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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!

Varicose Veins - Phlebitis - Thrombosis

July 29, 2011

Tags: food, water, order, aging, anti-coagulant, avocado, banana, barefoot, beauty, bed-ridden, beef, blood thinning, cancer, cattle, cherries, clot, clotting, cold gushes, Coumadin, cold washings, cows, cramping veins, dairy, Doppler scan, food sensitivities, food diary, food sensitivities, genetic disposition for clotting, heparin, hormone therapy, immobility, inflammation, inflammatory food, junk food, leg pain, leg swelling, lung embolus, nutrition, nuts, ocean, pregnancy, sitzbath - cold, standing prolonged, starches - white, stroke, sugar, surgery, swelling, trans-fats, thrombosis, trans-Atlantic flight, Varicose Veins - Phlebitis - Thrombosis, varicose veins, varicosities, vein, gluten intolerance, walking, warmth

Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.

Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.

Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?

Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.

Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:


1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon!
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

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

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