In the past we have likened the mindbody to an energy battery that can become drained in many different ways One of the more common ways is chronic disease such as the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, fibromyalgia) When there is constant daily discomfort for long periods of time there will be a high chance that an energy drain can occur
In the world of psychology this can lead to more often than not decision fatigue This is a situation where after several decisions “pile up”, say while grocery shopping, that by the time we’re done we are mentally fatigued That’s why the candy bars are at the checkout stand because with decision fatigue impulse buying happens to increase(unless a high will power quotient is present)
But add on the energy depletion from chronic disease and you’re more likely to start in the hole even before you get started with the shopping in the first place
So protecting your energy when you have the IC bladder pain syndrome is an important thing to look at
Establish a daily routine In the energy science a daily ritual in which foundational “to do’s” are always done such as brushing your teeth These foundational activities require no decision making and allow you to put yourself on “auto pilot” but at the same time they provide a structure that you can always rely on
So going to bed by 10 to 11p each night is a great start to be able to get up preferably at sunrise or by 6-7a each day This early morning rising then establishes a time when the bathroom ritual done and do some form of centering work(contemplation, meditation) Then you can get in a hour of exercise of your choosing…pranayama, asana practice, walking etc Typically the choices are based on your energy constitutional makeup
Having regular mealtimes with the biggest meal at noon is essential to maintaining good health rinking room temperature fluids(ice is not nice!), using spice mixtures(churans at foodsheal.com), simply paying attention to what you’re doing when eating(few meals a week in silence), or not eating when busy helps replenish your body’s energy
Reduce mental turbulence Perhaps a surprise to some is that the mind is the biggest drain of them all! Often the mind is running in the background even though you think it’s quiet This incessant turbulence shows up as fear, anxiety, depression, worry, and of course fatigue because the body gets beat up with this kind of mental activity Solution? Spend 5-10 minutes twice a day(morning and evening) closing your eyes and watching the breath
Remove nutritional stressors There are foods that drain the body’s energy such as refined sugar, coffee, chocolate(what the heck?) carbonated drinks
Improve food choices Foods that bring about balance for you according to the nutritional formats at foodsheal.com after you take the mindbody questionnaire will help you sort this out
Using proper food combining stops the depletion of energy expended due to difficult to digest food combinations
Avoid snacking Eating before you have digested the last food that you’ve ingested requires the mindbody to use more energy so this habit is depleting At least 4 to 6 hours between meals or better yet wait until your hungry since appetite is the best gauge of the body’s readiness for food
Toxicity If you have poor digestion, chances toxic formation will occur leading to the qualities in the bladder being held there and unable to be released But this toxicity is everywhere and it reduces the mindbody’s efficiency in functioning The mindbody can no longer function with “ease” but now functions with “dis-ease”
By implementing these suggestions you can begin to reduce decision fatigue and free up energy that gets wasted Good luck!! DB
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The toxicity that we talk about in the environment is no different than the toxicity we create for ourselves The good news is that you can do something about it
The IC bladder pain syndrome is associated with toxicity not just an energetic imbalance As a matter of fact every disease carries toxic load to the tissues But the matter science molecular model practiced today doesn’t have a concept of toxicity until late in the disease process, when people need dialysis for example And we tend to think of toxicity that comes from the environment, not something we create ourselves But the energy science sees it differently and hence as I have written about earlier, the disease process is seen differently Hence even though the matter science seems not to have an answer, the energy science does
In the IC syndrome IBS shows its toxicity as mucous in the bowel particularly if there is drastic pain The other form of IBS doesn’t yield to the incredible spasms that occur with the spastic colon varietu Fibromyalgia has the energy patterns of Vata and Pitta carry toxicity to the muscle and joints In vulvodynia the toxicity appears in the female vaginal tract; in chronic prostatitis the toxicity is carried into the male reproductive tract Lastly in IC itself the toxicity is carried into the bladder muscle causing spasm and bladder irritability
The general term for toxicity is ama energy science lingo and it’s present in all diseases
Ama is a sticky cold material that is the endproduct of poor digestion It doesn’t cause disease right away but by and by with its accumulation it begins to become symptomatic
Symptoms of ama are indigestion, poor appetite, sense of heaviness even though thin, halitosis, body odor, diarrhea, constipation, and of course all the symptoms of the above disease label
If ama is formed it means the digestion is not up to par and most people’s agni is not up to par Another general term for digestion that is used in the energy science is agni Agni and ama go hand in hand If agni is low ama is formed If agni is high ama is not formed and the person enjoys good health
There are several ways to prevent ama and hence ill health from occurring
1 Don’t overeat…..what one can hold in 2 hands is the volume that should be used at the biggest meal of the day…..the noon meal
2 Eat according to your dominant energy patterns(see foodsheal.com)
3 Use various tools to improve digestion…CCF tea, agni tea, ginger appetizer, trikatu
4 Use tripahala that helps improve bowel health and hence clears ama
5 Some ama is mucousy and the use of licorice as a demulcent(liquifies the mucous) can be helpful
6 Baking soda and dry ginger bath…1/3 cup of each in bath water helps to eliminate toxic load through the skin
So this is the top secret in clearing IC for good Clear the ama It’s not as easy and simple as it looks on the surface because as some of you may recognize all IC’s are not created equally Some have had their IC a long time and others not so long Some have prominent IBS as part of their IC symptoms while others have their ama loculated in different places
Not one size fits all so therefore the treatments tend to vary for each individual but the secret still remains the same: Clear ama and clear IC for good
Good luck on your healing journey DB
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It’s of no surprise to anyone who has the IC bladder pain syndrome or is involved with an IC support group that bowel symptoms are as common as the flares As a matter of fact if I were a betting person I would say that there are often more common than the flares that occur
But the bowel symptoms are often overlooked because our tendency is to focus on the organ causing us the most problem, namely the bladder and pelvic symptoms
As you have read in some blog posts all disease begins in the GI tract according to the Ayurvedic or energy science model
When you focus too much…..I know that’s hard since the bladder is screaming for attention…. you may lose sight of the fact that the bowel symptoms are there but the bladder is claiming the attention At least 50% of people with IC have acid indigestion(heartburn) and/or reflux of acid into the lower esophagus and they resort to all kinds of different OTC(over the counter) remedies
It’s estimated that at least 50% of people with IC have IBS and I would say in working with patients that if you counted all their symptoms that it’s more like 100% The reason I can go that far is that most people walking on this planet have unhealthy digestion
The reasons for this unhealthy digestion are 2 fold First the food choices made bring about imbalance of qualities in the GI tract and hence symptoms
But the second reason is probably more important Poor digestion of food leads to unprocessed undigested food that clog the lymphatics of the gut and cover the surface of the internal lining of the gut interfering with proper digestion, absorption, and assimilation of foods ingested
Due to this “poor digestion” symptoms occur Gas, bloating, feeling of heaviness lethargy or fatigue after eating, fever, irritability, alternating diarrhea/constipation, loud noises coming from the stomach, poor appetite, congestion in the sinuses, mucoid vomiting or mucous in the stools, having an underactive thyroid, and overall depression….who wouldn’t be with these kinds of symptoms?
Getting your health…..particularly bowel health back….is a challenge but it’s at the heart of dealing with IC Puzzling isn’t it? Here you have this bladder problem but you’re being told that you need to really focus on the bowel Well, it’s actually both BUT you must put some attention on the your bowel function if you’re ever to deal with this problem labeled as IC
Since poor digestion is at the heart of the matter here are four things that you can do Remember don’t use dry ginger….only fresh
1 Use ginger appetizer to help clear the undigested debris hanging around in your gut Thirty minutes before eating your biggest meal of the day at noon take a slice of ginger with rock salt, lime juice, and a little honey (To peel the ginger use a spoon for taking the skin off..and slice an inch long piece of fresh ginger and place into a small container It’s helpful if the container is small enough to carry in your pocket or purse so that you can take it out to eat with you or to work Small jars can be purchased at health food stores or you can reuse glass supplement jars To save time make enough for 2-3 days
2 Use agni tea Quart of water with 2 handfuls minced ginger root pinch of cayenne (for Pitta disorders, a speck or omit entirely), 2 Tablespoons Sucanat or Maple syrup, and 1-2 teaspoons Rock salt Bring all of the above ingredients to a boil Boil for 20 minutes Take the pot off the burner and cool for a few minutes Add the juice of ½ lime Do not boil the lime juice Pour into a thermos and enjoy throughout the day!
3 Use CCF tea see prior blog post
4 Chose one day a week to fast This gives the GI tract a well deserved day off…..you get days off from work – why not do that for your ailing gut? This fast can be with juice(don’t mix fruit with veggies) or for overweight people, water but some kind of restriction from having to digest Why? Because just like a campfire it gets stronger when you don’t put so many logs on the fire Remember though that predominantly Vata people should only do light eating once every four weeks or they will weaken themselves even more
5 Explore digestive aids such as Betaine HCl or pancreatic enzymes but recognize this as a bandaid and not a fix for the gut As you can see, relying on something externally forever to help with your digestion is not a long term solution
Best of luck in your journey DB
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Interstitial cystitis(IC) bladder pain with flares can be amplified by the routine use of nuts and seeds of any kind and this includes their butters!! Peanut butter, almond butter, cashew butter
Unlike the matter science(MS) nutritional information that fatty acids are good and bad, the energy science(ES) of Ayurveda states that all nuts are inflammatory due to these molecular fatty acids regardless of the “good or bad nature of them” The reason for this is that the post digestive(small bowel) effect is heating therefore inflammation provoking
Seeds also can be problematic Safe to say that all seeds should be used in moderatioin So popcorn, flax, halva, and pumpkin can be used once every 2-3 days
The sweet taste of many foods covers the acidic nature of the foods itself and this is true of the nut category This is why the ES nutritional information trumps the MS guesswork around nutrition and is why the anecdotal information of the MS nutritional realm is at times confusing hence flares and then no flares What gives? This also explains why various other inflammatory conditions are interrelated with IC such as fibromyalgia, IBS, chronic fatigue syndrome(CFS), GERD, prostatitis(did you know that PSA is a marker for inflammation?), and CPPS(chronic pelvic pain syndrome)
As an aside this sweet taste of nuts in general make them a great choice for building tissue since the sweet taste is anabolic
Sorry to blow your day if you crave the mixed nuts but there is certainly a favorite guideline of mine and that is “There are no hard guidelines in the ES realms” Know that if you use the foods that are provoking that you increase the likelihood of a flare That use of inflammatory foods will keep you up at the ceiling of the curve below rather than allowing your mindbody to do the rebalancing as the curve progresses to the right(BTW the ascent from the left shows how we gradually get sick over decades by our own choices(Oh shoot, you didn’t have to say that did you?)
Soaked and peeled almonds(this is very important! or you can use slivered almonds from the bulk section of the grocery store if they have one ) are very helpful for their nutritive benefit but also for their cooling effect Turns out that the skin of the almond holds enzymes that in and of themselves are inflammatory Almonds are not actually nuts but in the end who cares
Charole(actually seeds like sunflower) is another nut choice It’s a very small nut found in very few stores in the US(I know because Ive looked; let me know if you have a source that you would share with the community) and is heating but due to the size and its energetics is acceptable and does not provoke Pitta(more about this energy pattern in future blog posts)
And of course coconut because it’s COOLING! The general energy science principle is this: Plants that grow in hot climates are there for a very specific reason Their job is to make the environment cold(well cooler) and so Momma Nature is always taking care of balancing herself
What about nut milks? Almond Breeze is made from blanched and peeled almonds so a great drink Coconut milk also is a very nutritious drink and both these “nut” milks make great date shakes More about that in the future
Note that popcorn is full of air therefore aggravating Vata so should be used in moderation
Here are three options for substitution without provoking inflammation or the Pitta energy pattern in the physiology
Use the above three recommendations and make your own nut butters from the slivered almonds
Sunflower seeds can be used by anyone anywhere anytime Sooo.. sunflower butter sold at Trader Joe’s is an excellent proprietary product and the best tasting sunflower butter on the planet Have tasted many and this by far is the closest to peanut butter with a nice sweet taste Mmm good!
Give yourself “permission” to have a few nuts every once and a while if the craving is too great The ES reminds us that food cravings are a result of imbalanced digestion so the faster we can improve our digestion the better it will be
Interested in a free ES consultation with me? Just tap on this link
Or sign up to join our growing ES IC community!
Well enough for now Until next time To Health as a Skill Love DrBill
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Some have asked about this problem of fatigue associated with the chronic bladder pain of the IC syndrome It is natural to have fatigue if you have a chronic disease associated with pain And of course all of us want more energy in our lives But to make the association of pain and fatigue is simplistic at best and will not get you closer to dealing with the problem of the pain most of the time
So pain and fatigue are not related as to cause The association is true true unrelated Yes you have fatigue, and yes have pain but they may not be intimately related It’s like someone owning a dog doesn’t mean they own a cat as well
Because of this one has to find out the cause of the fatigue which may and often times is different than the pain
And it’s equally simplistic to relate the disease of IC to the fatigue Although any chronic illness can lead to fatigue, there are many reasons that the mindbody essentially gets drained and fatigue sets in So the fatigue can be treated and it may not necessarily help with the IC Therein lies the root cause of the fatigue that one experiences and from there the root cause is treated
In actuality both problems, fatigue and IC pain from an energy science view have to be treated separately and the treatment of the fatigue may not necessarily help with the IC
Soo…… I wish there was a nice simple answer to this question of fatigue but it comes in all shapes and sizes and one shoe doesn’t fit all But let’s dive deeper into the various causes of fatigue There are two broad categories of causes of fatigue If you get close to these you have come a long ways in understanding your fatigue
In looking at the mindbody in terms of the energy patterns of Vata, Pitta, and Kapha, the fatigue can be as a result of any form of imbalance of each of the three patterns or importantly their combinations An imbalance of the energy pattern of Vata is usually brought about by exhaustion from overwork, travel, burning the candle at both ends, or not respecting your work capability This last type of factor is largely ignored in a culture where everyone should be able to work “pedal to the metal” But it’s clear from an energy perspective that each of us know our work limitations based on our mindbody energy makeup If you know that about yourself then you can either do things to help maximize your endurance and stamina or back off when you’ve pushed too far People who “burn themselves out” know none of this and is the reasons for fatigue in cultures all over the world
Another reason for fatigue that’s poorly understood in the matter science tradition is the role of digestive strength and how it can lead to reduced energy As I’ve written about in previous posts, the energy mindbody is like a battery If you drain the battery so it has no reserve, then it will likely fail in cold weather The same is true for digestion and stamina/endurance If the digestion is weak then stamina/endurance inevitably over time will suffer, no matter what age The care of digestion is a major determinant of health in the energy science world of healing since all disease begins in the GI tract
1 Get to bed early Vata 930 Pitta 1030 Kapha 1100 If you’re two primary patterns then you can fudge the times
2 Take time for self nurturing I mean really take time Get up early enough so that you can begin the day with this aspect of self care
3 If you have symptoms after eating such as heaviness, gas bloating, feeling like you haven’t digested the meal 3-4 hours after eating then use ginger pickle to help improve your digestive strength A slice of ginger one inch in diameter and 1/2 inch thick with lime juice and salt
4 Breathing techniques(called pranayam) can also improve the energy body’s stamina and endurance
5 Specific yoga asana(postures) can promote grounding, reduce heat, and energize the mindbody
All the best Love DB
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In the practice of medicine no disease is really the same as someone else’s disease They all have their nuances of differences And this is true of IC
No IC bladder pain syndrome is the same from one individual to another Some have more anxiety and frequency while others have more burning and spasm Some have other skin and eye conditions associated with their IC Some are fortunate enough to have a few nonbacterial “UTIs” and then things seem to rectify themselves and they never have symptoms again
Others are debilitated with symptoms and cannot function So what’s the definition of chronic IC
The reason that it’s difficult to assess the true prevalence of IC in a given population is that symptoms of the condition can vary widely Some may have very localized symptoms to the bladder/pelvis and may dissipate over time for one reason or another
Some may struggle with symptoms and then with modifications to diet or using suggested remedies by friends or physicians the symptoms again gradually dissipate over time
These populations of patients are not counted typically in the IC longitudinal surveys And then there are the men and children affected by the same voiding and pelvic dysfunction that has not as yet been labeled as IC So you can see that the prevalence of IC may far be underestimated
But then who’s left? Typically in studies the people with chronic symptoms congregate to form study populations So what’s chronic IC?
Admittedly due to the lateness of detection typically patients have progressed far enough along in their symptom complex that chronicity is part of the picture Importantly the earlier a clinician can intervene with nutritional information and lifestyle the more likely that the IC will not go onto chronic debilitating disease
Chronic Debilitating IC Definition: Bladder and/or pelvic pain for greater than 3 years that is constant and that has persisted and increased in intensity and has urologically and gynecologically been shown to have no obvious cause(eg tumor,cancer, bladder stone, ureteral disease)
Now this time frame is arguable but you get the picture that there has to be enough time to establish a pattern of chronicity This of course is almost always(unless there is relentless pain) punctuated with acute flares
It’s always nice to know where you are on the spectrum of any disease But even more valuable is to give you an appreciation of what to expect in getting better
Getting better? Wait, this disease is treatable but not curable Currently what “treatable” means is that another groping bandaid is applied to try to manage the symptoms Having trouble? Try a shortstay in the outpatient surgical unit for a bladder fulguration Or perhaps low dose Valium
So if one’s open to getting better with IC then you should want to know what to expect
As you know disease is not created overnight The imbalance that creates the disease in the body takes time But slowly but surely the symptoms become full blown and relief is required So here are 5 things that you should understand and be willing to do if you want to manage your IC effectively
1 Patience and being in it for the long haul So if you really get this then you realize that it will take time to reverse the imbalance that created the disease in the first place What’s the time frame? For every year of imbalance it will take 2 months for the disease course to reverse itself For example, if you’ve been having problems with symptoms since 1999 then that’s at least 14 years of imbalance exposure which would mean 28 months or +2 years of work Interestingly most people with IC are an impatient bunch “I don’t have time to wait for healing to occur I’ve got things to do, places to go, and people to see” If you know that about yourself then you have the chance for being more patient about results There is no magic pill with this disease!
2 Choose a healing discipline that can deliver Obviously the matter science approach with it bandaid approach isn’t working(interstim, bladder distentions, pharmaceuticals) The energy science approach can affect change but it takes time Of clinical significance is the now recognized association of fibromyalgia and chronic fatigue syndrome with chronic IC(1) As IC progresses in its chronic state it’s apparent that patients get sicker It is at this stage of the disease that the matter science approach to healing comes to a complete standstill in terms of options It is at this point that the energy science model of healing can take over due to its understanding of the origin of disease
3 Realize that with chronic disease there is universally a bowel component to the problem The matter science approach is to micromanage the bladder symptoms when the origin of the disease is at the gut level Strange as it may sound, IC management requires that the clinician become a bowel health doctor Otherwise there will be no success IBS is estimated to be present in the IC population as high as 80%(2) (personally I believe it’s probably 100%..it’s just that the 20% don’t have symptoms severe enough for them to be diagnosed as IBS) Acid indigestion(GERD) is estimated to be in the range of at least 50%( but again probably higher) Prelief anyone?4 Understand a multifaceted approach to disease There are many causes that brought about the symptom complex of IC So realize that it will take many different avenues of treatment So it’s not just one drug(elmiron) or one procedure(interstim) but a multiplicity of interventions from a therapeutic standpoint to bring about change in symptoms
5 Toxicity Realize that part of the process of healing is detoxification that comes along with the balancing process that occurs with the clearance of symptoms As a matter of fact the reason that the qualities that produce IC cannot be eliminated from the pelvis is that the toxic load in the pelvis holds them there So detoxification is mandatory if you are to get relief But what is detoxification in the mainstream press is not anything close to what real detox is
(1)J Urol. 2010 Oct;184(4):1358-63. doi: 10.1016/j.juro.2010.06.005. Epub 2010 Aug 17
All the best in healing To Health as a Skill Dr Bill
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