Unit 4 indications contraindications_cti

INDICATIONS &
CONTRAINDICATIONS FOR
COLON HYDROTHERAPY
COLON THERAPY INSTITUTE
INDICATIONS & CONTRAINDICATIONS FOR COLON HYDROTHERAPY © COLON THERAPY INSTITUTE

Agenda
A. Indications
A. Indications under prescription
and direct physician supervision
A. Contra-indications

Learning Objectives
1. Understand X
1. Y
2. Z
IN PROCESS

What’s an ‘Indication’?
“In medicine, an indication is a
valid reason to use a certain test,
medication, procedure, or surgery.
The opposite of indication is
contraindication”

Indications for Colon Hydrotherapy
Colon hydrotherapy has been shown to be beneficial for the following
conditions. The following indications DO NOT REQUIRE a prescription from a
licensed physician:
1. Abdominal Distension
2. Acute Fecal Impaction
3. Arthritis
4. Atonic Colon
5. Balance Physiologic Flora
of Large Intestine
6. Chronic Fatigue Syndrome
7. Constipation
8. Diarrhea
9. Food allergies
10. Headaches
11. Hemorrhoid (Mild to Moderate)
12. Hyper/Hypothermia
13. Intestinal Toxemia
14. Laryngitis
15. Mucous Colitis (aka IBS)
16. Parasitic Infections
17. Preparation for Surgery (Barium
Enema, Colonoscopy, Sigmoidoscopy)
18. Prevention
19. Sciatica
20. Sinusitis
21. Skin Disorders

1 Abdominal Distension (i.e. gas)
Description:
• Occurs when substances, such as air (gas) or fluid,
accumulate in the abdomen causing its outward expansion
beyond the normal girth of the stomach and waist
• Usually a symptom of an underlying disease or dysfunction
• Described as feeling bloated, full, or having cramps
Potential causes:
• Excessive eating and sleep swallowing
• Crohn's disease
• Ulcerative colitis
• Irritable bowel syndrome
• Diabetes
• Functional dyspepsia
• Transient constipation
• Other: milk intolerance, parasite infections, food poisoning
(bacteria), celiac disease, severe peptic ulcer disease, bowel
obstruction or after certain types of abdominal surgery
Treatments for patients to consider:
• Avoid foods known to cause gas (i.e. beans, cabbage,
broccoli)
• Chew food thoroughly and avoid drinking with meals
• Take digestive enzymes and probiotics
• Use squatting posture on toilet

2 Acute Fecal Impaction
Description:
• A solid, immobile bulk of human feces that can
develop in the rectum as a result of chronic
constipation
• Abdominal pain and bloating could also be present
Potential causes:
• Physical inactivity
• Not eating enough (particularly of fiber)
• Not drinking enough water
• Medications such as opioid pain relievers
(suboxone, methadone, codeine, oxycodone,
hydrocodone, etc.)
• Thyroid dysfunction
• Increased blood calcium levels
• Increasing dietary fiber
• Increasing fluid intake
• Exercising daily
• Attempting to regularly to defecate every morning
after eating

3 Arthritis
Description:
• A joint disorder that involves inflammation of one
or more joints
• 100+ forms of arthritis exist
• The major complaint by individuals who have
arthritis is joint pain
• The common symptoms for all arthritis disorders
include varied levels of pain, swelling, joint
stiffness and sometimes a constant ache around the
joint
Potential causes:
• Trauma to the joint
• Infection of the joint
• Age
• Autoimmune diseases
• Food intolerances
• Anti-inflammatory approaches
• Incorporating ginger and turmeric into diet
• Alkaline-forming diet
• Taking calcium to relieve joint pain

4 Atonic Colon
Description:
• Lack of normal muscle tone or
strength in the colon
• May result in chronic constipation
• Also known as a “lazy” or inactive
colon
Potential causes:
• Overuse of laxatives
• Hirschsprung's disease
• Medication or surgery (as directed by
doctor)

5 Balance Physiologic Flora of Large
Intestine
Description:
• We are constantly depleting our intestinal
flora via the processing of live toxins,
medications, antibiotics, and a diet high in
carbohydrates, sugars and alcohol
• Such a diet often leads to an overgrowth of
unfriendly bacteria and yeasts
• We need to constantly re-bacterialize and
replenish our inner environment
Potential causes:
• Medications
• Poor diet (see above)
• Incorporate foods into diet that promote
health flora (i.e. fermented foods)
• Colonics wash out the bad bacteria and
provide a habitat for the good bacteria to
colonize and flourish

6 Chronic Fatigue Syndrome
Description:
• Profound fatigue that is not improved by bed rest
and that may be worsened by physical or mental
activity
• Symptoms may include weakness, muscle pain,
impaired memory and/or mental concentration,
and insomnia, which can result in reduced
participation in daily activities
Potential causes:
• Scientists don't know exactly what causes chronic
fatigue syndrome. It may be a combination of
factors that affect people who were born with a
predisposition for the disorder
• Relaxation
• Gentle exercise
• Talk therapy
• Hormone tests

7 Constipation
Description:
• Constipation refers to bowel movements
that are infrequent or hard to pass
• Constipation is a common cause of
painful defecation
• Severe constipation includes obstipation
(failure to pass stools or gas) and fecal
impaction, which can progress to bowel
obstruction and become life-threatening
Potential causes:
• Diet
• Hormonal disorders such as
hypothyroidism
• Side effects of medications
• Heavy metal toxicity
• Dietary changes
• Laxatives
• Biofeedback
• Surgery

8 Diarrhea
Description:
• The condition of having at least three
loose or liquid bowel movements each
day
• Often lasts for a few days and can result
in dehydration due to fluid loss
• Signs of dehydration often begin with
loss of the normal stretchiness of the
skin and changes in personality
Potential causes:
• The most common cause is an infection
of the intestines due to either a virus,
bacteria, or parasite
• Other causes include: hyperthyroidism,
lactose intolerance, inflammatory bowel
disease, a number of medications, and
irritable bowel syndrome
• Increase fluid intake to avoid
dehydration
• Certain medications can help

9 Food allergies
Description:
• An adverse immune response to a food
protein
• Foods containing allergenic proteins
include nuts, eggs, dairy, soy, wheat,
fish, shellfish, fruits, vegetables, maize,
spices, synthetic and natural colors, and
chemical additives
Potential causes:
• Many food allergies are caused by
hypersensitivities to particular proteins
in different foods
• Treatment consists of either
immunotherapy (desensitization) or
avoidance, in which the allergic person
avoids all forms of contact with the food
to which they are allergic

10 Headaches
Description:
• A headache is pain anywhere in the region of the
head or neck
• It can be a symptom of a number of different
conditions of the head and neck
• There are more than 200 types of headaches
• Some are harmless and some are life-threatening
Potential causes:
• Alcohol, particularly red wine
• Certain foods, such as processed meats that
contain nitrates
• Changes in sleep or lack of sleep
• Poor posture
• Skipped meals
• Stress
• Underlying disease
• Certain medications
• Detoxification
• Food allergy testing
• Massage
• Relaxation

11 Hemorrhoid (Mild to Moderate)
Description:
• Hemorrhoids are vascular structures in
the anal canal which help with stool
control
• They become pathological when
swollen or inflamed
Potential causes:
• Irregular bowel habits (constipation or
diarrhea)
• Lack of exercise
• Nutritional factors (low-fiber diets)
• Increased intra-abdominal pressure
• Genetics
• An absence of valves within the
hemorrhoidal veins
• Aging
• Increasing fiber intake
• Oral fluids to maintain hydration
• NSAIDs to help with the pain
• Rest

12 Hyper/Hypothermia
Hyperthermia
Description:
• Elevated body temperature due to
failed thermoregulation that occurs
when a body produces or absorbs more
heat than it dissipates
Potential causes:
• The most common causes include heat
stroke and adverse reactions to drugs
• Hydration
• Rest
• Use of personal cooling systems
Hypothermia
Description:
• A condition in which the body's core
temperature drops below that required
for normal metabolism and body
functions
Potential causes:
• Hypothermia usually occurs from
exposure to low temperatures, and is
frequently complicated by alcohol
consumption
• Warm drinks
• Warm clothing
• Staying active
• Heating blankets
• Warmed intravenous fluids

13 Intestinal Toxemia
Description:
• Intestinal toxemia is poisoning
(infection) by decomposition
products absorbed from the
digestive tract
• Intestinal toxemia occurs when
large particles of undigested food
enter the small intestine and
colon
Potential causes:
• Poor diets, including: meat, dairy,
wheat
• Improper food combining
• Excess gas
• Detoxification diet and lifestyle

14 Laryngitis
Description:
• Swelling and irritation (inflammation) of the
voice box (larynx)
• Laryngitis is usually associated with
hoarseness or loss of voice
Potential causes:
• Acid reflux disease
• Allergies
• Excessive coughing
• Inflammation due to overuse of the vocal
cords
• Prolonged use of inhaled corticosteroids for
asthma treatment
• Thermal or chemical burns
• Laryngeal trauma, including iatrogenic one
caused by endotracheal intubation
• Infectious causes
• Voice rest
• Cough sedatives
• A humidifier or vaporizer
• Drinking fluids
• Medications

15 Mucous Colitis (aka IBS)
Description:
• A common gastrointestinal disorder involving
an abnormal condition of gut contractions
(motility) and gut sensation
(hypersensitivity)
• Characterized by abdominal pain, bloating,
mucous in stools, and irregular bowel habits
with diarrhea or constipation or alternating
diarrhea and constipation
• Also known as “irritable Bowel Syndrome” or
IBS
Potential causes:
• Unknown
• Changes in diet (eating high fiber and
avoiding caffeine, milk products and
sweeteners)
• Exercise
• Relaxation techniques
• Medications

16 Parasitic Infections
Description:
• An infection caused or transmitted by a parasite
• Symptoms include abdominal pain, weight loss,
increased appetite, bowel obstructions,
diarrhea, vomiting, sleeping problems, worms
present in the vomit or stools, anemia, aching
muscles or joints, general malaise, allergies,
fatigue, and nervousness
Potential causes:
• Contaminated food or water
• Bug bites
• Sexual contact
• Lack of hygiene
• Close contact with someone carrying specific
parasites
• General detoxification
• Proper hygiene
• Medications

17 Preparation for Surgery
Colon hydrotherapy is ordered before certain surgeries and procedures,
including:
• Barium Enema - an X-ray examination of the large intestine
• Colonoscopy - a test that allows your doctor to look at the interior
lining of your large intestine
• Sigmoidoscopy - a procedure used to see inside the sigmoid colon
and rectum

18 Prevention
• Colon hydrotherapy can also be
used as a preventative measure
for cancers of the colon, liver, and
digestive system, as well as for
general health
• When we normally move our
bowels, we do not entirely empty
the colon and material is left
behind. A colonic flushes away what
is left over, cleaning the body of
waste and toxins that can build up
and promote the growth of cancer
cells
• Along with a healthy diet and
exercise program, regular colonics
are part of a proactive plan to
ward off disease and promote
well-being

19 Sciatica
Description:
• Sciatica refers to pain, weakness,
numbness, or tingling in the leg
• Sciatica is a symptom of another
medical problem, not a medical
condition on its own
Potential causes:
• Injury to or pressure on the sciatic
nerve
• Medication
• Surgery
• Spinal manipulation

20 Sinusitis
Description:
• inflammation of the
sinuses
Potential causes:
• Infection from a virus,
bacteria, or fungus
• Autoimmune problems
Treatments for patients to
consider:
• Rest
• Drinking enough water to
thin the mucus
• Breathing low-temperature
steam such
as from a hot shower,
gargling, or nasal
irrigation can relieve
symptoms
• Medications

21 Skin Disorders
Acne
Description:
• A common human skin
disease, characterized by
areas of scaly red skin,
blackheads and whiteheads,
pimples, and possibly
scarring
Potential causes:
• Hormonal
• Genetics
• Psychological
• Diet
consider:
• Medications
• Procedures
• Lifestyle changes
Eczema
Description:
• Inflammation of the skin
• Characterized by itchy,
erythematous, vesicular,
weeping, and crusting
patches
Potential causes:
• Genetics
• Allergic reactions
consider:
• Medications
• Moisturizers
Psoriasis
Description:
• A common skin condition
that causes skin redness
and irritation. Most people
with psoriasis have thick,
red skin with flaky, silver-white
patches called scales
Potential causes:
• Genetics
• Alcohol
• Smoking
• Obesity
• HIV
• Medications
consider:
• Topical creams
• Phototherapy

Indications under prescription and
direct physician supervision
Colon hydrotherapy has been shown to be beneficial for the following
conditions. The following indications REQUIRE a prescription from a licensed
physician:
1. Colitis
2. Crohn's Disease
3. Diverticulitis
4. Early Pregnancy (up to 4 months)

1 Colitis
Description:
• Inflammation of the colon
• Symptoms include abdominal pain, loss of
appetite, fatigue, bloody diarrhea, mucus in
the stool, cramping, urgency and bloating
• Signs may include abdominal tenderness,
weight loss, changes in bowel habits
(increased frequency), fever, bleeding (overt
or occult)/bloody stools, diarrhea, and
distension
Potential causes:
• Inflammatory bowel disease or infections are
the most common causes
• Treatment depends on severity of condition
• Specific treatment should be prescribed by a
doctor and usually includes medications and
dietary changes

2 Crohn's Disease
Description:
• Crohn's disease is a form of
inflammatory bowel disease
• It usually affects the intestines,
but may occur anywhere from the
mouth to the end of the rectum
(anus)
Potential causes:
• Genetics
• Environmental factors
• Tendency of your body to over-react
to normal bacteria in the
intestines
• Smoking
• Dietary changes
• Stress management

3 Diverticulosis
Description:
• Diverticulitis is inflammation or
infection of pockets in the colon wall
(diverticula)
• Some patients with diverticulosis
complain of symptoms such as cramping,
bloating, flatulence, and irregular
defecation
Potential causes:
• Increasing age
• Constipation
• A diet that is low in dietary fiber
• Connective tissue disorders (such as
Marfan syndrome and Ehlers Danlos
Syndrome) that may cause weakness in
the colon wall
• Hereditary or genetic predisposition
• Increase fiber
• Avoid nuts, seeds, corn, and fried foods

4 Early Pregnancy (up to 4 months)
• Women who are early in pregnancy (up to 4 months) should not receive
colon hydrotherapy unless prescribed by a doctor

Agenda
A. Indications
A. Indications under prescription
and direct physician supervision
A. Contraindications

What’s a ‘Contraindication’?
“In medicine, a contraindication is
a condition or factor that serves as
a reason to withhold a certain
medical treatment”

Contraindications for Colon
Hydrotherapy
Colon hydrotherapy should not be used for the following conditions:
1. Abdominal Hernia
2. Abdominal Surgery
3. Carcinoma of the Rectum
4. Cirrhosis
5. Colon or Rectal Surgery
6. Congestive Heart Failure
7. First or Third Trimester of Pregnancy
8. Fissures or Fistula
9. Intestinal Perforation
10. Renal Insufficiency
11. Severe Hemorrhoids

Recap
1. Understand X
1. Y
2. Z
IN PROCESS

Unit 4 indications contraindications_cti

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