Overview of Crohn’s disease.


Crohn’s disease is a chronic inflammatory bowel disease that is IBD.

Crohn’s disease is characterized by inflammation of the digestive or gastrointestinal tract, it can affect any part of the GI, from mouth to anus, but it is more commonly found at the end of the small intestine part

of the intestine especially colon and ileum, it is associated with fistulae and ulcers. Crohn’s disease can also affect the

  • eyes
  • skin
  • joints

The exact cause of Crohn’s disease is not know, though there is a hereditary predilection is very prominent. The physio-pathology shows that the immune system of the body refuses to recognize the normal intestinal flora and triggers an attack. The symptoms are

  • terrible stomach ache, though the individual is mobile and can sustain normal food,
  • diarrhoea
  • weight loss
  • There could additional symptoms like oral ulcers, bowel blockage and anal fissures.

The disease is graded as

  • mild to moderate
    • frequent diarrhoea
    • abdominal pain but can walk and eat normally
    • so signs of dehydration or fever.
    • Weight loss less than 10%
  • moderate to severe
    • frequent diarrhoea
    • abdominal pain and tenderness
    • significant weight loss
    • Significant anaemia with fatigue, dizziness, short breathe and headache.
  • Severe to very severe.
    • Severe persistent vomiting.
    • High fever
    • Evidence of intestinal obstruction or abscess.
    • More than severe weight loss.

Diagnosis is done through Barium X-ray, colonoscopy or Biopsy. After stool analysis, and sometimes imaging tests like CT scan or MRI are used.

Difference between Crohn’s disease and Ulcerative colitis.

Crohn’s disease Ulcerative colitis
Inflammation may develop anywhere in the GI from mouth to the anus Limited to large intestine, colon and rectum
Most common site is end of the small intestine Occurs in the rectum and colon involving a part or entire colon
May appear in patches Appears in patterns
May be present through the entire thickness of the bowel wall Inflammation is seen in the inner most wall of the intestine
About 67% of the people in remission will have at least one relapse over 5yrs About 30% of the people in remission will experience a relapse

When it comes treatment it is usually management. The goal of the treatment is control inflammation. Achieving and maintaining remission

The possible medications are —  antibiotics, amino-salicylate, corticosteroid, immune modifiers, biologic therapy. Then there are non-prescription over the counter anti-diarrhoeal medication, pain relievers, but these should be taken along with the prescribed medication and substituted for.

Alternate healing modalities are also known to work.

Metaphysically Crohns disease comes from inflexible opinion, fear of letting go things from the past, holding on to old beliefs and ideas that they feel fear and guilt about, insecurity, fear and nervousness when confronting the unknown, strong belief of not being good enough.

Below is the script for self help for crohn’s disease, please note this is generic, your specific script can be created only once your core belief is identified.

Sit is a quiet place, where you can relax.

  1. Breathe and breathe out, the deeper you breathe, more you relax, the more relax it is easier to heal.
  2. Breathe in and breathe out,…
  3. Breathe in and as you breathe out direct the breathe out through your eyelids
  4. Breathe in and as you breathe out direct the breathe out through your eyelids you may feel dark pools in front you, it is okay to feel it.
  5. Breathe in and as you breathe out, direct the breathe out through your eyelids, feel the tiredness leave your eyelids.
  6. Breathe in and breathe out through the eyelids, feel the muscles between your brows relax.
  7. Breathe in and as you breathe out let the tiredness in your limbs leave.
  8. Breathe in and as you breathe out the tiredness in limb leaves, making your limbs heavy.
  9. Breathe in and as you breathe out, feel the heaviness in your limb.
  10. Breathe in and breathe out, letting the neck muscles relax
  11. Breathe in and breathe out, letting the neck muscles relax.
  12. Breathe in and centre yourself…. now tell yourself, it is okay to express your feelings, you are willing to let go of the past, you are willing to let go beliefs and ideas that are no longer relevant, you have the courage and enterprise to face the unknown for it is an adventure, and you are more than capable of dealing with it. you are willing to flow with the flow of life and accept the challenges that come. You are willing to move on freeing  yourself from the shackles of the past.

Stay with this belief and slowly open your eye, on the count of 1 – as you begin to awaken 2—higher up, higher with 3 and 4 , eyes open and feeling very good about yourself at 5… 1-2-3-4-5 .







World Hypertension Day


May 17th is the World Hypertension Day and people are having celebrations about it.

The imp me wonders are they celebrating having hypertension, that is the lifestyle that got them there, or are they pharma companies celebrating the increase in sales, now that the imp has voiced her mischief, let us go  World Hypertension Day Awareness drive. The theme for the year like last year and the year to come is  Know Your Blood Pressure and #KnowYourNumber.

Since there are going to numerous talks, articles and what not about hypertension, I shall just go to the metaphysics and alternate pathways of handling hypertension.

Blood pressure is defined as

The force exerted by the blood against the walls of the blood vessels and the magnitude of this force depends on the cardiac output, and the resistance of the blood vessels. An increase in blood pressure is hypertension and a decrease is hypotension.

Some key points.

Hypertension is increased blood pressure against the blood vessel,  the pressure is considered high if it over 140 and 90 mmHg. That is millimetres of mercury.

The diagnosis is made the pressure as the heart pumps out blood that is systolic and/or the pressure when the heart relaxes that is diastolic is high, at a given second.

The patho-physiology or the physical presentation could be;

  • decreased cardiac output
    • Altered stroke volume.
      • Myocardial contractions are disturbed
      • Alteration in the vascular chamber volume.
    • altered heart rate
  • increased peripheral resistance
    • altered vascular structure
    • Altered vascular function.

Causes of hypertension are:

Primary or essential hypertension is seen in adults with no identifiable cause. This is usually develops gradually over the years and some common symptoms seen are:

  • smoking
  • being overweight or obese
  • lack of physical activity
  • too much of salt in the diet
  • Too much of alcohol consumption.
  • Stress
  • Age

Then there is secondary hypertension which is usually a manifestation of an underlying disorder. These systemic disorders are:

  • Kidney or renal problems
  • Adrenal gland problems
  • Thyroid problems
  • Certain defects in blood vessels, which usually congenital
  • Some medications, including birth control pills, decongestants, OTC pain relievers
  • Obstructive sleep apnoea
  • Drugs like cocaine and amphetamines
  • Alcohol abuse or alcoholism.

Metaphysically I am referring to Louise Hay here, like the patho-physiology puts it, the emotional pathway also talks about hypertension being a fall out of long standing unresolved emotional issue.

Blood is the life energy within a body, movement/circulation of love and vitality through the body, when the blood pressure increases, there is anger, stress, feelings are not being expressed adequately this creates an inner pressure.

In the emotional-physical translation, hypertension is about anger and frustration about unable to do something.  It could stem from being frustrated, overwhelmed and out of control about life. there is also a tendency to be a perfectionist, high personal and social standards and intolerance when those are not met, there is a huge trust issue and intrinsic rigidity. Many times there are associated self sabotaging habits like irresponsible eating, lack of proper exercise.

These usually have its root in emotionally stressful homes where high levels of expectations and performance were expected. Our inability to cope up with parental frustration has left us incapable of handling what triggers our anger. Many of us have learnt the lesson of rigidity since we come from families with rigid religious or political beliefs. We transfer these cope up mechanisms into our adult life, our workspace, abusing ourselves emotionally.hypertension

Handling hypertension through alternate methods would mean, healing the life style and behavior.

  • Altering the belief system and enhancing the new belief. – The core belief is very important here, it could either be resistance or inability to let go. Both situations bring about rigidity and stress.
  • Some form of physical activity to ensure body movement.
  • Relaxation technique or meditation.

Of course these go hand in hand with the physician’s treatment.

Chronic Fatigue Syndrome Awareness


May 12th is the Chronic fatigue syndrome (CFS) awareness day. This is a debilitating disorder and characterized by fatigue, that does not go away even on rest and has underlying medical condition that can explain it. CFS is also known or myalgic encephalomyelitis, or systemic exertion intolerance disease.

The cause of this syndrome is not really known though causes have cited, sometimes, individually and sometimes as combination of factors. This inability to be pinned down to a single cause makes it difficult to confirm the diagnosis and the diagnosis is usually by ruling out other causes of fatigue.

The syndrome has been accepted as a real diagnosed medical condition recently and is seen to commonly affect women in their 40’s and 50’s. Currently there is no cure or treatment so conventional medicine focuses on relieving the symptoms and managing the disease.

cfs 2Some of the cited causes are:

  • Viral infection as a trigger as many people develop CFS after having a viral infection. The Herpes Virus 6. Epstein – Barr virus and mouse leukaemia viruses are implicated though conclusive links have not yet been established.
  • Immune system in the people who have chronic fatigue syndrome appears impaired slightly though it is not clear if the impairment is enough to cause the disorder.
  • Hormonal imbalance in the levels of the hormones produces by hypothalamus, pituitary or adrenal glands are seen, its exactly significance of this abnormality is still not known.

The symptoms of CFS are quite vague and could be symptoms of many illness, such as infections, or psychological disorders, it becomes necessary to see the physician if excessive fatigue persists

  1. Memory loss or decreased concentration.
  2. Tiredness despite a night’s sleep.
  3. Chronic insomnia, and sometimes daytime drowsiness the CFS mimics sleep apnoea here.
  4. Muscle pain and tiredness
  5. Frequent headaches
  6. Joint aches without redness or swelling.
  7. Frequent sore throat
  8. Tender lymph nodes in the neck and armpits.

CFS effects different people in different way, so the treatment is tailored to an individuals specific set of symptoms. There is no definite cure as of now, the treatment would be more towards relieving the symptoms and improving quality of life. Many of the CFS patients are also depressed so sometimes antidepressants are prescribed and sometimes sleep aids are prescribed to improve the quality of sleep.

Though there is no definite treatment for CFS, therapy is found quite helpful. Usually the steps in therapy focus on.

  • Pacing oneself so that a balance is maintained, too much of activity on a good day can lead to a bad day.
  • Graded exercise also helps. Exercise would have to begin with just a few moments in a day and slowly increased.
  • Psychological counselling can help to handle the limitations created by CFS; self management in turn helps in handling the disease.

CFS aggravates with activity and does not recover with rest. Edgar Cayce the pioneer of holistic healing came up with effective treatment of CFS with a group of therapies, which addressed the systemic issues of the condition. The term he had for this was C.A.R.E which stood for circulation, assimilation, relaxation and elimination, these were the areas where the body was assisted so that it could become more normal, and the improved body functioning would help the body increase its vital energy  and to heal itself. C.A.R.E included hydrotherapy, diet, spinal manipulation, exercise, electrotherapy, and castor oil packs.CFS 1

Metaphysically CFS develops as a result of being disconnected from our emotions,  and emotions are the bridge that connects the mind and body, this disconnect results with lessening of life energy resulting in chronic fatigue and/or depression.

the feeling of running on empty usually emerges from a pattern created in the childhood, particularly in women, where candid expressions of certain emotions like anger, suddenness or sexual energy is not acceptable, the individual learns to suppress it, or depress it, causing a disconnect  from the emotional energy this gives rise to fatigue and disconnect from life. on the emotional plane there is lack of clarity, a scattered mind, that is emotionally run down and overwhelmed, there is also an inability to work priorities.

We need to identify that particular belief that has brought about the disconnect and then work at reconnecting the mind and body, hypnotherapy allows us to reach to the core trigger belief fastest. Once the belief is identified, it can be reframed.

A common affirmation that seem to work is it is safe to express all that is within me, I love, honour and accept all aspects of who and what I am, as a result I am energized expressed and filled with love.

International Workers’ Memorial Day,


I was travelling by 3-AC from Hyderabad, when a fellow medic and I got into conversation.

We talked about this and that and finally we landed with tuberculosis, when realized while the Bovine strain of tuberculosis which predominantly found in Ireland was making inroads through travellers into India. Then we got on airborne disease.

Today the 28th April is the International Workers’ Memorial Day, International Workers Memorial Day Or International Commemoration Day For Dead And Injured Or The Day Of Mourning. This event takes place round the world, in honour of workers killed, disabled, injured or ade unwell by their work.

This event was launched in 1970 as workers memorial day and got authentication as a UN international day.

  • About 2 million men and women die in work related accidents and diseases.
  • 270 million work related accidents, 160 million work related illness
  • 444,000 workers work with hazardous substances, and 100,000 are fatally claimed by hazardous chemicals like asbestos

Workers memorial day is an opportunity to highlight the preventable nature of most workplace incidents of ill health and to promote campaigns and union organisations in the fight for improvements in workplace safety.  The slogan being remember the dead and fight for the living.

Since the industrial revolution major health hazards were physical injuries there also issues like tuberculosis and other due to impoverished living. These continue to the day, when do talk about these epidemics we again tend to think of the high risk category that live in congested damp unhygienic area. Our preventive work focused on these.

In 1995 when my mother had huge breathing issues, we went to the pulmonologist, she had cement particles solidified in her lung, now my mother is school teacher and father a doctor we live in wonderfully healthy environment so where did this come from, then we found out the institution that she worked for was constructing a new building and  her class was the first one to shift, so she had inhaled all the cement dust through the construction, this is a given in all developing areas.

BPO’s , software companies are the new blue-collar work zones that come with their set of work related health issues along with sleep debt which is fatal, and disturbed eating habits and sedentary work leading to wellness issues we tend to forget the most dangerous hazard that we are dealing with.

Traditionally the malnourished, congested housing occupants were high risk category for tuberculosis, now is an emerging segment of people working in enclosed environment.

The common airborne pathogens are anthrax, chickenpox, influenza, measles, smallpox cyptococcosis, tuberculosis. About 25 million people get infected by tuberculosis annually, and Dr.Zakir Udwala a tuberculosis research has documented studies that these strains are drug resistance and aggressive.

Workplace infections spread through coughing, sneezing, talking toilet flushing etc.  the potency of toilet flushing with regards to airborne is a little less but all the other, is scary considering the body fluid released is approximately 40,000 droplets and each of this has a nuclei that potentially initiate an infection.axshya

The labour force, be it the manual labourers in at their high injury risk workplace, unhygienic living space and under nourished food, or the pampered  techie labour force with their warped bio-cycles, unhealthy eating options and bio-hazardous working units, this is a day we  remember the dead and fight for the living.



Sharing Your Voice



Voice, of the people, we voice our opinion what ever we use the word is both a verb and noun.Merriam-Webster defines sound various ways.

Voice is our primary means of communication. It reflects our personality, mood, health.

Voice is the sound produced by vertebrates by means of lungs, larynx or synrinx, especially by human beings, it gets further defined as

  • Musical sound produced by the vocal folds and resonated by the cavities of head and throat.
  • The power or ability to produce musical notes.
  • A singer
  • One of the melodic parts in a vocal or instrumental composition.
  • Condition of the vocal organs with respect to production of musical tones.
  • Condition of the vocal organs with respect to production of musical tones,
  • The use of the voice for singing or acting.

Voice is also a sound resembling or suggesting vocal utterances.

The voice is also the collective medium of expression like the voice of the people.

Expressing a wish or opinion openly or formally.

As a verb it gives distinction of form or a system of inflections to indicate the relation of the subject of the verb to the action which the verb expresses active and passive voices.

But World Voice Day is about the vocal cords, and sounds. It is about celebrating voices, and encouraging people to use their voice, to communicate, for business purpose and for pleasure. Taking care of the voice is also a major concern. The theme this year being Share Your Voice.. Studies have shown that children respond to the voice of the teacher.

History of world voice day, is that it was proposed by the Brazilian Laryngologists in 1990, by 2012 it gathered quite a following and momentum. As of this year there are 66 participating countries.

The sound of our voice is produced by vibration of the vocal folds, which are two bands of smooth muscles tissues that are positioned opposite each other in the larynx. The larynx is located between the base of the vocal folds, which are two bands of smooth muscle tissue that are positioned opposite each other in the larynx. The larynx is located between the base of the tongue and the top of the trachea, which is the passageway to the lungs.

When we speak, the vocal folds open to allow us breathe, this is however preceded by a series events, the vocal folds snap together while air from the lung blows past, and make them vibrate, the vibration produced travel through the throat nose and mouth which act as resonating cavities to modulate the sound. The quality of the voice comes from its pitch, volume and tone, this in turn depends on the shape and size of the vocal folds, and the resonating cavities.

Though all of us depend on our voice for communication, there are professions many professions like singing, teaching, medicine, law, nursing, sales, and public speaking voice is a premium quality. This puts them at high risk for developing vocal cord problems.

This can be avoided by maintaining vocal hygiene… https://drscribe.wordpress.com/2011/08/10/voice-hygiene/?frame-nonce=3216674ed1

Endometriosis Homeopathic Management



Endometriosis is a condition characterised by growth of endometrial tissue outside the uterus . The tissue enters the pelvic cavity via  the tubes and may be found at several sites – on the ovaries , retro uterine pouch , outer surface of the uterus, sigmoid colon, pelvic and abdominal lymph nodes the cervix , abdominal wall , the kidneys and the urinary bladder . Endometrial tissue responds to hormonal fluctuations. With each cycle the tissue proliferates and then breaks down and bleeds. When this occurs outside the uterus , it causes pain, inflammation, scarring , infertility . There is unusually severe menstrual pain or premenstrual pain

Fibrosis of the fallopian tubes  owing to endometriosis is a common cause of infertility  and of tubal ectopic pregnancy . Endometriosis of the ovary may give rise to a chocolate cyst – a cyst filled with altered blood .

It is important to take a detailed case history and arrive at a constitutional prescription . However these are the commonly indicated drugs for endometriosis but treatment should be strictly under a homoeopathic physician .

Commonly indicated homoeopathic drugs :

Palladium –  helps in disorders  of the right ovary , Sabina – especially indicated when the uterine haemorrhage is partly red  and partly clotted  and discharge of blood in between periods . Iodium– is specially indicated in new growths and hyperplasia . Great weakness during menses , menses irregular , brownish , wedge like pain from ovary to uterus .Secale Cor – Passive haemorrhage in feeble cachetic women . Menses irregular , copious , dark , continuous oozing of watery blood  until the next period  and burning pains in the uterus .

References :

Wheater’s Basic Histopathology

Principles of Anatomy and Physiology , Tortora .

Allen’s Materia Medica

Article by  Dr. ZOYA JOÃO , MD. (Hom) , MPH.

Public Health specialist .For free consultation call on 09922170775, drzoe1234@gmail.com

Dealing With Endometriosis Metaphysically


Patients with endometriosis come to the hypnotherapist with issues of hindered pregnancy or with menstrual related problems.

After clearing the external energies if one does look deeper then the issue use is usually a conflict in expressing femininity.

  • Like wanting to be a mother or not,
  • Resenting the children that are already there.
  • Femininity being abused or repressed.
  • Feeling rejected by partner.
  • India being rejected for being feminine.

There is also a tendency to repress sexuality to create and find one’s own path; this leads to certain inner conflict too.

Of course the belief system that triggers these patterns is what we deal with hypnosis.  Healing comes with understanding and accepting the core belief and then understanding what the feminine energy is about. It is this understanding that we fall short of in many cases. Again why this understanding falls short is our own belief system which we have picked up from the environment we are exposed to.

If I were to put it in a nutshell, like Louise Hay did, then endometriosis is manifested by insecurity, disappointment and frustration. Self love being replaced by blame. The flip or the rewired affirmation she suggests and it has worked for many is… I am both powerful and desirable. It’s wonderful to be a woman. I love myself and I am fulfilled.