Category Archives: J. CONDITIONS TO TREAT

Gum chewing vs acupressure wrist bracelet to shorten postcolectomy ileus

A surgical procedure called a colonectomy removes part or all of the large intestine. A common side effect of this surgery is known as postoperative ileus (POI) in which bowel movement is impaired following surgery and can take 48 to 72 hours to recover.

Common symptoms experienced by patients with POI include bloating, pain, nausea and vomiting, an inability to pass stools, and an inability to eat solid food. There is also a greater risk for other complications that can prolong the time they must stay in the hospital. This, of course, results in higher health care costs.

A recently published study of 66 patients was designed to determine the usefulness of gum chewing to shortening the time to recovery from POI.

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Ginger to prevent seasickness

Motion sickness (or seasickness) is a common response to real and perceived movement through the environment.

On a recent cruise with my wife, the ocean got choppy one night, so she walked me to the shipboard sundry shop to buy seasickness medicine that she was convinced we would need. I disagreed, but went anyway to supervise the purchase. The choices were Dramamine (diphenhydramine) to treat existing nausea, vomiting, and dizziness from motion sickness, or ginger to prevent it.

We went with the ginger and voila, I didn’t get sick. Other anecdotal reports support our experience but clinical studies are less definitive.

What to do?

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Transcendental meditation for heart disease

An article in the Archives of Internal Medicine reports that trancendental meditation (also known as TM) may alter the physiological response to stress and improve risk factors in patients with coronary heart disease. In this randomized, placebo-controlled clinical trial, 16 weeks of TM or active control treatment (health education) resulted in improved blood pressure and insulin resistance (two components of the metabolic syndrome) among patients using TM.

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A prebiotic reduces the incidence of atopic dermatitis in high-risk infants

For the first time prebiotics lowered the risk atopic dermatitis in a high-risk population of infants.

More than 200 infants at risk for atopy (an allergy involving an inherited immunoglobulin of the IgE type) took part in the study. Those on bottle-feeding were randomly assigned to a prebiotic formula (a mixture of galacto- and long chain fructo-oligosaccharides) or maltodextrine as placebo.

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Ayurvedic drug reported effective to treat osteoarthritis of the knee

RA-11 (Artrex, Mendar) is a standardized multiplant Ayurvedic drug that contains Withania somnifera, Boswellia serrata, Zingiber officinale, and Curcuma longa. In a 32-week study of 90 people with osteoarthritis of the knee, it was more effective than placebo for pain relief.

OK, but I have some questions.

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Death after using selenium to treat suspected prostate cancer

Here’s a disturbing report.

After a single test showing a raised level of prostate-specific antigen, a 75-year-old man became concerned about prostate cancer. He researched prostate cancer on the Internet and discovered that selenium may have a role in its prevention and treatment. He purchased sodium selenite powder and tablets from two separate pharmacies. Overdosed himself, and died in the hospital intensive care unit about 5 hours later.

What are we to learn from this sad case?

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Arthritis prevalence and the non-role of thunder god vine

Morbidity and Mortality just reported the latest prevalence of rheumatoid arthritis (RA). This survey of more than 90,000 adults between 2002 and 2005 found the following.

  • Doctor-diagnosed arthritis: 46.4 million persons
  • More common in women, and older, overweight, and inactive people
  • Arthritis-attributable activity limitation among adults: 17.4 million persons

The National Center for Complementary and Alternative Medicine (NCCAM) lists thunder god vine (Tripterygium wilfordii Hook F; TWHF) first among all the CAM options for RA. The reason for this is unclear unless it’s to warn us about its safety.

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St. John’s wort for depression

A review article published in 2001 identified 8 clinical studies in which St. John’s wort was more effective than placebo in treating mild to moderate depression. “The absolute increased response rate with the use of St. John’s wort ranged from 23% to 55% higher than with placebo, but ranged from 6% to 18% lower compared with tricyclic antidepressants.”

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Acupuncture not effective in perimenopausal women with hot flashes.

A recent study reported that self-acupuncture was associated with long-term relief of vasomotor symptoms (hot flushes) in patients with breast cancer or prostate cancer who are undergoing anticancer therapy.

Unfortunately, this does not seem to apply to women in perimenopause.

Here are the details of a recent study.

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A problem endemic to clinical medicine: treating the symptoms, not the cause

Here’s a series of quotes from the October (Volume 12, 2006) editorial in Alternative Therapies in Health and Medicine that I think contrasts the points of view between alternative and mainstream medicine today. Is the alternative perspective too esoteric to be of practical value? Or is the mainstream approach (for chronic diabetes for example) destined to come up short? Or is the answer somewhere in the middle?

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