* Chronic Back Pain
* Insomnia/Lack of Sleep
* Chronic Neck Pain
* Restless Leg Syndrome
* Chronic Sciatica or Leg Pain
* Hand or Foot Pain
* Spinal Stenosis
* Migraine or Chronic Headaches
* Failed Back Surgery Syndrome
* Balance Disorders/Dizziness
* Chronic Shoulder and Arm Pain
* Numbness/Burning/Tingling
* Fibromyalgia (FMS)
* RSDS
* Tinnitus/Ear ringing
* Dystonia/Tremor Disorder
* Carpal Tunnel Syndrome
* Diabetic Neuropathy
* Peripheral Neuropathy
* Chronic Fatigue Syndrome (CFS)
* And much more…

For more information or to see if you might be a candidate for these breakthrough treatment programs give us a call at 630-257-0550 to schedule an appointment.

Pages

• About Us
• Back Pain
• Breakthrough Treatment for Fibromyalgia
• Bulging, Degenerated & Herniated Discs
• Contact Us
• Irritable Bowel Syndrome
• Migraines and Chronic Headaches
• Neck Pain
• Peripheral Neuropathy
• Privacy
• Sciatica
• Sitemap
• Thyroid
• Type 2 Diabetes
• Welcome To Lemont Natural Healthcare

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Are you at risk for Pre-diabetic aka Metabolic Syndrome or Syndrome X?  Is your fasting blood glucose > 100-126?

Type 2 Diabetes Statistics

According to the latest available information from the American Diabetes Association© (2007):

There are a total of 23.6 million children and adults in the United States—7.8% of the population—has diabetes. 17.9 million people are diagnosed. 5.7 million people are not diagnosed yet and 57 million people are pre-diabetic! There are 1.6 million new cases of diabetes are diagnosed in people aged 20 years and older each year.

Total prevalence of diabetes

Under 20 years of age

• 186,300, or 0.22% of all people in this age group have diabetes
• About 1 in every 400 to 600 children and adolescents has type 1 diabetes
• About 2 million adolescents aged 12-19 have pre-diabetes

Age 20 years or older

• 23.5 million, or 10.7% of all people in this age group have diabetes

Age 60 years or older

• 12.2 million, or 23.1% of all people in this age group have diabetes

Men

• 12.0 million, or 11.2% of all men aged 20 years or older have diabetes

Women

• 11.5 million, or 10.2% of all women aged 20 years or older have diabetes

Race and ethnic differences in prevalence of diagnosed diabetes

After adjusting for population age differences, 2004-2006 national survey data for people diagnosed with diabetes, aged 20 years or older include the following prevalence by race/ethnicity:

• 6.6% of non-Hispanic whites
• 7.5% of Asian Americans
• 11.8% of non-Hispanic blacks
• 10.4% of Hispanics

Among Hispanics rates were:

• 8.2% for Cubans
• 11.9% for Mexican Americans
• 12.6% for Puerto Ricans.

Morbidity and Mortality

Deaths

Diabetes was the seventh leading cause of death listed on U.S. death certificates in 2006. This ranking is based on the 72,507 death certificates in 2006 in which diabetes was listed as the underlying cause of death. According to death certificate reports, diabetes contributed to a total of 233,619 deaths in 2005, the latest year for which data on contributing causes of death are available.

Complications

Heart disease and stroke

• In 2004, heart disease was noted on 68% of diabetes-related death certificates among people aged 65 years or older.
• In 2004, stroke was noted on 16% of diabetes-related death certificates among people aged 65 years or older.
• Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
• The risk for stroke is 2 to 4 times higher among people with diabetes.

High blood pressure

• In 2003–2004, 75% of adults with self-reported diabetes had blood pressure greater than or equal to 130/80 mmHg, or used prescription medications for hypertension.

Blindness

• Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years.
• Diabetic retinopathy causes 12,000 to 24,000 new cases of blindness each year.

Kidney disease

• Diabetes is the leading cause of kidney failure, accounting for 44% of new cases in 2005.
• In 2005, 46,739 people with diabetes began treatment for end-stage kidney disease in the United States and Puerto Rico.
• In 2005, a total of 178,689 people with end-stage kidney disease due to diabetes were living on chronic dialysis or with a kidney transplant in the United States and Puerto Rico.

Nervous system disease (Neuropathy)

• About 60% to 70% of people with diabetes have mild to severe forms of nervous system damage.

Last but not least, of those 60-70% most have sexual dysfunction.

Amputation

• More than 60% of non-traumatic lower-limb amputations occur in people with diabetes.
• In 2004, about 71,000 non-traumatic lower-limb amputations were performed in people with diabetes.

Cost of Diabetes

$174 billion: Total costs of diagnosed diabetes in the United States in 2007

• $116 billion for direct medical costs
• $58 billion for indirect costs (disability, work loss, premature mortality)

After adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.

The American Diabetes Association has created a Diabetes Cost Calculator that takes the national cost of diabetes data and provides estimates at the state and congressional district level.

Factoring in the additional costs of undiagnosed diabetes, pre-diabetes, and gestational diabetes brings the total cost of diabetes in the United States in 2007 to $218 billion.

• $18 billion for the 6.3 million people with undiagnosed diabetes
• $25 billion for the 57 million American adults with pre-diabetes
• $623 million for the 180,000 pregnancies where gestational diabetes is diagnosed

For Additional Information

These statistics and additional information can be found in the National Diabetes Fact Sheet, 2007, the most recent comprehensive assessment of the impact of diabetes in the United States, jointly produced by the CDC, NIH, ADA, and other organizations.

Source: American Diabetes Association©

How Your Body Should Use Blood Sugar

• Your cells (all 100 TRILLION) of them need glucose to make energy (ATP)
• Insulin opens up the cells so that glucose in the blood can get into the cells
• Cortisol from your adrenal glands elevates blood sugar when it is too low and/or abnormal cortisol levels

People with blood sugar ISSUES have cells that are resistant to insulin

Here are the causes of Insulin Resistance:

• Waiting too long between meals (insulin surge)
• Eating too many carbohydrates at once (insulin surge)
• Consuming too much sugar (insulin surge)

o   The average American consumes 150-170 lbs of sugar a year! About a ¼ to ½ lb per day!

• Lack of exercise
• High stress (cortisol release)

All of this causes…

Chronically high levels of glucose and insulin and your cells “stop listening” to insulin!

INSULIN RESISTANCE

Many medical providers prescribe Insulin for diabetic patients. If you do, do so with this thought in mind- the day you get on insulin you are not going to be the same.  It ultimately will fail as doses go up and up. Your body will begin to stop listening to the insulin so you will have to use more and more of it

Side effects of Insulin/ Insulin Resistance & Weight Gain

• Inflammatory
• Weight Gain
• Increased blood pressure
• Risk of CV Disease, Cancer and Stroke

High Insulin= Inflammation throughout the body along with cardiovascular consequences.

What Else Controls Your Blood Sugar?

1.      Pancreas: insulin puts glucose into the cell for energy

2.      Adrenal Glands: cortisol elevates blood sugar when needed (physical stress, exercise, sleep)

3.      Thyroid Hormone: helps with glucose metabolism

4.      Liver: major storage site of glucose (glycogen)

All 4 have to function properly!

Another Cause… Latent Autoimmune Diabetes Mellitus

Beta blockers that
increase blood sugar:
Metformin-

Brand Names: Glucophage, Fortamet,
Glumetza, Riomet,

This medication still neglects to get to the root cause of the problem and its effectiveness declines with time.

Blood glucose levels can be checked with 5 very important blood chemistry markers

1. Fasting Blood Glucose: this should be 80-100 for a properly functioning nervous system

2. HA1C: this is the best marker because it gives us what your blood glucose levels have been for the last 120 days; for your nervous system to function properly this number should be below 5.0

3. Triglycerides (75-100)

4. Cholesterol (150-200)

5. LDL (>120)

When your body becomes insulin resistant it will take the extra glucose in your blood and make lipids (triglycerides, cholesterol, LDL).  This is why you gain fat when you are insulin resistant and until you control your blood glucose levels you will not be able to shed this fat.

The Keys…

• Controlling insulin and cortisol levels
• Making sure thyroid and liver fuction are proper

Neurological Consequences of Type II Diabetes

• Decreased sensory input to ALL of brain
• Can cause dysfunction ANYWHERE  in the brain
• Can cause focal vascular lesions in multiple brain areas

What are the 6 things that you can do to keep good blood glucose levels?

Dr. Beyer’s plan as outlined on the free DVD will reveal to you at least 6 things you can do for yourself right now!

How can high insulin and glucose levels cause breakdown of your brain & nerves…

What are the Metabolic Disorders Causing Brain Imbalances…

Anemia

Blood Sugar Imbalances

Food Sensitivity

Immune System Imbalance

Adrenal Gland Disorders

Hormone Imbalances

And what are the consequences of these?

Lemont Natural Healthcare offers a complimentary consultation to discuss your Type 2 Diabetes. If you are interested in learning more call us at 630-257-0550.

This very important component of the body has a direct impact on the metabolism that is experienced in the body. Individuals that suffer from issues with this gland may suffer from several different health complications. These include, but are not at all limited to, issues with the weight, the mood, and the energy that is experienced by the person.

Here are some common warning signs:

• Fatigue
• Increase in weight gain even with low calorie diet
• Morning headaches that wear off as the day progresses
• Depression
• Constipation
• Overly sensitive to cold weather
• Poor circulation and numbness in hands and feet
• Muscle cramps while at rest
• Catches colds and other viral/bacterial problems easily and has difficulty recovering
• Wounds heal slowly
• Require excessive amount of sleep to function properly
• Chronic digestive problems (hypochlorhydria)
• Itchy dry skin
• Dry or brittle hair
• Hair falls out easily
• Edema, especially facial (myxedema)
• Loss of outside portion of eyebrows

Many individuals experience symptoms of thyroid disease and do not even realize that the experiences they are having could indicate a potentially dangerous complication. The thyroid is a relatively small gland that is located in the lower region of the neck. Its sole responsibility is to secrete certain hormones throughout the body. There are two specific hormones that are released by this specific gland.

The first is known as “Thyroxine” or “T4? and the second is known as “Triiodothyronine” or “T3?. The hormones that are released are responsible for delivering energy to the various cells in the body. There are many complications that may occur with the thyroid.

The implications of the thyroid on the rest of your body are vast.

The thyroid directly supports the following systems:

• Bone metabolism
• Immune System
• Brain/Nervous System
• Endocrine System (adrenal glands, ovaries, testes)
• Gastrointestinal function
• Liver and gallbladder
• Growth/Sex hormones
• Fat Burning
• Insulin and Glucose Metabolism
• Healthy cholesterol levels
• Proper stomach acid

Thyroid “Cross Talk”

The thyroid relies upon other organs and systems just as these systems rely upon it. We call this “cross talk” between the systems. “Cross Talk” happens between the following systems:

Thyroid & Immune System

Thyroid & Gut

Thyroid & Brain

Thyroid & Endocrine System

One affects the other!

Thyroid Basics

The Hypothalamus sends signal to pituitary gland via TRH. The Pituitary gland send signal to Thyroid via TSH (thyroid stimulating hormone). TSH causes enzyme TPO to stimulate release of T4 (93%) and T3 (7%).  These hormones ride the “taxi cab”- thyroid binding globulin (TBG)

Thyroid Hormone Conversion

In the liver 60% of T4 is converted to T3.  Poor liver function will cause poor T4 to T3 conversion. 20% of T4 is sent to gut to be converted to T3. If you have poor gut flora it will cause poor conversion of T4 to T3. Also, 20% ofT4 is sent to peripheral cells for conversion to T3 using 5’diodianaze enzyme. A small percentage T4 goes to Reverse T3.

Click here for an explanatory chart on this path: thyroid chart slide

A true thyroid functional test

Are you aware that there are 11 lab markers to properly evaluate your thyroid yet almost all doctors only order two?

• TSH (this is what conventionally is ordered)

• Total T4 (Thyroxine)

But what about these tests?

• Total T4 (thyroxine)
• FTI (free thyroxine index) (amount of T4 available)
• FT4 (free throxine) (affected by prescription drugs)
• T3 Uptake (How much of T3 is taken up by TBG)
• FT3 (free triodothyroxine) (Active Thyroid Hormone)
• Reverse T3 (Body can not use)
• TPO and TBG Antibodies (Hashimotos)
• TSH Antibodies (GravesDisease)
• TBG levels

How can you manage health without all the information? Burning out the thyroid gland with hormone replacement is a 50 year old model.

In order to manage your health you need to look at the causes of the problem…not just the symptoms.

There are 6 Major Thyroid Patterns

1. Primary hypothyroidism
2. Hypothyroidism secondary to hypo pituitary
3. Thyroid under conversion
4. Thyroid over conversion, decreased TBG
5. TBG elevation from contraceptives/HRT
6. Thyroid resistance

I. Primary Hypothyroidism

The thyroid gland gets lazy and the pituitary gland tries to “kick it in its pants” by pumping extra TSH. (high TSH) This is the only pattern of the six that may need HRT. (Hashimotos may need it too)

II. Hypothyroidism is Secondary to Pituitary Hypofunction

The pituitary gets “lazy” (low TSH below 1.8) for many reasons:

• Chronic stress fatigues the gland
• Hormone pills including Synthroid
• Creams with Estrogen
• Postpartum depression; pregnancy can fatigue the Pituitary Gland
• Fluctuating insulin/glucose levels (Adrenal Gland fatigue)

III. Thyroid Under-Conversion

The gland is making enough T4 but there is a decrease in conversion from T4 to the active form T3 (low T3). Why? Chronic Adrenal Stress gives rise to increased cortisol which suppresses T4 to T3 conversion. This is due to chronic infection/ inflammation. This condition is often missed because low T3 doesn’t affect TSH only T4 does and T3 is rarely checked for with the blood test.

IV. Thyroid Over-Conversion and Decreased TBG

Too much active T3 is made and is overwhelming the cells or too little TBG which means too much free T3. Why? The No. 1 cause is insulin resistance especially in women. The cells are not “listening” to insulin so more  insulin is secreted. This increases testosterone levels in females resulting in too much free T3 and too little TBG.

V. Thyroid Binding Globulin (TBG) Elevation

Too much TBG in the blood and thus too little free T3. Why? Oral contraceptives or estrogen replacement therapy causes an increase in estrogen which leads to increases in TBG.

VI. Thyroid Resistance

Pituitary and Thyroid glands are fine and so are the hormone levels. However the hormones aren’t getting into the cells. Why? Chronic stress response stimulates the adrenal glands to produce too much cortisol which causes cells to be resistant to thyroid hormones.

Nutritional support if caught early can reverse these problems- we use proper testing and specialized nutritional compounds to do this!

Thyroid Dysfunction is a Sign of Metabolic Dysfunction… Proper Testing is Crucial!

Complete Metabolic Profile

• Includes complete thyroid profile, including thyroid antibodies
• Vitamin D levels
• Anemia
• Kidney Function

Immune Panels

• Checking for immune imbalance (TH1 vs TH2)

Adrenal Stress Index (salivary)

• 24 hour cortisol levels

Food Sensitivity Test (stool)

• Gluten
• Soy
• Yeast
• Egg

Stool Microbial Ecology Profile

• Gut infections
• Parasites
• Yeast

Hashimotos Thyroiditis (hypothyroid) and Graves Disease

These are not Thyroid problems! It is an immune problem! Your immune system is mistakenly attacking TPO or TBG (Hashimotos) or TSH (Graves Disease). There is an imbalance in your immune system that needs to be addressed.

You need proper testing to first find out the cause of your immune problem- then you can take care of it.

Why would your immune system do this?

1. Dystregulation:

Immune system is imbalanced because of stressors to it.

• Chronic inflammation
• Bad blood sugar
• Bad adrenal glands
• Hormone imbalances
• Neurological imbalances

2. Active Antigen:

Immune system is imbalanced due to an “invader” aka an antigen

• Chronic infection (bacterial, viral, mold)
• Parasite in gut
• Gluten sensitivity
• Environmental toxins
• Undigested food

Triad of Hashimotos

1. Antibodies to TPO/TBG
2. Gluten Sensitivity
3. Antibodies to intrinsic factor which leads to lowered B12 which lead to pernicious anemia

What Makes Our Office Different From Every Other Doctor That You Have Seen?

Functional Medicine!

Based on lab findings our nutritional products are dispensed to support the biochemical pathways for healing in:

• Gut
• Thyroid and Adrenals
• Liver and biliary
• Anemias
• Sugar regulation
• Autoimmune Regulation

Comprehensive Neurological (Brain-based Therapy) and Metabolic Workup.

We manage the brain misfiring and metabolic dysfunctions.

With periodic re-testing it lets us know we are on the right track.

We look at all of your test results to find the causes of your problems. We do not just care for your symptoms.

We bring together all the pieces and treat the Whole Person!

Your INITIAL exam at Lemont Natural Healthcare will include:

• A thorough case history
• A complete functional neurological examination
• A comprehensive look at any recent blood work you have had done to determine what testing still needs to be done
• A comprehensive analysis of  findings
• A written recommendation for a treatment plan- if we feel we can help you- specifically designed for your unique case

If you are interested in seeing if you are a candidate for our breakthrough procedures for treating thyroid problems give us a call to schedule your evaluation and consultation at 630-257-0550.

This can produce pain, loss of sensation and inability to control muscles.

Literally speaking…

•“Peripheral” means further out from the center of the body. Distant from Brain and Spinal Cord.

•“Neuro” means nerves

•“Pathy” means abnormal

The 7 signs of Peripheral Neuropathy are:

1. Numbness

2. Burning Feet

3. Cramping

4. Sharp Electric Pain

5. Pain When Walking

6. Difficulty Sleeping From Leg Discomfort

7. Prickling / Tingling Feelings

The symptoms depend on which type of nerve is affected. The three main types of nerves are:

Those that carry sensations (sensory)

Those that control muscles (motor)

Those that carry information to organs and glands (autonomic)

Damage to sensory fibers results in changes in sensation, burning sensations, nerve pain, tingling or numbness, or an inability to determine joint position, which causes in-coordination. For many neuropathies, sensation changes often begin in the feet and progress toward the center of the body with involvement of other areas as the condition worsens. Diabetes is a common cause for sensory neuropathy.

Damage to the motor fibers interferes with muscle control and can cause weakness, loss of muscle bulk, and loss of dexterity. Sometimes, cramps are a sign of motor nerve involvement.
Other muscle-related symptoms include the following:

Difficulty breathing or swallowing

Difficulty or inability to move a part of the body (paralysis)

Falling (from legs buckling or tripping over toes)

Lack of dexterity (such as being unable to button a shirt)

Lack of muscle control

Loss of muscle tissue (muscle atrophy)

Muscle twitching or cramping

The autonomic nerves control involuntary or semi-voluntary functions, such as control of internal organs and blood pressure.

Damage to autonomic nerves can cause:

• Abdominal bloating

• Blurred vision

• Constipation

• Decreased ability to sweat

• Diarrhea

• Difficulty beginning to urinate (urinary hesitancy)

• Dizziness that occurs when standing up or fainting associated with a fall in blood pressure

• Feeling full after eating a small amount (early satiety)

• Feeling of incomplete bladder   emptying

• Heat intolerance with exertion

• Male impotence

• Nausea or vomiting after   meals

• Unintentional weight loss (more than 5% of body weight)

Causes of Neuropathy:

• Statin Drugs
• Damaged back yrs/decades ago-leads to scar tissue
• Arthritis
• Spinal Stenosis
• Bulging Disc
• Diabetes Type 1 Type 2
• Poor Diet
• Genetics/ Lifestyle (80% life style/20% genes)

Have you suffered with for a few months, a few years, or too many years to mention? Some may suffer only minor symptoms, while others (perhaps you or a loved one) feel the debilitating affects of Peripheral Neuropathy and are kept from participating in their life, making even simple daily activities almost impossible.

Throughout my years in practice, we have tried the full range of therapies and treatments available to me, with minimal improvement. I knew there had to be more, a method of treatment that could help them (and you!). I began searching to find the answer.. and then.. I found it. The answer to helping most Peripheral Neuropathy symptoms.  Brain Based & Metabolic Therapy.

Is It Really That Simple?

Yes, for most people the answer is really that simple:  Brain Based & Metabolic Therapy.

How Does This Work?

You are most likely starting to wonder “What is care going to be like?”  We can tell you from personal experience and from watching patients and staff participate, that they are beneficial and enjoyable.

Care can include Vibration Therapy, Gentle Neurologic Adjustments , Balance Therapy, Advanced muscle retraining, the Rebuilder®, Interactive Metronome®, along with other protocols. These techniques coupled with a full neurological, nutritional and metabolic workup have enabled us to help most of our patients to get rid of their chronic symptoms no matter how long they have been experiencing them.

Imagine how different your life would be if you were free from the burdens that your Peripheral Neuropathy causes you.

If you would like to have more information on our innovative and unique treatment protocol or to set up a consultation and see how it can help you (or someone you know), give us a call at 630-257-0550 to schedule an appointment to see if you are a candidate for these breakthrough procedures.

One of the first references to the concept of an “irritable bowel” appeared in the Rocky Mountain Medical Journal in 1950.

The term was used to categorize patients who developed symptoms of diarrhea, abdominal pain, constipation, but where no well-recognized infective cause could be found. Early theories suggested that the irritable bowel was caused by a psychosomatic or mental disorder since no physical manifestation was found.

Classification

IBS can be classified as either diarrhea-predominant (IBS-D), constipation-predominant (IBS-C) or IBS with alternating stool pattern (IBS-A or pain-predominant). In some individuals, IBS may have an acute onset and develop after an infectious illness characterized by two or more of the following: fever, vomiting, diarrhea, or positive stool culture. This post-infective syndrome has consequently been termed “post-infectious IBS” (IBS-PI).

Symptoms

The primary symptoms of IBS are abdominal pain or discomfort in association with frequent diarrhea or constipation, a change in bowel habits. There may also be urgency for bowel movements, a feeling of incomplete evacuation (tenesmus), bloating or abdominal distention. People with IBS, more commonly than others, have gastro-esophageal reflux, symptoms relating to the genitourinary system, chronic fatigue syndrome, fibromyalgia, headache, backache and psychiatric symptoms such as depression and anxiety. Some studies indicate that up to 60% of persons with IBS also have a psychological disorder, typically anxiety or depressions.

Causes

The cause of IBS is unknown, but several hypotheses have been proposed. The risk of developing IBS increases six-fold after acute gastrointestinal infection. Post-infection, further risk factors are young age, prolonged fever, anxiety, and depression. Publications suggesting the role of brain-gut “axis” appeared in the 1990s, such as a study entitled Brain-gut response to stress and cholinergic stimulation in IBS published in the Journal of Clinical Gastroenterology in 1993. A 1997 study published in Gut magazine suggested that IBS was associated with a “derailing of the brain-gut axis.” Psychological factors may be important in the etiology of IBS.

Active infections

Prevalence of protozoal infections in industrialized countries (United StatesandCanada) in 21st century:

There is research to support IBS being caused by an as-yet undiscovered active infection. Other researchers have focused on an unrecognized protozoal infection as a cause of IBS as certain protozoal infections occur more frequently in IBS patients. Two of the protozoa investigated have a high prevalence in industrialized countries and infect the bowel, but little is known about them as they are recently emerged pathogens.

Blastocystis is a single-cell organism that has been reported to produce symptoms of abdominal pain, constipation and diarrhea in patients though these reports are contested by some physicians. Studies from research hospitals in various countries have identified high Blastocystis infection rates in IBS patients, with 38% being reported fromLondonSchoolof Hygiene & Tropical Medicine, 47% reported from the Department of Gastroenterology atAga KhanUniversityinPakistanand 18.1% reported from theInstituteofDiseasesand Public Health atUniversityofAnconainItaly. Reports from all three groups indicate a Blastocystis prevalence of approximately 7% in non-IBS patients. Researchers have noted that clinical diagnostics fail to identify infection, and Blastocystis may not respond to treatment with common antiprotozoals.

Dientamoeba fragilis is a single-cell organism that produces abdominal pain and diarrhea. Studies have reported a high incidence of infection in developed countries, and symptoms of patients resolve following antibiotic treatment. One study reported on a large group of patients with IBS-like symptoms who were found to be infected with Dientamoeba fragilis, and experienced resolution of symptoms following treatment. Researchers have noted that methods used clinically may fail to detect some Dientamoeba fragilis infections. It is also found in people without IBS.

Diagnosis

There is no specific laboratory or imaging test that can be performed to diagnose irritable bowel syndrome. Diagnosis of IBS involves excluding conditions that produce IBS-like symptoms, and then following a procedure to categorize the patient’s symptoms. Ruling out parasitic infections, lactose intolerance, small intestinal bacterial overgrowth and celiac disease is recommended for all patients before a diagnosis of irritable bowel syndrome is made. In patients over 50 years old it is recommended that they undergo a screening colonoscopy.

Differential diagnosis

Coloncancer, inflammatory bowel disease, thyroid disorders and giardiasis can all feature abnormal defecation and abdominal pain. Less common causes of this symptom profile are carcinoid syndrome, microscopic colitis, bacterial overgrowth, and eosinophilic gastroenteritis. IBS is, however, such a common presentation and testing for these conditions would yield such low numbers of positive results that it is considered difficult to justify the expense. Because there are many causes of diarrhea that give IBS-like symptoms, the American Gastroenterological Association published a set of guidelines for tests to be performed to rule out other causes for these symptoms. These include gastrointestinal infections, lactose intolerance, and coeliac disease. Research has suggested that these guidelines are not always followed. Physicians may choose to use one of these guidelines, or may simply choose to rely on their own anecdotal experience with past patients. The guidelines may include additional tests to guard against misdiagnosis of other diseases as IBS. Such “red flag” symptoms may include weight loss, gastrointestinal bleeding, anemia, or nocturnal symptoms. However, researchers have noted that red flag conditions may not always contribute to accuracy in diagnosis — for instance, as many as 31% of IBS patients have blood in their stool many possibly from hemorrhoidal bleeding.

The diagnostic algorithm identifies a name that can be applied to the patient’s condition based on the combination of the patient’s symptoms of diarrhea, abdominal pain, and constipation. For example, the statement “50% of returning travelers had developed functional diarrhea while 25% had developed IBS” would mean that half the travelers had diarrhea while a quarter had diarrhea with abdominal pain. While some researchers believe this categorization system will help physicians understand IBS, others have questioned the value of the system and suggested that all IBS patients have the same underlying disease but with different symptoms. On this line is a recent study, which showed that constipation and/or diarrhea seems to be different manifestations of the same underlying condition, that is a build-up of fecal retention reservoirs in the colon. Abdominal X-rays were analyzed for colon transit time and fecal distribution, which correlated significantly with bloating and abdominal pain. Thus a group of patients were identified with an increased fecal loading compared to controls, but having a colon transit time equal or less to the controls. This suggests that defecation patterns do not reflect the amount of feces in the colon and is called hidden constipation. This phenomenon may be linked to bacterial overgrowth.

Misdiagnosis

Published research has demonstrated that some poor patient outcomes are due to treatable causes of diarrhea being misdiagnosed as IBS. Common examples include infectious diseases, coeliac disease, Helicobacter pylori, and parasites.

Celiac disease in particular is often misdiagnosed as IBS. TheAmericanCollegeof Gastroenterology recommends that all patients with symptoms of IBS be tested for celiac disease. Chronic use of certain sedative-hypnotic drugs especially the benzodiazepines may cause irritable bowel like symptoms that can lead to a misdiagnosis of irritable bowel syndrome.

Co-morbidities

Researchers have identified several medical conditions, or comorbidities, which appear with greater frequency in patients diagnosed with IBS.

Headache, Fibromyalgia, Chronic fatigue syndrome and Depression: A study of 97,593 individuals with IBS identified co-morbidities as headache, fibromyalgia, and depression. A systematic review found that IBS occurs in 51% of chronic fatigue syndrome patients and 49% of fibromyalgia patients, and psychiatric disorders were found to occur in 94% of IBS patients.

Inflammatory bowel disease (IBD): Some researchers have suggested that IBS is a type of low-grade inflammatory bowel disease. Researchers have suggested that IBS and IBD are interrelated diseases, noting that patients with IBD experience IBS-like symptoms when their IBD is in remission. A 3-year study found that patients diagnosed with IBS were 16.3 times more likely to be diagnosed with IBD during the study period. Serum markers associated with inflammation have also been found in patients with IBS (see Causes).

Abdominal surgery: A recent (2008) study found that IBS patients are at increased risk of having unnecessary cholecystectomy (gall bladder removal surgery) not due to an increased risk of gallstones, but rather to abdominal pain, awareness of having gallstones, and inappropriate surgical indications. A 2005 study reported that IBS patients are 87% more likely to undergo abdominal and pelvic surgery, and three times more likely to undergo gallbladder surgery. A study published in Gastroenterology came to similar conclusions, and also noted IBS patients were twice as likely to undergo hysterectomy.

Endometriosis: One study reported a statistically significant link between migraine headaches, IBS, and endometriosis.

Other chronic disorders: Interstitial cystitis may be associated with other chronic pain syndromes, such as irritable bowel syndrome and fibromyalgia.

Diet

Some people with IBS are likely to have food intolerances. In 2007 the evidence base was not strong enough to recommend restrictive diets.

Many different dietary modifications have been attempted to improve the symptoms of IBS. Some are effective in certain sub-populations. As lactose intolerance and IBS have such similar symptoms a trial of a lactose free diet is often recommended. A diet restricting fructose and fructan intake has been shown to successfully treat the symptoms in a dose-dependant manner in patients with fructose mal-absorption and IBS.

While many IBS patients believe they have some form of dietary intolerance, tests attempting to predict food sensitivity in IBS have been disappointing. One study reported that an IgG antibody test was effective in determining food sensitivity in IBS patients, with patients on the elimination diet experiencing 10% greater symptom reduction than those on a sham diet.

There is no evidence that digestion of food or absorption of nutrients is problematic for those with IBS at rates different from those without IBS. However, the very act of eating or drinking can provoke an overreaction of the gastrocolic response in some patients with IBS due to their heightened visceral sensitivity, and this may lead to abdominal pain, diarrhea, and/or constipation.

Research

Gibson and Shepherd state a diet restricted in fermentable oligo di and monosaccharides and polyols (FODMAPs) now has an evidence base sufficiently strong to recommend its widespread application in conditions such as IBS and IBD. They also state the restriction of FODMAPs globally, rather than individually, controls the symptoms of functional gut disorders (e.g., IBS), and the majority of IBD patients respond just as well. It is more successful than restricting only fructose and fructans, which are also FODMAPs, as is recommended for those with fructose malabsorption. Longer term compliance with the diet was high.

A randomized controlled trial on IBS patients found relaxing an IgG-mediated food intolerance diet led to a 24% greater deterioration in symptoms compared to those on the elimination diet and concluded food elimination based on IgG antibodies may be effective in reducing IBS symptoms and is worthy of further biomedical research.

Further information: NIH funding of IBS Research

To complicate matters, although sciatica pain is usually in the back of the legs or thighs, in some people it can be in the front or the side of the legs, or even in the hips.  For some, the pain is in both legs – bilateral sciatica!

The quality of pain may vary.  There may be constant throbbing, but then it may let up for hours or even days.  It may ache or be knife-like.  Sometimes postural changes, like lying down or changing positions, affect the pain, and sometimes they don’t.  In severe cases, sciatica can cause a loss of reflexes or even a wasting of your calf muscles.

For sciatica sufferers, a good night’s sleep may be a thing of the past.  Simple things like walking, sitting, or standing up can be difficult or impossible.

We take a different approach to the treatment and prevention of headaches and migraines.  After a thorough neurological examination, we determine which part of the nervous system is not functioning properly.  In many headache and migraine patients, we may find a high mesencephalic output.

There are three parts to the brain stem: top, middle, and lower.  The mesencephalon is the top part of the brain stem.  A high output of the mesencephalon will cause an increased pulse and heart rate, inability to sleep or waking up from fitful sleep, urinary tract infection, increase warmth or sweating, and sensitivity to light.

Along with a high mesenphalic output, the patient may have a decreased output of the cerebellum.  The cerebellum is in the back part of the brain, and it controls all of the involuntary spinal musculature.

The right brain controls the left side of the body, and the left brain controls the right side.  If the patient is experiencing pain on one side of the body, the opposite brain may be firing at an abnormally high rate.  In order for a patient to perceive pain, an area of the brain must fire at a higher frequency of firing.  If the pain is bilateral or on both sides, there may be different central structures involved such as the brain stem or cerebellum.  It is our job to determine which aspect of the central nervous system is not working properly.

No matter what the condition, we perform a thorough and comprehensive exam to determine the exact nature of your condition.

If you would like to have more information or to set up a consultation and see how we can help you (or someone you know), give us a call at 630-257-0550 to schedule an appointment to see if you are a candidate for these breakthrough procedures.

If unhealthy, your neck’s normal forward curve may reduce, become straight or “military,” or even reverse its curve.  Over time, arthritic changes in the vertebrae such as lipping or spurring (bony growths), disc-thinning or degeneration, or deterioration of muscles, ligaments and other structures may occur.  However, in spite of all these changes, there may or may not be pain.  In fact, studies show little or no correlation between the degree of pain felt in the neck and arthritis changes found on X-rays and MRI.

Lipping, spurring, and other irregularities (osteoarthritis) do not in themselves constitute a disease but are instead defense mechanisms that arise to stabilize an off-balance spine.  Recent research has shown that manipulative care can reverse some of the effects of osteoarthritis – something that had previously been considered impossible.

We take a different approach to the treatment and prevention of headaches and migraines.  After a thorough neurological examination, we determine which part of the nervous system is not functioning properly.  In many headache and migraine patients, we may find a high mesencephalic output.

There are three parts to the brain stem: top, middle, and lower.  The mesencephalon is the top part of the brain stem.  A high output of the mesencephalon will cause an increased pulse and heart rate, inability to sleep or waking up from fitful sleep, urinary tract infection, increase warmth or sweating, and sensitivity to light.

Along with a high mesenphalic output, the patient may have a decreased output of the cerebellum.  The cerebellum is in the back part of the brain, and it controls all of the involuntary spinal musculature.

No matter what the condition, we perform a thorough and comprehensive exam to determine the exact nature of your condition.

If you would like to have more information or to set up a consultation and see how we can help you (or someone you know), give us a call at 630-257-0550 to schedule an appointment to see if you are a candidate for these breakthrough procedures.