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Blog: On Health. On Writing. On Life. On Everything.

When Things Are Falling Down

November 19, 2015

Tags: order, herbs, movement, water, abdomen, aging, amalaki, antibiotic, antibiotic resistance, anus, ayurvedic, bacteria, balance, bastard myrobalan, bathroom, bibhitaki, bladder infection, bladder wall, birthing, bloating, bowel movement, child birth, comfort, complications, constipation, corn silk, cramps, cranberry, curse, diarrhea, death, diabetes, discomfort, Emblica officinalis, essential oil, eye, fatigue, female affliction, fluids, gastro-intestinal tract, germ, haritaki, India, Indian gooseberry infection, intercourse, internal organs, invasive procedure, Kegel exercises, kidney infection, medical advance, mesh, microbiome, olive oil outcome, pelvic muscles, perineum, pessary, plumbing, preventing falls, private parts, probiotic, prolapse, prophylaxis, rosemary, sepsis, sexual muscles, standing on one leg, surgery, susceptibility to infections, Terminalia bellirica, Terminalia chebula, thyme, toilet, triphala, urinary tract infection - recurrent, usnea, UTI, uva ursi, vulva, water - running, sanitation, side-effects, vagina, vaginal probiotics, washing hands, weight gain, When Things Are Falling Down, wiping, World Toilet Day, worst case scenario, yellow myrobalan

Today is World Toilet Day, and most writers today will talk about the importance of hygiene – which is indeed more valuable than all the other medical advances combined, in my opinion. Every person in the world deserves running water and good plumbing, and so many don’t have it: 2.4 billion people worldwide lack access to decent sanitation!

But the things I am want to talk about are internal organs, and when they fall, or droop, physicians call it prolapse. It is, of course, a female affliction (curse?). Often it results from child births (and I wonder if modern medicine that wants to speed up the birthing process, has given us more prolapses – we never will be seeing a study about this, I fear). Prolapse can be uncomfortable when you walk, and even hurt outright. But the worst part is that they might cause recurrent urinary tract infections (UTIs). There’s the connection to toilets, when you are running to the bathroom twenty times a day, and the whole middle of your being hurts like hell.

Recurrent UTIs are dangerous because a simple bladder infection can rise into the kidneys and eventually even leading to sepsis (an infection of the whole body), and at its worst, death. And death doesn’t seem to be the worst outcome: The many courses of antibiotics – often the doctor tells the patient that they have to be on antibiotics for the rest of their lives to prevent the worst case scenario – damage the precious bacteria in the intestines, and lead to all sorts of complications: weight gain, susceptibility to other infections, fatigue, bloating, cramps, constipation, diarrhea, and so on. The last few years has brought us so many studies about the microbiome (the beneficial bacteria in our bowels) that it is hard to exaggerate its importance to your health. And every course of antibiotics will damage that healthy balance in your belly. - Hear that I am not altogether against antibiotics; they have saved lives (mine, for instance). But they can have grave side-effects, notably now antibiotic resistance.

Conventional medicine recommends, besides Kegel exercises, surgery. Particularly, the insertion a special mesh down there to keep organs up, has not been very successful; women are suing the manufacturer in droves, and the mesh has been abandoned. But since every surgery carries a risk of infection and death with it – and repairing prolapse might make symptoms worse – surgery should be your last resort. You could also insert a pessary into your vagina to provide structural support. It works for some women.

Here are the natural alternatives to invasive procedures; combined – can make a huge difference in the discomfort or comfort you feel in your most private area:

1. Standing on one leg whenever you think of it – while brushing your teeth, waiting for the bus, chopping an onion. This will strengthen your pelvic (and sexual) muscles – and is not as boring as Kegel exercises. It is also good exercise for your legs and good for balance – very important to prevent falls when you get older.
2. Inserting vaginal probiotics every evening into your vagina.
3. Oral probiotics. They heal your bowels after a course of antibiotics, and have shown to decrease the number of recurrent urinary tract infections prophylactically.
4. Washing your hands after each bowel movement religiously and then pampering your private parts (wipe from the front to the back - vulva to perineum to anus; never the other direction!) with a mixture of olive oil and a few drops of an essential oil like rosemary or thyme; they are antibacterial. Make sure you always wash your hands and use essential oil before you, for instance, insert the nightly vaginal probiotic capsule. It is tiny, and no, it won’t interfere with intercourse.
5. Taking triphala, the ayurvedic herb, which will prevent constipation. Naturally, if your problem is diarrhea, don’t take triphala on top of it. Triphala is an ancient combination of three Indian herbs: Amalaki or Indian gooseberry (Emblica officinalis), Bibhitaki or bastard myrobalan (Terminalia bellirica), and Haritaki or yellow myrobalan (Terminalia chebula). Triphala is actually a balm for the gastro-intestinal tract, and is also good for your eyes. Besides it works against diabetes.
6. Take a zinc supplement to boost your immune system.
7. Prophylaxis with cranberry, uva ursi, usnea, corn silk, and so on, if needed every day. Especially after sex. Cranberry prevents bacteria to latch onto your bladder wall, so they are flushed out easier.

Women and their doctors often think that prolapse is an inevitable part of aging. It shouldn’t be! - Happy Toilet Day!

From Mouth to Anus

May 15, 2013

Tags: order, food, water, addiction to food, additive, aging, air, almond milk, antibiotic resistance, antibiotics, anus, baby, bacteria, bowels, brushing, buttermilk, cancer-breeding, caplets, capsules, carrageenan, caries, cosmetics, dairy - dangers of, dairy-free, dental hygiene, dentist, disease, fat, feed lots, fermented foods, flossing, fluoride, fluoride toothpaste, From Mouth to Anus, fruit, fruit substitute, full fat content, gastrointestinal tract, gene-technologically inserted, gum disease, gut-healthy, H2-receptor blockers, heartburn, hormones, household cleaners, inflammatory, ingredients, inhumane animal husbandry, improved, Internet, intestinal health, kefir, kimchi, labels, live cultures, meat, medication, medicine, microbiome, milk, milk products, milk proteins, miso, Mother Earth, mouth, mouth mucosa, natural, neem-based, no man is an island, nursing home, odor, oral cavity: acidity, oral health, organic, pasteurizing, patient, physician, plaque, poisonous, pollutants, Prevacid, Prilosec, probiotic powder, probiotics, processed, proton-pump inhibitors, quest, sauerkraut, skin, soap, soil, skimmed, societies – "primitive”, sour cream, stomach ache, sugar, sugar-free, sweetener, swish & swallow, swishing, Tagamet, tapioca, teeth, teeth brushing, tooth powder, tempeh, yogurt, Zantac

Medicine, for me, is a quest for my healthier self, and healthier patients. I am learning something new every day. In a way, I feel sorry for my patients of so many years ago – now, I think, I could help them so much better.

This also implies that you – the patient – could possibly be a step ahead of your physician, if you are trying to figure out what makes your body feel better and stronger and more awake, and happier. With the Internet, we all have more information at our fingertips, flawed and good information, for sure – but more of the latter. If you ask me.

Take for instance the stomach problems that plagued me when I was younger. Setting out with conventional drugs like H2-receptor blockers (Tagamet, Zantac) and proton-pump inhibitors (Prilosec, Prevacid) years ago, I at least got the problem under control. Then, twenty years the, I found that at the root of my heartburn and stomach aches were allergies: I left out the offending foods – and I dropped all meds, and never looked back.

Forward a bit, and I discovered probiotics – bacteria that are helpful for the intestines. They improved my bowels, and I took them faithfully for many years. I still recommend them to nearly every patient I encounter. Many studies link probiotics to good clinical outcomes, even if we have not yet quite figured out all the intricacies of how they work. One thing is sure: What you eat helps or destroys the microbiome that coexists in your body. A microbiome is the whole entity of bacteria, good or bad, that thrives with you, in you, on you.

Don’t worry – the good guys are winning right now. Otherwise you would be dead. But that the good guys are winning is not guaranteed – it could change any moment. You could crowd out the good guys with sugar, or commercial dairy, or destroy them with a course of antibiotics) or meat from one of those inhumane, antibiotic-resistance breeding feed lots – the list is long how you can hurt your microbiome inside and outside; cosmetics and household cleaners are high on the list. But even if we did everything right in our personal lives, outside forces can destroy your good bacteria – pollutants in water, air and soil.

Not to be an alarmist, but no man is an island, and if we don’t preserve our Mother Earth, we surely can forget about the intricacies of feeding our coworkers - our good bacteria - the right amount of this and that.

Health comes down to the health of our gastrointestinal tract. Lately, I have found that probiotics can be applied not just as capsules or caplets, but as probiotic foods. A big group which I just mention in passing are fermented foods – sauerkraut, miso, kimchi, tempeh, and so on. “Fermented” can be taken as another word for “loaded with gut-healthy bacteria”.

I have argued widely against the dangers of dairy – and still do. Ninety-nine-point nine percent of dairy is bad for you because of the highly inflammatory proteins and cancer-breeding hormones (be it naturally occurring, or gene-technologically inserted). But there is a tiny fraction of organic dairy that contains live cultures. Examples are yogurt, kefir, buttermilk and sour cream. But only, if they truly are organic, contain live cultures and have absolutely no additives that turn a good food into a nightmare: sugars, sweeteners, fruit, fruit substitutes, tapioca, carrageenan, and so on. In my mind, to qualify as natural they also have to have their full fat content – nothing skimmed or improved or processed any way other than pasteurizing – and the good bacteria have to be added afterward. Fat is not the culprit in milk and milk products – milk proteins are. Not only are they inflammatory, but also addictive. Now you can even get dairy-free organic yogurts, made for instance from almond milk. Or probiotic powders, ready to be dissolved in warm water. But always read the labels for ingredients!

Good dairy bacteria do not take away dairy’s inflammatory proteins and cancer-causing hormones. Therefore these probiotics should be taken in small amounts – very small amounts, indeed: a sip or a teaspoon full is the serving size here. And you don’t eat or drink them. You swish them around in your mouth as long as you can stand it, or unless you forget about them, and finally swallow them.

Probiotics thus taken increase not only your gut health, but especially your oral health. Studies show that probiotics swished around in the mouth after brushing your teeth reduce caries and gum disease in most cases – and I bet the result would be even better if people would add a healthy, sugar-free diet on top of this.

Using this to fight caries sure beats taking poisonous fluoride. Fluoride made me always uneasy: Studies link fluoride to cancer and neurotoxicity. But other studies clearly showed that it reduced caries – and I had not yet come by a natural method to preserve my teeth. Granted, “primitive” societies usually boast perfect teeth, but I had not quite found out why. Not sure, why, but sugar-free nutrition was probably the main cause. Then again, who of us modern Americans can boast a totally absolutely sugar-free diet – since infancy? Not that I know anyone.

Still, I am a believer in brushing and flossing (and also with good results, I have to say) – and don’t want to get rid of that. But neither fluoride toothpaste appealed to me, nor the brutal cleaning of my teeth at the dentist’s office twice a year. There is nothing natural in putting sharp metal scraping objects in your mouth. Now I am using an organic, neem-based tooth powder most of the time.

With oral swishing probiotics we gently provide a mildly acidic environment in our mouths for a few minutes. That cleans your teeth of plaque and implants healthy bacteria into the lining of your mouth, which then can grow during the next hours, or overnight, and fight bad bacteria. The result is amazing. And natural.

We take for granted that with advancing age we will lose our teeth, and that diseases will creep up on us. Ever been to a nursing home? A certain old-age odor emanates from those old bodies. We think the odor is normal. It is not. If one eats well, nourishes one’s oral cavity and intestines, in their entire length, and not destroys the precious skin bacteria with harsh soaps and cosmetics, we would smell like babies until our final days (and those will come even if we take good care of ourselves, but I bet those final days with be sweeter and easier if you have lived your life well).

Working on the microbiome in my mouth – that has been the newest station on my medical quest. In a way, this quest has been a journey from mouth to anus - and still is.
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

Alexa Fleckenstein M.D. 2012, by Lolita Parker jr.

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