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"A NATURAL ENVIRONMENTAL HEALTH FACTS" 
"Ask Lena Health Question & Answer Issue"
Click Here to Submit your Health Question
 Be sure to include your first name with your question!

928-636-9425
Monday February 28, 2005

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============================
=> ASK LENA Q & A EDITION!
============================

Today's question from  Kelly is a rather long but poignant question that none of us hopes ever befalls our child or grandchild that has put this child on the sneering list of school mates...

Steve's Motivator this week, "WHEN SUFFERING VISITS" has a message of love and change...  If you enjoy his weekly Motivator let him know and tell him you read it in "A Natural Environmental Health Facts Ask Lena Health Q & A ezine." Publisher@LifeSupportSystem.com

Your health questions are being answered to the best of my ability using what I gleaned from 20-years as a Medical Office Nurse and Administrator along with my education in nutritional and alternative modes. I am not a doctor and you should not think of me as one.

Q & A is for your information and education only and in some instances to give you a different perspective on a particular problem! 

My wish for you, in the use of the information gained here, is that you will apply it in a smart and safe manner in order to enhance your life and not harm it! Not to be used in place of your judgment but along with it...

I have always felt that I had to know all sides to a problem and then make a decision for myself and I hope that will be your attitude as well! 

IF YOU HAVE A HEALTH QUESTION 
health@antibiotic-alternatives.com?subject=QnAQuestion 
Be sure to give at least your first name, if it is a question you want answered in person feel free to give me a call at 928-636-9425 or email me and let me know it's not for publication.

Thank you for your confidence and inquisitiveness! 
Lena

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QUESTION:
 
Two parts of today's Q & A.

Email #1:
I'm actually asking this for a friend so I hope I can give you enough information!  My friends daughter (5 years old now) was diagnosed with Bladder Dysfunction (I thought that was a general term for any bladder problem!  But it's not!)  She was told this will be a life long problem.  Well, my concern as well as the moms, is the medicine she takes is Hytrin 2mg qhs.  The side effects are horrible though!  Infertility being one.  There has just got to be something else out there for this little girl!  I know she doesn't want her little girl on this but has heard no other options.  At the start of the school year, she was punched in the face, teased by almost everyone on her bus and class, and even friends she's had won't play with her because she 'smells' when she has her accidents.  The Hytrin has helped - so for now, what we see is a positive thing, but my goodness, what is it doing to her inside?
 
My question to Kelly before answering her question:
 
This is such a general term and there are numerous conditions listed as Bladder Dysfunction. So could you tell me what symptoms she has with the dysfunction that led her mom to take her to the doctor? Did she also get a second opinion? That should be the first thing that needs to be done. Second or even a third opinion before giving a child that medication.. Symptoms will help me know what else can be done, if anything...

Sincerely,
Lena
 
Email #2  Answer:
 
Her sx are wetting day and night; she is unaware her bladder is ever full because, apparently since birth, her bladder always felt full, even when empty so she doesn't know how to differentiate between full and empty.  They told her it's a nerve problem causing her bladder to always spasm.  They also told her there is no tx for it as in other childhood bladder problems like reflux.  So her sx are just wetting.  They put her under tests I've never heard of to Dx this - sonograms one of them but also an EKG for the bladder!   The Hytrin stopped the day time wetting but my gosh, does it have to be Hytrin!  As for a second opinion from a urologist - no.  She wants to but the other docs recommended to her do not accept her insurance. Do you have a resource to look up urologists?  We live in a very rural area so knowing of anyone is not easy.  We usually have to drive well over an hour to a specialist of any kind.
 
I hope you can help!
Kelly
 
 
ANSWER:
 
She really does need to find a pediatric urologist for a second opinion! Have her call her insurance company patient advocate and get a recommendation for a second opinion in your area with someone they will pay for... I do not know anyone in your area in that field...

Bladder Dysfunction covers so many different bladder problems. Some from MS, spinal problems, etc. but usually in older children or adults. I suspect hers to be a neurogenic bladder which is the most common in children. Some children are born with or develop bladders that do not function properly, which this sounds like. Those children may have a history of myelomeningocele (spina bifida), you do not mention this so I think that can be ruled out. Some have had a traumatic spinal injury, this can happen during the birth process and not detected. Some are born with bladder exstrophy (bladder open face at the skin), or have had a congenital bladder obstruction, which doesn't sound like her problem. But all these children often have urinary incontinence and may develop dilatation of their ureters and kidneys. Whether due to abnormal nerve of the bladder muscle and/or urethral sphincters, or chronic obstructive bladder damage most patients with this bladder condition are unable to empty their bladder on their own. The most common medication given for these problems is Ditropan, which is a relaxant for the bladder? Doesn't deplete the system of its minerals and vitamins as severely as the Hytrin (the brand name for Terazosin). Hytrin is an "Alpha Adrenagenic Blocker" and yes with many many life altering side effects in adults that but not been determined in children as children have not been included in any studies. You can bet they will be much more severe in a child... Terazosin is used in adults to treat the symptoms of an enlarged prostate (benign prostatic hyperplasia or BPH), which include difficulty urinating (hesitation, dribbling, weak stream, and incomplete bladder emptying), painful urination, and urinary frequency and urgency but no testing in children has been done that I can find and I looked hard... What I did find; any alpha adrenergic, "Treatment of an alpha adrenergic for urinary incontinence is an 'unlabeled use' for these medications." No mention of differentiating between children and adults...

There are other muscle relaxants that doesn't have such severe side-effects - nor deplete the system of it's minerals and vitamins as much as these do - and I wonder why they didn't try one of those first?

Send me her address and I'm going to send her a sample of minerals, as spasms sometimes are caused from a lack of minerals balance... She can try it to see if it makes a difference or not... It will not interfere with the Hytrin but will require a larger dose to overcome what the Hytrin is depleting from her. If it doesn't do the trick she still needs to daily supplement total minerals and mega vitamins to try and avoid as many of the side effects as possible. Hytrin mineral and vitamin depletion deficiency is responsible for a lot of the side effects that is noted in the company's literature, but they have yet to even acknowledge that fact...
 
By supplementing she may hopefully be able to counteract a portion of potential side effects? Those M/V depletions create muscle spasms that she already suffers with so why add the possibility of more severe ones? Which makes me wonder why this one drug? Hopefully her doctor knows something that I'm not privy to...

I will send her some of the children's chewable minerals that also has other good things that could help make a difference as well... Need her address...

Sincerely,
Lena
 

Kelly sent the friends address and Kids Mins have been sent and received. Only time will tell how it affects her long term...
 

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~^~^~^~^~^~^
MOTIVATOR
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WHEN SUFFERING VISITS

One of Canada's most famous physicians was Dr. William Osler. Many stories are told of Dr. Osler, but one of the most revealing comes from World War I.

Friends recalled the day when he was working in one of Britain's military hospitals during the war. He was called out of the wards during his daily rounds to be given an important message; his own son had been killed on the fields of France.

Stunned by the news, he still came back to pick up his rounds. For a long period afterward he was noticeably different. And those who knew him best said that he changed as a physician that day. The cheerful note was gone from his voice and never again did friends hear the tune which he so often whistled as he went from ward to ward.

Though these things never returned, something eventually came to take their place. Everyone noticed a new compassion in his care of the soldiers who each day streamed in from the battlefield. Before, he had the professional concern of the physician, so important to the practice of medicine; now there was an added discernable note of a personal compassion, like that of a father for his son....

Osler was understandably hurt and, like most people who have experienced such losses, he likely became angry. In time, after working through pain and anger, he found a way to integrate the loss into his life. Though he was never the same, he chose not to let his son's death turn him into a bitter and resentful man. Instead, he channeled it into energy and love for others, caring for them as he would care for his own.

Helen Keller wisely said, "The struggle of life is one of our greatest blessings. It makes us patient, sensitive, and Godlike. It teaches us that although the world is full of suffering, it is also full of the overcoming of it."

Osler teaches us something about overcoming suffering. It can leave us bitter, or quite surprisingly, it can often leave us better. More patient. More sensitive. More compassionate. And a little more like how God must surely be.

_______
Steve Goodier Publisher@LifeSupportSystem.com  is a professional speaker, consultant and author of numerous books. Visit his site for more information, or to sign up for his FREE newsletter of Life, Love and Laughter at http://LifeSupportSystem.com .

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FOOD OF THE WEEK
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Unique and Interesting; While those who eat it regularly say it's the sweetest best tasting fruit that exists!

Annonaceae aka Cherimoya (U.S., Latin America), Custard Apple (U.K. and Commonwealth), Chirimoya, Chirimolla.

A mouthwateringly delicious, sweet, creamy, subtropical fruit combining the exotic flavors of pineapple, papaya, passionfruit, banana, mango and lemon in one luscious bite. The cherimoya is believed to be native to the inter-Andean valleys of Ecuador, Colombia and Peru. Seeds from Mexico were planted in California (Carpinteria) in 1871.
 
Conical or somewhat heart-shaped, 4 to 8 inches long and up to 4 inches in width, weighing on the average 5-1/2 to 18 ounces, but the largest fruits may reach 5 pounds in weight. The skin, thin or thick, may be smooth with fingerprint-like markings or covered with conical or rounded protuberances. The sweet, juicy, white flesh is melting, subacid and very fragrant. The fruit is of a primitive form with spirally arranged carpels, resembling a raspberry. Each segment of flesh surrounds a single hard black bean-like seed. The fruit size is generally proportional to the number of seeds within. They ripen October to May.
 
The fruit turns a pale green or creamy yellow color as they reach maturity. Color change is not marked in cool weather. They should be picked when still firm and allowed to soften at room temperature. Ripe fruit will give to soft pressure. Overripe fruit will be dark brown. Fruit left on the tree too long will usually crack or split and begin to decay. If you are lucky enough to have one of these trees growing in you yard you should know how to pick the fruit? It should be clipped rather than pulled from the tree. Cut the stem close to the fruit so it won't puncture other fruit during storage.
 
Lots of good nutrients such as vitamins A, C, D, E, B6, B12, K, Retinol, Alpha Carotene, Beta Carotene, Lycopene, Lutein+Zeaxanthin, Beta, Gamma and Delta Tocopherols, Thiamin, Riboflavin, Niacin, Folate and Pantothenic Acid. Not too shabby in minerals department either, with Calcium, Iron, Magnesium, Phosphorus, Potassium, Sodium, Zinc, Copper, Manganese and Selenium.
 
This fruit is very rich in amino acids making them digestive joys and healthy with; Tryptophan, Threonine, Isoleucine, Leucine, Lysine, Methionine, Cystine, Phenylalanine, Tyrosine, Valine, Arginine, Histidine, Alanine, Aspartic acid, Glutamic acid, Glycine, Proline, Serine and Hydroxyproline.
 
Toxic Seeds:
The seeds are crushed and used as insecticide. Some have said they have witnessed blindness resulting from "the juice of the crushed seeds coming in contact with the eyes." I cannot say if that is true or just a tale that has gone around over the centuries? The seeds do contain several alkaloids: caffeine, reticuline, anonaine, liriodenine, and lanuginosine.
 
In Mexico, rural people toast, peel and pulverize 1 or 2 seeds and take the powder with water or milk as a potent emetic and cathartic. Mixed seed powder with grease and used to kill lice and is applied on skin disorders caused from parasites. A decoction of the skin of the fruit is taken to relieve pneumonia.
 
The cherimoya flesh, when ripe, is most commonly eaten out of-hand or scooped with a spoon from a cut open fruit. It really needs no embellishment but some people like to add a few drops of lime juice. Occasionally it is seeded and added to fruit salads or used for making sherbet or ice cream. Something I have not tried but sounds really refreshing and healthful is a Colombian drink; crushed and strained juice, add a slice of lemon and dilute with ice-water to make a refreshing soft drink. The fruit has also been fermented to produce an alcoholic beverage in some cultures. Although it is best eaten straight out of its skin here is a really exotic salad that is found in some high end restaurants;
 
Cherimoya Fruit Salad
1 cherimoya
2 oranges
2 apples
2 avocados

Peel, seed and cut cherimoya into chunks. Wash and cut apples into eighths (do not remove skin) and core fruit. Peel oranges and cut into slices. Cut slices in half, forming half-circles of orange. Peel and pit avocados and cut into eighths. On a bed of lettuce, arrange alternating slices of apple, orange and avocado in a circle. Top with cherimoya chunks. Serve with poppy seed or light vinaigrette dressing. Or try this dressing: Combine 1/4 cup each; plain yogurt and mayonnaise; add 4 tablespoons cherimoya puree. Makes 6-8 servings.

Interesting and very tasty fruit, try it!
Lena

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