the bottom of the family is at the last dragon this one has called the hall 3 years . to be a book on. stories from people who hold over information provide. the means they want to express g.w. on facebook and twitter today in touch follow us. with . welcome to the health show on t w here's your host dr costume laid out hello and welcome to a good shape you'll never guess where i am i'm in the cold on. why many people will know howard berkes so if you're maybe wondering how i got here

. it's a model and it stands in berlin in the next ted work 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 column and i'm a little bit afraid that it will be boring so i invited some competent support. this time and in good shape we need dr on bulik appearance to 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 it's really 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 this enters the body and

what is extreme it again is determined by the colon it has many millions of nerve cells. our so-called thumb in the brain that only organizes our gesture it also has a big influence on our psyche. if our colon was smooth on the inside its surface would only be one square metre back of the approximately $10000000.00 thing aside villa i increase the surface area. are the ingestion is partly gun by the intestinal flora which is composed of billions of funding and in testing the bacteria together they wake up to 2 kilograms the intestine the 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 defend 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 beer here in the bowl this is a very special place to meet not for you because you're a guest and all it is so this is your daily life is not here it was quite if you sit here right so what can you see here if you doing a colonoscopy you can see all those things we can see you have the models so we'll get our 1st thing right next to me over here is the penguins color and tuscan mccomas are. good plots quite healthy comes out ok so this is not. rich obviously this is not now that's not that far left worse because it's just came on and that's a pretty traditional from just my cousin a through a 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 has been i we don't have to worry about this but what about this year it seems limited they are both rather scary as there's a strong inflammation close to the divot you can love. inside of it that's called a cure why it turns around that bacteria infect you have to treat it better be ethics 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's why. 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 if it is still behind it can grow to a cancer yeah ok so what about this year this is

a pall over where. many many many 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 problems come in different shapes and colors to say this is more looking like it was a mushroom or a year in the still a point to. start pile you know why they can't grow flat on the cows are like a plaster. rely. because you can cut it out very easily chose to cut a deal with it or release those or 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 yeah it's already cut but you have a case so if you don't cut it you're very brave to grow into it for cancer load

like this here here and that's a cousin that's a co-director of carcinoma. well it's quite often on germany's say are 6 per cent off people they became a common cancer in germany during the lifetime you can really tell the difference that occurs no one looks differently to all those nice normal cold in 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 a nice as well. no matter how we eat whether we relish each mouthful. all 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. our intestine has to process it all high time to consider what might make it happier so 1st of all we should perhaps avoid what i got 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 some 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 on the gut let's not 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 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 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 for years with 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 you are 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 after you shot for example of on it needs to. be over show that it was. exercise less than 3 hours per week. something that they're. also. smoke or tear eat very nutritious

a lot of my patients complain about stomach grumbling bloating and fletcher so to what degree is. well if they have some cure some time there's no problem. if this for. a cure or quite often though you'd 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 math and certain kind of foods so is this a problem for them and how to diagnose it that's not a problem if you. don't hurry for example you never allowed to get him that's very out there so you just skip it real growth so what kinds of symptoms are there when i should definitely see your doctor about you have to go to the doctor if you have signs of pleading if you have been on this in the studio you have to go

to the doctor immediately you can sign. just to have you have to look after it even if you know that you've got him yeah yeah we have a reason for. saying you should go to the doctor if you have. pain. change in your depiction habits for example i used to have constipation now you have to contact your doctor because there could be some truth behind this like a calling. to leave in many cases is just irritable bowel syndrome which is behind those kind of complaints to the joy way of life. pain and cramping bloating down sent constipation words opposite diarrhea the symptoms of your a terrible 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 skippy 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 is usually just beginning happy meant 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. is also with us and it is 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 as varied of diet as possible. you could not stand drastically and perhaps unnecessarily limiting your diet isn't a good option sense that can lead to nutritional deficiencies one solution is a limit a specific category of food to see if that helps stress and emotional factors can also play a role. for standley finished 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. . avelox in their perfect because exercising and the fresh air in the. shining that's quite good for. their martyr post tragedies you can follow you can change your me have. you can think of. if you're sleeping so let you know and you can think about paying which i good for you so the new symptoms are quiet individual but is there some general advice you would like to give to patients with i.b.s. . patients there. though we are living in a digital camera that i just tracked is not a machine and it's not perfectly every day said i think 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 or bar 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 i see. how their sound wrecks how cancer is caused by that exchanges their families. for example. the high incidence of colorectal cancer so keep an eye on your family. there are colon cancer or breast cancer a very rare cancer is curing and if it's like that you should contact your doctor

and ask for their clinical and many patients now we talk with professor start in about colon cancer in her research at berlin's marks the center for molecular medicine she discovered a gene that increases the likelihood of a trouble in the colon metastasizing. we're talking about colon cancer like like this year that looks like this year the model and you discovered gene a very specific gene which is world breaking news so what. basically you have to understand the importance of this discovery we have to know what metastases all the tests to says is basically the most is the attributes of cancer so they are decisive for patients survival they argue size for the success of therapy so if we could fight metastasis all even or even if you could poke nasty kate metastasis this would be

a big step right and the gene is actually doing so and then 10 years ago we had the ambitious idea of we might we might identify an older gene and this noble gene should have the ability to act as a cancer gene which can poke nasty kate test this is the best of words and which maybe by itself might lead police and a target for target. so meaning that if a patient has a tumor and in this you were is this special kind of gene there's a high prevalence of metastasis absolutely we have now follow ups of 17 years and our partners to cation percentages so the probability that a 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 the smaller than the gene is

basically expressed at the 2 more rim ok meaning in these areas you will find those with. very more tired and my weight which can invade the 4 into stills and they're the max yes ok but if i examined the tumor i'm not too sure if i'd take some example from inside the tumor he said in the middle so there are 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. in these blood based say you clearly see that you have a significantly longer survival if you have low amounts of makes you know perfect so it's more like a simple or not so simple blood test and it can tell you a lot but what about therapies out there some fear puti could protarchus targeting this kind of gene yes identify it molecule woodstock's which are twins cookson and

inhibitors and lucky these trucks are already approved by the f.d.a. for other purposes you're doing repurchasing already. approved. easy clinical so we know that those drugs are effective and other kind of diseases they're kind of safe to attend. this knowing so that 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'll have. to stalk 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 had a guardian angel that. 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. well this movement looks a little slick cause i was shocked right after the examination when the doctor told me there was a 5 centimeter like 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 stone close to move.

polyps can grow on the inner lining of the colon there are various types many are harmless but some can eventually turn 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 polyp removed as an inpatient in the hospital. christiane pox is a gastroenterologist and oncologist he decided on the exact approach to take. all of. those last 15 it was pretty intense.

it's or 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 time it was still pre-cancerous what's called stage 0 after 2 or 3 more years it would very probably have turned cancerous. there's a. 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. 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 . 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 the 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 it's a sensation you have to pull your trousers off yeah i understand that come play is that we can have. her. special trousers and have a skin. patient can choose the gender of the doctors it's

easier for the patient to have asked 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 gastroenterologist so who should definitely go for a car. and if colorectal cancer cure your family should go to scream economists co-pay and if you have a bleeding rectal bleeding if you have pains in the ballet change a few applications so there's 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 you're . 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 beauty we discuss these topics in depth with specialists and

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descendants. of the soma. looted art and the 3rd rush starts for viewer returns on t.w. . this is deja vu news live from berlin germany says 2 people evacuated from china have tested positive for the corona virus are being treated the 2 are among the group of passengers who have been quarantined since a german military plane brought them to frankfurt on saturday we'll speak with someone who was on that flight. also coming up amanda shot dead by police in london after he stabbed 2 people at busy street police say they are treating it as an

isolated terrorist incident. and fillion a low costs are descending on to.