Over the last 20 years the interstitital cystitis(IC) complex of pelvic and bladder pain has been successfully treated by urologists with botox Initially used as a way to focally paralyze muscle fibers in the face as a cosmetic application, it quickly crossed many lines of therapy for use in other organ systems in the body to include the bladder
The use of the agent in bladder injection therapy is that the bladder and pelvic pain is related to muscle spasm in these respective areas that paralysis of the muscles would reduce the pain
In the disease of IC the matter science medical thinking in justifying botox’s use is that the pelvic pain and burning is caused by a neuromuscular event in the pelvic nerves And that the individual symptom complex(bladder pain in one, vaginal pain in another, pudendal nerve involvement leading to perineal pain in another) could be dealt with by botox injection into the offending pelvic nerves
The success reported using bladder injection therapy is for a number of conditions that have associated with the problem an overactive bladder(OAB) Neurologic conditions such as multiple sclerosis, bladder overactivity from traumatic cord injury, and nonapparent neurological disease such as urinary incontinence have been treated with good success
As I wrote in a recent post about the use of the interstim, the primary indication for botox and the interstim device appears to be OAB for whatever etiology Injection of the botox is usually done 20-30 sites in the bladder and those with an apparent Hunner’s ulcer would have direct and peripheral injection around the lesion
Of course spreading from the area of local injection can have potential lethal consequences(the number of FDA reported deaths linked to botox are rare given the usage, 28 since 2000 monitoring began) But what is more important are side effects that don’t result in respiratory distress such as swallowing and breathing problems
It’s clear that the pelvic accumulation and localization of the hot and mobile qualities in IC that I have discussed in the past come from the GI tract according to the energy science model of healing
The isolated botulinum toxin produced by a bacterium reduces specific muscle activity by blocking the overactive neural impulses that trigger excessive muscle contraction activity The use in IC is based on the theory that the spasm responsible for the IC pain is caused by overactive pelvic nerves that are irritable for some unknown reason
Localized injection into the bladder muscle may produce transient relief but long term relief from the condition leading to OAB may not deal with the global neuromuscular problem
There are basically two problems with botox injection therapy
1 If there is burning pain in the pelvis or the bladder with urination botox is unlikely to deal with the problem of interstitial cystitis Botox causes a neuromuscular blockade but will not deal with sensory changes such as burning
2 There is a belief in research circles that IC is actually a pelvic disorder not just involving the bladder Attempting to block a spastic pelvic floor would be futile and dangerous
So what causes these overactive pelvic nerves to occur in the first place? From an energy science perspective the pelvic neuromuscular complex is in a heightened state of activity due to the mobile quality and the burning shearing pain from the hot quality Trigger point injection to areas of pain may work transiently but as said earlier, one can’t inject the entire pelvic floor as these energetic qualities are throughout the pelvis including the bladder
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The pain of your IC flare is related to the movement of the qualities of hot, mobile, and dry These qualities lead to the burning in the pelvis and on urination as well as the frequency and intense urgency you experience(leading to the rusty zipper syndrome)
These primordial vibrational frequencies(fancy term for qualities) are moving through a long tube in the mindbody This tube begins in the kidney and ends where the urine comes out when you urinate It’s that simple! Energy in the form of urine moves through this channel or tube from the kidney to the bladder and then out when urination occurs
The good news is that the energetic imbalance of the qualities of hot, mobile, and dry in IC occur in a channel not a tissue Why is this such good news? It’s much easier to correct an energetic imbalance in a tube or channel than it is in a dense multicellular tissue layer
Other examples of channels are the gastrointestinal tract(mouth to the anus), the respiratory tube(includes the nose, nasal sinuses, upper airway tubes, and lungs), the male and female genital channels, and the vascular network(both arterial and venous sides) Other channel disorders besides IC include GERD, IBS, and vulvodynia
There are other energy structures in the energy mindbody that are tissue layers The muscles of the mindbody are a dense energetic multicellular layer A lot can go wrong in such a complex structure and so it takes longer to correct a tissue layer problem Tissue layer disorders include fibromyalgia and chronic prostatitis
So we’re familiar with those people who develop IC and they have a brief experience with the symptoms but somehow or another there is a spontaneous resolution of the IC and they never have another problem with it A pure channel problem clears
But then there’s the mixture of channel and tissue energetic imbalance Here the IC becomes more complex Tissue imbalances involving hot, mobile, and dry become mixed with the channel imbalance of IC with the experience of the symptoms associated with the dis-ease
From an energy science view this explains the reason why many people don’t get spontaneous resolution but smoulder in the embers of chronic IC There is a mixture of energetic tissue imbalance coupled with the channel imbalance
Even though there is the energetic imbalance of hot, mobile, and dry in both the tissues and urinary tract channel or tube IC regardless is a channel dis-ease and will respond to treatments more quickly It doesn’t mean that the tissue energetic imbalances don’t have to be addressed They do
But they can be addressed as the symptoms from the urinary channel are resolved by such channel soothing herbs such as CCF tea and aloe vera gel Just visualize the aloe cooling the hot, mobile, and dry internal lining of the urinary tube just as it soothes the external skin when it’s burned
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The inflammation that occurs with your IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, GERD, IBS, and fibromyalgia) as we’ve talked about in the past is from the hot and mobile qualities from an energy science viewpoint
As you know this pain can be excruciating and unrelenting causing undue stress on relationships and plans
And there are things that we have discussed that can help with temporary relief of symptoms But what would it be like it you lived a life without any bladder symptoms at all This is the cure of the apparent curable condition of IC
As we’ve mentioned before the human energy anatomy Ayurveda says that there are three energy patterns that give us function The Vata, Pitta, and Kapha physiologic energies gives the body movement, transformation, and stability respectively
Pitta the energy of transformation is the only one of the three energy patterns that has the hot vibrational frequency This energy of transformation is responsible for your flares Makes sense doesn’t it? Hot transforms right? But too much of this energy produces IC Burning wood, burning thoughts, burning stomach, burning bladder, burning pelvis, burning vagina Holy smoke! Burned up relationships!
This is the energy that slso makes us competitive but if more hot enters into the equation it leads to aggressive behaviors that turn people off
So when it’s hot in the environment the same hot is aggravated in our own mindbody energy field And when you eat trigger foods the same thing happens whether we can appreciate it or not That’s why the food guidelines are so important because sometimes you can’t appreciate what’s happening
The hot from the sun is never as long term provoking as the hot that we ingest As I’ve discussed in other blogs consumption of the hot quality has a much longer staying power of influence This is a very important point since the physiology is affected literally for 35 days after a trigger food is chosen to be ingested
What happens when too much hot is in the energy physiology? You guessed it! INFLAMMATION
Sooo…. here’s a recipe for a delicious cooling herbal cocktail that you may find valuable particularly during flare seasons But NO ice because ice is not nice
2T of aloe vera gel(NOT the juice)
2oz of pomegranite juice
2oz of water
Chug a lug! Hmmmm delissios
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As you know the pelvic pain from IC can be so severe that it precludes having normal sexual activity In a survey done through the ICA organization 90% of IC patients report problems with intimacy And the majority of women(50-85%) have associated vulvodynia or pain specifically related to the vagina For reasons not clear, ICA dropped the reference page to this statistic The stats come from a response survey of an IC population culled from members of the organization This numbers have been substantiated by other research
The fear of bringing on the pain and a flare can lead to avoidance and resulting isolation
Some have reported breaking into a cold sweat due to anxiety just with foreplay And this can obviously put a severe strain on a marital relationship unless one is fortunate to have an understanding spouse who doesn’t want to inflict pain to his best friend
But for others it can lead to failed relationships or inability to find new ones As one IC patient told me, “I feel like I’m damaged goods” Others express a sense of loss of womanhood much as men are fearful of the same for themselves
As we know the matter science approach to the chronic IC problem is unfortunately not helpful since this model doesn’t deal with chronic disease well
But sexual intimacy need not be dead if one can deal with the origin of IC The energy science can successfully deal with pelvic pain and hence restore intimacy once again
We have discussed the energy and matter science approaches in doing their work The energy science approach is about balance of qualities; too much hot(responsible for the shearing pain) balanced by delivering the cold; too much subtle balanced by the gross quality(the energy field is subtle and the matter biological field gross); too much mobile(responsible for the urinary frequency and pain) balanced by the stable or static quality
So the symptoms of IC in the pelvis from an energy science view is related to an imbalance of qualities The imbalance of these qualities in the energy body can lead to the symptom complex of the IC bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, and fibromyalgia) According to Ayurveda all disease except for trauma begins in the GI tract so one can see how important nutrition becomes in the management of the syndrome
Once there is a buildup of these energetic qualities(aka vibrational frequencies) within the gut they will either cause symptoms in the GI tract(IBS and/or GERD) or move from the GI tract and affect other tissues or organs(IC, vulvodynia, chronic prostatitis or fibromyalgia)
The movement of the qualities from the GI tract can occur anywhere along its length If they move from the colon and specifically from the sigmoid colon they can lead to symptoms of vulvodynia, chronic prostatitis, and interstitial cystitis Since these vibrational frequencies of hot, sharp, liquid, oily, dry, rough, and mobile have a predilection for the nervous tissue of the pelvis, what occurs then is a pelvic neuropathy
In the end interstitial cystitis and vulvodynia(chronic prostatitis in men) are examples of a pelvic neuropathy That is, the symptoms in the bladder, vagina, and prostate are a result of nerve involvement by vibrational frequencies that come from the colon The allopathic scientific research have postulated this but how the neuropathy occurs has not been elucidated
First of all one must realize that this is not an easy thing to treat and will take months to resolve based among other things on the length of time that one has had symptoms Secondly the use of herbs can be effective as long as one is doing baseline work below
1 Do a green composite protein diet to begin alkalinizing the GI tract
2 Do the dinacharya(day in balance) consistently
3 Normalize colon function using herbs
If interested I can send you handouts on these specific techniques requested through drbilldean@gmail.com
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Interstitial cystitis (IC) painvsyndrome(intersitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, fibromyalgia) is often associated with other conditions such as food allergies or sensitivities and GERD which we have written about in the past This is difficult to understand from a molecular approach to dis-ease since the model looks at the problem within an organ system without taking into consideration the interrelationship of all organ systems
This is frustrating to physicians as well as patients seeking to understand the pain of IC and how to treat it And it sometimes leads a real difficulty for IC patients in choosing foods thinking that perhaps their IC pain symptoms are related to their “food allergies” so they are fearful of eating anything Oftentimes elimination diets are used to try to sort it out but partially fail
With a different way of seeing the mindbody from an energy science viewpoint rather than the currently used matter science discipline it becomes clear that food allergies are interrelated with IC Why is this so?
Dis-ease or lack of harmony in the mindbody begins in the gastrointestinal tract(GIT) and when there is too much of the hot quality it leaves the GIT to be eliminated through the urinary tract The GIT is not healthy enough to deal with the excess hot quality
Food allergies that occur in the GIT leads to distress as well but the energy science explanation is due to lack of digestive strength The same lack of digestive strength leads to two seemingly different forms of dis-ease
Digestive strength from a matter or molecular science approach is not enough digestive enzymes to do the job Because of this toxic debris builds up much like a cold campfire has unprocessed charred remains Acute symptoms occur after eating such as:
Poor appetite Coated tongue Nausea Bloating Belching with smell of previously eaten food
Weakness and fatigue Foul gas or flatus; bad-smelling feces Unhappiness Constipation or diarrhea
Abdominal pain and/or distention Bad breath Bad taste in the mouth Restlessness Heaviness after food
Congestion Excessive sleep
These signs and symptoms represent poor digestive strength but as you can see could be interpreted as “food allergy”
Then chronic signs and symptoms may occur over years of poor digestion strength:
Tissue emaciation Malabsorption Emotional eating Food cravings Food allergies
Insomnia Poor visual perception Poor circulation Abnormal color and complexion Lack of luster(skin rashes)
Fear Grief, sadness, and depression Confusion Apathy, repulsion Shortened life span Aggressiveness
Indecisiveness and lack of discrimination Lack of intelligence(loss of clarity) Impatience
Improper direction and inappropriate goals
Isn’t it interesting that fear, confusion, apathy, aggressiveness occur in this list of chronic symptoms? The reason for this is that there is a mindbody connection What happens in the mind happens in the body What happens in the body happens in the mind
From an energy science view mind and body are intimately spliced You cannot separate them Mind is in every cell of the body So we see that if the GIT is effected with dis-ease or disharmony then it will register in the mind and these psychological manifestations will be apparent
As I have said in previous blogs eating according to your mindbody energy makeup is the most important thing along with avoiding poor food combinations But here are some other general things you can do as well
1 Use Coriander and Fennel tea to support agni
2 Use of GCPR(green composite protein recipe) Have blogged about this in the past If you need the recipe send me an email and I’ll send you a copy
3 Use pre and probiotic in the form of a pappadam lassi If you need the recipe send me an email and I’ll send you a copy
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read moreIn a recent article the Washington Post(https://wapo.st/30TtyIT) reviewed the reasons people are reluctant to take the COVID vaccine. One significantly addressed reason in the article is that many antivaxxers are followers of alternative health social media platforms that sow misinformation about the current vaccines which mislead their loyal followers who have grown to trust the messaging as reliable and trustworthy. In the past while heavy metal adjuvants such as mercury and aluminum may have had significant effects in...
read moreLast time we talked about a long list of Ayurvedic lifestyles that will enhance immunity Here’s a shortlist of trace metals that are important in immunity which is the only way we individually will improve our immunologic response when infected by a viral load such as COVID 19 Nasal breathing Many of us breathe through the mouth The simple transition to nasal breathing can enhance nitric oxide which improves immunologic response among other things Neti use can improve immunity directly and indirectly Because it clears ...
read more
The interstitial cystitis(IC) bladder pain syndrome(interstitial cystitis, vulvodynia, chronic prostatitis, IBS, GERD, fibromyalgia)with flares can be amplified by the routine use of nuts 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
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?)
Journey to Balance
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
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
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read moreLast time we talked about a long list of Ayurvedic lifestyles that will enhance immunity Here’s a shortlist of trace metals that are important in immunity which is the only way we individually will improve our immunologic response when infected by a viral load such as COVID 19 Nasal breathing Many of us breathe through the mouth The simple transition to nasal breathing can enhance nitric oxide which improves immunologic response among other things Neti use can improve immunity directly and indirectly Because it clears ...
read more
