angelita b. frando, md board certified in family medicine board certified, medical acupuncture
TRANSCRIPT
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INFLAMMATION and YOUR HEALTH
Angelita B. Frando, MDBoard Certified in Family Medicine
Board Certified , Medical Acupuncture
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Definition:
complex biological response to harmful stimuli (pathogens, damaged cells or irritants)
Protective attempt to remove the injurious stimuli and initiate the healing process
Important for survivalCauses wounds and infections to heal (acute)Chronic = progressive destruction of tissue
=>disease and degenerative changes
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Manifestations (Signs):Calor (Heat)Rubor (Redness)Tumore (Swelling)Dolor (Pain)Functio laesa (loss of function)
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Causes:BurnsChemical irritantsFrostbiteToxins Infection by pathogensPhysical injury, blunt or penetrating Immune reactions due to hypersensitivity Ionizing radiationForeign bodies (ie., splinters, dirt and debris)StressTraumaAlcohol
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Types: Acute & ChronicNames Based on body systems / organs involved: ( “-itis”)
AppendicitisArthritisBursitisColitisCystitisDermatitisMyositisMeningitisTendonitisTonsillitisVasculitis
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Acute vs ChronicCausative agent:Bacteria, injured tissues
Immediate onsetDuration: Few daysOutcome:
Resolution, abscess, or chronic inflammation
Persistent acute inflammation, viruses, persistent foreign bodies, autoimmune reactions
Delayed OnsetUp to many months or
yearsOutcome:
Tissue destruction, fibrosis, necrosis
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Process of Acute Inflammation:
Injury/pathogen => cells activated to release inflammatory mediators:Vasodilatation => Increased blood flow =>
redness and heatIncreased blood vessel permeability =>
leakage of plasma proteins and fluid into tissues (swelling)
Some mediators increase sensitivity to pain
Other biochemical reactions occur (complement system, coagulation and fibrinolysis systems, etc.)
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Cell derived mediators:
Lysosome granulesHistamineInterferon (cytokines)IL-8 (Interleukin 8)Leukotriene B4Nitric oxideProstaglandinsTNF-alphaand IL-1
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Inflammatory Markers:CRP (C-reactive protein)
Increased levels associated with increased risk of heart attacks, strokes, high blood pressure, muscle weakness and fragility
ESR (erythrocyte sedimentation rate)Homocysteine levelsTumor necrosis factor –alpha (TNF-@)Interleukin 6, 8, 18 (IL-6, IL-8, IL18)Blood glucose, insulin and leptin (especially
for obese)
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Disorders associated with Inflammation: Acne vulgaris Allergies Asthma Atherosclerosis Autoimmune disease Cancer Celiac disease Chronic prostatitis Degenerative arthritis, Hypersensitivities Interstitial cystitis Inflammatory bowel / Digestive tract disordes (Pancreatitis, Crohn’s disease, Regional enteritis,
Enteropathies, Hepatitis, etc.) Kidney diseases (Diabetic Nephropathy, Glomerulonephritis, etc) Myopathies Obesity Osteoporosis Pelvic inflammatory disease Reperfusion injury Rheumatoid arthritis , Lupus, and other connective tissue disorders Skin: Psoriasis, Dermatitis Sarcoidosis Transplant rejection Vasculitis
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Medications vs InflammationAspirin
Works on prostaglandins Watch for gastrointestinal ulcers and bleeding
NSAIDS May cause gastric/duodenal ulcers May damage kidneys with prolonged use
Cox-2 inhibitorsSteroids:
Problems with prolonged use Weight gain, metabolic syndrome, gastric ulcers,
blunts adrenal function, etc.
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Supplements vs InflammationArthritis:
OPC3Omega 3Glucosatrin (Boswellia with Cox-2 inhibition)
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Supplements vs InflammationAcne vulgaris:
PrevadermDigestive enzymes
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Supplements vs InflammationAsthma/ Allergies:
OPC3AloeORAC
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Supplements vs InflammationAtherosclerosis
OPC3Heart HealthOmega 3Activated Vitamin BResveratrol
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Supplements vs InflammationAutoimmune diseases:
OPC3Omega 3Resveratrol (do not give with Coumadin or
breast cancer)Co-Q-10Vitamin BMultivitamins/Minerals
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Supplements vs InflammationCancer
During remissions Breast Cancer
B complex Vitamin D3 Calcium CoQ-10 OPC3 Multivitamins/multiminerals
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Supplements vs InflammationCancer
During remissions (not during treatment) Colon Cancer
Resveratrol Fiber powder B complex CoQ-10 OPC3 Multivitamins/multiminerals
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Supplements vs InflammationCeliac disease
Digestive enzymesAloe
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Supplements vs InflammationDegenerative arthritis:
Omega 3OPC3Glucosatrin
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Supplements vs InflammationInflammatory GI/bowel disorders, etc.
Crohn’s disease – OPC3, Digestive enzymes, Aloe
Irritable Bowel Syndrome – OPC3, Aloe, Digestive enzymes
Diverticulitis – (after bowel rest and antibiotics) Aloe, Digestive enzymes, fiber powder (for diverticulosis), OPC3
Pancreatitis – Digestive enzymesGastric / Duodenal Ulcer – Aloe, Digestive
enzymesHepatitis – Digestive enzymes, Hepatocleanse
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Supplements vs InflammationKidney disease due to diabetes:
OPC3
Interstitial cystitisOPC3
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Supplements vs InflammationOsteoporosis:
Calcium plusVitamin D3 with K2 (IF Vitamin D deficient)
D3 levels should be optimally placed at around 40-60 nmol/l
Monitor blood levels to avoid toxicity
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Supplements vs InflammationOBESITY:
Associated with chronic inflammation Waist circumference correlates to inflammatory
response
OPC3ResveratrolOmega 3Transitions
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Supplements vs Inflammation
Reperfusion Injury (Heart and Brain):Post- Myocardial infarction and Post-StrokeOPC3ResveratrolOmega 3
Psoriasis:OPC3
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Keep Inflammation in moderation