Creno therapyDrinking cure by use of mineral waters

Creno therapyDrinking cure by use of mineral waters

Ca watersCa waters

More than 1 g Ca/l andMore than 1 g Ca/l and more than 20% of kation equivalentsmore than 20% of kation equivalents

Indication of Ca watersIndication of Ca waters

Alimentary Ca-malfunction situationsAlimentary Ca-malfunction situations Supportive treatment of osteoporosisSupportive treatment of osteoporosis Supportive treatment of allergic diseasesSupportive treatment of allergic diseases

Urology (only Ca/Mg/HCOUrology (only Ca/Mg/HCO33-waters)-waters) Chronic urinary tract infections, also supportive Chronic urinary tract infections, also supportive

together with antibioticstogether with antibiotics Prophylaxis and metaphylaxis in Oxalate, Carbonate- Prophylaxis and metaphylaxis in Oxalate, Carbonate-

and phosphate urinary calculi, also post operative and and phosphate urinary calculi, also post operative and after lithotripsy. after lithotripsy.

Contraindication of Ca watersContraindication of Ca waters

Hyper-absorptive hyper-calciuria with urinary Hyper-absorptive hyper-calciuria with urinary calculicalculi

Cardiac-circulation insufficiency and kidney Cardiac-circulation insufficiency and kidney insufficiencyinsufficiency

Side effects of Ca watersSide effects of Ca waters

Trend to obstipation especially in high Ca Trend to obstipation especially in high Ca concentrationsconcentrations

Ca/Mg/Hydrogen-carbonate watersCa/Mg/Hydrogen-carbonate waters

More than 1 g /l kation and anion equivalent partMore than 1 g /l kation and anion equivalent part more than 20% of Ca, Mg, and Hydrogen-more than 20% of Ca, Mg, and Hydrogen-

carbonatecarbonate

Indication of Ca/Mg/Hydrogen-carbonate watersIndication of Ca/Mg/Hydrogen-carbonate waters

Prophylaxis and metaphylaxis in Oxalate, Carbonate- and Prophylaxis and metaphylaxis in Oxalate, Carbonate- and phosphate urinary calculi, also post operative and after phosphate urinary calculi, also post operative and after lithotripsy lithotripsy

supportive treatment in chronic urinary tract infectionssupportive treatment in chronic urinary tract infections Alimentary Ca-malfunction situations with nervous Alimentary Ca-malfunction situations with nervous

hyperirritabilityhyperirritability Alimentary Mg-malfunction situations with performance Alimentary Mg-malfunction situations with performance

decrease and signs of vegetative dystoniadecrease and signs of vegetative dystonia Functional disturbance in stomach-intestine esp.. Trend Functional disturbance in stomach-intestine esp.. Trend

to emotional diarrhoeato emotional diarrhoea

Contraindication of Ca/Mg/Hydrogen-carbonate watersContraindication of Ca/Mg/Hydrogen-carbonate waters

In Hyper-absorptive hyper-calciuria and hyper-In Hyper-absorptive hyper-calciuria and hyper-parathyreoidism waters with high Ca amount should not parathyreoidism waters with high Ca amount should not be used.be used.

In E.-coli-infections of urinary tract and development of In E.-coli-infections of urinary tract and development of infect calculi (Phosphate- and Carbonate-stones) waters infect calculi (Phosphate- and Carbonate-stones) waters with more than 3,0 g/l Hydrogen carbonate and Sodium with more than 3,0 g/l Hydrogen carbonate and Sodium content should be avoided.content should be avoided.

Cardiac-circulation insufficiency and kidney Cardiac-circulation insufficiency and kidney insufficiencyinsufficiency

Side effects of Ca/Mg/Hydrogen-carbonate watersSide effects of Ca/Mg/Hydrogen-carbonate waters

NothingsNothings

Iron watersIron waters

More than 20 mg /l Fe(II) in solutionMore than 20 mg /l Fe(II) in solution

Indication of Iron watersIndication of Iron waters

Manifest and larvate Iron malfunctions (Iron Manifest and larvate Iron malfunctions (Iron deficiency anaemia, lost of iron by pregnancy, deficiency anaemia, lost of iron by pregnancy, climacteric disturbance or other blood loss).climacteric disturbance or other blood loss).

General roboration and promotion of recovery General roboration and promotion of recovery esp.. Post infectionsesp.. Post infections

Contraindication of Iron watersContraindication of Iron waters

Drinking cure by high additive uptake of liquid is Drinking cure by high additive uptake of liquid is contra indicant by cardiac-circulation contra indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency and kidney insufficiency

Side effects of Iron watersSide effects of Iron waters

Oral uptake of Iron in case of adstringent effect of Oral uptake of Iron in case of adstringent effect of Iron (III) could stimulate gastro-intestine Iron (III) could stimulate gastro-intestine complains and uncomfortable symptoms. These complains and uncomfortable symptoms. These can be decreases by drinking of mild warm water.can be decreases by drinking of mild warm water.

CO2 watersCO2 waters

More than 1 g /l COMore than 1 g /l CO22

Indication of CO2-watersIndication of CO2-waters

Concentration more than 1 g/Concentration more than 1 g/ll CO CO22

General stimulation of the digestionGeneral stimulation of the digestion

Disorders in appetenceDisorders in appetence

Concentration more than 2 g/Concentration more than 2 g/ll CO CO22

Stimulation of diuresis in urology diseasesStimulation of diuresis in urology diseases

Contraindication of CO2 watersContraindication of CO2 waters

Pre-damage of the stomach (esp.. gastric ulcer)Pre-damage of the stomach (esp.. gastric ulcer) Drinking cure by high additive uptake of liquid is Drinking cure by high additive uptake of liquid is

contra indicant by cardiac-circulation contra indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency and kidney insufficiency

Side effects of CO2 watersSide effects of CO2 waters

By liberate of COBy liberate of CO22 and stretching the stomach and stretching the stomach

wall pressure complaints are possible (Roemheld wall pressure complaints are possible (Roemheld syndrome)syndrome)

By uptake of big drinking volumes complaints By uptake of big drinking volumes complaints like irritable stomach (dyspepsia) are possible. like irritable stomach (dyspepsia) are possible. The symptoms disappear normally during serial The symptoms disappear normally during serial application.application.

Hydrogen carbonate watersHydrogen carbonate waters

More than 1 g /l minerals in solution and NaHCOMore than 1 g /l minerals in solution and NaHCO33

more than 20% of the kation and anion equivalentmore than 20% of the kation and anion equivalent

Indication of hydrogen carbonate watersIndication of hydrogen carbonate waters

Prophylaxis and metaphylaxis of uric acid-, cystine-, and Prophylaxis and metaphylaxis of uric acid-, cystine-, and calcium oxalate-urinary calculi, also post operative and after calcium oxalate-urinary calculi, also post operative and after lithotripsy lithotripsy

supportive treatment in chronic urinary tract infections supportive treatment in chronic urinary tract infections without E. coli infectionswithout E. coli infections

Functional diseases of the stomach, supportive treatment of Functional diseases of the stomach, supportive treatment of chronic relapse of gastric ulcerachronic relapse of gastric ulcera

Supportive treatment of disorders of the uric acid metabolism Supportive treatment of disorders of the uric acid metabolism (gout)(gout)

Contraindication of Hydrogen carbonate watersContraindication of Hydrogen carbonate waters

Alkaline urine promote the E.coli infection of urinary Alkaline urine promote the E.coli infection of urinary tract and the development of infect calculi (phosphate- tract and the development of infect calculi (phosphate- and carbonate stones)and carbonate stones)

Acute gastritis and enteritis, haemorrhage diathesis, and Acute gastritis and enteritis, haemorrhage diathesis, and risk of rupture in the intestinal tract (esp.. ulcera, post risk of rupture in the intestinal tract (esp.. ulcera, post operations), hindrance of passage higher stages (stenosis, operations), hindrance of passage higher stages (stenosis, invaginations)invaginations)

Drinking cure by high additive uptake of liquid is contra Drinking cure by high additive uptake of liquid is contra indicant by cardiac-circulation insufficiency and kidney indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency

Side effects of hydrogen carbonate watersSide effects of hydrogen carbonate waters

By liberate of COBy liberate of CO22 and stretching the stomach and stretching the stomach

wall pressure complaints are possible (Roemheld wall pressure complaints are possible (Roemheld syndrome)syndrome)

By uptake of big drinking volumes complaints By uptake of big drinking volumes complaints like irritable stomach (dyspepsia) are possible. like irritable stomach (dyspepsia) are possible. The symptoms disappear normally during serial The symptoms disappear normally during serial application.application.

Sulphate watersSulphate waters

More than 1,2 g /l sulphate in solutionMore than 1,2 g /l sulphate in solution

Indication of sulphate watersIndication of sulphate waters

Dyskinesia of the derivative bile tract including post operative complaintsDyskinesia of the derivative bile tract including post operative complaints To stimulate the secretion of bile and pancreasTo stimulate the secretion of bile and pancreas Disturbance of the intestine motility without significant organic reasons, esp. Disturbance of the intestine motility without significant organic reasons, esp.

Different forms of obstipation and colon irritable.Different forms of obstipation and colon irritable. Functional disturbance of the upper stomach organsFunctional disturbance of the upper stomach organs In supportive treatment of adiposeIn supportive treatment of adipose In prophylaxis of calcium-phosphate urinary calculi, esp. In case of high pH In prophylaxis of calcium-phosphate urinary calculi, esp. In case of high pH

value in urine.value in urine. Supportive treatment of urinary tract infections (esp. By use of Ca-sulphate Supportive treatment of urinary tract infections (esp. By use of Ca-sulphate

waters).waters).

Contraindication of sulphate watersContraindication of sulphate waters

Organic dependent disorders in motility and secretion in intestine tract, Organic dependent disorders in motility and secretion in intestine tract, esp. Ileus, intestine vagination, obstructive jaundice.esp. Ileus, intestine vagination, obstructive jaundice.

Acute inflammatory diseases and haemorrhage diathesis in intestine tract Acute inflammatory diseases and haemorrhage diathesis in intestine tract (esp. Ulcus and post operations)(esp. Ulcus and post operations)

Drinking cure by high additive uptake of liquid is contra indicant by Drinking cure by high additive uptake of liquid is contra indicant by cardiac-circulation insufficiency and kidney insufficiencycardiac-circulation insufficiency and kidney insufficiency

Hyper tonic sulphate waters (esp. Mg-sulphate waters may not used in Hyper tonic sulphate waters (esp. Mg-sulphate waters may not used in dehydration statesdehydration states

In case of urinary calculi long time use of sulphate waters is contra In case of urinary calculi long time use of sulphate waters is contra indicant.indicant.

Side effects of sulphate watersSide effects of sulphate waters

Long time use of high dosages of hyper tonic Long time use of high dosages of hyper tonic sulphate waters could stimulate strong diarrhoea sulphate waters could stimulate strong diarrhoea following disorders of the electrolytes and following disorders of the electrolytes and exsiccosis.exsiccosis.

Minimum dose limit of diarrhoea is 3,0 g soluble Minimum dose limit of diarrhoea is 3,0 g soluble sulphate.sulphate.

Zinc watersZinc waters

More than 2 mg/l zinc in solutionMore than 2 mg/l zinc in solution

Indication of zinc watersIndication of zinc waters

Supportive treatment of zinc malfunctionSupportive treatment of zinc malfunction In increased zinc lose esp. During lactation, diabetes mellitus, In increased zinc lose esp. During lactation, diabetes mellitus,

alcoholism, sport and working in heat, scaly skin diseases.alcoholism, sport and working in heat, scaly skin diseases. Increased zinc requirement during pregnancy and in young Increased zinc requirement during pregnancy and in young

age.age. Alimentary zinc requirement (esp. Alimentary zinc requirement (esp. post post delactation).delactation). In zinc malfunctioned wound healing disturbances, skin In zinc malfunctioned wound healing disturbances, skin

ulcera and immune disturbances.ulcera and immune disturbances. Acne vulgaris (to spare antibiotics and vitaminAcne vulgaris (to spare antibiotics and vitamin--AA--acid)acid)

Contraindication of zinc watersContraindication of zinc waters

Drinking cure by high additive uptake of liquid is Drinking cure by high additive uptake of liquid is contra indicant by cardiac-circulation contra indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency and kidney insufficiency

Side effects of zinc watersSide effects of zinc waters

Nothing.Nothing.

Fluoride watersFluoride waters

More than 1 mg/l fluorides in solutionMore than 1 mg/l fluorides in solution

Indication of fluoride watersIndication of fluoride waters

Alimentary fluoridAlimentary fluoridee requirement. requirement. CCaries prophylaxisaries prophylaxis Supportive treatment osteoporosis of fluoride Supportive treatment osteoporosis of fluoride

concentration is more than 10 mg/lconcentration is more than 10 mg/l

Contraindication of fluoride watersContraindication of fluoride waters

Drinking cure by high additive uptake of liquid is Drinking cure by high additive uptake of liquid is contra indicant by cardiac-circulation contra indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency and kidney insufficiency

Side effects of fluoride watersSide effects of fluoride waters

Nothing.Nothing.

Sodium chloride watersSodium chloride waters

More than 1 g/l minerals in solution and minimal More than 1 g/l minerals in solution and minimal 20% equivalents of NaCl20% equivalents of NaCl

Indication of sodium chloride watersIndication of sodium chloride waters

Stimulation of gastric secretionStimulation of gastric secretion Inhibition of increased gastric secretion.Inhibition of increased gastric secretion. Stimulation of the gastric and small intestine Stimulation of the gastric and small intestine

motoric.motoric. Stimulation of the liver- and pancreas-secretionStimulation of the liver- and pancreas-secretion..

Contraindication of sodium chloride watersContraindication of sodium chloride waters

Acute gastritis and enteritis, haemorrhage diathesis in Acute gastritis and enteritis, haemorrhage diathesis in intestine tract (esp. Ulcus and post operations), stenoses, intestine tract (esp. Ulcus and post operations), stenoses, invaginations.invaginations.

Disturbance of bile- and pancreas flow, acute liver Disturbance of bile- and pancreas flow, acute liver diseasesdiseases

Arterial hypertension and oedema (more than 1 g/l NaCl)Arterial hypertension and oedema (more than 1 g/l NaCl) Drinking cure by high additive uptake of liquid is contra Drinking cure by high additive uptake of liquid is contra

indicant by cardiac-circulation insufficiency and kidney indicant by cardiac-circulation insufficiency and kidney insufficiencyinsufficiency

Side effects of sodium chloride watersSide effects of sodium chloride waters

Nothing.Nothing.

Iodide watersIodide waters

More than 1 mg/l iodide in solutionMore than 1 mg/l iodide in solution

Indication of iodide watersIndication of iodide waters

Supportive treatment of Supportive treatment of iiodine malfunctions esp. odine malfunctions esp. euthyroit euthyroit iiodine deficient struma. odine deficient struma.

Contraindication of iodide watersContraindication of iodide waters

Latent and manifest hyper thyreosisLatent and manifest hyper thyreosis Hypersensitivity like iodine allergy and iodismusHypersensitivity like iodine allergy and iodismus

Side effects of iodide watersSide effects of iodide waters

Allergic reactions with pruritus, exanthema, Allergic reactions with pruritus, exanthema, eosinophilia, fever etc. in few cases. eosinophilia, fever etc. in few cases.

Diseases of digestive systemDiseases of digestive system

Functional and inflammatory diseases of stomach and intestine

Hydrogen carbonate Decrease of persistence of gastric contents, improvement of gastric disturbances by pain decrease, inhibition of inflammation and mucolytic effect, normalisation of gastric secretion.

Gastric secretion: to much not enough

Hydrogen carbonateCarbonic acid more than 1 g/l

Neutralisation and normalisation

Stimulation of secretion

Constipation Sulphate Decrease of intestine water absorption

Functional disease of bile and pancreas

Sulphate Stimulation of secretion

Metabolic diseasesMetabolic diseases

Diabetes mellitusDiabetes mellitus Hydrogen carbonateHydrogen carbonate Increase of the carbon Increase of the carbon hydrate tolerancehydrate tolerance,, ins insuuline line effefficacy,icacy, and glycogen and glycogen storagestorage

Disturbance of the uriDisturbance of the uricc acid metabolism (Hyper acid metabolism (Hyper uricaemia, gout)uricaemia, gout)

Hydrogen carbonateHydrogen carbonate Increase of Increase of uuric acid ric acid elimination´and solubility elimination´and solubility in in urine, disability of in in urine, disability of uric acid calculiuric acid calculi

AdiposeAdipose SulphateSulphate Supportive treatmentSupportive treatment

Urological diseasesUrological diseases

Chronic Chronic infections of infections of urinary tracturinary tract

Hydrogen carbonateHydrogen carbonate

CalciumCalcium

MagnesiumMagnesium

Carbonic acid Carbonic acid (more than 2 g/l)(more than 2 g/l)

Neutralisation of the Neutralisation of the inflammation milieu by inflammation milieu by Hydrogen carbonate, Anti-Hydrogen carbonate, Anti-inflammatory effect by Ca and inflammatory effect by Ca and MgMg

Irrigation of the urinary tract and Irrigation of the urinary tract and Increase of diuresisIncrease of diuresis

Ca-oxalate calculiCa-oxalate calculi Hydrogen carbonateHydrogen carbonate

MagnesiumMagnesium

decrease of calculi developmentdecrease of calculi development

Uric acid, Uric acid, Cystine, and Cystine, and Xantine calculiXantine calculi

Hydrogen carbonateHydrogen carbonate Increase of pH value in urine and Increase of pH value in urine and effect against crystallisation effect against crystallisation

Calcium- and Calcium- and phosphate calculiphosphate calculi

SulphateSulphate

MagnesiumMagnesium

Decrease of pH in Urine and Decrease of pH in Urine and effect against creffect against cryystallisationstallisation

Different diseasesDifferent diseases

Circulation disordersCirculation disorders

HypertensionHypertension

Hydrogen carbonateHydrogen carbonate

CalciumCalcium

MagnesiumMagnesium

Balance of water and Balance of water and electrolyteselectrolytes

Normalisation of Normalisation of blood pressureblood pressure

OsteoporosisOsteoporosis CalciumCalcium

FluorideFluoride

Increase of calcium Increase of calcium and fluoride in and fluoride in malfunctionsmalfunctions

Allergic diseasesAllergic diseases CalciumCalcium Inhibition of allergic Inhibition of allergic reactionsreactions

MalfunctionsMalfunctions

Ca-malfunctionCa-malfunction CalciumCalcium Increase of Ca blood level Increase of Ca blood level (Osteopor(Osteoporoosis, allergic sis, allergic reactions, nervous reactions, nervous hypersensitivity)hypersensitivity)

Mg-malfunctionMg-malfunction MagnesiumMagnesium Increase of Mg blood Increase of Mg blood level, and effectiveness in level, and effectiveness in cardiac deceasescardiac deceases

F-malfunctionF-malfunction FluorideFluoride Prevention in Prevention in CCaries, aries, inhibition of bacterial inhibition of bacterial acids in the mouthacids in the mouth

PreventionPrevention

PregnancyPregnancy MagnesiumMagnesium

FluorideFluoride

supportive in higher supportive in higher metabolic usedmetabolic used

Performance sportsPerformance sports Hydrogen carbonateHydrogen carbonate

MagnesiumMagnesium

Against acidosis by Against acidosis by increase of the alkali increase of the alkali reservereservePrevention of tetany, Prevention of tetany, cramps, and disturbance cramps, and disturbance of cardiac rhythmof cardiac rhythm

SummarySummary

Ion Indication Guide value Dosage

Ca Ca-lackallergic diseasesosteoporosis

> 250 mg/l 0,5 – 1 g/d

Mg Mg-lackCa-calculi

> 100 mg/l 150 – 300 mg/d300 mg/d

Zn Zn-lack > 10 mg/l 5 mg/d

Li Li-lack > 0,5 mg/l 03 mg/d

Fe(II) Fe-lack > 20 mg/l 3 x 300-600 ml/d

SO4 Stimulation Bile and PancreasObstipation

> 1200 mg/l> 3000 mg/l

300-1500 ml3 g

HCO3 Urology IndicationStomach-intestine-Indicationsmetabolism

> 1300 mg/l> 1500 mg/l> 1300 mg/l

0,7.2,8 l

3 x 200-350 ml

CO2 DiuresisAppetence disability

> 2000 mg/l> 2500 mg/l

J J-lack > 0,2 mg/l 0,1 mg/d

F Caries-prophylaxis > 1 mg/l 1-2 mg/d

Interpretation of mineral water analyses

Interpretation of mineral water analyses

Literature about drinking mineral watersLiterature about drinking mineral waters

Chr. Gutenbrunner, G. Hildebrandt: Handbuch Chr. Gutenbrunner, G. Hildebrandt: Handbuch der Heilwasser Trinkkuren. Sonntag Verlag der Heilwasser Trinkkuren. Sonntag Verlag Stuttgart 1994. ISBN 3-87758-015-7Stuttgart 1994. ISBN 3-87758-015-7