Morbus-Crohn

 

http://ir.dut.ac.za/handle/10321/1907

 

Krankheit: Akut: Bauchbeschwerden. (Schmerz r./“Wie Blinddarmentzündung“), Durchfall (5x täglich/mit o. ohne Blut), Gewichtsverlust/Erschöpfung, leichtes Fieber; chronisch: Augen-/Leber-/Gelenken-/Hautbeschwerden, müde;

Behandlung: Behandlung mit Eier Trichuris suis (= Schweine-Peitschenwurm) lindert o. heilt vielleicht Morbus-Crohn/Allergien

. (Quelle: Ovamed GmbH);

[P. Zippermayr]

Eine Reise in exotische Länder ist für viele mit der Angst vor Darminfekten verbunden, so dass sie sich vor allem und jedem ekeln. Das Weltbild dieser Menschen fordert zwingend einen Hygienestandard nach den Maßstäben ihres Kulturkreises (Wertstarre!). Trotz größter Vorsicht bekommen sie, was sie fürchten, den Reisedurchfall. Andere, die sich nicht fürchten, können trotzdem durch bakterien- oder giftbelastete Lebensmittel, die sie in Missachtung ungewohnter hygienischer Verhältnisse essen, Durchfall bekommen (Wertmissachtung!). Oberflächlich betrachtet, haben wir eine psychische und eine körperliche Eintrittspforte der Krankheit, die sich, Hysterie kontra Vergiftung, polar gegenüberzustehen scheinen. Tatsächlich geht es immer um einen Wertekonflikt.

Das heißt, keines der Extreme, übergroße Werttreue (Angst) oder ihre Missachtung, schützt.

Bei chronischen Krankheiten verursacht die negative Erfahrung, die wir trotz der Beachtung eines gültigen Wertes gemacht haben, anhaltendes Misstrauen. Wir haben unser Vertrauen verloren, was uns in eine innere Bereitschaft versetzt, auf alles, was dem krankmachenden Umstand nur im Entferntesten ähnelt, mit Abwehr zu reagieren.

Im Akutfall verschwindet der Reisedurchfall spätestens, wenn mit der Heimkehr die auslösende Situation und damit Angst und Ekel verschwinden; haben sie sich in Misstrauen verwandelt, bleibt auch der Durchfall und das Problem hat sich chronifiziert.

Case reports

Two patients with Crohn's disease responded well to local s.c. injections of Carbo Juniperi 20x in the abdominal wall over the affected region.

1. female, age 40, considerable Crohn-type resistances that had been palpable regressed remarkably quickly after a few injections.

2. male, age 45, subjective improvement was quickly achieved. Follow-up was not possible in either case, they moved somewhere else.

3. Female, age 70, with vague abdominal symptoms of uncertain etiology for years, also chronic gastritis of the antrum, also craurosis vulvae. I suspected precancerous intestinal changes. She was given Carbo Juniperi 20x s.c. and later also per os (from ampules) with excellent and lasting results. Follow-up: 4 months.

4. Female, age 65, with painful intestinal colics and meteorism. Distinct improvement after 2 injections of Carbo Juniperi 20x.

5. Female, age 52, in reduced general condition. Intestinal polyps removed twice, and 3 hepatic hemangiomas. The highly sensitive, intelligent patient (former nurse) reported distinct improvement (also improvement of persistent epigastric pain) after a few injections of Carbo Juniperi 20x, again locally s.c. into the abdominal wall. She is also taking Carbo anim. e sang. D1O trit. Weleda by mouth.

Carbo Juniperi seems a good medicament for disorders/weakness of life ether in the abdomen.

Vergleich: Johneinum.: Siehe: Nosoden allgemein + Tuberculinum Koch + Immunsystem. + Darmnosoden. allgemein Anhang

Antidotiert von: Aesc-h cortex Amoeb-d. Amoeb-h. Antimonit. w (Ant + S) M.A.P. Stram.

Allerlei: Weiße Blutkörperchen bilden Leukotrienen/lösen Gelenkrheuma/Morbus Crohn aus.

Immunsystem. ist OVERaktiv, es produziert Antistoffen gegen körpereigene Darmbakterien

3.545 individuals, who had been immunized against measles at the age of 10 - 24 months included in an immunization study of the Medical Research Committee (MRC), were compared with 11.407 from the National Child Development Study (NCDS), who had not been immunized and 90% of whom had measles up to the age of 11. It was found that the relative risk for immunized individuals to develop Crohn's disease was 3,01 (95% confidence interval 1.45-7.25; p = 0,004). The odds ratio for ulcerative colitis was 2.53 (95% confidence interval 1.15-5.58; p = 0,03). No risk ratio was found for celiac disease.

In a population of equal size 3x as many of those immunized against measles would develop Crohn's disease than those not immunized. Remarkably, this fits in fairly well with incidence evolution.

The incidence for 1960 was 0,8, that for 1980 - 1984, 4,2 per 100.000 people per annum.

[Dr. Farokh Master]

Hoitzia

 

[Wim Marius Rademan]

Irritable Bowel Syndrome (= IBS) represents one of the commonest conditions encountered by gastroenterologists, intemists and general practitioners.

In the general population, symptoms consistent with IBS are reported by 10 - 20%  of persons, and accounts for 20 - 50% of referrals to gastroenterology clinics.

Extrapolating to the white population of US, the cost were more than $8 billion for  IBS yearly, thus making it a costly disorder in the community. (Talley et al. 1995.)

Essence of IBS.:

Intermittent diarrhea, abdominal colic relieved by  bowel action and 'bloated' feeling –due to altered gut motility.

The disease is one of negatives: there is no accepted definition and no structural pathology. (Hope et al. 1993: 51.8.)

IBS varies in severity hom trivial to incapacitating. The pathophysiology and epidemiology are gradually being unravelled and  it is becoming more apparent how poor the quality of life of these

patients is. Nowadays its no longer acceptable practice to diagnose the condition and to discharge the patients on high fiber diets, particularly because it makes the situation worse. (Francis and Whorwell. 1997.)

IBS consists of a group of symptoms that suggest that there is a dysfunctional gut for which there is  no cure as there is no cure and no organic cause.

The best lines of defense up to now have been a number of treatments that provides symptomatic relief of the symptoms of IBS. (Zietsrnan 1997.)

The Manning criteria are widely used for diagnosis and to observe the major symptoms in IBS. They have a sensitivity and specificity of 67% and 70% respectively if  3 or more symptoms are positive (Jeong et al. 1993).

All six individual symptoms used in the Manning criteria were found to be reliable.

These key symptoms are

1. visible abdominal distention,

2. pain relieved by a bowel action,

3. more frequent stools with the onset of pain,

4. looser stools with the onset of pain,

5. rectal passage of mucus,

6. a sensation of incomplete evacuation.

Based on a logistic regression analysis of the discriminatory value of the Manning criteria it was found that as the number of positive criteria increased, so did the predicted probability of IBS.

(Talley et al. 1990.)

IBS is a motility disorder that involves the entire hollow gastrointestinal tract, creating a symptom complex with both upper and lower gastrointestinal symptoms.

Predominant symptoms include variable degrees of abdominal pain, constipation or diarrhea, and postprandial distention.

The symptoms nearly always occur in  the waking state and are usually triggered by stress or the indigestion of food.

There are two types of IBS grouped according to the signs and symptoms:

The first is the spastic colon type where bowel movements are variable.

Most patients have pain of colonic origin over one or more areas of the colon associated with periodic constipation or diarrhea.

The second group of IBS patients primarily manifest painless diarrhea, usually urgent, precipitous diarrhoea that occurs immediately upon rising or, more typically, during or immediately

after a meal. (Berkow 1992:842.)

It seems adverse reaction to food is proposed to be a high causative factor in  patients suffering from irritable bowel syndrome.

Thus a diet that eliminates the offending foods is the obvious treatment for such adverse reactions.

Compliance with a dietetic regimen is often poor and sometimes not completely free from risks. (Stefanini et al. 1995.)

Research has shown that the people suffering from IBS felt that it affected all aspects of their lives: work, leisure, travel and relationships.

Sufferers indicated that they felt they would have coped better if  they had been provided with more information about IBS, its possible causes and treatment, and greater sensitivity from

members of the medical profession in dealing with them. (Dancey and Backhouse, 1993.)

A control group (n -=  46 patients), a  group of patients with irritable bowel syndrome (IBS) (n  =  70)  and  a  group of patients with major  depression (MDE) (n  =  60)  were interviewed

and compared concerning their family history of psychiatric disorders.

The results showed that both IBS and  MDE groups had a similar, higher prevalence of relatives with psychiatric illness than controls, i.e. there was a higher prevalence of anxiety and

depressive disorder in  the relatives. (Sullivan et al. 1995.)

In treating IBS both the patient and the physician must realize that the condition is chronic, and that while it may be alleviated, it cannot be cured.

There should also be an emphasis on the relationship between psychological stress and the onset of severe symptoms.

Drug treatment is aimed at relieving the disease. With constipation, an increase in dietary bulk and psyllium bulk laxatives is used.

Troublesome diarrhea may respond to diphenoxylate or loperamide.

Mild sedation with tranquilizers may be indicated, and anticholinergic drugs such, as dicyclomine is useful in some patients. Unfortunately, no specific drug (orthodox) or dietary regimen

affords good relief and thus several therapeutic maneuvers need to be  tried. (Isselbacher et al. 1994: 1421.)

There has been no specific research on the effect of Homoeopathy on IBS but  it seems from clinical experience that Homoeopathic treatment may be effective incl. psychiatric related

bowel disorders (Vickers 1993: 188).

Therefore the aim of the study was to evaluate the efficacy of Homoeopathic Simillimum treatment in IBS sufferers in terms of  the  patient's perception and clinical findings by the researcher

to determine what role the homoeopathic simillimum treatment plays in  the management of spastic colon.

2.1

Introduction

Irritable Bowel Syndrome is one of the commonest disorders in gastroenterology with a

REVIEUW OF THE RELATED LITERATURE

Symptom  complex that includes diarrhea, constipation, pain and bloating (Bonis and Norton 1996).

Although

IBS is one of the commonest

conditions

encountered

in

clinical

practice,

it is also

one of the least

understood

conditions

(Kelley

1997:

708).

Most

individuals

do not seek

medical

attention

for

their

symptoms,

and those

that do

require

limited

medical

therapy

and assurance

(Almounajed

and Dressman

1996).

This

disease

is one of negatives:

thus

there

is no accepted

definition

and no structural

pathology

(Hope

et al. 1993:

518).

In a recent

study

it was shown

that the majority

of nurses

in 18 London

hospitals

hold

a

very

negative

attitude

towards

IBS sufferers,

which

can be very

detrimental

to the

treatment

of such

patients

(Letson

and Dancey.

1996).

2.1.1

Definition:

"Irritable

Bowel

Syndrome

is a combination

of chronic

recurrent

symptoms

of abdominal

pain

and disturbed

defecation

not explained

by structural

or

biochemical

abnormalities

of the bowel

wall.

It

is a localized

manifestation

of functional

gastrointestinal

disorders".

(Hurst

1996:

1532.)

According

to the "Rome

criteria"

IBS can

be defined

as chronic

abdominal

pain

for at least

3 months

and present

for several

days

a

week

(Louvel

et a11996).

 

Phytologie: Diät

Wann Würmer helfen

Die meiste Erfahrung hat die Arbeitsgruppe von Joel Weinberg am Tufts Medical Center in Boston in der Therapie von chronisch-entzündlichen Darmerkrankungen. Die Würmer sind vor allem an Patienten mit Morbus Crohn erprobt worden. Die ersten Studienergebnisse waren positiv und zeigten bei einem Großteil der Patienten verminderte Symptome. In Freiburg findet im Moment eine Studie mit 300 Patienten statt, um die Sicherheit der Therapie zu überprüfen, bevor sie weitläufig angewendet werden kann. Daneben untersucht Weinberg die Therapie mit Wurminfektionen bei

der Darmentzündung Colitis Ulcerosa, bei Diabetes Typ 1, bei der Hautkrankheit Schuppenflechte und bei MS.

Olib-sac.

 

 

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