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Monday, May 5, 2008

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A number Green Tea Pe 98 (40 Egcg) 500g herbs, supplements, and food products are commonly used as self treatments by patients suffering from gastrointestinal disorders like IBS, FD and GERD. For example, constipation is often treated with herbal therapies that stimulate secretion of fluids into the bowel and muscular contraction of the intestines. The most common include senna, cascara, aloe, and rhubarb root. One small study in 35 patients showed that aloe vera (combined with celandin and psyllium) was better than placebo in treating constipation (Odes and Madar 1991). Although it is unclear if these herbs and supplements are helpful, there is 1kg 1.5kg 5kg 500g 750g gram kilo kilogram 250g 75g 50g 25g evidence of potential harm.

As noted earlier fatty foods can increase purchase bulk green tea powder extract of dyspepsia. Patients with IBS commonly can't tolerate a number of foods, including milk, wheat, eggs, and fresh fruits and vegetables. IBS patients do not however purchase wholesale fos supplement an increase in lactase deficiency (the enzyme that digests dairy products) or an inability to absorb sugars (like fructose) when measured in the laboratory, although they may more symptoms when exposed to these compounds. A variety of herbs, food products, and other supplements have been promoted buy wholesale CLA 50 the treatment of bowel symptoms, constipation and dyspepsia.

Please note that if you have an ulcer that you know is a potentially life threatening condition for which you may need medication I do not recommend trying herbs and supplements first. Get to a doctor for help.

Peppermint oil is one food product that has shown the most usefulness for the treatment of dyspepsia and IBS. It has antispasmodic properties; the active ingredient is menthol, which relaxes the smooth muscle of the intestines by blocking calcium influx. At least three randomized placebo controlled trials have shown that peppermint buy wholesale nutritional powder grape seed pe symptoms of IBS (while two did not show an effect) (Dew et buy wholesale DHEA 1984; Liu et al 1997). There was heterogeneity amongst trials, meaning that the results are not consistent and therefore not conclusive. One study showed that peppermint helped symptoms of dyspepsia. Heartburn is a common side effect of peppermint oil treatment. Based on studies to date I can say it is safe to try peppermint for symptoms of IBS or heartburn, since it has no long term or dangerous side effects.

Artichoke (Cynara scolymus) leaf extract (ALE) has been promoted as a treatment for dyspepsia. It has been shown in animal studies to improve bile flow; its active compound is felt to be bitter compounds like cynaropicrin. One study of 244 patients randomized to ALE or placebo showed an improvement in dyspepsia symptoms and quality of life scores compared to placebo after 6 weeks of ALE therapy. The difference between the two treatments in dyspepsia at the end of treatment was less than 10%, however, so in my view the effects were not very strong. Of course this is only one study, and I would like to see another controlled trial show that ALE works for dyspepsia before recommending it. In the meantime if you have dyspepsia and you want to eat more artichoke leaves, I say bon appetite. They certainly can't hurt.

Ginger has been used to treat nausea as well as bowel symptoms. Ginger extract is thought to be Grape Seed P to strengthen the gastric lining, and to stimulate motility of the intestines. Although it has been promoted for nausea treatment, controlled studies have shown that it does not decreases post-operative nausea, although it has been shown to work for sea sickness and nausea with pregnancy. It is safe with no side effects that I know of. So next time you have sushi, don't forget the ginger, although I would like to see another controlled trial to see if it really works for nausea. There are no controlled studies I know of using ginger for bowel symptoms.

Bowel disorders (and a number of other conditions) are traditionally treated in China with Chinese Herbal Medicine (CHM). This involves regular meetings with the CHM practitioner with individualized adjustments targeted to the symptoms and the individual person. The combination of the different herbs, rather than ingredients in individual herbs, is believed to work for the specific disorder. In the only controlled trial of CHM for bowel disorders 116 patients with IBS were randomly assigned to receive traditional CHM with an individualized treatment, a standard formula of 20 herbs used in CHM, or a placebo, for 14 weeks of treatment. Both the herbal treatments were better for IBS symptoms than the placebo, but the individualized CHM was not better than the standard fixed formula (Bensoussan et al 1998). This study was well designed and conducted and offers promising results for CHM treatment of IBS but I would like to see another replication study. In the meantime I won't discourage you from using CHM, but you don't need to pay for an individual practitioner.

Bensoussan A, Talley NJ, Hing M, Menzies R, Guo A, Ngu M (1998): Treatment of irritable bowel syndrome with Chinese herbal medicine: A randomized controlled trial. Journal of the American Medical Association 280:1585-1589.

Dew MJ, Evans BK, Rhodes J (1984): Peppermint oil for the irritable bowel syndrome: A multicentre trial. British Journal of Clinical Practice 38:394-398.

Liu JH, Chen GH, Yeh HZ, Huang CK, Poon SK (1997): Enteric-coated peppermint-oil capsules in the treatment of irritable bowel syndrome: A prospective, randomized trial. Journal of Gastroenterology 32:765-768.

Odes HS, Madar Z (1991): A double-blind trial of a celandin, aloevera, and psyllium laxative preparation in adult patients with constipation. Digestion 49:65-71.

Learn more about alternatives to medications and hidden risks of prescription medications in 'Before You Take That Pill: Why the Drug Industry May be Bad for Your Health: Risks and Side Effects You Won't Find on the Label of Commonly Prescribed Drugs, Vitamins and Supplements', by researcher and physician J. Douglas Bremner, MD.

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