Does moisture affect the chronic fatigue syndrome
Inflammatory bowel disease
Inflammatory bowel disease
Crohn's Disease (MC): Causes, Symptoms, and Diagnosis
Crohn's disease (Latin for “disease”, Dr. Crohn is one of the first to describe it) is an inflammation of the gastrointestinal tract. The terms: Crohn regional enteritis, terminal ileitis, regional enterocolitis and sclerosing chronic enteritis are used synonymously.
The causes of Crohn's disease have not yet been clarified, but there are various theories about its origin.
• A frequent classification is as an "autoimmune disease", i.e. a misdirected immune reaction of the body against its own tissues.
• There are indications of hereditary, genetic predispositions, but environmental influences also seem to play a major role.
• Scientific studies indicate psychosomatic and bacterial influences.
• Crohn's disease is twice as common among smokers.
• The influence of nutritional factors is unclear.
The lower small intestine (ileum) and the transition to the large intestine and the large intestine (colon) itself are most commonly affected. The chronic granulomatous disease, which often runs in episodes and affects all layers of the intestinal wall, can occur from the mouth to the anus. Segmental infestation (so-called skip lesions) of the intestinal mucosa is typical. Several sections of the intestine, separated from each other by healthy sections, can be affected at the same time.
As a result of the inflammatory process, narrowing of the intestine (stenoses) and fistulas can occur. Fistulas are inflammatory connecting ducts, e.g. between different sections of the intestine, but also between the intestine and the skin or other internal organs. These fistulas are often found in the area of the anus.
Abdominal pain and prolonged (sometimes bloody) diarrhea are common symptoms of MC. Weight loss can often be seen as a result of the impaired digestive function. However, these symptoms as well as others such as fever, weight loss, loss of appetite, nausea and vomiting are not only typical and prove whether it is Crohn's disease, so that only various examinations lead to the diagnosis: ultrasound of the abdomen (abdominal ultrasound), laboratory examinations, stomach - and colonoscopy (esophago-gastro-duodenoscopy and colonoscopy), CT (computed tomography) and MRI (magnetic resonance imaging). The so-called "capsule endoscopy" is used especially for the examination of the small intestine (with the help of a swallowable camera capsule, images are automatically sent from the digestive tract to the outside, which are then assessed for pathological changes by a suitably trained doctor).
Up to 50% of patients experience symptoms outside of the digestive tract, e.g. on the skin, eyes, and joints.
THERAPY OF CROHN'S MORBUS IN EDUCATIONAL MEDICINE
Since the cause of Crohn's disease is not known, conventional medical therapy is limited to symptomatic treatment with medication, which, depending on the situation, i.e. in the case of an attack or in the chronic stage, as tablets or, in some cases, also locally, e.g. as a suppository or enema , can be used. These include, for example: immunosuppressants, glucocorticoids (they are the most important drugs in the treatment of Crohn's disease, e.g. in the form of budesonide), salazosulfapyridine, mesalazine (5-aminosalicylic acid), metronidazole and ciprofloxacin (these can mainly be used to treat fistulas ), in the case of severe or refractory attacks, TNF blockers such as infliximab and adalimumab are used in particular. Immunosuppressants, glucocorticoids (e.g. in the form of budesonide), salazosulfapyridine, mesalazine (5-aminosalicylic acid), metronidazole and ciprofloxacin as well as TNF blockers such as infliximab and adalimumab. In the case of acute, severe relapses, surgical therapy is often the only option.
ULCEROSA COLITIS: CAUSES, SYMPTOMS AND DIAGNOSIS
Ulcerative colitis (translated somewhat "inflammation of the colon associated with ulcers) is like Crohn's disease, a chronic inflammatory bowel disease that runs in episodes. In contrast to this, it is limited to the large intestine and not all layers of the wall, but only the mucous membrane (mucosa and submucosa ) concerns.
The causes of ulcerative colitis have not yet been clarified, so there are also various theories about its origins. A frequent classification here is as an "autoimmune disease", i.e. a misdirected immune reaction of the body against its own tissue. There are indications of hereditary, genetic predispositions, but environmental influences also seem to play a major role. Other factors seem to be psychosomatic and bacterial influences as well as nutritional aspects.
Typical symptoms of ulcerative colitis are bloody, slimy diarrhea, which is accompanied by severe abdominal cramps (tenesmen). Possible symptoms are also fever and increased inflammation parameters. Weight loss can often be seen as a result of the impaired digestive function. In ulcerative colitis, symptoms can also occur outside the digestive tract, e.g. on the skin, eyes and joints, but also on the liver (in the form of primary sclerosing cholangitis (PSC)).
The inflammatory process can lead to complications, especially the “toxic megacolon”, an inflammation of all intestinal wall layers with dilatation (expansion) of the large intestine to a diameter of> 10 cm with the risk of perforation, ie a tear in the intestinal wall). Bleeding can occur and carcinomas can develop, especially as a long-term consequence. Fistulas are much less common than in Crohn's disease.
In the case of ulcerative colitis, too, various examinations lead to the diagnosis: ultrasound of the abdomen (abdominal ultrasound), laboratory examinations, gastric and colonoscopy (esophago-gastro-duodenoscopy and colonoscopy), CT (computed tomography) and MRI (magnetic resonance imaging).
ULCEROSA COLITIS THERAPY IN EDUCATIONAL MEDICINE
Since the cause of ulcerative colitis, such as Crohn's disease, is not known, conventional medical therapy is limited to symptomatic treatment with medication that, depending on the situation, i.e. in the event of an attack or in the chronic stage, as tablets, because of the good Accessibility of the large intestine but if possible administered locally, e.g. as a suppository or enema. These include, for example: immunosuppressants, glucocorticoids (e.g. in the form of budesonide), salazosulfapyridine, mesalazine (5-aminosalicylic acid), metronidazole and ciprofloxacin as well as TNF blockers such as infliximab and adalimumab.
In acute, severe relapses such as the toxic megacolon, surgical therapy is often the only option. Due to the risk of cancer after several years of progress, appropriate controls are necessary in order to surgically remove a carcinoma if necessary.
ULCEROSA COLITIS AND CROHN'S MORB FROM THE VIEW OF CHINESE MEDICINE
From the point of view of traditional Chinese medicine / TCM, ulcerative colitis and Crohn's disease are a disruption of the immune reactions, which predominantly take place in the intestines.
Depending on which phase the disease is in (relapses / active form, transition, free interval), a distinction is made between three symptoms in TCM:
• The weakness of the spleen / gastric (intestinal) functional circuit
• Damp heat / toxic heat
• Emotional disorder
From the point of view of conventional medicine, therapy with traditional Chinese medicine is not considered an alternative therapy but rather a complementary therapy to conventional treatment.
I therefore urgently recommend discussing the planned therapy with traditional Chinese medicine with your doctor beforehand.
THERAPY PRINCIPLE FROM THE VIEW OF TCM
CREATION OF A WELL FUNCTIONING IMMUNE SYSTEM / STRENGTHENING THE SPLEEN / STOMACH FUNCTIONAL CIRCUIT
The weakness of the spleen / stomach circuit indicates the degree of exhaustion and vulnerability of the body. It can be innate or acquired through poor lifestyle / eating habits. In the spleen / stomach functional circuit, the weakness shows up as digestive problems.
There is a lack of energy for a normal physiological process to utilize the ingested food. The consequences are loose stools, frequent bowel movements or stubborn constipation, mucus in the stool, food residues in the stool, constant intestinal noises with flatulence, bloating or nausea. The weakness goes beyond the spleen / stomach functional circuit and affects both the physical and psychological well-being of the body. This manifests itself in general exhaustion, tiredness, listlessness, depressive moods and susceptibility to infection, which is caused by the weak immune system. Due to the weakness, there is not enough energy to warm the body. The result is freezing, cold hands and feet.
The weakness of the spleen / stomach functional circuit is mainly evident in the free interval.
ELIMINATION OF DAMP HEAT
Damp heat indicates the degree of inflammation caused by heat and moisture in the body or in the intestines.
The inflammatory processes that take place in the intestine are comparable to an inflamed wound on the skin. The heat manifests itself in reddening, overheating and a tendency to bleed of the wound. The moisture causes swelling in the surrounding mucous membrane. Mucus and pus are released from the wound. This causes slimy and possibly bloody diarrhea. A badly infected wound starts to stink. Accordingly, the stool and the flatulence also smell unpleasant. If a strong heat build-up develops, this can turn into toxic heat. The body's general heat response is manifested as an increased temperature / fever, sweating, feeling thirsty, dry mouth, dry skin, brittle nails and hair.
These symptoms are very pronounced in the acute episode.
ACCOMPANYING PSYCHOLOGICAL DISCUSSION THERAPY FOR EMOTIONAL DISORDERS:
The emotional disorder indicates the level of your emotional tension.
It does not matter whether the emotional tension triggered ulcerative colitis or Crohn's disease, or whether the illnesses led to the emotional imbalance. It is crucial that it is always there.
Acute flare-ups of ulcerative colitis and Crohn's disease can be influenced by psychological factors. Stress and emotional stress disturb the inner harmony, the balance and thus the self-healing powers. The consequences are: tension, irritability, mood swings, anxiety, depression, tension in the muscles, grinding of teeth, abdominal pain or cramps, diarrhea or constipation. They say "I can't digest it well"
All three components, weakness of the gastrointestinal tract, moist or toxic heat and emotional tension are always present in every phase of ulcerative colitis and Crohn's disease, but with different characteristics, which are treated at the same time, but with different focuses.
Acute flare-up of ulcerative colitis or Crohn's disease
• Bloody, slimy and painful stools, ulcer formation, possibly also fistula formation, abscess and fever.
• The acute flare-up can be sudden and aggressive.
• The damp heat can turn into Toxic Heat.
• Most of the time, the proportion of emotional disturbance in the acute episode is relatively large.
• Weakness of the gastrointestinal tract is always present, but takes a back seat due to the activity of the moist heat.
Inflammation-free interval of ulcerative colitis or Crohn's disease.
• It shows the weakness of the gastrointestinal tract, with a more or less large part of the emotional disturbance.
• The damp heat is only slightly pronounced.
• Maybe just a little, more thirst, sensation of warmth or smelly stool.
• The proportion of gastrointestinal weakness can be considerable.
• Due to the emotional stress, more and more signs of damp heat can develop and thus getting an acute repeated flare-up is great.
The therapy of inflammatory bowel inflammation is a challenge for TCM therapists. However, TCM is able to deal with damp heat, weakness of the gastrointestinal tract and the emotional disturbance at the same time with acupuncture, medicinal herbs and a change in diet.
BRIEF INFORMATION ON THE FUNCTIONING OF THE DIGESTIVE ORGANS
Ulcerative colitis and Crohn's disease are inflammatory bowel diseases that can significantly reduce the quality of life of those affected. Repeated relapses or chronic continuous inflammation, frequent hospital stays and side effects from both the disease itself and from taking medication can lead to considerable physical and emotional stress.
In many areas of life such as school performance, friendship, professional / private life, partnership, family planning, leisure activities are impaired.
Well-known sayings about the intestine show us how important our organ, which is around 500 square meters, is for our health and for our immune system.
"Healthy intestines, healthy people"
"Death sits in the intestine"
"The intestine as the root of the human plant"
"The intestine is the father of tribulation"
Many people find it normal to be able to go to the bathroom only once or twice a week.
Every fourth person in Germany occasionally suffers from constipation. Constipation affects women much more often than men. Of these people, one in four takes at least occasionally, laxatives. Of those who take laxatives, one in four uses laxatives on a regular basis. This means that there is a laxative addiction. There are almost 100 laxatives on the Red List. The pharmaceutical industry gladly takes on the concerns of the constipated and offers inexpensive and reliable drugs. However, these remedies do not treat / cure constipation, but rather create constipation.
What happens to our body's organic waste bin at a body temperature of 37 degrees Celsius? Gases / methane and hydrogen are produced by fermentation and putrefaction of the food. The result is a sluggish, sluggish bowel, gas and irregular bowel movements. Instead of being the "cradle of health", the intestine is transformed into a landfill. The body is poisoned by constipation, the focus and place of origin (colon and rectum) of which we often overlook and ignore.
Many examples / ways of misdirecting the digestive system are unlimited
• Malnutrition due to incompatible food, too difficult to digest like cold food (raw food), too fatty and too one-sided, finished dishes.
• Bad eating habits such as eating a meal in front of the TV, chewing too little, being too hasty while eating and drinking, talking too much while eating, stress at work, or relationship problems / arguments while eating.
• Unhealthy behaviors such as “constantly keeping yourself physically and mentally in constant tension out of habit or fear of missing something” and you don't allow yourself to rest
• The opposite of constant tension is lack of exercise
• Excessive consumption of nicotine, alcohol, caffeine, sweets, drugs and medication
From the point of view of TCM, the above-mentioned nutritional errors / habits “lead to an imbalance in the digestive system. The intestine is no longer able to exercise and carry out its vital functions. Instead of draining and resorbing the food pulp, he is busy removing the waste. The intestine leaves incompletely processed food pulp on the inner walls of the large intestine, which makes the intestinal function significantly more difficult. Over time, this layer will be so thick that only a thin pipe remains for the manure passage.
We do not like to hear the cries for help from the very important and overloaded organ.
A healthy, empty intestine weighs around 2 kilograms, as does normal intestinal flora. The many indentations and pockets of the intestine provide an ideal breeding ground for germs, fungi, worms and other parasites that poison the blood and lymphatic system and thereby disease the entire system. The result is poor health and a lack of vitality and poor immune systems. Unfortunately, this phenomenon appears in our society today! as a normal and inevitable.
OUR DIGESTIVE SYSTEM IS A HIGHLY COMPLEX SYSTEM.
The duodenum / small intestine deacidifies the chyme, secretions from the pancreas break down the sugar, and juices are added through the liver and biliary tract for further digestion. The nutrients are absorbed in the small intestine and the first half of the large intestine. These get through their walls into the blood and thus serve to strengthen and regenerate our body.
The large intestine separates liquid from solid and covers about 80% of our body's immune system.
Bacteria and viruses as well as parasites are paralyzed in the intestines.In addition, the intestine is the place where messenger substances, immunoglobulins, hormones, vitamins, enzymes and the vital vitamin K are produced by the healthy intestinal flora.
At the lowest end, the large intestine serves as a reservoir for feces.
The intestine plays an important role in regulating the water balance.
Large amounts of fluid are absorbed and excreted through the intestines.
On average, we ingest one and a half liters of water through food and drinks. In addition, about eight to nine liters of fluid enter the intestine in the form of saliva, gastric juice, secretions from the small intestine, pancreatic juice and bile fluid. That's about ten liters in total. Around eight to nine liters of water are reabsorbed in the small intestine, and another liter in the large intestine. The stool therefore only contains 100 to 200 milliliters of water.
You can see how important our digestive organs are for maintaining our health.
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