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Medical Forum / General / Alternative / March 2004

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Colonic irrigation for diverticular disease (was colon cleanse..)

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Toby Joe - 30 Mar 2004 12:49 GMT
From: "Jan" <jdrew63929@aol.com>
Sent: Monday, March 29, 2004 7:44 AM
Subject: Colon Cleanse Product
> Note this study doesn't mention the simplest things, like more fiber.
> Science skips over the natural way to solve these problems, all in the
> name of organized medicine.
>
> Jan
>
> http://tinyurl.com/2uqx7

That was interesting.

In that study there were four groups of children. The second two groups,
"c" and "d", involved congential malformations.    Group "a" is the one
where the children were retentive.   The med response to that actually
sounds quite "wholistic", in that it included a combination of dietary
changes,  a cognitive and behavioural approach (so the children learn to
overcome their fear of going to the toilet), as well as laxatives to
actually get things moving again.  Now if the laxes were something as
natural as cascara,  and assuming the dietary change recommendations were
optimal for the problem, then it would be difficult to fault the overall
program, going by the information in that abstract.

However in many cases, I agree that more natural approaches do seem to be
overlooked. Part of the problem may be that the possibility of early stage
intervention is often disregarded by both the patient and doctor, so that
by the time action is taken, surgery, for example, may be the only viable
option.

---

Here is a study showing that colonic irrigation may be a helpful
alternative treatment in diverticular disease:

J Chin Med Assoc. 2003 May;66(5):282-7.
A potential alternative treatment of uncomplicated painful diverticular
disease by trans-colonoscopic irrigation technique: a preliminary report.

Chen WS, Lin JK.
Division of Colorectal Surgery, Taipei Veterans General Hospital, National
Yang-Ming University, Taipei, Taiwan, ROC.

BACKGROUND:
Colonic diverticular disease is a common disorder in elder
patients. Medical treatment was usually recommended as the first line
management for this disease. However, the recurrence rate of such disorder
is still high. In patients with severe complications such as abscess or
fulminant inflammation, non-invasive diagnostic examination, abdominal CT
scan for example, is recommended. Its most common symptom is repeated
abdominal pain with disturbance of bowel habit. Many patients are found to
be with diverticular disease only after colonoscopic examination. The aim
of this study is to introduce a new irrigation-draining method and to
evaluate its efficacy in treatment of uncomplicated painful colonic
diverticular disease.

METHODS:
To reduce the risk of recurrence of acute diverticulitis
and other severe complications, we introduce a transcolonoscopic irrigation
technique for patients of uncomplicated diverticular disease by flushing
out the obstructed fecalith from the diverticular sac in order to improve
the drainage from the obstructed diverticular sac.

RESULTS:
Thirty-two patients
of uncomplicated painful diverticular disease with obstructed fecalith
impacted were treated by this technique. Clinical symptom improved in all
of them and no complications developed during the mean follow-up period of
46 months.

CONCLUSION:
The results of this preliminary study suggest that this
technique accomplished in the colonoscopic examination without additional
therapeutic procedures. It provides another potential alternative to the
conventional medical treatment for patients with uncomplicated diverticular
disease.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=A
bstract&list_uids=12908570

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Rich.@. - 30 Mar 2004 17:13 GMT

>Here is a study showing that colonic irrigation may be a helpful
>alternative treatment in diverticular disease:
[quoted text clipped - 42 lines]
>http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=A
>bstract&list_uids=12908570

Comment: There was no control group to compare results. It also does
not talk about how they determined clinical symptom improvement. There
also obviously was no blinding of the study.

To make this a decent study one would have one group that had a real
transcolonic irrigation and another (placebo) group that had a sham
transcolonic irrigation so that the patients would not know which they
were receiving. And then you have the people who rate improvement
blind to who was in treatment group and who was in control group.

Having said that it appears common sense that if a person is
experiencing pain secondary to irritation by something lodged in
diverticula then dislodging it will lead to improvement. But this is a
very specialized situation and certainly not a reason to routinely do
colonics if you are chronically constipated.

Aloha,

Rich
-------------------------------------------------
-------------------------------------------------

The best defense to logic is ignorance
Peter Moran - 30 Mar 2004 21:54 GMT
> From: "Jan" <jdrew63929@aol.com>
> Sent: Monday, March 29, 2004 7:44 AM
[quoted text clipped - 19 lines]
> optimal for the problem, then it would be difficult to fault the overall
> program, going by the information in that abstract.

Thankyou for pointing this out to Jan.

I disagree with you about Cascara, which is a potent cause of melanosis coli
and possibly also of the damage to the neural plexus of the colon that can
occur  with the long laxative usage that is often needed in these children.
In medicine nowadays another herbal laxative, Senna,  would be usually used,
but it may also share such problems with long usage.    Magnesium salts, if
you can get a child to take them, may be even safer for long term usage.

I don't see that any are more  "naturual" than another.

Peter Moran

> However in many cases, I agree that more natural approaches do seem to be
> overlooked. Part of the problem may be that the possibility of early stage
[quoted text clipped - 48 lines]
> conventional medical treatment for patients with uncomplicated diverticular
> disease.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=A
> bstract&list_uids=12908570
Toby Joe - 31 Mar 2004 01:05 GMT
> > From: "Jan" <jdrew63929@aol.com>
> > > http://tinyurl.com/2uqx7
[quoted text clipped - 14 lines]
>
> Thankyou for pointing this out to Jan.

I am glad she posted the abstract. It caused me to stop and think about
what was actually being done for and with those children. Doesn't seem to
be even a whisker of the archetypal "eom" in sight. :)    Rather, a humane
response, requiring patience and dedication irt those kids.

> I disagree with you about Cascara, which is a potent cause of melanosis
> coli and possibly also of the damage to the neural plexus of the colon
> that can occur  with the long laxative usage that is often needed in
> these children.

I did not know that. My mother used to dish it out to us as children, and
being "herbal" I thought it was safe.   Do you have any refs on the web
that you would recommend for further information irt both or either the m
coli and/or the colon damage?  Would be good to be aware of it, as others
have also thought of it as being "safe".

> In medicine nowadays another herbal laxative, Senna,
> would be usually used, but it may also share such problems with long
> usage.

Yes, and it seems to work more as a purge than a laxative?  Or perhaps that
is a factor of dosage.  Also, different parts of the plant have different
or more potent effects I think, and in some health food shops "senna" would
be on sale without identifying whether it was from the bark or the leaves.
Buying the wrong one meant going through stomach cramps and a feeling of
having the insides of your stomach ripped out, while the right one worked
without having any such unpleasant side effects.

>  Magnesium salts, if you can get a child to take them, may be
> even safer for long term usage.

You mean "Epsom Salts"?   The taste is near-unbearable for some kids, and
they simply cannot drink it.

My concern about it's long term regular use is that it draws water into the
bowel, causing it to swell, doesn't it?  Couldn't that lead to an
unnaturally enlarged bowel?

> I don't see that any are more  "naturual" than another

All of those are fairly straightforward, yes.

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www.unicef.org/sowc02/g31.htm

Rich.@. - 31 Mar 2004 01:10 GMT

>> I disagree with you about Cascara, which is a potent cause of melanosis
>> coli and possibly also of the damage to the neural plexus of the colon
[quoted text clipped - 5 lines]
>that you would recommend for further information irt both or either the m
>coli and/or the colon damage?  

Do you know about Google Toby?? If so I would suggest typing "Cascara"
and "melanosis" and do a search. In a matter of seconds you will have
plenty of references. Are you always this lazy about doing your own
research??

This is also a reminder to those who think that natural equates with
safe that it often does not. A word to the wise who think that
colonics are at best harmless. They may cause much more harm than you
know without any benefit.

Aloha,

Rich
-------------------------------------------------
-------------------------------------------------

The best defense to logic is ignorance
 
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