL, Abcarian H, Prasad ML. Iatrogenic perforation of the colon and rectum. Dis Colon Rectum. 1982;25:305-8. Person JR, Bernhard JD. Autointoxication revisited. J Am Acad Dermatol. 1986;15:559-63. Richards DG, McMillin DL, Mein EA, Nelson CD. Colonic irrigations: a review of the historical controversy and the potential for adverse effects. J Altern Complement Med 2006;12: 389–93.

Shevchuk NA, Hydrotherapy as a possible neuroleptic and sedative treatment, Med Hypotheses (2007), doi:10.1016/j.mehy.2007.05.028

Swank GM, Deitch EA. Role of the gut in multiple organ failure: bacterial translocation and permeability changes. World J Surg 1996;20:411-7. Taffinder NJ, Tan E, Webb IG, McDonald PJ. Retrograde commercial colonic hydrotherapy. Colorectal Dis 2004; 6:258–60.

Whorton JC. Inner Hygiene: Constipation and the pursuit of health in modern society. Oxford University Press, 2000.