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Your Digestive Health

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

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

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