transcend dreams and. together. our documentary about the revolutionary. guards in john. pace is a history. songs like that don't go away but stay with us for all time. starts february 7th w. . welcome to the health show on t w here's your host dr costin lake hello and welcome to good shape. never guess where i am. why many people will know how it works some of you may be wondering how i got here. it's

a model and it stands in berlin in the back stabber center for molecule or bad a set and in today's show you will learn everything you will need for healthy digestion i'm going back into the colon and i'm a little bit afraid that it will be boring so i invited some competent support. this time i'm in good shape we need dr argue like appearance pick a straw enter our just hates the internal medicine department i feel is a bit clinic in berlin she'll tell us all we need to know about healthy intestine this is just a model but really about this constantly in motion. and this is called peristalsis. up to ferdie tons of food passed through the colon in a person's lifetime this is as much as a big truck. which of these enters the body

and what is extreme it again is determined by the color it is many millions of nerve cells. our so-called in the brain not only organizes our gesture it also has a big influence on our psyche. if our colon were smooth on the inside its surface would only be one square meter big the approximately $10000000.00 thing if i vill i increase the surface area. our digestion is partly done by the intestinal flora which is composed of billions of fungal and intestinal bacteria together they wake up to 2 kilograms the intestinal bacteria are also there to build up the defensibility of new immune cells that the intestines produce every day over 70 percent of the immune systems defense cells are located in the intestine and that's

a great thing. because many toxins and pathogens enter the body through food and we need to get rid of the. i meeting dr berens here in the bowl this is a very special place to me not for you because your guests enter ologists this is your daily life isn't it here. quite if you sit here right so what can you see here if you doing a close copy you can see all those things we can see of the models so we get our 1st thing right next to me over here is the penguins color and testament combs are . good plots accommodation and quiet hopefully the cubs are ok so this is not what rich obviously this is not about not that far left worth because let's just give it a long and that's a pretty traditional from just my cousin a fool and mother week after bar and it's just been he and most of the patients who

have to particular they don't have never sometimes ok so this is a lie we don't have to worry about this but what about this year it seems limited. threads are scarce and there is a strong inflammation close to the divots you can love. inside that if that's caused to fit your lie around it's bacterium effect you have to treat it live and to be attics ok so so this is infections so what you can see here this is a lot of the fiction this is something coming off the wall here that some of our lives. perforation of the macos are if they are small and usually they have been a clue. the bigger they are the risk is increasing to cancer ok so even though it is still behind it can grow to a cancer yeah ok so what about this year this is apollo yeah the. many many

many are poli close together. they have a disease called police posers there's always a genetic background and they're suffering from hundreds to thousands whole lives that's quite right so those polyps come in different shapes and colors to say this is more looking like it was a mushroom or a year and still a point to. start here you know why they can't grow flat on cows are like the plaster. we like. because you can cut it out very easy just to cut a deal with her really so those are you just look at a loss could be you're just kind of here and all those things which worry you about them so this is what you see here yes it's already cut by you. so if you don't cut it you're very brave to grow into it for cancer like this here here and

that's cousin that's a correct and carcinoma. well it's quite often in germany say 6 per cent of people they became a common cancer in germany during the lifetime you can really tell the difference that of course no one looks differently to all those nice normal colon the cosell and you won't have any symptoms like legends if you're from nice macos or if you called treats are nice and you have to teach are called in nice as well. no matter how we eat whether we relish each mouthful. before wolf things down greedily. whether we're concerned about the taste of our food i'm focused on what we're eating. or just shoveling it in without a 2nd thought if. our intestine us to

process it all high time to consider what might make it happier so 1st of all we should perhaps avoid what our gut really doesn't like being fed practically nonstop for example we may breakfast then have a piece of fruit an hour later followed by a cross on in the late morning. and then see the candy in between times if we do that the gut never gets it's much needed breaks. so the number one tip for a healthy intestine is a balanced daily routine if you eat breakfast at 8 am then it's best to wait until around 1 pm to have lunch than the gut likes to have an afternoon nap before dinner at 6 pm as well as meals at regular intervals the gut also appreciates routine in

terms of getting regular exercise periods of relaxation unsufficient sleep our gut loves dependability and doesn't like surprises. tip number 2 our intestine likes to be warm it likes to be woken gently in the morning for example with a glass of warm water or herbal tea or any milder alternative to coffee which is a stern taskmaster and really crack the whip. if you want to give your gut a break just eat very simple hot meals for a day plain rice for example is easily died. i'm relieved the gut. equally you can choose to eat boiled potatoes. porridge. or steamed vegetables. tip number

3 a little tender loving care. if your gut gives you grief be patient maybe your body can no longer digest certain types of food for years with no problem experiment leave out any food you think might be causing the problem just for a while then try it again and see if your hunch was correct. so be kind to your gut after all you're a team. so we heard a lot of what you can do good for your colon so is there anything interesting he doesn't like yet every time you shop for example it needs to. be. exercised less than 3 hours per week. something that they're. also. smoke or eat. a lot of my patients complain about stomach grumbling bloating and fletcher

so to what degree is. well they have some cure some time now problem. if this were. sheer quite often how you use the quality of life of the patients there are some terms that should patients should contact their pay their doctors many of my patients say that their intolerance against. certain kind of food so is this a problem for them and how to diagnose and that's not a problem if you. don't hurry frogs. mots you can live without eating that's ok so you just skip a meal so what kinds of symptoms are you and i should definitely see your doctor but you have to go to the uk to if you have signs of pleading if you have been on this in the studio you have to get to the doctor immediately you can't. just

have to have to look after it even if you know that you've got him yeah definitely yeah we think having a reason for. saying you should go to the doctor if you have. pain. change in your difficult. for example i used to have constipation now you have to contact your doctor because there could be some too behind this like a calling you know on the floor to leave right in many cases is just irritable bowel syndrome which is behind those kind of complaints this can take the joy way of life. pain and cramping bloating gas and constipation words opposite diarrhea the symptoms of your a tubal bowel syndrome or i.b.s. often start out slowly and increase in frequency and since other diseases can cause similar symptoms diagnosis can be difficult many people with i.b.s.

have undergone numerous medical examinations including blood tests stomach endoscopy and common are skippy and ultrasound exams to rule out other conditions when no other cars can be found i.b.s. is the likely diagnosis but even then the search for causes and treatment is usually just beginning happy much for me i'll have someone in my office who has symptoms and is looking for help if the diagnosis ends up being i.b.s. then we can begin looking for a treatment but it can involve quite a bit of detective work. we try to figure out what is causing issues perhaps look for food that aren't being well tolerated. food intolerances often play a role in triggering symptoms figuring that out requires keeping a food diary patients need to write down exactly what they eat how much and when and what food additives were involved and they should also record what symptoms

occur afterwards. is also with us and often patients can tolerate a small amount of specific foods but then be unable to tolerate larger amounts of it and that's when it can be useful to consult a nutritionist someone with experience you can help you navigate the process and help you figure out how to have as varied a diet as possible. if you can. drastically and perhaps unnecessarily limiting your diet isn't a good option since that can lead to nutritional deficiencies one solution is a limiting a specific category of food to see if that helps stress and emotional factors can also play a role. that's 1st endless bendish place of course when someone with i.b.s. is experiencing stress or pressure or even when they're suffering from an infection or other kind of physical stress they're much more likely to experience symptoms any physical or mental strain can play a role. to help counteract that i.b.s.

patients are advised to get enough rest plenty of exercise and fresh air. i walked in the fresh air the only thing you can do when you suffer from i.b.s. . padlocks in their perfect because exercising in the fresh air in this shining quiet. there martyr her strategy you can follow you can change your me have a plan you can think about. sleeping scared you know and you can't think about things. good for you so the symptoms are quiet individual but is there some general advice you would like to give to patients with obvious. patients there. and then we having a digital camera just track that's not a machine and it's not perfectly every day say. you

cannot have techs have some discomfort. if the discomfort is too often and then you should contact the doctor or if the quality of life is reduced by the symptoms so try to relax so we were next to the f.b.i. . so let's talk about colon cancer which is kind of a common disease which mainly affects older patients but sometimes even younger patients as well so why is that. how they're sound how cancer is our cost by genetics changes their families. for example. the high incidence of co-director of cancer so keep an eye on your family. i read there are colon cancer or breast cancer ovarian cancer as curing and if it's like that then you should contact your doctor and ask for their

clinical must be accommodations now we talk with professor start in about colon cancer research at berlin's marks the center for molecular medicine she discovered a gene that increases the likelihood of a tremor in the colon metastasize are. we talking about colon cancer like like this year looks like this year the model and you discovered gene very specific gene which is world breaking news what about how you. basically you have to understand the importance of this discovery we have to know what metastases on the tests is is basically the most is the attributes of cancer so they are decisive for patient's survival and they are decisive for the success of therapy so if we could fight metastasis all even. even if you could poke masticate new tests this would

be a big step right and the genius actually doing so and then 10 years ago we had the business idea we might we might identify another gene and this noble gene should have the ability to act as a cancer gene which can put nasty kate metastasis estimates and which maybe by itself might. send a target for target so meaning that if a patient has a tumor and in this you reduce this special kind of gene there's a high prevalence of metastasis absolutely we have now follow ups of 17 years and our pop must occasion percentage just so the probability that the patient is high makes a bit later on in the tests this is about 80 to 89 percent which is quite high and this gene is right here in this tumor sort of in that smaller than the genus

basically is expressed at the 2 more rim ok meaning in these areas you will find those which are very more tired for to can my weight which can invade the 4 into schools and they're the next yes ok but if i examined the tumor i'm not too sure if i'd take some example from inside the tumor his regular meals so they're not so many genes so what is a diagnostic test i can use as a clinician in addition to the tumor based s.a.v. also develop the blood based say. and this black essay you clearly see that you have a significantly longer also valuable if you have low amounts of makes you know a lot perfect so it's more like a symbol or not so simple blood test and you can tell you a lot but what about therapies so obvious some fear puti could prochoice targeting this kind of gene yes identify it molecule it's walks with cooks in the

inhibitors and lucky if these already approved by the f.d.a. for other purposes like to levy purposing already. approved drugs and so it can easy a clinical trial so we know that those drugs are effective and other kind of diseases they're kind of safe to attend understandably although you just this is known so that if it is so there will be drugs in the near future we don't have to wait for them say for 20 years no no no no if you have the position of the pope a stroke then the pipeline is much much faster so that is very good news thanks so much for this very interesting talk cancer is treatable in many cases but we should still keep in mind that early diagnosis is very important. in good physical shape. for a while though things were a bit scary the 60 year old had never bothered to be screened for bowel cancer and

when he finally got around to it the results were worrying. and. i kept putting it off but we caught it just in time. i guess i have a guardian angel. hoover only made an appointment for a colonoscopy because his doctor kept insisting. he was feeling fine and he thought the common diagnostic procedure wouldn't reveal anything. in this moment looking at this like course i was shocked right after the examination when the doctor told me there was a 5 centimeter hole up in my colon. and then that he had removed 3 smaller ones straight away. flowing like. he couldn't deal with a big one immediately because of the risk of bleeding stone plus no blood to move.

polyps can grow on the inner lining of the colon there are various types many are harmless but some kind of eventually turned cancerous. the polyp then begins to grow deeper into the wall of the colon and beyond once the cancer breaks out of the intestine it can spread easily via the lymph system throughout the body. in a worst case scenario it's already metastasized when it's diagnosed and is no longer curable of course that pains us as doctors you think if only the patient had been screened sooner. or had to have the large polyps removed as an inpatient in the hospital. christiane puck's is a gastroenterologist and oncologist he decided on the exact approach to take. well. it was pretty intense.

he wasn't sure at 1st whether he would have to remove a section of the colon as well. so i was very nervous. ultimately dr pocs was able to completely excise the offending polyps without removing a stretch of colon he accessed the spot using colonoscopy but it was still pre-cancerous what's called stage 0 after 2 or 3 more years it would very probably have turned cancerous. screening can prevent many cases of paul cancer the trouble is that even where the service is easily accessible like in germany many people just don't go. to determine cases of colon cancer and identify precancerous growths a colonoscopy is really the key diagnostic tool. for the patient

the unpleasant part is the preparation laxatives and liters of fluid ensure the colon is empty and clean. the colonoscopy itself generally only takes about 20 minutes patients receive a sedative so they don't feel a thing a flexible tube is inserted into the patient's rectum and guided through the call on a high resolution video camera at its tips and images to an external monitor. this is the quality of the images is so good that we can see anything problematic even if it's just a few millimeters in size the. studies show that the age of diagnosis tends to be lower for men and women in germany gastroenterologist say men should start getting screened at the age of 50 in some countries the recommendation is 50 for both sexes . 13 the point is the earlier we find polyps the better. but screening only

works if people actually do it i'm going to. do to his medical history over harbors we'll have to have regular checkups from now on he's living proof that prevention is better than cure. so does a colonoscope you hurt and isn't anything to be afraid of but no you don't have to be scared no day sweeper from appearance today so that the patients can't sleep during the whole examination and they would not even remember ok but it's still a little bit embarrassing isn't it because before you go to sleep with this invasion you have to pull your trousers off yeah i understand that companies can have. offered. special trousers and have a skin. patient who can choose the gender of the doctors that's easier for the patient to have come ask me this very comfortable especially here in

germany because we've got a wide range of gastroenterologist working here but in different countries there are a lot so many gastroenterologists so who should definitely go for a car. and if colorectal cancer cure your family should go to a screaming economist co-pay and if you have a bleeding rectal bleeding if you have pains in the ballet i've changed a few occasions it's things so much of this very interesting talk and i can totally understand if you want to have a kind of last complete now and if you want to make an appointment go to your computer and look for gastroenterologist and if your computer freshmen even. in good shape your weekly health show one g.w. covers many aspects of health care and we look at what's new in medical treatment nutrition fitness and youth we discuss these topics in depth with specialists and

offer you. opportunities to pose your own question so get in touch. i know we didn't have the time to answer all questions about the cola but the good news is there's still many of us it's up in good shape coming up next the results and next week see you then.

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be. it's time for. indeed everybody is coming up ahead. minds. i think in everything channing 1st 100 make a muslim. so much different culture between here and there still challenging for everything. traditionalists i think it was worth it for me to come to germany. my got my license to work as a swimming instructor here to share now our 2 children 100 adults just one of us just as. what's your story take part charity on in full migrants caught this. this is a 15 year old girl. being gang raped. his

teacher is beating a boy for talking back and class. for the rest of the class watches. and cheering toddlers being hit by his mother. breaking a glass. a child sleeps in the streets because her family through her. fear. online bowling. pushes a teenager over the edge. just because you can see violence against children doesn't mean others and there are make them visible visible of us might violence against children disappear.

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