welcome to the health show one g.w. here's your host dr costin lay called out hello and welcome to a good shape you'll never guess where i am in the cold war. why many people will know how it works some of you may be wondering how i got here . if the model and its stance in berlin in the next 10 center for molecule are madison 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 on any good shape we meet dr on gillick appearance 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 read about this constantly in motion. and this is called peristalsis. up to 30 tons of food pass through the colon in a person's lifetime this is as much as a truckload. which of these enters the body and what is extreme it again is determined by the colon it is many millions of nerve cells. our so-called in the brain not only organizes our destiny 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 things said there lie increases surface area. i don't just mean it's partly done by the intestinal flora. which is composed of billions of fung intestine the bacteria together they

wake up to 2 kilograms the intestine the big curio are also there to boot up the defensibility of new mutants 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 that. i mean thing dr and gillick of beer here in the bowl this is a very special place to meet not for you because your guests enter ologist so this is your daily life isn't it here it was quite if you sit here right so what can you see here if you doing a colonoscope you can see all those things we can see you have a model so well yet yeah 1st thing right next to me over here is the pinkish color and testament codes are. good plots

a commission and quite healthy comes out ok so this is not the. rich obviously this is not now that's not it's not left worse because it's just if it came on and that's a true issue from just my kind of a food and muscle week after hour and it's just been leaked and most of the patients who have to particular they don't have now which sometimes ok so this is a lie we don't have to worry about this so what about this year it seems a little bit they are rather scurrilous there's a strong inflammation close to the edge of it you can laugh. inside that if that's caused cured why it has rounded bacteria infect you have to treat them badly attics ok 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's a live. proliferation of the rico. if they are small and

usually they have been a clue. the bigger they are the risk is increasing cancer ok so even if it is still behind it can grow to a cancer yeah ok so what about this year this is apollo yeah there are many many many. close together. they have a disease called police posers there's always a genetic background. suffering from hundreds to thousands whole lives that's quite wrong so those polyps come in different shapes and colors so this is more looking like it was a mushroom or a year in silicone. stockpiled here you know why they can't grow flat on. the plaster. rely. because

you can cut it out there is a chance to cut it with a release those or you're just going to last because you're just kind of here and all those things which worry you about them so this is what you see here it's already cut by you ok so if you don't cut it you're very brave to grow into it for cancer like this you here and this cousin that's a co-director of carcinoma. well it's quite often and germany is saying 6 per cent of people. became a common cancer in germany during the lifetime you can really tell the difference that because 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 nice as well. no matter how we eat . whether we relish each mouthful. or wolf we 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. 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 class on in the late morning. and then still pounding 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 turn 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 fling 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 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 very simple hot meals for a day. plain rice for example is easily digestible relieves the gut.

equally you could choose to eat boiled potatoes. porridge. all steamed vegetables. to 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 that for years were no problem experiment leave out any food you think might be causing the problem just for a while then try to get in and see if your hunch was correct. so be kind to your gut after all your a team. so we heard a lot of what you can do good for your colon is there anything interesting doesn't like yefren you shop for. meat to.

exercise less than 3 hours per week. something that they're. also. smoke or eat. a lot of my patients complain about stomach rumbling bloating and fletcher so to what degree. while they have some are some tam there is no problem. if this for. sheer quite often only use of 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 for example. you can live without eating

that's. just stupid. so what kinds of symptoms are there when i should definitely see a 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 sign that's just the hamlet you have to look after it even if you know that you've got him yeah definitely yeah we can be the reason for. saying you should go to the doctor if you have. pain. change in your depends on how it's for example i used to have constipation now your theory are you should contact your vet because there could be some cure behind this like a calling you know on the fly or to leave the rest 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 writable 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 and ask a p. and common are skimpy and ultrasound exams to rule out other conditions where no other cars can be found i.b.s. is the likely diagnosis but even then the search for causes and treatment he's usually just beginning happy month for me i'll have someone in my office who her 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. after 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 if you can help you navigate the process and help you figure out how to have a very to diet is possible. if you don't. drastically and perhaps unnecessarily limiting your diet isn't a good option sense that can lead to nutritional deficiencies one solution is eliminated a specific category of food to see if that helps stress and emotional factors can

also play a role. 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 the air are perfect because exercising the fresh air in the. shining quiet. there mart of strategies you can you can change your me have a plan you can think of. yet you know 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 i.b.s. . patients there. and then we having a digital rumor of the day jeff if tracked is not shaken and it's not perfectly every day. at pain you cannot have techs have some discomfort or. 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 baffle. 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 counterattacks how cancer is caused by genetics changes their families. for example.

the high incidence of correct cancer. and i and your family. i read there are colon cancer or breast cancer a very rare cancer it's curing and if it's like that you should contact your doctor and ask for their screening clones could be accommodations now we drop. in about colon cancer killer 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 it looks like this year the model and you discovered gene a very specific gene which is will 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 equivalent of cancer

so they are decisive for patient survival they are decisive for the success of therapy so if you could fight matesic this is all even. even if you could poke nasty kate and a test says this would be a big step right and the genius actually doing so and then 10 years ago we had the ambitious idea of we might be might identify another gene and this noble gene should have ideally the ability to act as a cancer gene which can poke nasty kate the test this is left of votes and which maybe by itself might. send a target for target so meaning that if a patient has a tumor and in this to 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 a patient makes it look at later on in the tests is about 80 to 89 percent which is quite high and this gene is right here in this tumor sort of thing that the smaller than the gene is basically it expressed at the 2 more rim ok meaning in these areas you will find those which are very more tired can my weight which can invade the fall into seals and they're the next year's cage but if i examined with humor i'm not too sure if i'd take some example from inside the tumor he said in a mirror 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 say. and this black based essay you clearly see that to have a significantly longer survival if you have low amounts of makes you know plot

perfect so it's more like a simple 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. molecule it's walks with the twins cooks in the inhibitors and lucky these already approved by the f.d.a. for other purposes like doing the purposing already. approved drugs and so you can easy a clinical trial so we know that those drugs are effective and other kind of diseases they're kind of safe to again don't understand the all ages is known so there 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 if you have the positions of the pope has struck 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. i kept putting it off but we caught it just in time. i guess i had a guardian angel. 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 not in the district cause i was shocked right after the examination

when the doctor told me there was a 5 centimeter hole up in my colon. and that he had removed 3 smaller ones straight away. that i fly new like a clone would he couldn't deal with a big one immediately because of the risk of bleeding you don't know blue 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 pollen 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 pox is a gastroenterologist and oncologist he decided on the exact approach to take. additional. 15 it was pretty intense. well it's all 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 polyp without removing a stretch of colon he accessed the spot using colonoscopy. 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

bowel 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 leaders 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 gastroenterologists say men should start getting screened at the age of 50 in some countries the recommendation is 50 for both sexes . the point is the earlier we find polyps the better. but screening only works if people actually do it i'm going to vote for but simply. due 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 close computer hurt and isn't anything to be afraid of but no you don't have to be scared nowadays we prefer appearance 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 complaint can have. a. special trouser pelvis and the skin and the patient can choose the gender of the doctor's that's easier for the patient to have 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 gastroenterologist so who should definitely go for a cold. and if colorectal cancer cure your family should go to a screening come as co-pay and if you have a bleeding rectal bleeding if you have pains in the family change a few occasions it's been 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 for as many of you. in good shape your weekly health show one g.w. covers many aspects of health care we look at what's new in medical treatment nutrition fitness and we discuss these topics in depth with specialists and offer you. opportunities to pose your own questions so get in touch. i know we didn't have the time to answer all questions about the colon but the good news is there are still many of us it's of in good shape coming up next the result the next week see you then.

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