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Blog: On Health. On Writing. On Life. On Everything.

Ibuprofen And Aplastic Anemia

This is the story of a friend’s friend – no statistics behind it, no big scientific study double-blind, randomized, placebo-controlled - nothing but anecdotal evidence (and you won't see a study done on this soon!). But a poignant story anyway, and a reminder: A woman in her forties was in quite good health, as it seemed, until one day, she got weak and ill, and was diagnosed with aplastic anemia. Aplastic anemia is a very serious diagnosis. It means the bone marrow is not churning out the required number of blood cells necessary for survival, and her physicians recommend a bone marrow transplant to her. One of the doctors told her that her platelet count was so low that she might start bleeding anytime (most worrisome is bleeding into the brain), and said that, as a minimum, she should stop all aspirin or ibuprofen (or any drug in that family of painkillers) as those might increase the bleeding risk. Now this woman had taken high doses of ibuprofen on the advice of her GYN doctor for uterine fibroids and terrible cramps. She heeded the advice, stopped all pills, and slowly but surely, her blood cell count crept higher and higher, until it became clear that she did not need new bone marrow at all. When I came to this country many years ago, I found that in a drugstore one could buy bottles of a thousand aspirin or ibuprofen pills. In Germany, one bought them in little tubes with ten or twenty each. That’s not only a difference in size: It is a difference in cultures: When you have a headache in Europe, you ask why you have the ache (nagging husband, too much sun, too much TV, too much booze, too little sleep, no exercise – the list is endless). You try to change the root cause of the pain. Here, you take a pill. This woman had a good reason to take ibuprofen – her fibroid cramps – and took them under the supervision of a physician – and still, it nearly killed her. Ibuprofen can have bad effects on the kidneys, the liver, the stomach lining – and thousands people die each year of internal bleeding. Aplastic anemia is exceedingly rare. But this story illustrates that no drug is without side-effects and we need to have a healthy respect of any drug we put in our bodies. Most painkillers are taken against headaches and menstrual cramps. Why not try natural methods first? More sleep, more movement, healthy fresh foods, water instead of soft beverages, less sugar and salt before periods, skullcap tincture against cramps – one has so many healthier options! Read More 
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Gluten-Related Symptoms and Diseases

Nearly one in one hundred people have gluten intolerance (gluten enteropathy, sprue, celiac sprue). In only fifty percent of them does the disease show with gastro-intestinal symptoms - the rest has non-intestinal symptoms. Be aware that many of these symptoms can also have other causes - this list does not replace a doctor who sees you! • Abdominal pain • Acanthosis nigricans • Addison’s disease • Alcoholism • Alkaline phosphatase (bone) elevated • Allergic rhinitis • Alopecia areata (patchy hair loss) • Amenorrhea (absence of menstrual period) • Anemia • Anemia – iron deficiency • Anemia - refractory • Anemia - vitamin B12 deficiency • Anti-endomysium antibodies (EMA) • Anti-gliadin antibodies (AGA) • Anti-tissue-transglutaminase antibodies (tTG) • Antiphospholipid syndrome (frequent miscarriages and other problems) • Anxiety • Aortic vasculitis • Apathy • Aphthous ulcers (mouth sores) • Appetite – poor • Arthritis • Arthritis – enteropathic • Arthritis - juvenile idiopathic • Asthma • Ataxia • Ataxia, progressive myoclonic • Atherosclerosis • Attention Deficit Hyperactive Disorder (ADHD) • Autism, learning disorders • Autoimmune cholangitis • Autoimmune diseases • Autoimmune hepatitis • Autoimmune thyroid disease • Balding – premature • Bipolar disorder • Bitot’s spots (foamy patches on whites of eye) • Bleeding – unexplained • Blepharitis • Bloating • Blurred vision • Bone fracture • Bone pain • Brain atrophy • Brain fog • Bronchiectasis • Cachexia (general wasting) • Calcium – low • Cancer - small cell of the esophagus • Cancer (adenocarcinoma) of the small intestine • Cancer of the esophagus • Cancer of the pharynx • Candida infections – recurrent • Cardiomegaly • Casein intolerance (cow mill “allergy”) • Cataracts • Cerebral perfusion abnormalities • Cheilosis (cracked lips and corners of mouth) • Cholesterol - low • Chorea • Chronic bullous dermatosis • Chronic fatigue syndrome • Colitis • Common variable immunodeficiency • Complications during pregnancy, labor, delivery and post-partum period • Congenital anomalies • Constipation • Copper deficiency • Coronary artery disease • Cortical calcifying angiomatosis • Cow mill “allergy” • Cutaneous vasculitis • Cutis laxa • Cystic fibrosis • Dairy intolerance • Delusions • Dementia • Depression • Dermatitis herpetiformis • Dermatomyositis • Diabetes Type I • Diabetes Type II • Diarrhea • Disorientation • Down syndrome • Dry eyes • Duodenal ulcers • Dysmenorrhea (painful menstrual periods) • Dyspareunia (painful sexual intercourse) • Dysphagia (difficulty swallowing) • Early menopause • Easy bruising • Ecchymosis • Eczema • Edema • Enteropathy Associated T-cell Lymphoma (EATL) • Epilepsy • Erythema nodosum • Esophageal motor abnormalities • Eyes – dry • Eyes - bloodshot • Erythema elevatum diutinum • Failure to thrive • Fatigue • Fatty liver • Folic acid (folate) deficiency • Food allergies - blood-mediated and cell mediated • Food cravings • Gall bladder – impaired motility • Gas • Gastric emptying – delayed • Gastritis • GERD - Gastro-Esophageal Reflux Disease • Glucose abnormalities - too low or too high • Grave’s Disease • Growth retardation • Gums – bleeding and swollen • Hair loss • Hallucination • Headache • Heartburn • Heart disease • Hemochromatosis • Hemosiderosis - idiopathic pulmonary • Hepatic granulomatous disease • High blood pressure • Homocysteine elevated • Hyperactivity • Hyperkeratosis - follicular • Hyperparathyroidism • Hypertension • Hyperthyroidism • Hypocalciuria • Hypogonadism • Hypoparathyroidism • Hyposplenism (atrophy of spleen) • Hypothyroidism • Hypotonia • Ichthyosis - acquired • Pulmonary hemosiderosis - idiopathic • IgA deficiency • IgA nephropathy • Impotence • Inability to concentrate • Infertility (in both sexes) • Insomnia • Intrauterine growth retardation • Iron deficiency anemia in pregnancy - severe • Irritable bowel syndrome • Keratoconjunctivitis sicca • Keratomalacia • Kidney stones • Lactose intolerance • Lassitude • Late menarche (late start of menstrual periods) • Leaky gut syndrome • Liver enzymes elevated • Loss of memory • Lymphadenopathy • Lymphoma - B-cell non-Hodgkin’s • Lymphoma - cryptic intestinal T-cell (refractory sprue) • Lymphoma – non-Hodgkin • Macroamylasemia • Macrocytosis (red blood cells larger than normal) • Macrolipasemia • Magnesium low • Malabsorption • Melanoma • Memory loss • Migraine • Miscarriage • Monoarthritis – recurrent • Mouth sores • Multiple sclerosis (MS) – a possible link • Muscle pain and tenderness • Muscle spasms and cramps • Muscle wasting • Muscle weakness • Nail problems • Nausea • Nervousness • Neuropathy - peripheral • Neutropenia (low white blood cells) • Nightblindness • Nosebleeds – unexplained • Obesity • Occult blood in stool • Ocular myopathy • Osteitis fibrosa • Osteomalacia • Osteomalacic myopathy • Osteonecrosis • Osteopenia • Osteoporosis • Pancreatic insufficiency (poor digestion) • Panic attacks • Parathyroid carcinoma • Penicilllin V impaired absorption • Phosphorus - low • Pityriasis rubra pilaris • Plasma proteins low • Plummer-Vinson Syndrome • PMS (premenstrual syndrome) • Pneumococcal septicemia • Pneumonia – recurrent • Polyglandular syndrome • Polymyositis • Potassium - low • Primary biliary cirrhosis • Primary sclerosing cholangitis • Progressive multifocal leukoencephalopathy • Prolactinemia • Prothrombin Time prolonged • Prothrombinemia • Prurigo nodularis • Psoriasis • Psoriatic arthritis • Puberty - delayed • Purpura – idiopathic thrombocytopenic • Rhabdomyolysis - hypokalemic • Rheumatoid arthritis • Rickets • Sarcoidosis • Schizophrenic Spectrum Disorders • Scleroderma • Seborrhea • Short stature • Sjögren’s syndrome • Skin rash – itchy • Small intestinal bacterial overgrowth • Smell - loss of • Sperm abnormalities • Spina bifida • Sprue - refractory • Steatorrhea (pale, malodorous, floating, hard-to-flush stools) • Stomach ulcer • Stroke – premature • Sugar intolerance • Swelling • Systemic Lupus Erythematosus (SLE) • Taste - loss of • Tetany • Thrombocytopenic purpura – idiopathic • Thyroid disease - juvenile autoimmune • Tongue – red and/or burning • Tremors • Tuberculosis - increased susceptibility to • Turner’s syndrome • Urinary tract infections - recurrent • Urticaria - chronic hives • Uveitis • Vaginitis • Vasculitis • Vasculitis of the CNS (Central Nervous System) • Vitiligo • Volvulus (twisted intestines) • Vomiting • Weight gain – unexplained • Weight loss – unexplained • Xerophthalmia (dry eyes) • Zinc - low I will add to this list as I come across new links –keep checking! Read More 
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Quackery

On the British "Quackometer" site, I have been negatively reviewed: http://www.quackometer.net/. This is what I answered: Dear Mr. Andy Lewis, Basically, I like the idea of a quackometer. On the other hand, I am not tickled that I received all those ducks. They are cute, though. In my books and health blog, I use easy language while being informed about science. I use some new-agey terms so that people understand me – that explains “This web site is using lots of alternative medicine terms.” At the same time, you accuse me of the opposite: “It is full of scientific jargon that is out of place and probably doesn't know the meaning of any of the terms.” You don’t want to argue with degrees - but here I have to: I was a teacher of mathematics and statistics, and have a master’s degree in philosophy, especially in epistemology (which is the science of what we can know, and where we better shut up – as Wittgenstein put it). That all before I studied medicine and finished with board-certification here in the U.S.A. in internal medicine. And I hold a degree in “Natural Medicine.” So, in all likelihood, I do understand the medical and scientific terms I use. “It shows little or no critical thought and so should be treated with caution!” You might have overlooked my blog that states that homeopathy has no scientific basis – therefore I don’t use it with patients. But I did two courses of homeopathy to make sure I did not throw out a valuable tool unexamined. Then again, barely anybody dies of sugar pills – and here in the U.S.A. (unfortunately, I don’t have British numbers) about 100,000 people die per year of allopathic drugs. Only on your website today I found the information of this anti-malaria homeopathic concoction; that indeed is murderous, and I strongly oppose it. However, since many ailments heal with time and better lifestyle, homeopathy (which is often combined with compassionate care and good advice for exercise and healthy eating) might be less of a safety problem than conventional medicine. I have practiced medicine for thirty years and have become skeptical of profit-driven, procedure-oriented, drug-dispensing allopathic medicine. But I would never discard good conventional medicine where it is needed and useful: When my son came home from camp with high fever, stiff neck and the worst headache of his life, I did not think for a second that “alternatives” were the answer. I drove him straight to the Emergency Room of a famous Boston Teaching Hospital (where they promptly misdiagnosed his tularemia – but that is another story…). – Appendicitis needs a good surgeon. And one doesn’t treat a heart attack by holding hands. – Guess we agree here. Also, I am very critical of indiscriminate use of vitamins and other supplements without proven value and without documented deficiencies. You might also have noticed that I don’t sell anything – only my books which is the way to disperse ideas and knowledge). Not even a mug or a t-shirt. There are bad genes and unfortunate accidents. But apart from that, health is a simple proposition, in my opinion: Eat well, sleep well, move a bit, drink fresh water, get your relationships and priorities right – and automatically, you will be healthier. Common sense, not more. But it is so much easier to pop a pill (allopathic, homeopathic, naturopathic) than do something yourself - that’s probably why my books sell so poorly. Alexa Fleckenstein M.D. P.S. I forgot two arguments: 1. Using language as the sole indicator for quackery might not work because – as you somewhere noticed yourself – language is ambiguous. 2. Writing on a rather “quackery” website should not constitute quackery itself – I often just bring arguments which might be enlightening – and lure readers to my blog. Also, if writing on a “quackery” site makes me guilty of quackery – then writing on the “Quackometer” redeems me?? Last thought: Homeopathy fills a void that conventional medicine leaves: Homeopathic practitioners care and listen. If we want to persuade patients with our scientific arguments, we first have to return to caring and listening. Update 1/2/2011: They took me off the list, after all!! Read More 
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