You are on page 1of 28

Colon Hydrotherapy

Michael Hamilton
Advisor: Prof. Fahringer
Overview
History of Colon Hydrotherapy
Theory
Information about I-ACT
Concerns
Contraindications
Medical Benefits
History
Colon Hydrotherapy is the natural evolution of the
enema
The enema was first recorded in ancient Egyptian
documents
Also mentioned in the writings of Great Civilizations
Sumerians
Chinese
Hindus
Greeks
Romans
Hamiltons
History cont.
Most pre-eminent physicians reported on the
value of the enema
Hippocrates
Galen
Regnier DeGraff
17th Century known as the age of the
clyster
History cont.
Many European Kings appreciated the benefits of
the Enema
Louis XI - credited the enema with relieving attack
of seizures
Louis XIII received over 200 enemas in one year
History cont.
Louis the XIV, ardent
supporter
Had over 2,000 enemas during
his reign.
He even received court
functionaries and visitors during
the procedure1.

1.Lieberman, William, M.D., The Enema, The Review of Court Function During Enema
Gastroenterology,
Volume 13, May-June 1946
History cont.

In the early 1900s, Dr. Kellogg popularizes


colon cleansing
He reported in the 1917 Journal of American
Medicine that in over 40,000 cases, as a result of
diet, exercise, and enema (colon hydrotherapy),
in all but twenty cases, he had used no surgery
for the treatment of gastrointestinal disease in his
patients.
History cont.
1950s
colon hydrotherapy was flourishing in the U.S.
the prestigious Beverly Boulevard in California was then
known as colonic row
Mid-1960s
colon hydrotherapy slowly dwindled
Early 1970s
most colon hydrotherapy instruments were removed
from the hospitals and nursing homes
PRESCRIPTIVE LAXATIVES and SURGERY GAIN FAVOR
History Summary
Colon hydrotherapy/enemas have
been around for thousands of years
Two IMPORTANT conclusions
First, there is something of value by cleansing
the colon
Second, it has never received the attention it
justly deserves
Theory
Extended and more complete form
of an enema
Gently infuse warm, filtered water into
the rectum
End Results
Hydrates the colon
Waste is softened and loosened
Evacuation is through normal peristalsis
Irrigates/cleanses the colon
Theory cont.
Modern FDA registered
equipment
Carried out by qualified
personnel
Cleans beyond the rectosigmoid
area through a series of fill and
empty cycles
Safe and effective when
guidelines are adhered to
Theory cont.
Various Types of FDA registered equipment
I-ACT
International Association for Colon Hydrotherapy
I-ACT is the International Association for Colon
Hydrotherapy
I-ACT establishes the training standards and guidelines
I-ACT is committed to work with the FDA, International
organizations, states and municipalities to enhance the
safety of colon hydrotherapy
I-ACT is the certifying body for colon hydrotherapists around
the world
I-ACT cont.
Membership
Over 2200 Members
Over 400 International Members

Certification Levels
Foundation Level
Intermediate Level
Advanced Level
Instructor Level
Concerns
What about contamination or
spread of disease?
Only report was in New England
Journal of Medicine,
August 5, 1982
No reports of contamination when
using modern FDA registered
equipment and the equipment is
disinfected according to
manufacturer guidelines
Single use, disposable speculums /
rectal tubes, and tubing
Concerns
What about puncturing of the colon?
There have been allegations of puncture when using
enemas and colonic irrigation
Recommend caution during insertion of speculum/rectal
tube and follow the recommendation of the
physician/healthcare provider and/or the manufacturer of
the equipment
Facts
The pressure of the water during the session is very low
from 1/4 lbs. to 2.0 lbs
The Speculum / Rectal Tube in only inserted
approximately 2 inches into the rectum
Concerns
How will I assure the
patients therapist is
reputable?
Recommend that the patient
seek the services of an I-ACT
certified colon hydrotherapist
using currently registered FDA
equipment and disposable
supplies, and filtered water
Concerns
Electrolyte imbalances
Study conducted by National
University
John R. Collins, N.D., Paul Mittman, N.D., Mara
Katlaps, B.A.
No patients experienced any clinically
significant complications or complaints during or
after the course of treatment.
Only problem might be encountered with
paraplegics that are unable to completely
release their bowels.
Contraindications
Abdominal distensions Crohns
Adrenal exhaustion Colitis
Anemia Diverticulosis
Aneurysm Diverticulitis
Carcinomas Fistulas
Colon Fissures
Cardiac conditions Hemorrhage
Uncontrolled blood Hemorrhoids
pressure
Hypertension
Hypotension
Congestive heart
failure
Contraindications cont.
Hernias Pregnancy
Liver First trimester
Jaundice Third trimester
Acute failure Renal
Cirrhosis One kidney
Lupus Insufficiency
Perforations Dialysis
Intestinal Surgery
Colon
Abdominal
Sigmoid
Colon
Rectal
Rectum
Hemorrhoidectomy
Precautions cont.
Medications
Coumadin
Digoxin
Lasix (furosemide)
Prednisone
Lipitor
ASA/NSAIDS
Methotrexate
Indications
FDA
When medically indicated, such as before
radiological or endoscopic examination
Practitioners Suggested Benefits (not
listed by FDA)
Health maintenance
DETOXIFICATION (correct
imbalance)
Symptomatic relief
Constipation
Indigestion
Functional bowel problems
Indications cont.
Benefits (not listed by FDA)
Assessment of bowel function
Removal of impacted feces
Removal of foreign material
Rehydration of bowel
Toning of the bowel
Aids in bowel re-training
Improved bowel elimination
Indications cont.
Benefits (not listed by FDA)
Removal of bowel toxins which may be
a cause of chronic inflammatory disease
processes
Improved sense of well-being
Improved immune response
Aids in bowel cleansing
Aids in elimination of stored toxins
Aids in restoring the integrity of the
mucosal lining
Improvement of quality of life
Summary
Safe
Relatively Inexpensive ($65)
Licensed Practitioners
Effective (This message not reviewed by the FDA)
So can we advocate this practice as
PAS?
That answer is as clear as
Mud
Sources
Alba S, Nascimbeni R, Di Betta E, Villanacci V, Salerni B. Arthritis as a rare extra-intestinal manifestation of acute sigmoid diverticulitis. Dig Surg 2001;18:233-4.
Alvarez WC. Origin of the so-called autointoxication symptoms. JAMA 1919; 72:8-13.
Anderson ML, Pasha TM, Leighton JA. Endoscopic perforation of the colon: lessons from a 10-year study. Am J Gastroenterol 2000;95:3418-22.
Bastedo W. Colon irrigations. New England Journal of Medicine 1928;199:865-866.
Bertin L, Brion N, Farkkila M, Gobel H, Wessely P. A dose-defining study of sumatriptan suppositories in the acute treatment of migraine. Int J Clin Pract
1999;53:593-8.
Chen TS, Chen PS. Intestinal autointoxication: a medical
leitmotif. J Clin Gastroenterol 1989; 11:43441.
Collins JG, Mittman P. Effects of colon irrigation on serum electrolytes. Journal of Naturopathic Medicine 1990;1:4-9.
Ernst E. Colonic irrigation and the theory of autointoxication:
a triumph of ignorance over science. J Clin Gastroenterol
1997; 24:1968.
Friedenwald J, Morrison S. Value, limitations, indications and technic of colonic irrigations. Medical Clinics of North America, May 1935, 1611-1629.
Garakani A, Win T, Virk S, Gupta S, Kaplan D, Masand PS.
Comorbidity of irritable bowel syndrome in psychiatric
patients: a review. Am J Ther 2003; 10:617.
Gatto NM, Frucht H, Sundararajan V, Jacobson JS, Grann VR, Neugut AI. Risk of perforation after colonoscopy and sigmoidoscopy: a population-based study. J
Natl Cancer Inst 2003;95:230-6.
Hippocrates. On Regimen in Acute Disease (Part 6 and
Appendix parts 1, 2, 3, 5, 7, 8, 9, 11, 19, and 24) 400 B.C.,
<classics.mit.edu> [last accessed 03.26.2007].
FDA Warning Letter, March 1, 2003. Accessed on June 15, 2004, http://www.fda.gov/foi/warning_letters/g3916d.htm
FDA Device Classification Website. Accessed on June 1, 2004, http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?FR=876.5220
Horne S. Colon cleansing: a popular, but misunderstood
natural therapy. J Herb Pharmacother 2006; 6:93100.
Kelvinson RC. Colonic hydrotherapy: a review of the available literature. Compl Ther Med 1995;3: 88-92.
Muranishi S. Characteristics of drug absorption via the rectal route. Methods Find Exp Clin Pharmacol 1984;6:763-72.
Nelson RL, Abcarian H, Prasad ML. Iatrogenic perforation of the colon and rectum. Dis Colon Rectum. 1982;25:305-8.
Person JR, Bernhard JD. Autointoxication revisited. J Am Acad Dermatol. 1986;15:559-63.
Richards DG, McMillin DL, Mein EA, Nelson CD. Colonic irrigations: a review of the historical controversy and the potential for adverse effects. J Altern
Complement Med
2006;12: 38993.
Shevchuk NA, Hydrotherapy as a possible neuroleptic and sedative treatment, Med
Hypotheses (2007), doi:10.1016/j.mehy.2007.05.028
Swank GM, Deitch EA. Role of the gut in multiple organ failure: bacterial translocation and permeability changes. World J Surg 1996;20:411-7.
Taffinder NJ, Tan E, Webb IG, McDonald PJ. Retrograde
commercial colonic hydrotherapy. Colorectal Dis
2004; 6:25860.
Whorton JC. Inner Hygiene: Constipation and the pursuit of health in modern society. Oxford University Press, 2000.

You might also like