Category: Critical Care

Inflammation of the Gall Bladder and Bile Duct

19 June, 2010 (03:45) | Critical Care | By: Health news

Autopsy studies and examinations of inflamed gall bladders removed surgically show that bacteria are rarely involved. Inflammation of the gall bladder can be caused by drugs, chemicals and bacterial toxins,6 in which case the liver should be built up to the extent that such substances can be detoxified. Two sisters who incurred this type of gall-bladder inflammation from spraying roses recently reported a rapid recovery after taking 1,000 milligrams of vitamin C and 200 units of vitamin E every three hours with pep-up containing 4 egg yolks per quart.

Usually, inflammation occurs only when cortisone is not being produced in adequate amounts; hence emphasis must be placed on helping the adrenals function with maximum efficiency.

Jaundice

When pigments from the breakdown of worn out red blood cells, excreted in bile as a waste product, cannot reach the intestine, they accumulate in the blood and are deposited in the tissues, thus giving the skin and whites of the eyes the yellow coloring characteristic of jaundice. Any condition that causes a rapid destruction of red blood cells can bring on jaundice, but more often the disease results from severe swelling or spasms of the bile duct, surgical trauma, or obstruction caused by a cancer, stone or cyst that prevents the bile from reaching the intestine.

During World War II, when jaundice was a chief cause of illness, army doctors found that recovery could be markedly speeded up by a diet extremely high in protein (250 grams daily) provided the patient could consume such a huge amount. Fats were not limited, and carbohydrates were generously supplied to prevent proteins from being used for calories. Most authorities have recommended 100 to 150 grams of protein daily with a diet moderate in fat and rich in natural starches and sugars. During jaundice, the backing up of bile acids into the blood breaks down fat in the walls of the red blood cells, thus causing anemia. For this reason, the diet should be high in all nutrients needed to rebuild blood. If the diet is faulty, severe liver damage or even cirrhosis may occur; therefore adequate nutrition should be continued long after recovery.

When jaundice is brought on by spasms of the tiny muscles of the bile duct, nutrients that aid tissue relaxation should be immediately emphasized: vitamin B6, magnesium, calcium, and sufficient vitamin D to insure calcium absorption. To stimulate cortisone production, the anti-stress formula should be taken with highly fortified milk around the clock. When these measures cannot be started quickly enough, bile is sometimes forced into the pancreas, where it can cause severe inflammation, acute pain, and hemorrhage. If pancreatitis does develop, an anti-stress diet rich in the above nutrients should be given as soon as the patient is able to retain food.

Diet for Gall-Bladder Abnormalities

At the onset of hepatitis, pancreatitis, an inflammation of the gall bladder, or when a stone first obstructs the bile duct, nausea and vomiting usually become so severe that little food can be eaten. A physician should be called immediately. Every effort should be made, however, to prevent acidosis and to meet the demands of stress.

After the acute stage has passed, small two-hour feedings are gradually replaced by six light meals daily. The bile flow is inadequate during most diseases of the gall bladder, but lecithin can be taken to homogenize fats, thus increasing their absorption. Though bile acids, necessary to taxi digested fats and fat-soluble vitamins across the intestinal wall, can be increased 100 per cent by using oils instead of solid fats, they should be supplied temporarily by tablets of dried bile. Generally a teaspoon of lecithin and 1 to 3 tablets of dried bile with enzymes per meal and mid-meal are sufficient to assure efficient digestion and prevent gas formation. Soft stools would indicate that enough bile is being obtained and that insoluble soaps are not being formed. Because the blood levels of vitamins A, D, and E are especially low during diseases of the gall bladder, these fat-soluble vitamins should be taken with the lecithin and bile.

Gas distention can be further reduced by taking 1 or 2 cups of yogurt or acidophilus milk daily. If an odor to the stool persists, indicating that protein digestion is still incomplete, lecithin, yogurt or acidophilus, and bile tablets with enzymes should all be increased; and conversely, when no digestive disturbances occur, amounts of these foods may be decreased and the tablets discontinued.

Diets for gall-bladder diseases usually have a long list of “avoids,” for which there appears to be no scientific basis. Actually, no food need be forgone as long as it builds health; even salads are not taboo. To stimulate bile flow, no less than a teaspoon of oil should be obtained at each meal and mid-meal, always used appetizingly in food. At first milk and milk soups, whole-grain breads and cereals, lean meats and fish, eggs, cottage cheese, fruits, vegetables, custards, and simple milk desserts are customarily allowed. When weight permits and recovery is well under way, small servings of pork, steak, gravies, and gently fried foods can usually be eaten without discomfort provided lecithin and bile tablets are taken at each meal.

To obtain a high-protein diet needed for repair without getting excessive amounts of saturated fats, one can rely on yeast, soy flour, wheat germ, fresh and powdered skim milk, nuts, non-hydrogenated nut butters, and liver lightly sautéed in oil. Many of these high-protein foods can be incorporated into delicious breads, waffles, muffins, and hotcakes baked on a dry griddle.

Human Gallstones

15 June, 2010 (15:49) | Critical Care | By: Health news

Autopsies indicate that 10 per cent of our population has gallstones, most of which consist largely of cholesterol though a few are formed from bile pigments. Cholesterol stones have been produced in rabbits in a single week by substances causing the walls of the gall bladder to become inflamed; in three weeks their gall bladders were completely filled with stones. The inflammation apparently injured the mucous membrane lining the gall bladder, causing cells to slough off upon which cholesterol could deposit.
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When hamsters have been given a diet deficient in vitamin E, all developed cholesterol stones, though no stones occurred in animals receiving the vitamin. It has been generally believed that diets high in fat and/or cholesterol produced stones, but animals given large amounts of cholesterol or saturated or unsaturated fats developed no stones as long as vitamin E was adequate. Conversely, hamsters fed no fat or cholesterol whatsoever all formed stones without vitamin E. The stones developed before any signs of a vitamin-E deficiency could be detected and while the amount of cholesterol in the bile and blood was the same as that in animals having no stones.

Moreover, when animals were kept on a vitamin-E-deficient diet until all had stones and the vitamin was then given them, the stones dissolved. Even a diet still deficient in vitamin E but containing yeast and generous amounts of fat (natural lard) caused half the stones to dissolve; the remainder were small and contained little cholesterol. Yeast and soy flour, added to the stone-producing diet, prevented stones from forming; and the addition of natural grains, peanuts, and minerals decreased the number of stones to half.

The reasons why stones form or are prevented from forming by these diets are not yet clear. It is known that vitamin A is quickly destroyed in the absence of vitamin E; that without vitamin A, millions of dying cells from mucous membranes covering the walls of the gall bladder slough off into the bile; and that stones form around a base of organic material. It would therefore appear that dead cells may catch and hold the cholesterol. Foods such as yeast, nuts, and unrefined grains, containing B vitamins and/or oils, increase the production of lecithin; and they as well as lard stimulate the emptying of the gall bladder. Because lecithin breaks cholesterol into tiny particles and keeps it in suspension; a high lecithin content of bile would appear to be vitally important in preventing stones. Population groups living on refined foods have far more stones than those eating only unrefined products.

Can human gallstones be dissolved?

The general medical opinion is that gallstones cannot be dissolved and that sooner or later surgery is required. Many people with stones, however, have no digestive or gallbladder disturbances; and others apparently have had stones for years without knowing it until a chance x-ray revealed them. There are situations, of course, where surgery is imperative, but if a physician’s decision is to postpone surgery, it is worth the effort to try to dissolve such stones.

Investigators have pointed out that the low-fat diets customarily recommended can actually cause stones by preventing the gall bladder from emptying vigorously. The longer bile remains in the gall bladder, the more concentrated it becomes. When the gall bladder fails to empty, thick stagnant bile high in cholesterol may slosh about with each body movement for days or weeks. Cholesterol and bile pigments are thus constantly brought into contact with any dead cells present. Under such circumstances it would be strange if stones did not form.

Human gallstones, implanted in a dog’s gall bladder, dissolve quickly. This fact indicates that some constituent in bile keeps cholesterol from settling out; therefore the bile of persons who had had stones removed was studied after various nutrients were given them. Cholesterol settled out quickly when saturated fats were eaten. A teaspoon (3.5 grains) of arachidonic acid–the essential fatty acid in peanut oil–or linoleic acid with 20 to 60 milligrams of vitamin B6 increased the cholesterol-holding capacity of bile as much as 200 per cent. Vitamin B6 is necessary before linoleic acid can be changed into arachidonic acid, 25 needed to produce lecithin.

The diet to prevent gallstones or to help them dissolve, therefore, must be high in vitamins A and E to keep cells from sloughing from the mucous membranes. It should contain sufficient oil and B vitamins to stimulate the gall bladder to empty vigorously during each meal; and it must supply all nutrients known to increase lecithin production so that cholesterol can be held in suspension. Saturated fats should be kept to a minimum, and hydrogenated fats and excess carbohydrates, which change into saturated fat, should be avoided.

Large gallstones cannot enter the bile duct, and tiny ones pass readily through it; hence only medium-sized stones may become troublesome. Possibly because many nutrients aid relaxation and decrease sensitivity to pain. The discomfort lasts only a few hours, and as soon as the stone is forced through the bile duct, it is gone forever. The over-all pain and certainly the expense is considerably less than that incurred by surgery.

The Dangers of Delayed Treatment

13 March, 2010 (21:41) | Critical Care | By: Health news

When you are suffering from an adverse health condition, especially a severe illness or disorder, you should seek immediate medical attention. However, even when you do that, doctors’ negligence can result in delayed treatment. During this time you can become even sicker and perhaps past the ability to even respond to treatment.

On the other hand, there is a thin line between waiting for a second opinion and delayed treatment. In some cases, if you are misdiagnosed, the treatment that you receive for your supposed condition can be dangerous no matter if you receive it immediately or if it is delayed. Thus, when you are diagnosed with a serious health condition, you should always consider taking the time to get a second opinion rather than push forward to get treatment as soon as possible.

Once you are sure of your diagnosis, though, you should receive the proper treatment immediately. Doctors undergo years of education and training so that they can correctly identify disorders and prescribe the proper care. This is important because some powerful treatments, like chemotherapy or strong antibiotics, can weaken your body even as they attack the source of your problem.

Thus, you can suffer from delayed treatment if a doctor fails to recognize your disorder. Additionally, if a medical facility refuses to take you, it can cost you time in getting the treatment you need. Lastly, if you go to the emergency room for treatment, the nurses must correctly triage your injuries and determine if you actually need emergency treatment or not. In cases like this, if you are sent to the wrong unit, it can also take more time before you are treated.

Delay in treatment may not be too dangerous in the case of something like a mild cough or cold. Often, these are caused by viruses that can’t be treated with medication. However, with more serious issues such as strokes and brain trauma, the few hours of delay in getting treatment can result in permanent health issues. For instance, if you hit your head and the doctor diagnoses brain trauma, he should monitor the swelling inside and perhaps administer medications or even perform surgery to keep the blood from pooling up inside your skull. The problem with pooled blood is that it puts pressure on your brain. Prolonged pressure can kill off areas of brain tissue, resulting in lifelong brain damage.

Traumatic Brain Injuries

22 February, 2010 (11:17) | Critical Care | By: Health news

Even when a traumatic brain injury (or TBI) is handled in the most ideal approaches, such as immediate care in a neurosurgical emergency ward, there are often a set of subsequent conditions and complications that can remain with a patient throughout the remainder of their life. Some of the problems can come directly from the injury itself, but can also be more directly related to issues that developed immediately after the injury too. For instance, pooling of blood and intracranial pressures can lead to the death of brain tissue that brings about a bevy of disorders afterward.

The most common complications are related to behavioral, emotional, and cognitive issues. While the most severe will include the patient remaining in what is known as a “persistent vegetative state” or a minimally conscious one, there are lesser but still serious issues like:

  • Tremors;
  • Ataxia;
  • Post-traumatic seizures and Epilepsy;
  • Development of Parkinson’s Disease;
  • Impairment of the senses including loss of sight, hearing, or smell;
  • Changes in hormonal balance that can lead to problems with the pituitary gland;
  • Development of Diabetes;
  • Memory loss;
  • Damage to cognitive skills such as processing speed, distractibility, problems with multi-tasking and problem-solving;
  • Inability to process speech; and
  • A large assortment of emotional and behavioral changes of a dramatic kind.


The last on the list tends to be one of the most prevalent issues, and can often lead to a TBI patient being diagnosed with secondary conditions such as depression, OCD (Obsessive Compulsive Disorder), substance abuse issues, and more. These problems, it is believed, are due to damages sustained in specific regions of the patient’s brain. For instance, a patient who has received temporal lobe damage is one prone to development of aggression disorders in the post-recovery period. On the other hand, it is the frontal lobe region that tends to create problems with childlike behavioral issues or a tendency for “dis-inhibition” to develop in the patient.

Subsequently, there is now a great deal of overall support available to the patient and any family or caregivers who are working to recover from the injury. Not only will someone who has sustained any sort of TBI require rehabilitative care, but the damages may have created radical shifts within their families too. A parent may now need more care and understanding than was ever anticipated, especially if they have developed subsequent cognitive or personality issues. This is the reason that entire families are on the receiving end of as much support and assistance as possible after someone sustains TBI.

3 Types of Heat Injuries

19 October, 2009 (04:36) | Critical Care | By: admin

If you are exercising or if you work in a hot environment, heat injuries can be over looked easily which is an extreme health risk to the person involved.

There are many ways to categorize heat injuries but we will discuss them in 3 major heat induced classes:

Heat cramps are crippling contractions of muscles, usually following exercise.

These usually happen to people who are not acclimatized to the specific environment. There is no research to say what causes them specifically but some have shown a depletion of electrolytes is responsible. Thankfully these craps usually subside once the person is completely acclimatized to the environment.

Heat exhaustion is a more serious injury which results from dehydration and a lack of electrolytes.

The person affected might feel dizzy, light-headed, fatigued, or develop a headache. If heat exhaustion is in fact suspected, the person should be moved to a cool place and allowed to sip fluids to replace those that have been lost.

Heat stroke is a serious injury that is life threatening. This occurs when the person body is unable to regulate their core temperature. If their core temperature is greater than 104f, it can cause irreversible injuries to vital organs and possible cause death if not treated immediately. Even people who are well hydrated can be affected by heat stroke. Headaches, vomiting, loss of consciousness, confusion, and light-headedness are a few symptoms to watch out for.

There are many drugs and influential drinks which can promote dehydration and should be avoided in hot environments.

If you suspect someone is suffering from a heat related injury, it is important to get help immediately.

Importance and Health Benefits of Antioxidants

14 October, 2009 (03:51) | Critical Care | By: admin

Antioxidants are usually referred to a group of chemicals that are naturally found in vegetables, plants and fruits. They can also be synthesized in our body. Antioxidants are essential for the prevention of the human diseases like cancer and cardiovascular diseases.

They also have anti-aging effect and they fight against the free radicals that are associated with aging related diseases. This disease includes Alzheimer’s disease and Parkinson’s disease. Anti-oxidant suppresses the formation of free radicals thereby protecting the body from various diseases. Antioxidants are responsible for the proper functioning of the immune system.

The immune cells produce certain free radicals for normal defense function, if the number of free radicals increases beyond the fixed level it affects the immune system to a greater extent. When these conditions prevail antioxidants fight against the free radicals and promote the immunity. They also play a main role in cellular metabolism, gene activation, signal transduction and transcription.

Antioxidants also control the cholesterol level and remove the bad cholesterol content from the human body. Some of the examples of dietary antioxidants are vitamin A, vitamin C, vitamin E, chlorophyll, flavonoids and phenolic acids. Some of the chemicals along with the antioxidant activity produced in a human body are uric acid, amino acids and high density lipo proteins.

The rich sources of natural antioxidants are fruits, vegetables, tea, nuts, herbs and whole grain cereals. Some of the fruits that have high antioxidants are apple, blackberry, blueberry and grapes. Some of the vegetables that have powerful antioxidants in excess are carrot, tomato, potato, garlic and beans. Green tea, black tea, ginger and herbal tea are the other important sources of antioxidants.