Transcript Colon hydrotherapy

Colon Hydrotherapy
Michael Hamilton
Advisor: Prof. Fahringer
Overview
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History of Colon Hydrotherapy
Theory
Information about I-ACT
Concerns
Contraindications
Medical Benefits
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
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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 procedure1.
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
Theory
• Extended and more complete form
of an enema
• Gently infuse warm, filtered water into
the rectum
• End Results
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Hydrates the colon
Waste is softened and loosened
Evacuation is through normal peristalsis
Irrigates/cleanses the colon
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
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Foundation Level
Intermediate Level
Advanced Level
Instructor Level
Concerns
• What about contamination or
spread of disease?
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Only report was in New England
Journal of Medicine,
August 5, 1982
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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
• What about puncturing of the colon?
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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.
Contraindications
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Abdominal distensions
Adrenal exhaustion
Anemia
Aneurysm
Carcinomas
• Colon
• Cardiac conditions
• Uncontrolled blood
pressure
• Hypertension
• Hypotension
• Congestive heart
failure
• Crohn’s
• Colitis
• Diverticulosis
• Diverticulitis
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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
• Hemorrhoidectomy
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
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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
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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.
Comorbidity of irritable bowel syndrome in psychiatric
patients: a review. Am J Ther 2003; 10:61–7.
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.,
<classics.mit.edu> [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.