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Michael Hamilton Advisor: Prof. Fahringer

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Presentation on theme: "Michael Hamilton Advisor: Prof. Fahringer"— Presentation transcript:

1 Michael Hamilton Advisor: Prof. Fahringer
Colon Hydrotherapy Michael Hamilton Advisor: Prof. Fahringer

2 Overview History of Colon Hydrotherapy Theory Information about I-ACT
Concerns Contraindications Medical Benefits

3 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 Sumerians Chinese Hindus Greeks Romans Hamiltons

4 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”

5 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

6 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. Court Function During Enema 1.Lieberman, William, M.D., “The Enema”, The Review of Gastroenterology, Volume 13, May-June 1946

7 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.

8 History cont. 1950’s Mid-1960’s Early 1970’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

9 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

10 Theory Extended and more complete form of an enema End Results
Gently infuse warm, filtered water into the rectum End Results Hydrates the colon Waste is softened and loosened Evacuation is through normal peristalsis Irrigates/cleanses the colon

11 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

12 Theory cont. Various Types of FDA registered equipment

13 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

14 I-ACT cont. Membership Certification Levels Over 2200 Members
Over 400 International Members Certification Levels Foundation Level Intermediate Level Advanced Level Instructor Level

15 Concerns What about contamination or spread of disease?
Only report was in New England Journal of Medicine, August 5, 1982 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

16 Concerns What about puncturing of the colon? Facts
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

17 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

18 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.

19 Contraindications Abdominal distensions Adrenal exhaustion Anemia
Aneurysm Carcinomas Colon Cardiac conditions Uncontrolled blood pressure Hypertension Hypotension Congestive heart failure Crohn’s Colitis Diverticulosis Diverticulitis Fistulas Fissures Hemorrhage Hemorrhoids

20 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

21 Precautions cont. Medications Coumadin Digoxin Lasix (furosemide)
Prednisone Lipitor ASA/NSAIDS Methotrexate

22 Indications FDA Practitioners Suggested Benefits (not listed by 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

23 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

24 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

25 Summary Safe Relatively Inexpensive ($65) Licensed Practitioners
Effective (This message not reviewed by the FDA) So can we advocate this practice as PA’S?

26 That answer is as clear as…

27 Mud

28 Sources 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: Bastedo W. Colon irrigations. New England Journal of Medicine 1928;199: 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, 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., <> [last accessed ]. FDA Warning Letter, March 1, Accessed on June 15, 2004, FDA Device Classification Website. Accessed on June 1, 2004, 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: Muranishi S. Characteristics of drug absorption via the rectal route. Methods Find Exp Clin Pharmacol 1984;6: 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: 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: /j.mehy 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.

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