Intestinal treatment Hamburg

Intestinal health and its importance for ear, nose and throat medicine.

More and more people are complaining about bloating, constipation, and diarrhea, even though this is a subject that hardly anyone talks about. The term “irritable bowel syndrome” is heard in many commercials. Many people suffer from this. And this is often the starting point for many other diseases, ranging from allergies, chronic inflammation, and autoimmune diseases to depression and much more.

Traditional Chinese medicine has known about the connection between the colon and the nose for thousands of years. This is where the large intestine meridian ends. But does a connection really exist? What does it look like? And how could it possibly influence decisions about treatment?

I will try to give you a brief overview in order to give you a glimpse into the complexity of this subject in the following section.

Microbiome – what is it?

The microbiome is the so-called mucous flora. This refers to all bacteria that colonize the mucous membrane of an organ.

Probably the best known of these in the intestine is the bacterium Escherichia coli (E. coli). In addition to this one, it is estimated that more than 500 different species of these bacteria exist in one human being. These form an interwoven system and are by no means to be regarded as negative. Rather, humans need these bacteria in order to survive.

Darmgesundheit
Why do we need microbiome?

I would just like to give a brief outline of the possible functions and possible consequences of a disturbed function of the microbiome. The large number of different types of bacteria in the intestine shows how complex this system is and how many functions it can have. A disturbed intestinal flora can therefore trigger or even cause a variety of symptoms.

These include disturbances in bone structure, blood clotting, or cell growth regulation due to impairment or lack of bacteria, which contribute to vitamin synthesis and in this example vitamin K2 synthesis.

Other bacteria, in turn, nourish the intestinal mucosa and maintain the tightness of the intestinal wall. If this intestinal barrier is disturbed, we speak of a “leaky gut” – a permeable intestine. This disorder can be seen in numerous chronic inflammations of the bowel. If one examines the intestinal flora, it is often possible to find a lack of the intestinal bacteria necessary for the intestine. This phenomenon also plays an important role in autoimmune reactions and allergies. In the absence of an intestinal barrier, foreign substances that are absorbed through food can reach the body faster and thus trigger the immune system. If the immune system is overstimulated, this may trigger or worsen disease.

These immune responses are influenced by other intestinal bacteria. If these intestinal bacteria are disturbed, immune reactions may increase and e. g. food intolerances or even allergies may occur. Whether this occurs or not depends mostly on the extent of the damage to the intestinal flora and other cofactors.

In order for all bacteria in the intestine and intestinal mucosa to be optimally nourished, they need far more than just the food we eat every day. They need processed food components directly from the intestinal lumen, which are the metabolic end products of other bacteria. This includes butyric acid. Without this, changes of the intestinal mucosa and the microbiome occur.

Another function of intestinal bacteria is to maintain a healthy pH balance in the intestine. For example, lactic acid bacteria cause an acidification of the intestinal environment to prevent the growth of fungi or to positively influence the functionality of enzymes that are shed from the pancreas. These can only work optimally within a certain pH range. If the pH value is too high or too low, digestive functions can no longer take place properly, e. g. bloating and diarrhea can occur.

To further increase the complexity of the system, intestinal bacteria also produce a neurotransmitter called GABA (gamma amino butyric acid). This has an influence on the anxiety and depression centers and acts as a dampening effect on the central nervous system via the vagus nerve. A disorder in this area may contribute to headaches and depression.

These are just some of the most important functions of the microbiome. If changes occur within this system, e. g. due to antibiotics, heavy metals, stress etc., numerous disturbances can occur and a wide variety of symptoms can be triggered.

What does the intestine have to do with ear, nose, and throat medicine?

The sinuses, as well as the oral cavity and the throat, are affected by the microbiome.

The pharyngeal flora may have an influence on the development of cavities. Metabolic processes of the oral and pharyngeal flora can also lead to bad breath, known as fetor or halitosis.

Regarding paranasal sinuses, recent studies describe the influence of the existing nasal flora on chronic sinusitis. The exact pathological mechanism is still unknown.

Like the intestinal flora, the bacteria of the nose, mouth, and throat areas are exposed to daily influences from outside. The most important event is the intake of food. Depending on the food supply, bacteria benefit or are impaired in their function. Furthermore, influences such as nasal flushes, antibiotics or cigarette smoke can affect the mucous membranes and the bacteria living on them. If the natural colonization of the nasal or oral areas is out of balance, a disruption of the population may occur. This may result in fungal infections or the spread of, or susceptibility to, pathological germs.

Similar to the intestinal flora, different bacterial strains seem to play a decisive role in the balance of the nasal and oropharyngeal flora. This is important for therapeutic possibilities

How can we make use of these insights?

As in the intestinal area, individual bacterial strains can be specifically integrated into therapy. This requires precise knowledge of the individual functions of the microbiota used. Knowledge of the anatomical structure of the mucous membrane and its functionality is also of great importance in order to optimize the environment for the nasal and oropharyngeal flora, so that the previously-mentioned therapies also show long-lasting effects.

In addition, an effect on the sinuses can also be achieved through intestinal and colon cleansing. This can be supported by complementary therapeutic approaches such as acupuncture and naturopathic preparations.

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!! IMPORTANT !!!

For the protection of all patients, we ask you to take a COVID-19 rapid test on the day of your appointment before you come to my practice. This includes all accompanying persons (also children). The number of accompanying persons in the practice should be kept to a minimum.

After the COVID-19 test has been performed, please send it to us by e-mail / the test result by telephone before your visit to the practice.

In case of a positive test result (even within the family / circle of accompanying persons), please refrain from visiting our ENT practice.

If you have been on vacation (regardless of the destination), please make your next appointment no earlier than 14 days after your return.

If you suffer from the following cold symptoms:

  • Sore throat
  • Cough
  • Runny nose
  • Fever
  • Sinus infection
  • Sudden loss of taste or smell

or if you have had contact with a sick person with the above-mentioned symptoms in the 14 days prior to your scheduled appointment, please refrain from visiting our practice in person and book an appointment online.

We will be happy to assist you by telephone or video consultation to plan further action in the event of the above.

The current measures are not only for your own protection but also for the protection of all our patients, thus enabling us to plan the best possible course of action in each individual case.

We thank you for your understanding!

Because your health is our incentive!

Starting now, it is possible to contact Dr. Prochnow directly via video consultation - directly from home, from work, sick in bed, or even on vacation from all over the world.

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COVID-19
INFORMATION

Due to the new regulation of the federal government, it is necessary that you perform a COVID-19 rapid test on the day of your appointment before presentation in my practice. This also includes all accompanying persons (including children). The number of accompanying persons in the practice must be kept to a minimum.

After the COVID-19 test has been performed, please send it to us by e-mail before your visit to the practice.

In case of a positive test result (also within the family / circle of accompanying persons), please refrain from a presentation in our ENT practice and contact us to discuss the best possible procedure for you.

In these cases, however, I am still available to you via video consultation.

ANFAHRT

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Pain in the fingers, carpus and wrists can have a wide variety of causes. Acute injuries due to compression, contusion or fracture can cause these symptoms. However, chronic inflammatory diseases of the rheumatic type or bacterial infections (including Lyme disease) are other possible causes. If, however, no cause is found in orthodox medicine, hidden inflammatory foci, so-called interference fields, are often possible causes, which can be detected by Applied Kinesiology and treated by means of acupuncture or neural therapy. For supportive pain therapy, the latter therapies are also a possible option.

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This is one of the new popular diseases. Everyone knows the grinding or biting with the teeth, the morning tension in the jaw area in stressful everyday situations. Learn more about the effects of overloading the jaw joint in my blog.

The unconscious release of stress usually takes place at night. Unnoticed it comes to grinding movements of the teeth or to increased biting during sleep. This can lead to an overload of the teeth, the jaw bone and also the temporomandibular joint and sometimes cause symptoms in distant organs or joints, which seem to have no connection with the initial place of origin of the complaints. Learn more about symptoms and treatment options here.

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Headache – one of the most widespread diseases of our society requires detailed clarification to find the cause. These can be of organic origin (e.g. trauma, hemorrhage, stroke, high blood pressure, chronic sinusitis, tumors, etc.) or of a functional or psychological nature (tension, overload, dehydration, etc.).

Therefore, a good interaction of neurology, ear, nose and throat medicine, dentistry, orthopedics and, if necessary, radiology, internal medicine / cardiology or vascular surgery is important for accurate diagnosis. 

Because not all headaches originate from the head. Temporomandibular joint disorders (CMD), cervical vertebrae blockages or even incorrect shoe inserts can lead to complaints in the head area over a longer period of time. So-called interference fields such as undiscovered dental foci or scars along meridians can also be the cause of these complaints. 

The therapy options depend on the corresponding cause. If an organic cause has been ruled out, however, osteopathy / manual medicine and also acupuncture as well as neural therapy can provide support in the therapy. 

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Acute hearing loss can have various causes: 1) earwax plug 2) ear canal inflammation 3) sudden hearing loss 4) popping or noise trauma 5) traumatic eardrum injuries and much more.

can not only originate from the ear, e.g. through an inflammation of the ear canal or the middle ear or an injury to the ear canal or the eardrum. They can also occur with TMD symptoms.

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Es ist stressig, der Nacken verspannt und plötzlich tritt es auf. Ein dumpfes Wattegefühl auf dem Ohr und ein Pfeifen. Häufig gibt sich das Bild innerhalb von Sekunden oder Minuten wieder und ist genauso schnell verschwunden, wie es gekommen ist. Doch bleiben die Symptome bestehen, kann es sich um einen sogenannten Hörsturz handeln.  Mehr lesen

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