The following program
presents principles designed
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to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinion and ideas expressed
are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Just about everyone will
experience abdominal pain
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at some time in their life.
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Many of the
causes of abdominal pain
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are not serious and
can be easily treated.
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However, improperly
diagnosed abdominal pain
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could lead to
some serious trouble.
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Learn to recognize the
symptoms of severe condition
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on today's program.
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I'm Dr. James
Marcum, are you interested
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in discovering the reason why?
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Do you want solutions
to your healthcare problem?
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Are you tired of
taking medications?
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Well, you're about to be
given the Ultimate Prescription.
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Whether a
slightly unsettled stomach,
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stomach cramps
or even sharp pains.
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Abdominal pain can be caused
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by a number of different things.
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As a practicing
physician for the past 25 years,
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Dr. James Marcum has a few ideas
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about what might
be causing such pains,
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and he's here to share
with us on today's program.
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You're watching the
Ultimate Prescription
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and I'm your host Nick Evenson.
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Dr. Marcum, welcome
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and what do you know
about abdominal pain?
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You know, abdominal pain is,
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we've been talking about
pain the last few programs.
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Right. What pain is?
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When it's serious?
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And abdominal pain is a big
one because everyone has it.
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And whether it comes from,
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you know, eating
too much food or,
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you know, not moving
the food through the tube,
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it's a problem that we have.
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And I think, you know,
in approaching it, you know,
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I want to educate our
audience and if can know some,
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you know, some of the big,
big physiologic principles.
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Yeah, we can sort of
understand this, this so,
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so the digestion
system is just a big tube.
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So, Nick, think if it's
like a big tube that runs
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from your mouth to
when it exits your body.
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And the function of this tube
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is to extract
energy from your food.
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That's what it does.
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So it's big tube that
pulls energy into your body.
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Holds out the
nutrients that you need
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and it passes through the things
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that you don't need.
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It keeps out what goes out.
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So that sort of
helps you. Right.
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It's one big tube, it's
different types of tissue
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and it goes at different speeds
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and different parts
pull different things out,
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but that's what it's for.
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So if you think about
it, it starts in the mouth,
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the tube starts in your mouth
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and that's where
actually digestion starts.
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And we can help
maintain the tube in this part
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by just chewing our food well.
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Yeah. Okay.
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It keep, cuts down
the work load downstream.
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So digestion
starts there, we want to,
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we call this mastication, a
big word mastication chewing.
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Amylase, lipids
different amylase chemicals
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start to digest the food,
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we chew it that
helps to break it down.
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Now amylase is that
like, what's in you saliva?
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Yeah, yeah, that's a
saliva, that's a enzyme
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that starts to
break down protein
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right there in your saliva.
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And then it starts moving down
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and then as it
moves down the tube,
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different things happen.
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You know, first it gets,
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you know, the
esophagus you swallow it,
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okay.
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And it decides to
go down the right tube.
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You know, there's tube
that goes to your lungs
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right there at the same spot.
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Right, we don't want
it to go down that tube.
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No, and the epiglottis
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keeps it going down the big tube
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and it goes down the esophagus
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and then it eventually
gets into your stomach.
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So there in the stomach
really work starts to happen.
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Yeah.
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And there is a little
valve leading into the stomach
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called upper
esophageal sphincter, okay.
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And it gets in the stomach
and then the stomach starts
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digesting the food
breaking it down more.
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So if you chewed it up
petty well, guess what?
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And if you eat food
that's easy to digest,
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the stomach doesn't
have as much work to do.
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So it's easy on your stomach
if you chew the food well.
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I know, that
something that sometimes
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I rush through a meal
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and I'm not
doing myself any favor,
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is that where am I?
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Yeah, and also you
don't want to hit the stomach
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with too much food all at once
because then he's got to do is,
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"Man, my workload
is too hard today."
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Yeah. So he likes to rest too.
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So it makes a lot
of different chemicals
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to start breaking
down the food even further,
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so it can be absorbed downstream
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in the intestines.
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So it breaks down the
food especially proteins,
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a lot of, you know,
breaks down proteins.
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Hydrochloric acid
is made in the stomach
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and that's a
pretty powerful acid
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to break down food.
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So the stomach is
very acidic, very acidic.
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And we want to keep
the acid in the stomach.
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We're gonna learn that
some disease conditions happen
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because the acid
either goes upstream
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into the esophagus
or it causes damage
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within the
stomach lining itself.
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I'm assuming that the stomach
is made to hold this acid...
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Yes, it is.
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And so it can do that very well.
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But when the acid gets out
into other parts of the body...
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Not so very good. Okay.
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Not so very good.
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So anyway, the food eventually
gets into the small intestine
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and the large intestine
and that's where the water
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and the nutrients are processed.
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The intestines aside,
what gets in your body,
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what doesn't get in your body.
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We have a very a
trillion bacteria
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live in this tube downstream
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and we call that the microbiome.
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Okay.
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All sorts of species of bacteria
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and we want to
have the good ones out
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with the bad because they decide
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what gets in your gut,
what gets out of your gut.
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The bacteria down
there also make chemicals
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that affect your mood,
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it affects
inflammation on their body,
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it affects all sorts of things.
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You know, it can even affect
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you know
different disease states
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down in your intestine.
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Well, you know, the microbiome,
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that you talk
about all these bacteria,
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I just think of them
just dealing with the food
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but it sounds like
they play a much bigger role
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than just dealing with food.
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Yes, they help with
the food, they help decide
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what gets in
and out of the body.
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The bad bacteria have
their own things that they do.
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And if you
think of our genetics,
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there's more genetic
material in the bowels
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than in the rest of the body.
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Really? That's
fascinating. Yeah.
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A trillion
bacteria they all have DNA.
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DNA makes different things.
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And so that's you
know why, you know,
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the brain and
the gut are connected
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because it makes
chemicals like serotonin
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which affects our moods.
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So if the guts not
happy, a lot of it's not happy.
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So anyway, it moves
through the big tube,
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the small and large intestine.
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Eventually it gets
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once all the
nutrients have been pulled out,
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the waste is excreted.
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Right. And then you're done.
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So that's in short
what this big tube does.
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Okay.
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So now when we sort of got
a feel for this, it helps us,
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it's gonna help us
understand abdominal pain
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and also pain up higher too.
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Right, yeah.
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So if you think what
causes malfunction of the tube.
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If we sort of know
what it's supposed to do,
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what can cause malfunction?
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We're eating the
wrong types of food.
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Okay, eating food
with toxins in it.
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You know, that
doesn't agree with the system.
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Now what kind of
things would be toxins?
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Well, think about it,
lets say, you eat spoilt food.
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Okay. It has bacteria in it.
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It's gonna make you
get sick and throw up.
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Let's say you eat
a lot of chemicals
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that your body can't handle.
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Okay, a lot of people you
hear gluten insensitivities
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and a lot of people
do poor, for instance,
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if you are a meat eater,
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if you think of
all the chemicals
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that come with meat,
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the antibiotics,
the growth hormones,
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the disease itself in
animals that gets in you.
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Sometimes that can act
as a toxin in the body.
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So that's gonna hurt the system,
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the system needs
good old water, okay.
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That's right.
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Yeah, little bit of
water, it's very important.
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To push it through.
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So not getting enough water
could hurt help dysfunctions.
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We know that people who
don't drink enough water
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sometimes they get constipated.
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Right. Have you
ever been constipated?
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Not too bad, I usually
drink a good amount of water.
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You know, I haven't
either, thank goodness.
00:07:29.94\00:07:32.41
And when you said
they've been practicing
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for 25 years I said,
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"Man! I'm getting
up there, you know."
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Yeah, yeah.
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But that's a
good thing not to have
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and just keep drinking
lots of water, lots of fiber
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are good ways to keep
from being constipate.
00:07:41.52\00:07:43.66
Now gravity, the tube
needs gravity, so just,
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you know just
standing up and moving.
00:07:47.53\00:07:49.53
And when we move and
exercise, guess what?
00:07:49.56\00:07:52.07
There's muscles involved
in this process as well.
00:07:52.10\00:07:55.54
Muscles in the esophagus
00:07:55.57\00:07:56.94
that put the food
down into the stomach.
00:07:56.97\00:07:59.14
The bowels also have,
00:07:59.17\00:08:00.51
we call it motility
where the food moves.
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So just a good exercise program
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helps move
things through as well.
00:08:05.11\00:08:06.98
Yeah.
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Now if you're a couch
potato and don't exercise
00:08:08.38\00:08:09.72
and lay down after
you eat every meal,
00:08:09.75\00:08:11.32
the tube can't
work as efficiently.
00:08:11.35\00:08:13.56
So this process can't
move from A to B as easy.
00:08:13.59\00:08:17.09
So gravity is our friend
00:08:17.13\00:08:18.46
when it comes to moving the food
00:08:18.49\00:08:19.83
through the systems.
00:08:19.86\00:08:21.20
Exactly. Okay.
00:08:21.23\00:08:22.56
One of our greatest
friends of this tube is fiber.
00:08:22.60\00:08:24.13
Okay.
00:08:24.17\00:08:25.73
I've read a statistic recently
00:08:25.77\00:08:27.27
that 95 percent of Americans
don't get enough fiber.
00:08:27.30\00:08:32.07
This tube needs fiber
for couple of reasons.
00:08:32.11\00:08:34.84
Fiber helps move things through,
00:08:34.88\00:08:36.61
it speeds up the
motility of the bowel,
00:08:36.64\00:08:39.15
so the bowel moves
things through faster.
00:08:39.18\00:08:42.02
Of course that will
help with constipation.
00:08:42.05\00:08:44.32
It also helps
move water in and out
00:08:44.35\00:08:46.76
but more than that
fiber helps regulate
00:08:46.79\00:08:49.42
all the bacteria downstream.
00:08:49.46\00:08:51.06
Right.
00:08:51.09\00:08:52.43
This microbiome,
and we know that people
00:08:52.46\00:08:53.80
that don't get enough fiber,
00:08:53.83\00:08:55.16
it hurts the flora or
the bacteria in the gut.
00:08:55.20\00:08:59.30
Right, mm-hmm.
00:08:59.33\00:09:00.67
You make more bad
bacteria and less good bacteria.
00:09:00.70\00:09:02.77
Mm-hmm.
00:09:02.80\00:09:04.14
So just getting fiber
helps in the regulation
00:09:04.17\00:09:05.84
and the movement
of the gut bacteria.
00:09:05.87\00:09:08.21
So that's a very good thing.
00:09:08.24\00:09:10.38
And of course other
things that affect the tube
00:09:10.41\00:09:13.15
through time is inflammation.
00:09:13.18\00:09:15.42
If you have, what
would cause inflammation?
00:09:15.45\00:09:17.55
Eating the wrong
foods, having a disease state
00:09:17.59\00:09:20.52
that we're gonna talk
about a little bit later.
00:09:20.56\00:09:22.32
If you have a malignancy,
that can cause problems.
00:09:22.36\00:09:24.86
So that it gives us a
general understanding.
00:09:24.89\00:09:27.43
Well, let's talk
about the pain, okay.
00:09:27.46\00:09:29.80
Mm-hmm.
00:09:29.83\00:09:31.17
You know, I'm talking about pain
00:09:31.20\00:09:32.53
usually from the waist down.
00:09:32.57\00:09:33.90
Okay.
00:09:33.94\00:09:35.27
Now sometimes heart pain
00:09:35.30\00:09:36.64
can sort of feel
like abdominal pain.
00:09:36.67\00:09:38.01
So you want to make sure
you're not having heart pain.
00:09:38.04\00:09:39.37
So if the pain won't go away,
00:09:39.41\00:09:41.21
if a pain happens when you walk,
00:09:41.24\00:09:43.04
those pains need to
be evaluated right away.
00:09:43.08\00:09:45.51
Yeah. Okay.
00:09:45.55\00:09:46.88
But chronic
abdominal pain that goes on
00:09:46.92\00:09:49.52
for a long periods of
time, it's not anything serious,
00:09:49.55\00:09:52.32
that really requires
a complete evaluation.
00:09:52.35\00:09:56.02
From looking at all the
things, the common sense things
00:09:56.06\00:09:58.76
that we've talked about
to looking at things like
00:09:58.79\00:10:01.33
inflammation,
infection, malignancies
00:10:01.36\00:10:05.40
and doctors can do
that now fairly easy
00:10:05.43\00:10:07.44
by looking down
with different scopes.
00:10:07.47\00:10:09.54
We can look
above in the esophagus,
00:10:09.57\00:10:12.61
in the stomach
we call that an EGD.
00:10:12.64\00:10:14.98
Okay.
00:10:15.01\00:10:16.34
And we can look below
through a colonoscopy.
00:10:16.38\00:10:18.51
Now the small bowel is a
little bit harder to see,
00:10:18.55\00:10:21.05
but now we have
pill cams and other ways
00:10:21.08\00:10:23.49
to look at the
small bowel as well.
00:10:23.52\00:10:25.19
Okay, right.
00:10:25.22\00:10:26.55
So we look in there to see
if there's a disease state.
00:10:26.59\00:10:29.02
So if a person has pain,
Nick, that will not go away,
00:10:29.06\00:10:32.83
that the belly is tight,
and they're running a fever
00:10:32.86\00:10:35.56
and they feel bloated
00:10:35.60\00:10:36.93
and things like
exploding inside of them,
00:10:36.97\00:10:38.30
that's a trip to
the emergency room.
00:10:38.33\00:10:40.27
Okay. Okay.
00:10:40.30\00:10:41.64
A little bit of
pain if the belly
00:10:41.67\00:10:43.10
is not tight, no fever,
00:10:43.14\00:10:44.47
you know, that's a
keep an eye on type of pain.
00:10:44.51\00:10:46.17
Right, right.
00:10:46.21\00:10:47.54
But the pain that
where the belly gets tight,
00:10:47.58\00:10:48.91
you're running a fever,
00:10:48.94\00:10:50.28
you're getting
nausea and vomiting,
00:10:50.31\00:10:51.65
those are serious
symptoms from the GI tract,
00:10:51.68\00:10:53.95
you need to get help right away.
00:10:53.98\00:10:55.78
Now also when the GI
tract, not only you have pain
00:10:55.82\00:10:58.95
but pain
associated with diarrhea
00:10:58.99\00:11:01.06
that might be a
serious symptom as well.
00:11:01.09\00:11:03.53
Because diarrhea in the bowels
00:11:03.56\00:11:05.09
changing the way they function,
00:11:05.13\00:11:06.73
that could be a sign
that you have something,
00:11:06.76\00:11:09.13
I'm going on that's
more than just you know,
00:11:09.16\00:11:11.43
the bowel not working well.
00:11:11.47\00:11:12.80
You might have food poisoning.
00:11:12.83\00:11:14.54
You might have
some bad inflammation.
00:11:14.57\00:11:16.87
But the real danger
00:11:16.91\00:11:18.24
is if you have lots of diarrhea,
00:11:18.27\00:11:19.61
you lose electrolytes in water.
00:11:19.64\00:11:21.74
And you can get
dehydrated pretty quickly
00:11:21.78\00:11:24.61
with severe diarrhea.
00:11:24.65\00:11:26.45
So and talking about this,
00:11:26.48\00:11:28.88
those are some
just general approaches
00:11:28.92\00:11:31.49
so you know, we
want to make sure
00:11:31.52\00:11:32.85
our maintenance is good,
00:11:32.89\00:11:34.22
we chew well, we
get lots of water,
00:11:34.26\00:11:36.83
have lots of gravity.
00:11:36.86\00:11:38.93
The bowel needs rest, you can't
eat all the time, you know.
00:11:38.96\00:11:41.16
That's right, yeah.
00:11:41.20\00:11:42.53
That you need
to rest your bowel,
00:11:42.56\00:11:43.90
especially we don't
want to eat big at night.
00:11:43.93\00:11:45.47
We want to let the bowel rest
at night, so it can recover.
00:11:45.50\00:11:49.87
It can sort of have a break,
00:11:49.90\00:11:51.24
it can sort of
get itself together.
00:11:51.27\00:11:52.87
You think people
will sleep better
00:11:52.91\00:11:54.24
with that strategy?
00:11:54.28\00:11:55.61
Absolutely,
absolutely. Because when you...
00:11:55.64\00:11:56.98
And part of
your body is working,
00:11:57.01\00:11:58.35
you won't sleep as well.
00:11:58.38\00:11:59.71
Yeah, right.
00:11:59.75\00:12:01.08
You got the bacteria
going, they're making hormones,
00:12:01.12\00:12:02.45
you know, things are going on.
00:12:02.48\00:12:03.82
So I tell people you should try
not to eat four or five hours
00:12:03.85\00:12:05.22
before you go bed at night,
00:12:05.25\00:12:07.12
you will rest much better.
00:12:07.16\00:12:09.62
So nutrition, the biome,
all these things are important
00:12:09.66\00:12:13.03
as we approach bowel pains,
00:12:13.06\00:12:14.96
what to do about it,
what not to do about it.
00:12:15.00\00:12:18.27
And then also if we
have serious symptoms
00:12:18.30\00:12:21.04
associated with
nausea, vomiting,
00:12:21.07\00:12:22.70
fever, bowel's
tight feels like a drum,
00:12:22.74\00:12:24.87
those are trips to
the emergency room.
00:12:24.91\00:12:26.81
Occasional bowel pains,
sometimes we can just work
00:12:26.84\00:12:29.41
on the maintenance of
the bowel and it goes away.
00:12:29.44\00:12:31.81
But if it doesn't go away,
00:12:31.85\00:12:33.18
it's gonna need
some of these serious
00:12:33.21\00:12:35.38
test like an EGD or colonoscopy,
00:12:35.42\00:12:38.05
some of those types of testing.
00:12:38.09\00:12:39.62
Very good.
00:12:39.65\00:12:40.99
So that's a general
approach to abdominal pain.
00:12:41.02\00:12:42.96
Very good.
00:12:42.99\00:12:44.33
Well, we got a
bunch of questions
00:12:44.36\00:12:45.69
that have come
in from our website
00:12:45.73\00:12:47.06
at heartwiseministries.org.
00:12:47.10\00:12:48.43
If you have a
question, we want you to visit,
00:12:48.46\00:12:49.80
ask your
question, request prayer
00:12:49.83\00:12:51.17
and you can read a
bunch of health articles
00:12:51.20\00:12:52.60
and radio
programs and TV programs,
00:12:52.63\00:12:54.74
lot of good
info there on health.
00:12:54.77\00:12:56.60
And so visit the website
00:12:56.64\00:12:57.97
and we're gonna be back on more,
00:12:58.01\00:12:59.34
more on abdominal
pain in just a moment.
00:12:59.37\00:13:01.11