Your Digestive Health


Published on

Adam Rinde, ND. A Naturopathic Physician in Kirkland shares his presentation on digestive health

  • Be the first to comment

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Your Digestive Health

  1. 1. Your Digestive Health: IBSJewish Community CenterAugust 19, 2009<br />By Adam Rinde, ND<br />
  2. 2. Today’s Talk<br />An IBS perspective<br />Background information on IBS<br />A comprehensive approach to IBS<br />
  3. 3. IBS Overview<br />Paul:<br />40 years old, Father of 4, Software executive<br />Chronic Diarrhea X 20 Years<br />Colonoscopy, Sigmoidoscopy, Endoscopy all negative.<br />Has experimented with dietary modification with limited success<br />Road Trips<br />
  4. 4. Normal Digestive Health<br /> Questionnaire<br />Bowel Movements/Day<br />Abdominal Pain<br />Flatulence<br />Constipation<br />Diarrhea<br />Reflux<br />
  5. 5. The Mind Gut Connection<br />Lemons<br />Brain Gut Peptides <br />VagusNerve (sympathetic Tone)<br />Stress <br />Sleep <br />
  6. 6. Gut Immune System (Galt)<br />GALT<br />Gut Barrier<br />Healthy Gut Bacteria <br />Immune Signaling<br />
  7. 7. IBS Background: Definition<br />Irritable bowel syndrome (IBS) refers to a complex disorder of the lower intestinal tract. It is mainly characterized by a pattern of symptoms that is often worsened by emotional stress. <br />It is not the same as inflammatory bowel disease (IBD), which includes Crohn's disease and ulcerative colitis<br />
  8. 8. IBS Background: symptoms<br />May be associated with <br />Loose watery stools<br />Mucus in stools<br />Abdominal bloating<br />Urge and uncontrollable need to make a bowel movement<br />Constipation <br />
  9. 9. IBS Background: Criteria<br />Recurrent abdominal Pain or discomfort >3 months associated with two of the following<br />relieved by defecation<br />Onset associated with change in frequency of stool<br />Onset associated with change of appearance of stool. <br />
  10. 10. IBS: Cause<br />Unifying theories<br />Stretch Receptor sensitivity<br />Infectious causes<br />Altered Gut Immunity<br />Others:<br />Neurotransmitter imbalance<br />Food Allergies<br />Stress<br />
  11. 11. IBS Background: Other Criteria<br />Abnormal stool frequency<br />Abnormal stool form <br />Straining<br />Urgency<br />incomplete evacuation; <br />Passing Mucus <br />Bloating<br />(Videlock, 2007)<br />
  12. 12. IBS: Associated Conditions<br />Depression<br />Fatigue (36%–63%)<br />Urinary Frequency (21%–61%) <br />Myalgias(29%–36%)<br />Headache (23-45%)<br />Back Pain (27-81%)<br /> (Videlock, 2007)<br />
  13. 13. IBS: Complications<br />Depression<br />Malnutrition<br />Dehydration<br />Hemorrhoids<br />Interference with work, family, social life<br /> (Natural Standard, 2009)<br />
  14. 14. Red Flag Digestive complaints<br />Vomiting Bile<br />Blood In Stool<br />Constipation >3 days<br />Awakened by GI complaints<br />Unintended weight loss<br />Increased concern with<br />Family of Colon Cancer Hx.<br />Onset of symptoms after 50 <br />(Whitehead, 2006)<br />
  15. 15. A comprehensive Approach<br />Diet<br />Lifestyle<br />Gut Repair<br />Neurotransmitter Balance<br />SIBO<br />Food Allergy Identification and Avoidance<br />Probiotics/Prebiotics<br />Specific Nutrients/Botanical Medicine<br />
  16. 16. Diet<br />A fiber deficiency?<br />Soluble Fiber<br />Insoluble<br />Specialized Diet<br />Specific Carbohydrate Diet<br />Avoidance of fermentable oligo-, di-, and monosaccharides and polyols (FODMAPs)<br />
  17. 17. Lifestyle<br />Stress Reduction<br />Sleep Improvement<br />Exercise<br />Yoga/Meditation<br />Biofeedback<br />
  18. 18. Food Intolerances/Allergies<br />Food allergy testing<br />Most common<br />Casein/Dairy<br />Gluten/Wheat<br />Soy<br />Eggs<br />
  19. 19. SIBO<br />Small intestinal Bowel overgrowth<br />Diagnosed by Lactulose Breath Test<br />Currently treated with Rifaximin followed by probiotics<br />
  20. 20. Neurotransmitter Testing<br />Urine testing <br />Questionnaire<br />Profile of brain chemistry<br />Treated with specific Amino Acids<br />
  21. 21. Prebiotics<br />Prebiotics<br />Oatmeal .Flax . Barley . Other whole grains <br />Onions , Garlics<br />Greens (especially dandelion greens, but also spinach, collard greens, chard, kale, and mustard greens) <br />Berries, bananas, and other fruit <br />Legumes (lentils, kidney beans, chickpeas, navy beans, white beans, black beans, etc.) <br />Japanese miso, tempeh, kefir, raw milk, kombucha, bananas.<br />(IFIC, 2009) (Natural Standard, 2009)<br />
  22. 22. Probiotics<br />Probiotics<br />can occur naturally in fermented foods such as yogurt, buttermilk, sour poi, and miso. (Heizer, 2007). <br />BifidobacteriumInfantis<br />(Videlock, 2007)<br />
  23. 23. Nutrient/Botanical Therapies<br />Melatonin<br />Enteric Coated Peppermint Oil<br />Roberts Formula<br />Eight parts Althea officinalis<br />Four parts Baptisiatinctora<br />Eight parts Echinacea angustifolia<br />Eight parts Geranium maculatum<br />Eight parts Hydrastiscanadensis<br />Eight parts Phytolaccaamericana<br />Eight parts Ulmusfulva<br />Eight parts cabbage powder <br />Two parts pancreatin<br />One part niacinamide<br />Two parts duodenal substance<br />
  24. 24. Road Trip continued<br />Paul:<br />SIBO diagnosis<br />Treatment Currently successful<br />Diarrhea stopped <br />Road Trips are now an option!<br />
  25. 25. Summary<br />The importance of healthy digestion<br />The Mind Gut Connection<br />Gut Immunity<br />A holistic approach<br />
  26. 26. Questions?<br />
  27. 27. Contact Information<br />Adam Rinde, ND<br /> Visit www. Soundintegrative. Com for more information<br />Call (425) 889-5894 to schedule a meet and greet or an appointment.<br />