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Re: Ileostomy info sought

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Has no-one treated patients with an ileostomy?

>

> I have been asked to give a talk to the local ileostomy society next month and

wondered if anyone had any experience of treating clients who've had an

ileostomy.

>

> I have successfully treated one case of ulcerative colitis and it seems to be

on the strength of this that a local IBD nurse has suggested me as a speaker.

While I can spout on theory and the one case I have treated, having a few more

herbalists' input would definitely give me confidence!

>

> a

>

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Hi a I'm sure you could put together some treatment strategies to talk about, even if you have no experience of ileostomies. In all patients, going back to 1st principles, treating the constitution, looking at all symptoms, the reason someone needed a stoma in the first place, local treatment of a stoma etc etc...But I'm sure you already know this. Helen To: ukherbal-list Sent: Thursday, 29 March 2012, 14:15 Subject: Re: Ileostomy info sought

Has no-one treated patients with an ileostomy?

>

> I have been asked to give a talk to the local ileostomy society next month and wondered if anyone had any experience of treating clients who've had an ileostomy.

>

> I have successfully treated one case of ulcerative colitis and it seems to be on the strength of this that a local IBD nurse has suggested me as a speaker. While I can spout on theory and the one case I have treated, having a few more herbalists' input would definitely give me confidence!

>

> a

>

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Hi a

I haven't treated anyone with an ileostomy herbally, but have lots of experience

of them in nursing. The main thing about ileostomies, as opposed to colostomies,

is that the stool tends to be very liquid, and depending on how much of the

bowel is lost, absorption is usually compromised to a greater or lesser degree.

So as Helen has said, basic principles about improving and maximising

absorption, plus strategies for bulking up the stool (slippery elm maybe but

beware of reducing absorption, thinking about timing may help here). I'd think

this group would be very interested in the holistic nature of herbal medicine

especially given the central role of stress and tension in any bowel disorder?

Alison

> >

> > I have been asked to give a talk to the local ileostomy society next month

and wondered if anyone had any experience of treating clients who've had an

ileostomy.

> >

> > I have successfully treated one case of ulcerative colitis and it seems to

be on the strength of this that a local IBD nurse has suggested me as a speaker.

While I can spout on theory and the one case I have treated, having a few more

herbalists' input would definitely give me confidence!

> >

> > a

> >

>

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Thanks for your advice Alison and Helen, I'm sure they'll be interested

but had vaguely hoped I might have been able to say I knew of cases that

had been helped however that doesn't seem to be going to be possible so

I'll just have to go on theory.

a

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Hi a

I treated someone with an ileostomy some years ago.

It wasn't for any digestive problem though. She also had endometriosis which was

why she came to see me.

I was concerned when she came that I wouldn't have much effect on her,

especially as she had had a lot of intestine removed, but she did brilliantly

well.

Basically she had the ileostomy when she was 21 - she'd had UC, diagnosed when

she was pregnant and surgery about 6 months after she gave birth.

She came to see me when she was about 42 - she had endometriosis diagnosed by

laparoscopy. Usual symptoms. But she has recently remarried and they wanted to

have children. I told her at the outset that I might not be able to help her at

all because I didn't know how well she was absorbing anything. Also told her

that getting pregnant might be a very tall order.

As it turned out she responded brilliantly to herbs. Endometriosis - no pain,

regular periods, no PMS, etc. But she also found that her digestion was much

better - she had said it was OK when she came but she noticed a considerable

improvement and she began to be able to eat a wider range of foods 0 funny how

patients say they're fine until they get so much better. Her ileostomy

functioned better, she'd had soreness around it from time to time and that all

settled.

The great outcome would be if I told you she got pregnant but as far as I know

she didn't. Apart from the health problems, age wasn't on her side. She went on

having regular painfree periods.

It's not quite what you're after.

best wishes

>

> Thanks for your advice Alison and Helen, I'm sure they'll be interested

> but had vaguely hoped I might have been able to say I knew of cases that

> had been helped however that doesn't seem to be going to be possible so

> I'll just have to go on theory.

>

> a

>

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Yes, I was really unsure it would have any effect.

I forgot to say that she had had most of her intestine removed - she only had 6

feet left.

But she was obviously absorbing pretty well from her food.

So maybe I shouldn't have been surprised or uncertain.

>

> Thanks - interesting that the herbs worked despite presumed

> impaired absorption - I can at least add to my notes as an anecdote.

>

> a

>

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