Welcome back to the program,
I'm your host Nick Evenson,
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here with Dr. James Marcum.
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And on today's pain series,
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we're talking
about abdominal pain.
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And Dr. Marcum, just a review
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what we talked
about in the last segment.
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We talked about how
important nutrition is
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to make sure
that we don't overtax
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our digestive tract, right.
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And the food goes in,
it's processed in the stomach
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by all these
bacteria and the microbiome...
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In the bowels.
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In the bowels and then excreted.
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And what are some
other sources of pain
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that can come in the abdomen
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aside from the digestive tracts?
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Well, we talked
about the big tube,
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but there, you
know, it pulls energy out
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but there is a lot of organs
that support this big tube.
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For instance, the gall bladder,
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its function is to digest fat.
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Okay.
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So the gall bladder
frequently malfunctions
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if a person
brings in too much fat,
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the gallbladder has to overwork.
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Sometime the
gallbladder develop stones.
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And stones get in the ducts
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that help where
the gallbladder works
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and it can cause
gallstones and it needs surgery.
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The pancreas is involved there,
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and the pancreas's function
is to help with digest proteins
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and it also helps in insulin
and things of that nature.
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And the liver is there,
which is a detoxifying agent
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in the abdominal cavity
as well you have the aorta
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which feeds it with blood.
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And we can have, you know,
we can have vascular disease,
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you know,
aneurysms can happen there
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in the abdomen area.
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We gonna have
problems with the liver
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or we could talk
about the gallbladder,
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the pancreas and
then the big tube itself.
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So those are about
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all of the
structures that are there.
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But all those,
lot of the structures
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there are to help
with energy, you know.
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The big tube helps us
get energy into the body,
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the right type, the right
foods and the right things
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that our body needs to survive
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and the pancreas
the liver that helps,
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you know, to get
rid of the bad things
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as well as you know,
helps us digest as well.
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So there's a lot of
interesting things going
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and you know, we talked about
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how we look at
the tube you know,
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both with colonoscopy
and EGD if it malfunctions,
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if it's causing pain.
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Now if it's not the big
tube that's causing pain,
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let's says it's a gallbladder
or pancreas or the liver,
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we can use blood
work to look at those
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to see if the blood is changed.
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We can look at
ultrasound, CAT scans
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and in some rare instances
we can't figure out anything,
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sometimes we still
do exploratory surgery
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to look at the organ itself
to see if it's malfunctioning,
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if something one of these
tests don't pick up something.
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But these are people
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that have pretty
serious abdominal pains
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that have that
pains that usually
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a doctor can
talk to the patient,
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examine the patient,
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get a good
history and figure out
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what's causing the pain,
whether it's something serious
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that needs to be
addressed right away
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or something can wait.
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Now, the serious conditions
are things, of course,
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an aneurysm would
be serious, you know,
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that's a blood
vessel that gets big.
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If the tube gets a hole in
it, that's a medical emergency.
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And there's some conditions
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that cause the tube
to get a hole in it.
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Because if the
tube get a hole in it
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anywhere along
the way, guess what?
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Things leak out
of that tube. Right.
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And there's lots of bacteria
and the bacteria leaks out
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we have big infection problems.
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If the esophagus has
lots of acid in the stomach
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then we have lots
of acid leaking out.
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So getting a hole
along this process
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from different things
is a big problem as well.
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But usually
those are accompanied
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by severe abdominal pain.
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The belly gets
tight, nausea, vomiting,
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you are very very sick,
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very very ill when
those things happen.
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So that's sort of
a general overview
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of abdominal pain.
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And we can never cover
everything in a few minutes.
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That's right, yeah.
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So if people have
specific questions,
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I want to invite
you to go to the website
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heartwiseministries.org
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and we can get into this
further their specific needs.
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That's right.
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And you know we've
got a list of questions
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that have come
through the website,
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so we wanna get to these today.
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Yeah.
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And the first
question someone writes in is,
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is there a possibility
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of curing
gastroesophageal reflux?
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Yeah, well, first
gastroesophageal reflux,
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that's a stomach.
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Esophageal reflux, that
means things are refluxing
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from the stomach
up into the esophagus.
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Right.
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You've heard the term heartburn.
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Mm-hmm. Okay, it's
a very common term.
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It's the acid gets
up in the esophagus,
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it damages the esophagus.
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In fact if enough
acid gets up in there,
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sooner or later
you can't swallow.
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It can become sticky,
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it can also even induce
some certain types of cancers.
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Mm-hmm.
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We have a term called
the Barrett's esophagus,
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but anyway, so
this is a problem.
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Many people give
acid medications for this
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but some of the causes of this
if they can get at the cause,
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maybe you can cure it.
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Yeah, sure.
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For instance, if a
person's eating late at night
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and laying down, then
the valve doesn't close,
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gravity is not there
and you get acid up there.
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Sometimes a person is
just not in good shape.
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Sometimes
exercise will help this.
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Okay.
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Sometimes losing
weight will help this.
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If it's due to
eating too much caffeine
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or diet that's heavy in protein,
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sometimes that will help it.
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Sometimes there's an
infection in the stomach
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called H.
Pylori, that can cause it
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and there's
test we can do to see
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if you have an
infection in your stomach.
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So yes, in some
instances it can be cured,
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in some instances if
there's a severe problem
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like hiatal hernia,
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that the hernia changes
the position of the stomach
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so the stomach
puts out more acid.
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Sometimes it can't be
cured in certain situations.
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But now we even have surgeries
to work with hiatal hernias.
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So in many cases
gastroesophageal reflux,
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if you can get at the cause,
this condition can be cured.
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All right, how
about this question,
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what are the risks and benefits
of screening for colonoscopy?
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Yeah, well, anytime we talked
about the big tube, you know,
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anytime that the cells
mutate and they start growing
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the wrong type of cells
we can have a malignancy.
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Okay.
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We know that colon cancer
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if caught early is
very easily treated
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but if it caught
late where it spread
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the cancer's got
out of the colon,
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it's very hard to treat.
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So a screening
colonoscopy is very good
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and very good for people
that have family histories.
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And if you have a family history
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of colon cancer
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they say you should
get screened about 10 years
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before the member
of your family had it.
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Okay.
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So if your dad had
colon cancer at the age 40,
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you should
start screening at 30.
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It's pretty much
recommended that you have
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a screening
colonoscopy at age 50.
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Now some people don't like
to get a screening colonoscopy
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and there's other
tests that can do it.
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They are little
bit more involved
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than including
measuring blood in your stool
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for several times over and over.
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Some of those tests
are probably reasonable
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in a person
that's at a low risk.
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I had mine done recently,
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screened for colonoscopy
and it wasn't that bad,
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the prep where it cleans you out
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was a little bit tough,
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but I was glad that they
looked in my bowels to make sure
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I didn't have any
type of problem going on.
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No precancerous lesions
which are called polyps.
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It was pretty clean so
I was happy about that,
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but if you nip it in the
bud, if you catch it early,
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screening colonoscopies
are very beneficial
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and especially
in high risk groups.
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What are high risk groups?
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People that have
had cancer before,
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people that eat high fat,
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high protein diets
are at higher risks.
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Did you know that,
Nick, people in Africa
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that ate pretty much plants,
they've never had colon cancer.
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Wow.
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Yeah, Burkitt
study, they'll never
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because they eat
high fiber diets.
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Yeah.
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The carcinogens
don't sit in the gut.
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Now we know that people that eat
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more animal
based diet, guess what?
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The gut because
they don't have fiber,
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the gut doesn't move
the toxins through as quick,
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the carcinogens stay in contact
with the bowel gut longer
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and they're more
prone to have cancer.
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So one of the treatments
to lower your risk for cancer
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is just move
towards a high fiber,
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whole food plant based diet.
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So I would recommend
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those are the
benefits of the risks.
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Of any procedure there
is a risk of anesthesia,
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and there's a risk
of something going wrong
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and you have to
talk your doctor.
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In your case, the
risk versus the benefit,
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lot of it has to do
with family history,
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your diet as well as your age.
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You know, the theme
that comes back over and over
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as we discuss this pain series
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is if we live more in harmony
with our creator's design.
00:08:05.11\00:08:09.02
If we follow the
biblical prescriptions,
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we can avoid a lot of the issues
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that we experience these days.
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Lot of pain because
less stress on the system,
00:08:13.92\00:08:15.96
long term chronic stress
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eventually wears out the organs.
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You're exactly right.
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Nick, I'm glad
you've been listening.
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I have been, I have
been, I'm taking notes.
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I'm glad that you listened.
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We've got another
question about probiotics.
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Should I take one or
what's it gonna do for me?
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Yeah, well, a probe...
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Remember we talked
about a trillion bacteria.
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Probiotic is basically
bacteria that you introduce
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into the gut, good bacteria.
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So a person let's say
that takes an antibiotic.
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Antibiotic
disrupts the microbiome,
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so that person might
want to take a probiotic.
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If a person has bowel problems
00:08:48.49\00:08:50.23
and they think
that the microbiome,
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the gut
bacteria's involved, yes.
00:08:52.63\00:08:54.43
If you don't eat a healthy diet,
00:08:54.46\00:08:56.30
maybe you
should take a probiotic
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to help regulate the flora.
00:08:57.97\00:08:59.77
What are people
that disrupt the flora?
00:08:59.80\00:09:01.37
People that don't eat fiber,
00:09:01.40\00:09:02.74
people that eat a lot of toxins,
00:09:02.77\00:09:04.17
a lot of animal products,
00:09:04.21\00:09:05.54
a lot of dairy
those can disrupt this.
00:09:05.57\00:09:08.31
People eat a lot
of processed foods
00:09:08.34\00:09:10.25
can disrupt this microbiome.
00:09:10.28\00:09:12.05
Change the entire chemistry,
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changes the way
nutrients get in the body,
00:09:13.62\00:09:16.12
what's gets in and out.
00:09:16.15\00:09:17.49
So those type of
people might get a bit.
00:09:17.52\00:09:18.95
Now if you eat a
whole food plant based diet,
00:09:18.99\00:09:21.29
your bowels work well,
00:09:21.32\00:09:22.92
then you
probably don't need one.
00:09:22.96\00:09:24.66
If your stools,
the bowel movements
00:09:24.69\00:09:26.63
are well formed,
00:09:26.66\00:09:28.06
you do well, you
probably don't need it.
00:09:28.10\00:09:29.73
If you're a person that has
00:09:29.76\00:09:31.13
lots of chronic
diarrhea or loose stools,
00:09:31.17\00:09:34.17
that tells me that maybe
the microbiome is not effective
00:09:34.20\00:09:37.84
and maybe if you took a
probiotic that would help.
00:09:37.87\00:09:39.84
But better yet
eat the right food
00:09:39.87\00:09:41.91
so you don't need it.
00:09:41.94\00:09:43.28
So yes, so certain people should
00:09:43.31\00:09:45.61
and the doctor will help
you determine what you needed.
00:09:45.65\00:09:48.48
But those are
some general principals
00:09:48.52\00:09:49.85
I use on that.
00:09:49.88\00:09:51.52
Now as far as heart goes yes,
00:09:51.55\00:09:53.12
it contributes the heart disease
00:09:53.15\00:09:54.56
because an unhappy bowel
that the microbiome is unhappy,
00:09:54.59\00:09:57.96
it turns on inflammation.
00:09:57.99\00:10:00.06
Inflammation and stress
00:10:00.10\00:10:01.50
activates a higher
risk of heart disease.
00:10:01.53\00:10:04.13
So I actually screened to
see if I think they need to take
00:10:04.17\00:10:06.74
a probiotic as well.
00:10:06.77\00:10:08.14
And if they're not eating well,
they're at high risk group,
00:10:08.17\00:10:10.41
I suggest that they
might want to take a probiotic.
00:10:10.44\00:10:12.74
All right.
00:10:12.77\00:10:14.11
We got another
viewer who writes in
00:10:14.14\00:10:15.48
about constipation and they ask,
00:10:15.51\00:10:17.25
how much pain can be
caused by constipation?
00:10:17.28\00:10:20.28
Is this... Yeah.
00:10:20.32\00:10:21.65
It's really painful or...?
00:10:21.68\00:10:23.02
Yes, I've never had it
00:10:23.05\00:10:24.39
but the patients who do have it.
00:10:24.42\00:10:25.75
What happens is this
the bowel is blocked,
00:10:25.79\00:10:28.62
nothing gets through
00:10:28.66\00:10:30.16
and if it's a severe enough
00:10:30.19\00:10:31.53
you can have a
bowel obstruction,
00:10:31.56\00:10:33.16
that means nothing gets through.
00:10:33.19\00:10:34.53
And that's not good
and when the traffic stops
00:10:34.56\00:10:38.87
things back up
behind the traffic.
00:10:38.90\00:10:40.24
Right.
00:10:40.27\00:10:41.60
And if things
back up far enough,
00:10:41.64\00:10:42.97
you get sick at your
stomach, you get nausea,
00:10:43.00\00:10:44.34
you get throw up.
00:10:44.37\00:10:45.71
Sometimes, of course
you can't get nourishment.
00:10:45.74\00:10:47.98
Right.
00:10:48.01\00:10:49.34
So yes,
constipation can cause pain
00:10:49.38\00:10:51.51
because things
can't get through the gut,
00:10:51.55\00:10:53.08
it's a very common thing.
00:10:53.11\00:10:54.78
Some of the causes of it,
the most common are probably
00:10:54.82\00:10:57.29
not drinking
enough water and fiber,
00:10:57.32\00:10:59.22
not moving around very
well, certain medications
00:10:59.25\00:11:03.02
especially pain medications
can slow down the bowels.
00:11:03.06\00:11:06.09
The narcotics can slow
down the bowels a lot as well.
00:11:06.13\00:11:09.93
There's some disease conditions
that can also slow down
00:11:09.96\00:11:12.73
the motility of the
bowel and we can slow it down
00:11:12.77\00:11:15.40
to the point where it
gets backed up as well.
00:11:15.44\00:11:18.54
We see it a lot in
after surgery you know,
00:11:18.57\00:11:20.91
anesthesia can
slow down the bowels,
00:11:20.94\00:11:22.98
the patients
laying in bed after bowel.
00:11:23.01\00:11:24.85
Sometimes the
bowel doesn't get going
00:11:24.88\00:11:26.61
as quick as we
like it to as well.
00:11:26.65\00:11:28.58
So constipation,
bowel obstructions
00:11:28.62\00:11:31.19
serious stuff and
it does cause pain.
00:11:31.22\00:11:33.59
How about this question.
00:11:33.62\00:11:34.96
What is the difference
between diverticulitis
00:11:34.99\00:11:36.49
and diverticulosis?
00:11:36.52\00:11:37.86
Now what is diverticulitis?
00:11:37.89\00:11:39.29
Yeah, well, let's
start with diverticulosis.
00:11:39.33\00:11:41.73
Okay.
00:11:41.76\00:11:43.10
Well, the big
tube has out pocket,
00:11:43.13\00:11:44.47
well, sometimes it
can get out pockets.
00:11:44.50\00:11:45.83
Okay. Okay.
00:11:45.87\00:11:47.20
Is that normal, or
it's... No, it's not abnormal.
00:11:47.24\00:11:48.60
Okay, for instance, if you put
lots of pressure in the tube,
00:11:48.64\00:11:51.81
things can poke out.
00:11:51.84\00:11:53.17
Okay.
00:11:53.21\00:11:54.54
Like a basketball, you
know how basketball of the shell
00:11:54.58\00:11:55.91
you have pokes out.
00:11:55.94\00:11:57.28
Sure.
00:11:57.31\00:11:58.65
That's sort of
what the tube does.
00:11:58.68\00:12:00.02
Okay.
00:12:00.05\00:12:01.38
And these pockets are
called diverticulosis, okay.
00:12:01.42\00:12:02.75
Well, when there's pockets
00:12:02.78\00:12:04.12
and you get bacteria in
those pockets, guess what?
00:12:04.15\00:12:06.96
The bacteria can
cause an infection.
00:12:06.99\00:12:09.16
That's called diverticulitis.
00:12:09.19\00:12:11.49
Well, the
infection is very serious
00:12:11.53\00:12:13.33
because if there's
lots of inflammation,
00:12:13.36\00:12:15.16
the tube is at higher risk
to have a hole poked in it.
00:12:15.20\00:12:17.63
Right.
00:12:17.67\00:12:19.00
And if a hole poked in it,
guess where that bacteria goes?
00:12:19.03\00:12:20.60
Throughout the abdominal cavity
which is called the perineum
00:12:20.64\00:12:24.11
and then you get a
condition called peritonitis,
00:12:24.14\00:12:26.64
which is life threatening.
00:12:26.68\00:12:28.31
Okay. So yes, diverti...
00:12:28.34\00:12:30.01
and we can make this
diagnosis by a CAT scans,
00:12:30.05\00:12:32.78
we can see these
areas on colonoscopies.
00:12:32.81\00:12:35.58
On diverticulosis
the way we keep that down
00:12:35.62\00:12:38.25
as we keep the
pressure down in the bowel.
00:12:38.29\00:12:40.26
And you know, we
don't strain a lot,
00:12:40.29\00:12:42.06
we eat lots of
fiber, lots of water,
00:12:42.09\00:12:44.19
those type of things help
00:12:44.23\00:12:45.56
lower the risk of diverticulosis
00:12:45.59\00:12:47.10
and diverticulitis
is of course painful
00:12:47.13\00:12:49.13
that usually
needs an antibiotic.
00:12:49.16\00:12:51.43
So it sounds like
00:12:51.47\00:12:53.23
the main key point
from today's program
00:12:53.27\00:12:55.44
is to eat a plant based diet
00:12:55.47\00:12:57.71
like God gave Adam
and Eve in the garden.
00:12:57.74\00:12:59.57
And that's gonna help
things pass through faster.
00:12:59.61\00:13:01.11
Yeah.
00:13:01.14\00:13:02.48
And that's gonna keep you
from having a lot of these
00:13:02.51\00:13:03.85
different issues
that we've discussed.
00:13:03.88\00:13:05.21
And when you do have an issue,
00:13:05.25\00:13:06.58
get it addressed to make
sure it's not a serious issue
00:13:06.61\00:13:09.48
and then do that, you know,
00:13:09.52\00:13:10.89
get the acute
problem taken care of
00:13:10.92\00:13:13.25
and then get back
to the original plan
00:13:13.29\00:13:15.32
and see if you can
figure out the stressor
00:13:15.36\00:13:17.56
on the abdominal system
00:13:17.59\00:13:18.93
that cause the
pain in the first place.
00:13:18.96\00:13:20.76
Excellent, Dr.
Marcum, thank you very much.
00:13:20.80\00:13:22.56
My pleasure.
00:13:22.60\00:13:23.93
You know we believe that one day
00:13:23.97\00:13:25.30
God will provide
healing for everyone
00:13:25.33\00:13:26.67
when He takes us home,
00:13:26.70\00:13:28.04
there will be no
more pain, no more sorrow
00:13:28.07\00:13:29.40
and we look forward to that day.
00:13:29.44\00:13:30.77
Stay with us as Dr.
Marcum will close the program
00:13:30.81\00:13:32.14
with prayer.
00:13:32.17\00:13:33.51
Well, let's bow our
heads for a moment in prayer.
00:13:41.08\00:13:44.99
Dear Heavenly Father,
00:13:45.02\00:13:46.35
I want to pray for
each person out there
00:13:46.39\00:13:47.72
that might be having pain.
00:13:47.76\00:13:49.59
Help them to find the solutions
00:13:49.62\00:13:51.06
but also help them
to turn to you first
00:13:51.09\00:13:53.29
for healing, Father.
00:13:53.33\00:13:54.93
We want to thank
You for being with us
00:13:54.96\00:13:56.97
and stay and helping us to learn
00:13:57.00\00:13:58.33
a little bit more
about your creation.
00:13:58.37\00:14:00.47
Now go with us
Father and give us strength
00:14:00.50\00:14:03.04
and happiness is
our prayer, amen.
00:14:03.07\00:14:06.44
Well, I hope you've learnt
00:14:06.47\00:14:07.81
something about
abdominal pain today.
00:14:07.84\00:14:09.68
It's a big topic but
if you're having pain,
00:14:09.71\00:14:12.21
I want you to
get it checked out.
00:14:12.25\00:14:14.02
If I can help answer a question,
00:14:14.05\00:14:15.55
go to our website
00:14:15.58\00:14:16.92
and our website is
heartwiseministries.org.
00:14:16.95\00:14:20.16