DISCOVER THE CAUSE OF YOUR HEALTH PROBLEMS - RETURN TO VIBRANT HEALTH "IBD, whether termed colitis or Crohn's, need not lead to hopelessness and a life of misery. Most patients, with proper effort, can improve greatly and recover."

"Dr. Goldberg is known for his high success rate with chronically ill patients who have failed to obtain help elsewhere". Home Dr. Paul Goldberg Patient Letters Works published PAUL A. GOLDBERG, M.P.H., D.C., D.A.C.B.N. Natural Hygiene Practitioner, Professor, Educator, and Researcher Books Read excerpts from some of Dr. Goldbergs books: Arthritis and Rheumatism Sufferers: The Forgotten Patients Rheumatic Disease Case Studies Fibromyalgia - Another name for Impaired Health Exploring Chronic Fatigue Syndrom Inflammatory Bowel Disease (Ulcerative Colitis/Crohn's Disease) Hygienic Heights - Your Questions Answered BOOKS Order Dr. Goldberg's books here. PATIENT INFO Detoxification/fasting, lab analysis and maps here. Prospective and new patient info here. SITEMAP here. "Few appreciate the extraordinary suffering people endure from chronic inflammation of the intestines/colon, which often result in a lifetime of pain and apparent hopelessness." "Addressing treatment to the bowel itself rather than to the body as a whole is counterproductive. " "IBD, whether termed colitis or Crohn's, need not lead to hopelessness and a life of misery. Most patients with proper effort, under natural hygienic care, can improve greatly and recover."

Excerpts from "Inflammatory Bowel Disease ( Ulcerative Colitis - Crohn's Disease)" What is IBD? The medical search unsuccessful Quick cures Chiropractic office Fasting Hygienic care Patient considerations Regaining good health is possible CASE STUDY 1: Crohn's disease CASE STUDY 2: Diarrhea and weightloss CASE STUDY 3: Ulcerative colitis with arthritis Questions and answers WHAT IS INFLAMMATORY BOWEL DISEASE? LECTURE INFINITE VARIETY: An Introduction To Biochemical Individuality Part I Part II   CASE STUDIES Part III Inflammatory Bowel Disease, IBD, is a general term referring to inflammatory diseases of the intestines of (medically) unknown etiology (cause). It includes the major syndromes of Crohn's Disease and Ulcerative Colitis. Few appreciate the extraordinary suffering people endure from chronic inflammation of the intestines/colon. Children and adults alike may suffer from these syndromes, which often result in a lifetime of pain, extreme inconvenience, extraintestinal symptoms and apparent hopelessness of inflammatory bowel disease. Patients with IBD present a diversity of symptoms, e.g. bloody diarrhea, intestinal cramps, ulceration of the colon, anemia, fever, fistulas. Both Crohn's Disease and Ulcerative Colitis are seen most frequently in young people between the ages of 20 to 40, although no age is exempt. THE MEDICAL SEARCH FOR CAUSES UNSUCCESSFUL Medical investigation as to the causes of Inflammatory Bowel Disease, Crohn's Disease and Ulcerative Colitis have not proven fruitful. The major areas that have been investigated include genetic, infectious, immunologic and psychological factors: Genetics: A search for genetic marker(s) that might identify those individuals more susceptible to the problem has not found any single market Infection: The chronic inflammatory nature of IBD has led to an ongoing look for infectious agents, yet no single infectious agent has been found that can be widely implicated. Immune Mechanism: Studies looking at associated abnormalities of cell mediated immunity, all seem to revert to normal, when the disease is in a quiet state, thus suggesting that they are part of a secondary phenomenon and not part of the etiological foundation of IBD. Psychological Factors: Psychological features of patients with IBD have been looked at extensively. ... Certainly patients who have suffered with IBD exhibit anger, anxiety; depression and frustration. It does not follow, however, that there is a personality flaw that causes the disease, rather it is more likely to assume that these emotions are to be expected in most people who have been afflicted (often in the prime of their lives) with an ailment that causes so much pain, inconvenience, disability, fatigue and uncertainty. QUICK CURES As with other chronic, debilitating conditions, there is a ready marketplace for overnight remedies promising quick relief from the problems of Inflammatory Bowel Disease. Most of these fall in the category of so-called natural "bowel cleansing" products, and a host of so-called natural food and herbal supplements. No amounts of colonics, enemas or "colon cleansers": composed of herbal derivatives, will prove of benefit to the IBD sufferer. Addressing "treatment" to the bowel itself rather than to the body as a whole is counterproductive. "Colon cleansers" do nothing to address the cause of the IBD and irritate the delicate lining of the bowel. The same is true of enemas and colonics. Both tend to further disturb the imbalanced bowel flora already present and further fatigue the patient. If the first thing the doctor does with the IBD patient is suggest a host of herbal or other nutrient supplements, the patient would be well advised to seek out a different practitioner who is oriented toward looking for etiological factors. ... We do not acquire IBD due to a lack of any specific herbal or food supplement, and we are therefore not going to get well from such either. CHIROPRACTIC OFFICE Musculo-skeletal linkage Patients with IBD, inflammatory bowel disease, are frequently seen in the chiropractic office. A chief reason for this is the relationship between inflammatory conditions of the gastro-intestinal tract and the rest of the body particularly the spine and the rest of the musculo-skeletal system. The following partial list includes some of the problems associated with IBD in patients, many representative of problems of the musculo-skeletal system: Chronic fatigue; Arthralgias; Allergies; Fistulas; Hemorrhoids; Low back pain; Sacroilleitis; Psoriatic arthritis; Neck pain; Shoulder pain; Bursitis; Hip pain; Knee pain; Ankle pains; Uveitis; Iriditis; Heart disease; Ankylosing spondylitis; Fibromyositis; and Generalized rheumatism. Where there is abnormal bowel permeability, as seen in many allergic conditions, the groundwork may be laid for rheumatological disease. Patients with arthritic problems are often observed to have GI (gastro intestinal) problems. The linkage between the gastro intestinal tract and the musculoskeletal system is now believed by many to be altered gut permeability. Neurological Linkage The relationship between the gastro-intestinal tract and the nervous system is an intimate one. The gastro-intestinal tract is highly innervated, containing, it is said, as many neurons as the spinal cord. Every attempt should be made to improve and balance neurological function, including quality chiropractic care with specific adjusting techniques. No single area of the spine will require care in every case. Each case differs, and proper analysis is important. Other measures to improve the nervous system that can be engaged in by the patient include meditation, Hatha Yoga and tai chi, along with various relaxation techniques. FASTING An irritated ulcerated intestine needs rest above all else. A properly supervised fast by a qualified, experienced, natural hygiene practitioner will frequently expedite the patient's recovery and in many cases is essential. During the fast, body functions are able to normalize; toxins and allergens are speedily removed; and the tissues have the opportunity to heal. The fast allows all the body tissues to rest and regain vitality. Following the fast, the rested body is in a much better position to appropriate foodstuffs and build healthy tissues. .... For patients unwilling or unable to fast, liquid diets of different types suitable to the needs of the particular patient may, in some cases, be used to advantage, under careful experienced supervision, and I have done so with many patients over the years. It is my experience, however, that this is not as effective in allowing for recovery as a total fast (water is taken only) with complete bed rest in a hygienic setting, under supervision. Breaking of the fast and the resumption of eating must be done carefully. Improper breaking of the fast (or even the liquid diet) may prove to be highly detrimental, even dangerous, to the patient!!! Again, the need for experienced supervision is very important. HYGIENIC CARE Getting well from IBD, Inflammatory Bowel Disease, requires more than office care, laboratory testing, diet changes and chiropractic care. It also requires that the patient take these natural, hygienic steps: Sufficient rest and sleep. A daily nap is helpful. Chewing food very well and not overeating. Ingesting food only when there is emotional calm and real hunger present Moderate exercise, avoiding exhaustion. Obtaining adequate sunshine and fresh air. Maintaining cordial relationships with friends and family. Having work that is rewarding. Avoidance of toxins such as coffee, tea, soft drinks, alcohol, etc. How, patients may ask, are they to do all the above when they are feeling so ill? They must work toward improvement, realizing that making changes takes time and consistent effort. There are rarely any quick cures. Hard work and a change of habits on the patient's part are essential. There is nothing the doctor can do to equal the effort, or lack of effort, that the patient makes. PATIENT CONSIDERATIONS Patients must be patient. They should set their sights on good health and not simply focus on their bowels. For most people, it took years to evolve into the poor state of health they find themselves in. Hard work, determination, persistence and effort are needed factors. Those who expect to make full recoveries in just a few days or weeks will likely be disappointed. My patients who have had the most success understand these things. They accept that, along with their genetic predisposition, they have evolved over time into poor health and that they must work hard and make changes to evolve into good health. They are in the battle for the long run. They understand that, even once they are well, if they should they go back to old habits, their problems will return. No doctor can cure us. The doctor can analyze the patient, their history, their biochemistry and their habits; make the appropriate recommendations; and help guide the patient along the way. It is often not an easy task for either the doctor or patient, but it can be very rewarding for the patient to obtain a new lease on life. I have watched patients who were unwilling to make the needed changes evolve further into poor health. I have also had the pleasure of seeing many patients make the needed efforts and evolve into vibrant health. The following studies will illustrate successful cases where patients made the needed efforts and were successful in overcoming IBD. REGAINING GOOD HEALTH IS POSSIBLE! Inflammatory Bowel Disease, IBD, whether termed colitis or Crohn's, need not lead to hopelessness and a life of misery. Most patients with proper effort, under natural hygienic care, can improve greatly and recover. Endless steroids and other drugs addressing symptoms while allowing the disease process to continue, colonoscopies, days of pain and fatigue, diarrhea, cramping, arthritic/rheumatic symptoms, a loss of vitality, eventual surgical removal of intestines, or the development of cancer, need not be the outcome with proper analysis, supervised hygienic care and a determined patient. The following case studies from my own practice may help to illustrate some of the concepts addressed in the article.

CASE STUDY 1: CROHN'S DISEASE Patient Presentation: A 45-year-old male entered our office with a 15-year history of Crohn's disease. During this time, he had undergone a total of four intestinal reactions, each time having a segment of his inflamed small intestine removed. Inbetween operations, he was kept on a variety of pharmaceuticals. Since nothing had been done to address causes, it was only a matter of a few years before another segment of intestine had to be removed. At the time the patient came to see me, his gastroenterologist had told him that while his intestines were badly inflamed again, there was nothing more that could be done surgically, since there was not enough small intestine left to be able to afford removing any more of it. The patient was badly debilitated, underweight, weak, depressed and very pale. He had severe diarrhea on an ongoing basis. His diet was very poor and he had been told by his medical physician that his diet had nothing to do with his disease so that he could eat whatever he cared to. The patient tried to exercise, but found his efforts futile due to his profound weakness. Analysis: The patient's diet was heavy in coffee and refined carbohydrates. His plasma amino acid levels were extremely low in eight of the 10 essentials, although his diet was rich in protein-containing foods. There was evidence of some abdominal bacterial overgrowth in the bowel, likely due to the massive doses of antibiotics and steroids he had been on over the years. The patient had extensive muscle spasm and tightness throughout the lower cervical and upper thoracic spine. The patient was modesty anemic, as evidenced through blood work. He was unhappy in his occupation as a salesman. Care Plan: The patient was initially taken off all refined carbohydrates, coffee and other irritative substances. He was put on a light diet of easily digested natural foodstuffs with attention given to eating habits as well as types of foods eaten. The patient was hesitant to undergo any chiropractic care, but consented once he saw that the care was gentle and that the fears he had heard expressed by other people about getting hurt by adjustments had no basis. A full-spine technique was administered, and the patient came to look forward to being adjusted. After two weeks, the patient was placed on a fast that lasted nine days. The patient was concerned about losing yet more weight, but he understood that his weight loss had occured due to his inability to digest and assimilate food properly and that the fast could help greatly in that regard. He completed the fast feeling very "clear-headed and refreshed" although the first two days had been uncomfortable, as is sometimes the case. The fast was broken and the patient found that his cravings for coffee and junk foods had entirely disappeared. While he had lost 8 pounds during the fast, this was quickly recovered, and within a month the patient had not only recovered al the weight lost during the fast, but gained an additional 7 pounds for which he was delighted. I counseled the patient on the need to adjust better to his occupation or find a new one. The patient took the advice seriously and located another sales position, which proved to be much less stressfill and more satisfying. Outcome: Three years later; the patient remains well. He takes excellent care of himself and has followed recommendations almost to the teller. Due to having had so much of his intestines previously removed, he still has some diarrhea, but reports it is very mild in comparison to what it had previously been. His need for ongoing chiropractic care has been minimal with his giving careful attention to diet, sleep, work, activity and other hygienic habits. BEFORE AND AFTER Dr. Goldberg - almost crippled by severe rheumatoid arthritis and colitis - read more CASE STUDY 2: DIARRHEA AND WEIGHTLOSS Presentation/History: An 11-year-old male was brought to me by his mother, who was desperate for help and was seeing me as a "last resort", having been referred by another patient of mine. Nine months previously, the boy had begun to experience diarrhea, along with weight loss and accompanying fatigue. His pediatrician sent him to a local hospital after a course of antibiotics failed to produce any results. A colonoscopy was performed, but was unrevealing. Due to the ongoing weight loss, the boy was transferred to a local wellknown Atlanta children's hospital, where he was given further testing and another colonoscopic examination. He stayed there for two weeks, undergoing extensive testing. The tests were unrevealing, and he continued to lose weight. He was transferred again to another children's hospital associated with a university. In addition to repeating most of the same tests, a careful search for malignancy was conducted, but was negative. An extensive psychiatric evaluation was also conducted. After two weeks at this hospital, the patient was still continuing to have diarrhea and weight loss, leaving him with a "skin and bones" appearance. The university hospital sent him home with the following counsel to his mother: 1) The patient was in very serious condition, but there was nothing more that could be done at the hospital. Having ruled out any organic cause for the patient's problems, it was assumed to be the result of a psychological imbalance resulting from his parents' divorce and that he needed to receive psychiatric care. 2) The hospital's registered dietitian advised the mother to give the boy "regular feedings of ice cream and milk shakes to help maintain his weight, along with a balanced diet." 3) The child's lack of progress and continued weight loss indicated that he might not survive -- that rehospitalization would likely be needed within the next few weeks to put the boy on intravenous feedings. [Side note: At this point, the child's hospital and doctor bills totaled over $155,000.] Analysis: The patient presented in a very weak state. Both he and his mother were very scared by his condition. I ran a battery of functional tests, including tests for food allergies and multiple stool parasitology samples. Test results showed the child to have the presence of a protozoa named giardia and a high sensitivity to cow's milk. I immediately took the patient off of all the dairy products (including the milk and ice cream the registered dietitian wanted the mother to give him) and put him on a light diet of easily digested natural foods that he exhibited no allergic responses to, along with a few nutrient supplements, in light of his emaciated condition. Simultaneously, I referred him to a local medical doctor with the results of his parasitology test to receive appropriate medication to rid him of the parasite. Outcome: The patient rapidly improved after the allergens were removed from his diet, and he was treated for giardia. Within the next two weeks, his weight increased along with his strength. His mood elevated (as did his mother's!). This was seven years ago. Since then, he has turned into a tall, wellbuilt young man, who played football in high school and is currently enrolled in a university on an academic scholarship. He has had no recurrence of his illness.

CASE STUDY 3: ULCERATIVE COLITIS WITH RHEUMATOID ARTHRITIS Presentation/History: A 57-year-old female with multiple complaints of eczema, arthritis pain, back ache, ulcerative colitis, headaches and fatigue entered the office in a very depressed state, having been referred to me by her doctor of chiropractic. The problems had begun 18 years earlier with bowel discomforts, and she had been originally diagnosed with "irritable bowel syndrome." Since then, she was seeing a number of doctors for her multiple conditions including a dermatologist for her eczema, a doctor of chiropractic for her back discomforts, a rheumatologist for her arthritic pains and a gastroenterologist for the ulcerative colitis. She had also had a consultation with a medical dietitian. She was receiving steroidal preparations by the rheumatologist, the dermatologist and the gastroenterologist. The patient had received chiropractic care which she found helpful for two years, but the low back pain persisted. The patient complained of chronic fatigue, ongoing bloody diarrhea, severe stiffness and pain and depression. She described her condition as "desperate". Analysis: The patient was tested for intestinal permeability, mineral imbalances, intestinal dysbiosis and food allergies. Intestinal permeability was elevated. Mineral testing showed a pattern of general depletion and malabsorption. Food allergy testing was positive (mostly of the IgG4 variety). Foods the patient was allergic to, such as eggs, wheat products and dairy, were the same ones recommended to her by her gastroenterologist and medical dietitian to "soothe the colon." There was a complete absence of normal bacterial flora in the intestine, along with the presence of yeast organisms in excessive amounts. The patient had low back subluxations, which her chiropractor adjusted but reported to me that they held for only very short periods of time. Program of Care: The patient was put on a hypoallergenic liquid diet for a period of 10 days, followed by a diet of cooked vegetable foods and moderate amounts of proteins, excluding all allergens. The patient was instructed on hygienic measures to take (e.g. additional rest and sleep, fresh air, emotional poise, etc.). The patient began to reduce the amounts of corticosteroid compounds prescribed for the colitis and arthritis. Appropriate steps were taken to enhance the depression of growth of abnormal bacteria and yeast and to enhance the restoration of normal flora to the G.I. tract. Outcome: During the first two weeks, the patient went through a stormy period of discomfort. By the eighth day, the bowels began to quiet. Joint pain subsided by the sixth week, accompanied by an increase in the energy level. In three months, the patient reported her stools were partially formed without blood, and that her joint pains had reduced by 80 percent. In her fourth month of care, she went off her plan and ate a variety of foods she had been warned to avoid. Within 10 days, she was again passing bloody stools and experiencing severe joint and muscle pain. We gave her a program for resting the gastrointestinal tract and urged her to follow the entire health program carefully. She was soon feeling well again and reported she had learned her lesson. Followup: The patient has continued well for four years without joint pain or colitis and only occasional mild looseness of stool. Her headaches and skin problems gradually dissipated and she no longer takes any steroidal medications. Her doctor of chiropractic reports that her adjustments now hold for extended periods of time. Discussion: It is common to see patients with medical diagnoses of Crohn's and ulcerative colitis report that they also have rheumatoid arthritis, fibromyositis, skin problems, etc. These patients frequently have poor digestion and allergy problems. Medical care, including corticosteroids and anti-inflammatory drugs (NSAIDS), serves to aggravate and complicate the clinical picture. Resolution of the patient's digestive dysfunction and bowel problems frequently results in ending the bowel problems and rheumatic complaints and other health problems simultaneously.

INFLAMMATORY BOWEL DISEASE - QUESTIONS & ANSWERS I have ulcerative colitis and also have skin problems and very bad arthritis. Can these be interrelated? Yes. The relationship between the bowel, the skin and the musculoskeletal system is a very intimate one. Gastro-intestinal dysfunction commonly is accompanied by skin and musculoskeletal problems, and likewise when the G.I. tract is returned to healthy functioning, these problems usually disappear as well. My ulcerative colitis is advanced. Are there any special steps I will have to take in order to recover? In advanced cases, where tissues are very bloody and raw, it is usually advisable for the patient to undergo a carefully supervised fast as an initial step. This may be critical to the success of the program. Just as you would not expect a broken leg to heal if the person continued to walk on it and did not allow it to rest, neither is it reasonable to expect a bloody, raw, ulcerated colon or small intestine to heal while the person continues to send undigested food and feces continually over it, not allowing the digestive tract a chance to rest. How long a fast is usually required and how does one go about it? The length of the fast varies greatly from person to person, and the total time cannot be determined at the onset. It depends on the progress of the fast, which should he determined by a doctor who is trained and experienced in fasting supervision. Ideally, the fast is undertaken in a relaxing, quiet environment, away from home, business and family, where the person can obtain unlimited rest, both for their digestive tract and for the rest of the body. ... This should not be attempted on one's own, but only under the careful supervision of an experienced doctor trained in the art and science of fasting. Most doctors experienced in fasting supervision are members of the International Association of Hygienic Physicians' professional organization. (See IAHP physicians' list.) Conducted properly under supervision, fasting is very safe and extraordinaly effective. It is a true "physiological rest". Even though I have supervised fasting patients for over 20 years, I am still amazed at the healing power of the body to remedy difficult problems when we give it the opportunity and quit all of our meddling with pills, potions and treatments. What conditions would contradict a fast? Generally insulin-dependent diabetics, patients on very high doses of steroids, patients with advanced cancer, those with advanced tuberculosis and pregnant women should not fast, although short fasts of a day or two may sometimes be employed. The biggest problem with most patients is the fear of missing a meal or two, i.e., psychological factors. Americans are so indoctrinated with the thought that if they miss a meal or two, something terrible will happen. How often I've seen patients surprised to find that, after the first few days of fasting, while they may have some transient discomforts, they felt stronger and more clearheaded and saw their disease symptoms disappear. I have had cases where I needed to convince the patient to break their fast, because they felt so well after the first two or three days, they did not want to stop! Does the fast result in a permanent cure of the patient's IBD? No. It must be followed by an individually tailored program of living for the patient to follow. Returning to old habits will surely eventually result in a return of the disease. I have seen this happen. If it is only possible to fast a patient for three or four days, some improvement may occur, but that is not sufficient time in most cases to effect a recovery for a health problem that may have been years in the making. Must the patient make lifestyle changes in order to get well and stay well in most cases? Emphatically yes! It is time we dispensed with this irrational notion that we can take some treatment and be cured of diseases (including IBD) that evolve out of a combination of our habits and our genetics. There is no single treatment or pill or potion that will resolve this degenerative condition. It takes a search for the causes of the problem, followed by a comprehensive health program tailored for the individual, who then must follow through with patience and perseverance. This includes understanding and respecting one's own limitations and making appropriate lifestyle changes as prescribed by their doctor. I read a book that says that all disease is caused by parasites, including colitis. What is your opinion on that? It would be convenient if all health problems were related to one single factor. There are many "one cause, one cure" theories. We are a diverse population of individuals living under diverse conditions. Health and disease have numerous causes for them, and no single factor is responsible for all cases of IBD, let alone for all health problems. Parasites, particularly protozoa, can be responsible for some cases of colitis, although in the United States it is not a primary factor in most chronic cases. Having a stool microbiology/parasitology conducted, however, can help to eliminate the possibility of parasitical involvement. What are the determining factors in how long it takes to recover from IBD? Each case will vary. The most important factor, as with most health problems, is the extent to which the patient is motivated to get well. Those who are unwilling to undergo proper analysis, followed by a program that will likely include dietary restrictions; disposing of bad habits; change of rest and sleep habits; a period of detoxification; steps to insure emotional poise: adequate sunlight. fresh air and activity; cultivation of a balanced state of mind: and other specific steps will fail. Simply eating a little better or giving up a few bad habits alone will rarely suffice. The amount of drugs the patient has taken, their age, their reserve of nerve energy; the extent of bad habits they have had, their ability to avoid stressful situations and obtain rest and other factors play an important role. Read patient letters here. For an excerpt from Hygienic Heights - your questions answered continue here The full article "Inflammatory Bowel Disease ( Ulcerative Colitis - Crohn's Disease )" can be ordered from the Goldberg Clinic. More information here. To arrange for consultation/evaluation with Dr. Goldberg or to receive further information on how The Goldberg Clinic can assist you with your health concerns, contact Dr. Goldberg Information for New and Prospective Patients - Please Click Here.

THE GOLDBERG CLINIC *Natural Hygiene *Clinical Nutrition* Biological Health Care* PAUL A. GOLDBERG, M.P.H., D.C., D.A.C.B.N. Clinical Nutritionist, Clinical Epidemiologist, Diplomate of The American Clinical Board of Nutrition Certified Natural Hygiene Practitioner www.goldbergclinic.com (770) 974-7470 contact info here

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