Exam 2015-2016 Flashcards
(35 cards)
Which nutrients would be most effective in the treatment of Adrenal exhaustion?
A. Magnesium, B6, Zinc
B. Calcium, Vit C, B1
C. Magnesium, B5, Vit C
D. Zinc, B3, Magnesium
C. Magnesium, B5, Vit C
Hydrotherapy: in which of the following conditions would an enema be contraindicated?
A. Irritable vowel disease
B. Diverticulitis
C. Ulcerative colitis
D. Hiatus hernia
Ulcerative colitis
Which of the following encourages Nitric Oxide (NO) production?
A. Curcumins
B. Pyconogenol
C. Celery seed
D. Coriander
B. Pycnogenol
Hydrotherapy: Following an enema or Colonic irrigation, friendly bacteria (flora) are repopulated within what timescale?
A. 1 hour
B. 1 week
C. 18 hours
D. Not repopulated
18hrs
Most heavy metals can be chelated with an infusion of which of the following?
A. Cleavers
B. Oregano
C. Coriander
D. Thyme
C. Coriander
Which of the following is contraindicated during a prolonged fast (over 48hrs)?
A. High blood pressure
B. Psoriasis
C. Diverticulitis
D. Anaemia
D. Anaemia
Foods containing which of the following minerals will support Phase 2 liver detoxification?
A. Iron
B. Calcium
C. Potassium
D. Sulphur
D. Sulphur
Hydrotherapy: a coffee enema is carried out which position?
A. Lying on your left hand side
B. Lying on your back
C. Lying on your right hand side
D. Lying on either side
C. Lying on your right hand side
What is the name of the active constituent in Milk Thistle which prevents the depletion of Glutathione?
A. Silymaride
B. Cardaloide
C. Silymarin
D. Silybum
C. Silymarin
Which of the following substances is best for removing Arsenic from the body?
A. Lycopene
B. Garlic
C. Saw palmetto
D. Oregano
B. Garlic
Case study
F, 43, Blood type A, 134lbs, 5’5 (1.65cm), 3 children
Reason for appointment: Fatigue, anxiety, occasional spells of dizziness and difficulty concentrating.
Past Medical: anti-anxiety medication, anti-depressants but didn’t like the effects so no medication for a year. Regular checkups show blood chemistry normal, blood pressure on the low side.
Family history: father died of stroke at 72, Mother (68) metabolic syndrome
Exercise: nil
Supplements: 1 x vitamin/mineral complex daily
Symptoms: extreme fatigue not relieved by sleep, dizzy on standing, pulsatile tinnitus which keeps her awake at night, recurrent headaches, palpitations, muscles feel tense and pain in joints. Rash is worse when under stress.
Emotions: mood swings, often feels “down”, anxiety, panic attacks, brain ‘foggy’
Signs: pale tongue, hair is dry, dull and there is some hair loss, nails have longitudinal ridges and chip easily, Blood pressure: 105/67
Eating habits: coffee yoghurt, toast, muffin, coffee, tea, sandwich, cheese, crisps, Diet Coke, tea/coffee, biscuits, chicken/fish and chips, pasta, vegetables, pasta, pizza, crisps, chocolate, biscuits
Alcohol: 6-7 glasses of red wine per week. Usually 1 glass with evening meal.
Bowel: variable depending on stress - alternating constipation and loose, pencil-thin stools
Menstruation: periods scanty and irregular
Sleep: gets an extra wind after dinner and not ready to go to sleep until late. Difficulty waking in the morning and is fatigued throughout the day.
Explain what dietary changes if any you would recommend?
- Reduce high glycaemic foods to balance blood sugar and eliminate stimulants: coffee and teas, alcohol, sugary snacks and sweet drinks
- Remove all processed foods: replace with complex carbohydrates and good sources of protein and good fats
- Glucose/insulin balance needs to be restored - eat within an hour of waking and breakfast containing good source of protein eg eggs.
- Eliminate all potassium-rich foods (bananas, dates, dried fruits) and incorporate sodium-rich foods (samphire, kelp, celery, beetroot) which will also help her low blood pressure.
Discuss what in-house tests might be performed
- pH saliva (tired, deficient state, magnesium deficient)
- iridology (nervous system)
- tongue (deficiency/low vital force)
- nails (poor absorption)
- hair (B deficiencies)
- blood type
Explain what laboratory tests, referrals or follow-ups might be applicable?
- adrenal saliva profile test (tired, nervous system depleted)
- refer to GP for Vitamin D analysis and comprehensive thyroid function
Describe what hydrotherapy protocols would you recommend?
Hydrotherapy in the form of warm Epsom salt baths prior to bed (3/4 times a week) would be helpful to relax an overactive nervous system and she will absorb a small amount of the magnesium which is necessary for healthy adrenal function.
Give a detailed rationale for treatment. Note: include any dietary changes, supplementation, hydrotherapy, detoxification or fasting methods as appropriate.
Adrenal fatigue (possibly exhaustion)
Presents with severe magnesium deficiency (pulsatile tinnitus, palpitations, tense muscles, twitches)
She is popping up her low energy with instant glucose foods and drinks. This will only lead to lowering blood sugar further over time.
The patient needs to examine their work, social and personal relationships to pinpoint stress and try to eliminate the cause. A state of deficiency predominates a lack of nutrients manifest as an over-stretched nervous system.
Sleep is fundamental - the patient needs to ideally sleep from 10pm to 6am to reset their circadian rhythm.
Gentle exercise is important (but not strenuous exercise).
To heal, the body needs to be in parasympathetic nervous system state and less exposure to sympathetic nervous system.
Fasting would be contraindicated as she is clearly hypoglycaemic.
Supplementation: Vit C, Mg citrate, B complex and extra B5.
Additional herbal support for Adrenals eg Gotu Kola, Siberian Ginseng, Rhodiola, Liquorice, Ashwagandha
Question 2: Naturopathic treatment protocols
Discuss in detail the Naturopathic approach to the treatment of Irritable Bowel Syndrome (IBS)
A. Discuss any foods, supplements which might be helpful (6)
- Magnesium citrate (150-200mg TDS) for relaxation of bowel (if constipation is dominant)
- Probiotics for healthy gut flora
- Soluble fibre: psyllium of oat bran to bulk-out bowel (drink plenty of water). This helps to re-educate the bowel. Bowels of IBS sufferers often present with pencil-thin stools due to bowel spasticity. This occurs from diets high in processed flour and sugar with little bulk.
- Plant digestive enzymes (one before each main meal). These will supply necessary cellulose and amylase that may be lacking through either stress or poor bacteria status.
B. Discuss any foods or supplements which may be contraindicated, with clear rationale (4)
- Fruit juices/concentrated fructose sources (fructose malabsorption)
- Gluten grains (lectin content)
- Apples, pears and melons ferment easily and should be avoided in the short term.
- Beans, cabbage, cauliflower, Brussels sprouts, onions etc rich in oligosaccharides and cellulose should be removed in the short term or digestive enzymes containing cellulose used prior to the meal.
- Common sensitivities are: wheat, corn, cow’s milk products and yeast.
C. Describe any hydrotherapy protocols which may be helpful (4)
- Sitz Baths with contrast immersion therapy to increase blood flow to the lower abdomen. This encourages better peristalsis and GIT function in general. These should be done regularly (eg every second day)
- Epsom salt baths may help with stress reduction and promote better sleep
- Colon Hydrotherapy can help re-educate the bowel by changing water temperatures. Recommend a course of this from a qualified practitioner. Implants of good bacteria in to the rectum can also be administered by the colon therapist.
D. Give a detailed rationale for treating this illness (6)
Inefficient digestion and assimilation of carbohydrate is commonly associated with this condition. This is more likely to occur with grains.
- Removing gluten grains and eating buckwheat, millet, rice and quinoa may benefit. Oats may also be a problem. Ideally a ‘Paleo/Primal’ - type diet (especially for blood types O and B) would be a better option where all grains are removed from diet and replaced by vegetables and fruit.
- If breaking down cellulose is a problem, then digestive enzymes (with cellulase) may need to be taken prior to meals of high fibre vegetable matter.
- If fructose malabsorption is the problem: remove fructose in the form of fruit juices, honey or HFCS.
These 3 potential triggers can cause excess fermentation leading to the classic bloating, fatigue, flatulence and irregular bowel movements associated with this condition.
A food diary should be used to pinpoint potential problematic foods.
- Stress will worsen digestion causing fermentation through enzyme dysfunction.
- Food combining can help take the load off the digestive system and the addition of prebiotics and probiotics should encourage repopulation of good flora. Eat smaller meals often.
- Prebiotics in the form of oligosaccharides (chicory, fennel, celeriac) may benefit contraindicated as they may produce further fermentation. Goat’s kefir or yoghurt (raw) would be a better option.
Short term (1-3 days) vegetable juice fasts may benefit by taking a load off the GIT and reset the system.
TISSUE SALTS
If a patient presented with cubic lines in the corner of her eye, as well as cracked blue lips, which Tissue Salt would be indicated?
A. Mag phos
B. Calc Fluor
C. Kali phos
D. Silica
B. Calc Fluor
What is the best Tissue Salt for dandruff and excessive sweating?
A. Sodium chloride
B. Sodium sulphate
C. Sodium phosphate
D. Calcium sulphate
A. Sodium chloride
Are Tissue Salts potentised the same way as Homeopathic remedies?
A. Yes - the process is exactly the same
B. It is repeated 6 times to achieve potentisation
C. No. They are not potentised like homeopathic remedies
D. They are partly potentised 3 times
C. No. They are not potentised like homeopathic remedies
Where would you find dietary sources of Calcium Fluoride?
A. Papaya and coriander
B. Linseed and mustard
C. Green beans and Ginger
D. Buckwheat and Grapes
D. Buckwheat and Grapes
Which Biochemical Tissue Salts is considered the Acid Neutraliser?
A. Sodium phosphate
B. Potassium phosphate
C. Ferrum phosphate
D. Magnesium phosphate
A. Sodium phosphate
