Currently viewing the tag: "pain"

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that causes pain, stiffness, inflammation of the joints, joint deformity and reduced physical function. Autoimmune disorders are characterised by the body’s immune system attacking healthy body tissue. Both T- and B- immune cells are implicated in the underlying pathology due to overproduction of pro-inflammatory cytokines.  Inevitably, it affects quality of life and life expectancy. Unfortunately, the cause of RA is still unknown. Patients often receive strong medication and may require surgical treatment. However, frequently patients will seek non-medical alternatives to try and alleviate their symptoms.

Acupuncture is often sought by patients for pain. Through its ability to modulate pain signals and release of neuro-chemicals e.g. serotonin and endorphins that influence biochemical changes within the body’s homeostatic mechanisms, thus promoting physical and emotional well-being.

A new systematic review of the clinical efficacy of acupuncture on RA was published which included 43 studies. The study concluded that acupuncture alone or in combination with other treatment modalities is beneficial to treating RA, by improving physical function and quality of life. Possible mechanisms included anti-inflammatory effect, anti-oxidative effect and regulation of immune system function.

Acupuncture is believed to stimulate the circulatory and nervous system causing the release of

  • Release body chemicals and changes the way the brain and spinal cord processes the pain signals. These chemicals include; endorphins and other neurohumoral factors e.g. neuropeptide Y, serotonin.
  • Increases local release of  nitrous oxide(NO) known to play an important physiological role in skin local microcirculation, neurotransmission, immunity and wound healing.
  • Reduces inflammation by regulating the immune system, thus normalising immune function.
  • Increases the release of adenosine, which reduces the sensitivity to pain
  • Modulates parts of the brain network (limbic and paralimbic system), responsible for anti-pain, anti-anxiety, and other therapeutic effects
  • Improves muscle stiffness and joint mobility by increasing local microcirculation, and therefore blood circulation.
  • Benefits depression by acting through other pathways involving dopamine, noradrenaline, cortisol and neuropeptide Y. Stress-induced behavioural and biochemical changes may also be reversed. Acupuncture can generally be safely used in combination with medical treatments.

Alongside acupuncture dietary changes to avoid anti-inflammatory foods e.g. consider reducing consumption of meat, avoid gluten and eliminate dairy products, avoid citrus foods and consume sugars and in small amouts only.  In addition supplements  can help to support the immune system;

  • Essential fatty acids (EFA) like fish or fish oil, flax seed and borage seed oil.
  • Probiotics
  • Turmeric or ginger for its anti-inflammatory action.

 

One would have thought that anatomist would have discovered everything there was to discover in the human body. Au Contraire!  Hidden in plain sight researchers discovered the “Interstitium”; a mesh network of fluid filled spaces that lies along the web of collagen and elastin tissues throughout the body. It is estimated to be 20% of the total body volume. In the past it was simply labelled as dense connective tissue. Dr Neil Theise (co-senior study author) describes it as an “open, fluid-filled highway”. This was an accidental finding during studies on the bile duct. These spaces were never identified because the fluid filled spaces are only visible in living tissue, in dead tissue the fluid is lost and the compartments collapse and flatten losing their structure. Researchers used probing techniques on living tissue to see them in their full form. The spaces appear to be pre-lymphatic and appear to drain into lymph nodes.

In the human body around 70% of the water is found in cells. This finding helps to answer questions about where the remaining extracelluar fluid resides. Various theories for the function of the Interstitium have been put forward including being a source of lymphatic fluid. Consequently, it has a role in the body’s immune system and could be involved is the process of spread of cancer cells.

Researchers have speculated that in Acupuncture the tip of the needle goes into these spaces and may explain how it works. Traditional Chinese Medicine (TCM) practitioners (including acupuncturists) learn about how the healthy and balanced movement of qi is vital to maintaining health and that blockages or stagnation results in health problems. Results from this study support this understanding. Past articles have discussed the existence of interstitial fluid network along fascia lines. These fluid-filled matrix correspond very closely to the acupuncture meridian channels where Qi (vital energy) flows. We can therefore postulate that the flow of interstitial fluid is crucial and any impediment would compromise the interstitium’s ability to fully function.

The use of cupping in acupuncture, where the skin is sucked up has the effect of raising tissue and loosening these spaces therefore allowing the flow of interstitial fluid. The Interstitium spaces are supported and organised by collagen lattice and thus described as a dynamic compression and distension shock absorber to protect tissue during daily functions. Data on keloid scars shows that they appear on skin under high tension, and so the effects of forceful mechanical forces of these spaces and the fluid flow within can be considerable. Similarly massage and acupressure techniques include compression and lifting actions that would act on these spaces and therefore the interstitial flow. Further, the process of wet cupping where through a small incision blood is sucked into cups is understood to remove toxins or ‘stagnant blood’ can be directly linked to clearing these interstitium spaces and encourage the flow.

Future studies on the Interstitium could give much more detailed answers on how acupuncture works and finally confirm ancient TCM theories around 5,000 yrs old.

 

References:

Benias, P.C., Wells, R.G., Sackey-Aboagye, B., Klavan, H., Reidy, J., Buonocore, D., Miranda, M., Kornacki, S., Wayne, M., Carr-Locke, D.L., Theise, N.D. Structure and distribution of an unrecognized interstitium in human tissues. Sci Rep. 2018;8:4947. Link

 

Smoking is a significant risk factor for many diseases including cancer, cardiovascular, chronic lung diseases and gastric ulcers. According to The WHO  smoking kills nearly 6 million people each year i.e. approximately one death every six seconds. 5 million of these results directly from smoking, while more than 600,000 are due to passive smoking. Due to the lag of many years, smoking is a slow gradual killer and people don’t realise its impact on their health until much later.  By then they have already developed an addiction.  A survey in China revealed that only 38% were aware it caused coronary heart disease.  Amongst smokers who are aware of its dangers, most want to quit however worldwide national smoking cessation services are only available in 21 countries. Smokers wanting to give up have tried, but most attempts are unsuccessful. E-cigarettes have become the new alternative to smoking but its safety is yet to be evidenced, and in my opinion there is a need to be cautious before giving it the green light. Getting help through cessation advice services using nicotine replacement therapy and counselling may be helpful but don’t always work for everyone. Complementary therapy studies have been done on acupuncture, hypnotherapy, yoga, mindfulness meditation herbal remedies and dietary supplements with some encouraging preliminary results.

Acupuncture is an ancient traditional Chinese therapy involving the insertion of fine needles at specific points in the body. It aims to affect symptoms of withdrawal, and studies show that it reduces the taste of tobacco and the intensity of the desire to smoke. A review of of 38 acupuncture and related randomised studies found inconsistent evidence of benefit, however there is enough to support the possibility of a positive effect that is greater than placebo. When used in combination with education it is found to have greater benefit. Studies on  smoking longer term effects show that it helps to keep smokers motivated to reduce or even quit smoking, with the effects lasting up to 5 yrs.

Hypnotherapy is a therapeutic tool used to affect patterns of behaviour. A Cochrane review found the evidence to be unclear, and not more successful than other therapist contact interventions. Any encouraging results were attributed to the individual’s strong motivation.

Yoga, breathing exercises and meditation-based therapies demonstrate some positive results to stop smoking in a small number of studies. Yoga compared to a psychologist led wellness group showed greater rates of abstinence in the longer term, but also improvements in anxiety levels and perceived health and well-being.

Dietary supplements and herbal remedies, S-adenosyl-L-methionine (SaMe), silver acetate, lobeline (Lobelia inflate) and St. John’s Wort have not shown to be effective, and should only be tried with the advice and guidance of an appropriately qualified health professional.

There has been an ongoing interest in the use of complementary therapies to stop smoking. Regularly, I get smokers who express a need (for all the right health and economic reasons) to give up smoking and inquire about the effectiveness of complementary therapies.  My answer has always been the importance of a <b>strong inner desire (rather than just need) to give up, without which nothing works completely. Therapies like acupuncture can help to alleviate stress, aid relaxation, reduce withdrawal symptoms and the urge to smoke thus easing the journey to becoming smoke free somewhat soother, but in my experience the reason for smoking is the key influencing factor which needs to be addressed. Issues of life style choices, work, family, relationships and childhood can all form part of the picture. Finally, what determines which way it swings is a willingness to make real life changes, which is the ultimate ‘Crunch Factor’.

 

Fibromyalgia  is a chronic conditions that causes widespread pain in the body. It is accompanied by increased pain sensitivity, extreme tiredness, muscle stiffness, sleep difficulties, headaches, functional impairment e.g. memory and concentration (known as “fibro-fog”) and irritable bowel syndrome (IBS).

The cause of fibromyalgia is not well understood, but genetic, automimmune factors,  traumatic events and stress are contributory. Treatment is limited to improving function using pain medication, antidepressants and antiepileptic, supported by physical and talk therapy.

Although there is no cure for fibromyalgia, acupuncture can provide respite from symptoms.  One study found that 1 in 5 people suffering with fibromyalgia use acupuncture within a period of 2 years after diagnosis. The WHO recommend acupuncture for treating fibromyalgia but conclude that more research is needed.

Pain intensity was noticeably reduced after 10 weeks using tailored acupuncture treatments at weekly intervals in a multicentre trial conducted in three primary care centres. Participants were randomly assigned to real acupuncture or placebo, whilst continuing their medical management.  A total of 153 participants completed the study. The acupuncture group reported a 41% reduction in pain, compared to 27% in the placebo group. The effects were still apparent at the end of 12 months, reporting 20% and 6% reduction respectively. Other measures of anxiety, fatigue and depression were also significantly reduced at 10 weeks.

A review of multiple small studies concluded that acupuncture was safe to use for fibromylgia. Electro acupuncture was more effective than manual acupuncture for pain and stiffness, well-being, sleep and fatigue. Effects lasted up to one month.

Acupuncture is well knows to be effective in reducing many types of chronic pain, including arthritic, rheumatic, headaches. It releases feel-good natural pain killers in our body called endorphins. These same chemicals are also released after orgasm, thus leave us with a relaxed warm afterglow.  Its ability to modify pain, reduce stress and enhance well being is ideal to tackle these fibromyalgia symptoms.  The insertion and twisting needle action also release adenosine, an anti-inflammatory chemical that lingers for up to an hour after the treatment.

It is unsurprising therefore that many people with fibromyalgia would be interested in trying acupuncture.  A  Personal story  from  one sufferer shows how acupuncture  can help change lives.  Despite the mixed results from studies, most suggest that it may have a beneficial role in treating fibromyalgia, which can be used without anxiety about its safety. It can be used on its own for symptom management, but often advocated in addition to other exercise or physical program.

 

Acupuncture has a long history of use to treat many conditions, including pain, depression, fatigue and addictions.  It is known to effect local responses as well as distal changes through neurological and endocrine systems. When used together with heat treatment it can cause multiple biological responses, seen both in animals and humans.  However, the mechanism and biochemical changes responsible for these effects are still unclear.  Chinese concepts refer to the flow of Qi, five element theory and yin and yang. Anatomical studies show that most acupoints located along the meridian lines (also known as channels) are located closely to nerve fibre distribution and blood vessels. Interestingly, there is also an increase in hair follicles and sweat glands at these points.

Nitrous Oxide (NO) is known to play an important physiological role in skin local microcirculation, neurotransmission, immunity and wound healing. It produces relaxation of blood vessels via an increase in NO synthase acitivty, but also utilizes the nitrate-nitrite-NO pathway in the human skin. Studies in rats have also shown that NO content and NO synthase protein levels are in the skin tissue at acupoints and meridian lines. Repeated thermal application also increases immunoreactivity and NO synthase in hamsters. NO also mediates noradrenergic function on skin sympathetic nerve activation, which contributes to low resistance characteristics of acupoints and meridians.

One crossover study conducted on 20 volunteers who underwent a real acupuncture and then non-invasive sham acupuncture in the hand or forearm with 1 week interval between treatments. The blood plasma concentration of NO in the acupunctured arm and hand was significantly increased, which was not observed in the sham acupuncture.

A more recent published study at the Harbor-UCLA Medical Center examined the effect of manual acupuncture and electrical heat to the release of nitric oxide (NO) over the human skin. Participants included 25 volunteers (men and women) aged 18-60 yrs. Participants were randomly asked to undergo manual acupuncture over the pericardium meridian, or heat treatment over the lung meridian. NO was monitored using a Biocapture device with a collecting solution taped to the skin along the meridians. Results found that manual acupuncture and electrical heat cause release of NO from the local skin, which was almost doubled at acupuncture points.

Initial pilot studies also show that the extent of NO production can vary depending on the person’s age and gender due to the differences in sympathetic acitivity, body weight, hormones, sweat rates and skin thickness. There was no noticeable difference between different ethnic groups.

The importance of a rich blood circulation is an evident necessary part of tissue healing, and suggests the rationale for subsequent pain relief or sensitising substances. These studies determined that acupuncture elevates the local level of NO in the treated areas, thus increasing blood flow and warmth. There is vasodilation accompanied neurochemical changes which may further contribute to generation of NO. Thus suggesting that acupuncture treatment using a reinforced technique and the addition of electrical heat will improve local circulation.

Clinical experience has shown that the use of acupuncture for pain relief is an excellent alternative to the use of medicinal pain killers.  However we must not ignore the benefits of increase blood circulation for other conditions, therefore improving the overall body functions.  My own clinical practice regularly incorporates the use heat in the form of direct or indirect moxa or electrical heat. We have always found that the addition of heat enhances the needle effects, thus confirming the above research findings. It should be a treatment choice for those experiencing pain but in particular where there is chronic pain.

 

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Electroacupuncture (EA) may be the answer to improving regulation of blood sugar levels in overweight and obese women. New research published in the FASEB Journal reported that scientists found that a single bout of (EA) activated the sympathetic and partly the parasympatheric nervous system which increased whole-body glucose uptake, an important consideration in the treatment of insulin resistance or prediabetes.

Researchers measured blood sugar levels in 21 women with and without polycystic ovarian syndrome (PCOS) during and after 45min of EA compared to the same number in a control group. PCOS is a common hormonal disorder, but also associated with an increased risk of Type 2 diabetes. The results showed improvement in both groups of women, suggesting a potential benefit for women with PCOS. In a second experiment they also investigated its effects in rats who received autonomic receptor blockers. They found EA caused muscle contractions which in turn activated the autonomic nervous system (responsible for blood sugar regulation), despite the receptor blockers. Previous studies have found that EA in rats1, 2  enhanced insulin sensitivity and lowered blood sugar levels.

EA is believed to be used as far back at the early 1800s, while others attribute it to Japanese scientists trying to improve bone fracture healing in 1940s or  pain control by the Chinese in the 1958.  As with traditional acupuncture in EA needles are inserted in the same way on specific points. Two needles are selected which are then attached to a pair of clips connected to a device that generates continuous electric pulses. The frequency and intensity of the pulses are adjusted according to the condition being treated. In this way several pairs of needles can be simultaneously stimulated for duration up to 30 min. People usually experience a light tingling sensation due to the electrical current.

Advantages of using EA are;

  • The current stimulates a larger area than the needle on its own, thus requiring less precision needling.
  • It can be used without needle insertion, commonly known as TENS (transcutaneous electrical nerve stimulation).

EA is considered to be particularly useful in conditions where there is stagnation or accumulation of Qi. In Chinese medicine Qi is a life energy that flows throughout the body and essential for good health.  Persistent chronic pain is associated with Qi accumulation and the effectiveness of EA has been reported to be particularly useful. This is supported by research evidence that electrical stimulation of acupuncture points activates the release of endorphins, thus lowering blood pressure and heart rate.

Research on EA in stroke has shown positive effects in cognition and quality of life.  When compared to manual acupuncture, EA is more effective in relieving spasticity in stroke. Other conditions that may benefit include; neurological conditions, fibromyalgia, nausea caused by cancer drugs and post operative pain control.

Treatment with (EA) should be avoided in those with a pacemakers as it may disrupt the electrical impulses. For similar reasons, it should not be used over the heart. Careful assessment should be carried out before treating people with a history of seizures and epilepsy.

 

 

It’s not uncommon for the proponents of conventional and of holistic systems of medicine to feel that they inhabit competing camps in the war to alleviate human suffering. In fact, Western and Eastern medicine are essential branches on the great tree of scientific knowledge.  Many of us are working towards the ideal of a continuum of care that provides the very best treatment to all patients. Western medicine has achieved remarkable triumphs.  Vaccination against many infectious diseases has greatly reduced their incidence; science has eradicated smallpox and come close to doing the same for polio.  It has saved millions of children from the scourges that once prevented so many from reaching their fifth birthday.

The specialties of surgery and emergency medicine save countless lives every day.

After decades of clinical practice I still wonder; Where does Western medicine fall short?  In the promotion of lifelong wellness; in the diagnosis and treatment of complex disorders; in the unnecessary or excessive use of pharmaceutical drugs; in safe, effective, ongoing pain management.

We’re certainly making progress in bringing these two branches of medicine closer, for example;  acupuncture has been proven to offer effective pain relief and increasingly accepted in medical pain clinics, and it doesn’t carry the risks associated with drug-based analgesia. Integration of auricular acupuncture in addiction clinics is another measure of its success. There is worldwide recognition of acupuncture for anxiety and stress particularly in cancer treatment, post traumatic stress disorder amongst veterans, and its potential value as anesthesia during surgical procedures.

I have always found that it is necessary to treat the whole person, and not just deal with an immediate crisis or what presents as their most significant symptom. I wanted to share this story (to ensure anonymity names and certain details have been changed).

Ria’s Story-  “Please… I Just Want the Pain to Stop”.

In the hospital waiting room Ria’s stomach churns and twists once again sending shooting pains throughout her body, followed by a cold sweat.  Over the past six months, she’s seen six different doctors; has endured repeated blood tests and other procedures.  No one has been able to offer her a definitive diagnosis. After each visit, she’s sent home with different prescriptions but no effective treatment for the repeated, alternating bouts of diarrhoea and constipation, sometimes nausea too.  Pain medication doesn’t bring any relief.  Her husband Pete feels equally anxious and frustrated.

Visits to six different doctors, blood tests and investigations all have proven to be unhelpful – there is no definitive diagnosis. Each time she is sent home with new meds, pain medication doesn’t work, one tells her that she is stressed and emotionally disturbed and prescribes her antidepressants another says there is some inflammation in her spleen, but nothing else. Ria is desperate, her symptoms are worsening.

Ria is beginning to doubt herself; wondering if it really is “all in her mind.”  She’s afraid to eat because everything just makes her feel worse, and she’s now two sizes smaller.

After yet another round of tests, Ria’s new consultant is also perplexed by her symptoms.  His examination of her shows nothing significant.  He’s ruled out cancer or other serious disease; all her other results are relatively normal. But fortunately for her, this doctor takes the time to listed to her and has a positive view of complementary therapies; he understands that functional disorders often underlie a patient’s stress and anxiety.  He knows that food intolerance is increasingly common and is often very hard to properly pinpoint. He asks her if she would be willing to accept a referral to a holistic physician.  Ria has always had an interest in complementary therapies and gladly agrees. He also gives her advice on juicing and enrolls her on to a mindfulness course.

As a holistic practitioner, I see Ria’s physical and emotional distress to be strongly interrelated, but requiring individual attention, with this in mind I begin acupuncture treatments. Almost immediately, they help to ease her distressed state and bring some relief for her stomach pain.

Over a period of months I guide Ria to make changes to her diet.  Together we develop a plan to identify problem foods. She learns about carbohydrate intolerance and how the FODMAP diet can help.  Ria finds the mindfulness course very effective in relieving her anxiety.  She began to realize her physical and emotional distress began years before the manifestation of painful bowel dysfunction.

Six months after starting treatment, Ria has made great progress.  She knows it will take time to regain the good health she thought was out of her reach, but she is no longer frightened and discouraged.  She is starting to take pleasure in eating again.  She and her husband are now enjoying what they thought might never be possible again–everyday pleasures.

 

From the seemingly innocent to the definitely ominous, additives are everywhere.  Even if you cook or bake everything you consume from scratch, you’re still adding substances to food that aren’t naturally found in the raw ingredients.  And even if you buy products marked “organic” or “all natural,” they are likely to have added preservatives such as tocopherols (vitamin E) or citric acid–found in fruits such as lemons and oranges, and now produced industrially.

We add subtances to food that aren’t naturally found in the raw ingredients.  And even if you buy products marked “organic” or “all natural,” they are likely to have added preservatives such as tocopherols (vitamin E) or citric acid–found in fruits such as lemons and oranges, and now produced industrially.

Rainbow_of_food_natural_food_colors

Additives serve many purposes:

  • Colours  that enhance appearance
  • Preservatives that help protect against food deterioration caused by bacteria.
  • Antioxidants that slow down or stop the oxidative deterioration of foods–what we call rancidity
  • Artificial sweeteners which are lower in calories than sugar–and cheaper to use.
  • Flavour enhancers that improve the taste and aroma of food.
  • Presentation and texture enhancers e.g. thickeners, gelling agents, emulsifiers, emulsifiers.
  • Nutrient additions that increase the nutrient value of foods

The history of food additives is as old as civilization.  Salt, sugar and vinegar were the first preservatives commonly used by cultures around the world, as well as techniques such as smoking and drying.  Chemicals have been developed to accelerate or mimic these processes, or as cheaper alternatives to traditional methods.

Although the chemical additives commonly used in foods must be demonstrated to be safe for human consumption, there are still many concerns about their use:

Allergic Reactions

  • Sulphite and sulphur dioxide (E220-28) have been known to cause allergic reactions. Specifically, asthma sufferers should avoid sulphur dioxide gas due to increased sensitivity, but there are also recorded cases of worsening of asthma after drinking soft drinks containing it. They are mainly found in dried fruits, dessicated coconut, relishes and fruit-based pie fillings.
  • Food colours like tartrazine (E102)can cause mild allergic reactions and some studies show that sunset yellow (E1 10) can cause tumours.
  • Annatto, a natural food colouring found in margarine, cheese, smoked fish and cakes is implicated in allergic reactions and irritable bowel.

Cancer

  • Aspartame (E951) has been linked to various cancers(1,2,3), although studies by US National Cancer Institute and European Food Safety Authority concluded that it did not increase the risk of cancers.
  • Erythrosine is a red food colour. Research has highlighted concerns about its potentialtumour formation and inhibition of the normal functioning of the thyroid.
  • Allura red has been associated with cancer in mice but evidence is not consistent.
  • Nitrites and nitrates (E249-52) may convert in the stomach to potentially carcinogenic nitrosamines.

Hyperactivity

  • Although a definitive link has not yet been established food colours like sunset yellow (E110), quinoline yellow (E104), carmoisine (E122), allura red (E129), tartrazine (E102) and ponceau 4R (E124) have been associated with hyperactivity in some children. These are commonly found in a variety of processed foods, especially in children’s sweets, confectionary, squashes, soft drinks, jams and cakes. Prevalence of hyperactivity is estimated to be about 2.5%.
  • Aspartame has also been linked with changes in behaviour.

Headaches

  • MSG (monosodium glutamate- E621) is a flavour enhancer can cause headaches in some people. Although in a recent review there was no conclusive direct evidence.
  • Aspartame is also linked with causing headaches.

Other

  • Gums (E412, E414) are used to thicken food and improve texture. Theycan give rise to flatulence and abdominal pain.

The Bottom Line

Additives are overused in the processed foods industry, so try to avoid them as much as possible.

  • Always read food labels to be fully aware of what you are buying.
  • Keep processed foods to a minimum, including sweeteners, sweets, lollies, soft drinks and cakes.
  • Be careful of foods that are presented as low-fat, sugar-free as they are likely to be additive-rich and nutrient-poor.
  • Every individual reacts differently to food and additives. It’s possible to be allergic to anything–even the most “natural” subtance.  If you suspect a sensitivity to anything you eat, try a process of elimination to discover the source of the problem, or consult a practitioner trained in nutrition.
  • If your child shows signs of hyperactivity of attention deficit hyperactivity disorder (ADHD) then eliminating some colours from their diet may prove beneficial.

If you have concerns about your own diet or that of a family member, and how it may be affecting health, consider scheduling a consultation with us.

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A pragmatic randomised controlled trial of healing therapy in a gastroenterology outpatient setting

R.T. Lee, T. Kingstone, L. Roberts, S. Edwards, A. Soundy, P.R. Shah, M.S. Haque, S. Singh

Link to Full Article

Abstract     

Introduction

To determine the benefits of healing therapy (spiritual healing) as an adjunct to conventional management in irritable bowel syndrome (IBS) and inflammatory bowel disease (IBD).

Methods

200 outpatients with IBS or IBD were randomised to either conventional treatment (control) or conventional plus five sessions of healing therapy (intervention). After 12 weeks controls also had healing therapy. Outcomes used were, the Measure Yourself Medical Outcomes Profile (MYMOP). IBS-QOL, IBDQ, and symptom measures.

Results

There was a significant improvement in the MYMOP score at week 6 (p < 0.001) which was maintained to week 12 (p < 0.001) and 24 (p < 0.001). Improvements in MYMOP were significantly greater in the intervention group at both 6 (p < 0.001) and 12 weeks (p < 0.001) with effect sizes of 0.7 (95% CI: 0.4–1.1) and 0.8 (95% CI: 0.4–1.2). Condition-specific data for IBS showed that most QoL dimensions had a significant minimum 10-point score improvement at 6 and 12 weeks. The overall score improvement was 12.9 units at week 6 (p < 0.001), 12.4 units at week 12 (p < 0.001) and 13.8 units at week 24 (p < 0.001). In IBD there was also similar score improvement, but only up to week 12 were there associations of improved social and bowel functions (p < 0.001, respectively). Between group differences were identified for QoL scores in IBS at both week 6 (p < 0.001) and 12 (p < 0.001) but only for week 12 (p < 0.001) in the IBD group.

Conclusions

The addition of healing therapy to conventional treatment was associated with improvement in symptoms and QoL in IBS, and to a lesser extent in IBD.

 

Artificial sweeteners are non-nutritive, manufactured chemicals with few or no calories. In the UK permitted sweeteners include; aspartame, saccharin, acesulfame potassium (known as acesulfame K), cyclamate and sucralose. We are addicted to the taste of sweetness and the widespread use of sweetener substitutes in food and drink has made our sweet tooth even worse.

Artificial sweetener

Unsurprisingly, sweeteners have been found to be responsible for weight gain rather than weight loss. This is applicable even if Aspartame is taken at levels recommended by the United States FDA (Food and Drug Administration). Research carried out in young hamsters found that those on Aspartame tended to eat more and there was also evidence of damage to brain and liver cells. Other studies carried out in rats have also shown that compared to sugar, sweeteners saccharin and aspartame cause weight gain which is unrelated to caloric intake.

Researchers  have speculated the cause of weight gain to be either reduced energy expenditure or an increase in fluid retention. Breakdown of aspartame produces phenylalanine which is a known inhibitor of a gut enzyme IAP (intestinal alkaline phosphatase). IAP in mice has been shown to prevent metabolic syndrome, a group of symptoms associated with type 2 diabetes, obesity and cardiovascular disease.  In another study aspartame was linked to reduced insulin sensitivity therefore affecting blood sugar regulation.

The act of eating requires a feeling of satiety and satisfaction. A pilot review suggests that sweeteners only offer partial activation of the food reward pathways in the brain. This may also be responsible for the consequent increase in appetite as an attempt to complete the satiety cycle. Such impaired activation has been observed in obese adolescent girls after drinking milkshake.

Intake of artificial sweeteners has a huge contributory effect of our weight gain and obesity problem.  Although not immediately apparent, over the longer term it significantly increases the risk of health problems. Convinced that they are doing the right thing many people choose a diet option. Their aim is to try to lose or maintain their weight but ironically it is causing just the opposite.

The dangers of sweeteners need to be acknowledged by the public health sector and the food industry. Introducing manufactured substances into our body in the form of artificial sweeteners, additives, preservatives and in many other commercial products has a major influence on our body’s chemistry, creating a chemical disaster equivalent to a tsunami. The human body is not made to digest artificial foods that may look and taste similar and nutritionally they can never replace fresh natural foods.

 

 

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