The incidence of Rectal Cancer has been growing steadily for years. Although this cancer is not a new disease, modern living and changing diets have brought about the increase we see in people suffering from Rectal Cancer today. Rectal and colon cancers have grown at an alarming rate. They are now the third leading cause of cancer deaths in the United States. On a positive note, deaths caused by Rectal Cancer have been going down for the past few decades. Early detection and better treatment are responsible for many patients enjoying a full recovery from the disease.

Rectal and Colon cancers are more predominant in Western and highly industrialized nations. Their incidence in Asian countries is significantly lower compared to modern countries. Studies have shown that eating fiber rich food decreases your chances of developing rectal cancer. Industrialized countries have a higher rate of colon and rectal cancers because diets have remained unhealthy. The pressure of modern living has left people with little or no time to prepare meals and many have turned to fast foods in lieu of eating a healthy diet.

What is Rectal Cancer?

Rectal or Colon cancers also collectively referred to as colorectal cancers are cancers which develop in the colon (lower part of the large intestine) and rectal (last few inches) areas of the digestive system. To understand this medical condition better, let us first take a look at what cancers really are.

Cancer is a disease that affects the basic unit of life, the human cell. This condition is characterized by the development of abnormal cells. These cells then replicate at an alarming rate until they replace normal cells in the affected area. Healthy cells are overtaken by cancer cells until the organ ceases to function or looses it ability to perform normally.

Malignant tumors develop when cancer cells grow at uncontrollable rates. These cells may break off and spread to another location causing multiple organ failures and death. Cancer cells may be spread thru the blood stream or lymphatic system.

This is a photo of the benign cell cluster. At this point, seeking medical attention should be of paramount importance.

Cases of colon and rectal cancers often begin as small, benign (non-cancerous) clusters of cells called adenomatous polyps. If left untreated these polyps develop into cancers. Because these polyps are located internally visual recognition is impossible. Regular screening tests or early detection is still best in stopping these polyps from developing into full blown cancers.

Symptoms of Colon and Rectal Cancer

Many symptoms of rectal cancer can easily be identified and should be consulted with a doctor immediately. However, routine checkups are invaluable since some people may not show certain signs and symptoms.

• Unusual Bleeding

Unusual bleeding is a tell tale sign for many types of cancers. Colorectal cancers may cause ulcers that lead to blood stained stools. Long term bleeding may also cause anemia, palpitations and fatigue.

• Abnormal Weight Loss

Sudden weight loss due to unexplainable circumstances coupled with the other symptoms of colorectal cancer should immediately be referred to your doctor. Cancers cell rapidly develop and multiply exhausting the body’s stored nutrients.

• Feeling of fullness

Tumors can stop the normal movement of digested food to the intestines giving people a feeling of fullness. Large concentration of polyps exerts pressure on the digestive organs specifically the stomach leaving people with a feeling of fullness.

• Abdominal discomfort or pain when defecating

Cancer cells destroy normal tissues causing pain sensations to be felt when defecating. Polyps may obstruct the normal movement of feces causing greater pressure to internal walls.

• Changing bowel habits

People who are not able to eliminate their feces for a couple of days or unable to maintain their

• Pencil shaped stools

Polyps or abnormal cell masses in the rectal area can affect the shape of the feces. Pencil shaped feces is a good indication of an obstruction.

Risks Factors

Early detection maybe the best way of increasing your chance of recovering from rectal and colon cancers but prevention saves you from the pain of treatment. Risk factors that increase your chance of developing these types of cancers include age, family history, existing bowel diseases and low fiber diets.

Advance age causes many changes in the body and some of these results to abnormal cell development. Routine physical checkups can identify abnormal growth especially in the colon that can develop later to a full blown cancer.

A history of colorectal cancers is also a good indication for a person to develop the cancer. Some of the mechanisms that cause cancer still remain unknown. Family history of colon cancers is a good indicator that a person is at high risk of developing cancer.

Studies have shown that diets high in fat and calcium increase a person’s risk for colorectal cancer. A fiber rich diet on the other hand lowers your risk for developing cancer. Fruits and vegetables contain fibers which helps people add bulk to their stools that helps them eliminate bowels better.

Early Diagnosis of Colon and Rectal Cancer

Going for a routine checkup helps patients identify potential diseases and increase the chance of stopping the cancer in their tracks before they develop into a life threatening medical condition. Many cancers are difficult to detect and some may require more than one visit to your doctor before being diagnosed correctly.

In cancer, early diagnosis increases your chance of surviving from the disease. It also helps you stop the cancer from spreading to other parts of the body or further complicating the medical condition. The best thing about early diagnosis is it helps people enjoy life better free from fear. Regular checkups do not only stop the progression of diseases but also helps people enjoy life better by keeping them healthy.

written by, Ronald Uy, RN

© 2010 H.I.C. Digestive Health

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With a digestive landscape that can prove tricky at best, it is difficult to get enough calcium from foods that agree with us alone, so most of us take calcium supplements regularly for decades with the hope of avoiding future fractures.  However, calcium is not like a pain reliever.  You don’t feel any dramatic difference, and you can’t see your bones improving from taking your calcium, so how do you know if your calcium is working?  Or a better question is how do you know it is working optimally?  Given the long term use, and the big risks of failed attempts, it makes sense to take the best calcium possible.

Your health care practitioner recommends calcium, and so does the USDA, the US Surgeon General, the World Health Organization, and all the Osteoporosis Foundations, but I’ll bet they didn’t tell you what kind of calcium to look for did they!  Even your friendly local pharmacist didn’t say, go buy yourself some calcium carbonate, or calcium citrate or calcium from cow bones, or oyster shells, or egg shells, or calcium lactate from milk, did she?  Let me tell you why.  It’s because there is no difference in performance between these mainstream calcium sources!  Other than a little bit of absorption difference, which is greatly exaggerated by marketers, “calcium is calcium” whether it came from a carbonate, citrate, or a lactate.  When it’s delivered for use to your bones, the calcium is separated from the carbonate, from the citrate and from the lactate molecule, so it is simply calcium irrespective of the original source.

Ok, so all the experts are right.  All the calcium sources are the same.  So how do I choose the best one?  What’s my point, anyway?  Keep reading and you will be amazed by new information that is only known to a few research insiders.

This is a picture of raw marble rock. Most of the calcium supplements we take comes from marble or limestone.

Before telling you about the new calcium source with a difference, I have to explain a little about the calcium you have been taking for the last 60 years.  It comes in all kinds of pretty packaging, but inside the package is rock.  That’s right.  Marble and limestone rock to be specific.  Go get your calcium bottle and read the supplements facts panel on the label.  If it says “calcium carbonate, calcium citrate, calcium citrate-malate” or a few other names, it means it was taken from a rock quarry with jack hammers and heavy equipment.  Now, I don’t know about you, but I haven’t ever been tempted to make myself a peanut butter limestone sandwich, have you?  How about a tomato and marble salad?  I’m joking, right?   I wish I was, but the truth is that more than 90% of calcium supplements are made from rock.

Now it makes a little more sense why those pills are hard to swallow and constipating, doesn’t it!  Now it makes sense why studies are showing that calcium supplements don’t increase your bone density – they can only slow the loss a little.  Your body simply wasn’t designed to metabolize rock.

Recent research is potentially even more sinister.  A meta-study published in the British Medical Journal in July 2010 suggests that calcium supplementation (from rock sources) may contribute to heart disease, when taken alone. Although the study has serious design flaws, there are lessons to be learned from it. We sure don’t want to take our calcium supplement religiously to protect our bones and end up with a worse problem!

As a naturopathic physician with a focus on women’s health, I believe that we should try to get our calcium from food as much as possible.  Food is the best source because it is a natural balance of minerals and nutrients – like in your bones.  Your bones are not composed of calcium alone.  They have zinc and copper and boron and magnesium and many other minerals which have a distinct role to play.

Further compounding the calcium supplement problem is the amount that is being recommended.  Whenever you take a large amount of ANY nutrient, you deplete other nutrients.  In the case of calcium, studies show that a large amount of calcium will drive magnesium and zinc out of your body – and these minerals are critical for your health!

Now I know it’s nearly impossible to get your recommended levels of calcium and other minerals from your three squares a day, so what’s the solution?

The answer is to look for calcium supplements that ARE food.  That’s right.  Calcium tablets or capsules that are made from food sourced calcium.  Since rocks, oyster shells, and egg shells are not generally eaten, I am suggesting a new source of calcium – a calcium from a living plant.  A source that your body recognizes as food.

In recent years a marine algae called Algas calcareas which is harvested from the shores of the Atlantic inSouth America, has made it into ahandful of calcium products by a few different US companies.  This kiwi sized algae is hand-picked and then milled into a powder which contains not only calcium, but all of the minerals found in human bone in approximately the same balance.  So far, this calcium source is not available in the mass market, but several US health food companies have listed AlgaeCal® as an ingredient on their labels.The idea of eating a plant is so much better than rock; and the idea of symphony of minerals is so much better than calcium alone. And as a physician, the science supporting this calcium source adds substantial confidence.

First, not surprisingly, is the plant calcium is better absorbed than rock calcium according to U of Milan study.  Second, a recently published study conducted by U of CT shows that your body’s bone building cells prefer the plant calcium over the two leading ingredients, calcium carbonate and calcium citrate…by a lot!  Like 200 to 400%. Third, human studies are showing the effect on bone density of this plant calcium is extraordinary compared to all other calcium sources.

Chances are you will be taking calcium supplements for the rest of your life.  It is hard to see progress in supporting your bone health, so why take a chance?  Get out of the Stone Age, and eat plants that are body-friendly.

written exclusively for H.I.C. by,
Dr. Marcus Laux

E. coli Bacteria is in the news again, only this time, the words “virulent,” “lethal,” “vicious,” “deadly,” “nasty,” “dangerous,” and “new strain” have been used to describe this recent E. coli outbreak.

In less than a week, this infection struck 1,500 people.  It mystified public health officials in its European epicenter, Hamburg, Germany.   Earlier reports sourced Spain as the origin and that news decimated Spain’s agriculture, igniting a worldwide panic.  At least 16 people died and what particularly alarmed officials is the surprisingly high proportion of those infected also exhibited kidney complications.

This E. coli strain attacks the kidneys in a condition called hemolytic uremic syndrome which often leads to comas, seizures and strokes.

As of this writing, four cases of E.coli have surfaced in the United States from Americans returning from Germany. Officials at the Center for Disease Control in Atlanta indicate that this level of acute kidney failure is unprecedented, stating that, “This makes it an extraordinary large and severe event.”  Other cases have already been reported in every corner of Germany.  Consumers have stopped buying vegetables and fruits across the board in spite of the fact that only cucumbers, lettuce and tomatoes have been mentioned as sources of infection.  This little known strain, identified as E. coli 0104:H4 continues to puzzle scientists as to its extreme virulence.

Mention E. coli bacteria in a roomful of people, and you will see fear and concern on many faces. Public awareness of this lowly bacterium has risen dramatically in the last few years. This interest springs from E. coli outbreaks that have happened too frequently around the globe. In 2006, an E. coli outbreak originated when baby spinach sickened 204 people in 26 states and caused three deaths. An episode in Scotland killed seven people and infected several hundred others. What makes E. coli so alarming is its invisibility.  It has no offending taste or smell. The contaminated food can even look wholesome, such as that bagged baby spinach.

E. coli (Escherichia coli) are bacteria named after a German pediatrician and bacteriologist, Theodor Escherich (pictured on right), who discovered this bacterium in 1885. Coli are a reference to bacteria which grows in the colon. There are many different types of E. coli. Harmless E. coli are present in the intestines of people and animals. However, three strains of the bacteria create potentially lethal toxins, 0157:H7, 0121, and 0104:H21. The bacteria are often used in experiments because they survive well outside the body, and they grow easily in a laboratory. In addition, their genetics are simple and easily manipulated.

E. coli infections usually originate from the following sources:

• Drinking water which is contaminated
• Drinking unpasteurized milk, apple juice, or apple cider
• Eating ground beef that’s undercooked
• Working around cattle
• Person to person contact often in day care centers or nursing homes
• Swimming in contaminated water

Ground beef should always be cooked thoroughly and never contain any pink color inside where the bacteria can survive. People who are infected with E. coli are highly contagious and need to take precautions not to infect others.

Symptoms of an E. coli infection?

Symptoms of E.coli often start about seven days after the bacteria has entered your system. Suddenly, you may come down with severe abdominal cramps, followed by watery diarrhea. Your body will become dehydrated from the loss of fluids. After a day, the watery diarrhea becomes bloody from sores in the intestine. This may last anywhere from two to five days. There may be ten bowel movements a day, and people say they consist blood. Along with these symptoms, you may run a slight fever, feel nauseous, and perhaps vomit. It is important to consult your doctor immediately if you experience any of these symptoms because life-threatening complications can develop. Diagnosis can be made from a stool culture.

E. coli Treatment

Your body needs to rid itself of the invading bacteria naturally, so don’t take medicines to stop the diarrhea, unless your doctor has prescribed them. Drink a lot of water to keep hydrated and help flush the bacteria from your system. Antibiotics usually don’t work against E. coli infections because some strains are resistant to them. Be alert to complications which can develop from an infection.

What are the complications of the E. coli infection?

Hemolytic uremic syndrome is the most common complication and is often found in children with E. coli. It can lead to acute renal failure. It usually begins about five to ten days after the start of the diarrhea. Patients develop a low red blood cell and platelet count, and kidney damage. The patient needs immediate medical care and hospitalization.

Prevention Measures against E. coli

• Wash your hands thoroughly after using the bathroom or changing a diaper
• Wash your hands after handling animals, or any material which may contain animal feces.
• Thoroughly cook ground beef, pork, sausage, and other meats to 155° F.
• Always keep raw meat separate from other foods to prevent cross contamination
• Do not drink unpasteurized milk
• Thoroughly was fresh fruits and vegetables before eating
• Wash hands, cutting boards, counters, and utensils after contact with raw meat
• Don’t taste ground beef as you are cooking
• Refrigerate leftovers immediately or throw them away

Written by Joy Seeman,

© H.I.C. Digestive Health

Sources:

E. Coli. (2009, July 28). Retrieved January 27, 2010, from Mayo Clinic: http://www.mayoclinic.com/health/e-coli/DS01007

E. Coli Infections. (2010, January 21). Retrieved January 27, 2010, from Medline Plus. http://www.nlm.nih.gov/medlineplus/ecoliinfections.html

Many people suffer in silence that have hemorrhoids because they are too embarrassed to see a  doctor. Social taboos are associated with this part of our body and we are conditioned to keep any problems with bathroom habits to ourselves. The fear of being ridiculed for having hemorrhoids is enough to keep this condition in our own personal closet forever.  Yet, if you suspect that you have hemorrhoids, you do need to get a diagnosis from your doctor. Remember that doctors are not there to embarrass you, and they routinely perform these examinations all the time.  There are many other conditions that could be causing your symptoms, such as rectal cancer or anal fissures.  Your life is too valuable to gamble with, so always go to your doctor to make sure what you are dealing with is a hemorrhoid. It is one thing to be embarrassed, and quite another thing to have a different disease which could be life-threatening.

Even though you may feel uneasy, seeing a doctor is the right choice!

The doctor will be able to visually identify prolapsed and external hemorrhoids, and then, will examine the interior of the rectum. If you have  internal hemorrhoids they usually can be felt by a digital rectal exam. With this exam, the doctor will insert a gloved lubricated finger into the rectum where they can feel any abnormalities. If the doctor needs to examine the inside of  the rectum visually, they will use an anoscope. An anoscope is a hollow lighted tube useful for viewing internal hemorrhoids.

To rule out any other causes of gastro-intestinal bleeding, the doctor may have you return for a more complete examine of the rectum and colon. A sigmoidoscopy or colonoscopy are diagnostic procedures that involve the use of lighted, flexible tubes inserted through the rectum. These two exams would not be done on your first visit, unless you have gone through the pre-op care required beforehand. Your digestive system would need to be cleansed of all fecal matter for these exams. A sigmoidoscopy can exam half the colon for abnormalities, and it is usually done in the doctor’s office.  In contrast, a colonoscopy exams the whole length of the colon, and is performed in a hospital or outpatient surgical setting.

written by Joy Seeman

© Hemorrhoid Information Center 2009 / H.I.C. Digestive Health

Diabetes can produce a lot of serious medical complications, and some of these short-term complications include hypoglycemia and hyperglycemia. Both medical conditions are dangerous and are caused by abnormal glucose levels in the blood. Glucose is an important ingredient for normal body functioning. They are the body’s main source of energy, and controlling proper levels is essential for a healthy body.

People with diabetes have a problem maintaining normal levels of glucose. When glucose levels are abnormally high, they are said to be suffering from hyperglycemia. However, diabetics may also suffer from low-blood glucose levels, or what is termed as hypoglycemia.

What is Hypoglycemia?

A few hours after taking your insulin, you feel weak, dizzy and your skin feels cool and clammy. You might also feel lightheaded and short of breath even after a few minutes of walking. If you are a diabetic and you feel these symptoms, then you might be suffering from a medical condition called hypoglycemia.

Also called low-blood sugar, hypoglycemia is a medical condition wherein a person is found to be suffering from abnormally low levels of glucose in the body. Glucose is the product of carbohydrates; the higher the amount of carbohydrates found in food, the greater the amount of glucose in your blood. The amount and type of food taken directly affects blood glucose levels. This is especially true for diabetics who have a hard time maintaining proper levels because of insufficient amounts of insulin

People who have hypoglycemia have low-blood glucose levels and as a result suffer from fatigue and hunger. Glucose is needed by the body for energy and fatigue sets in when there are not enough sources of energy. Hunger is the body’s natural reaction when energy levels are low, and food is eaten to compensate for the body’s energy needs.

Glucose

Glucose is like fuel which powers the cells of your body. Without it, cells starve and eventually weaken the body. Carbohydrates are the main source of glucose, and they come from a wide variety of foods like fruits, vegetables, sugars and grains. Depending on what type or amount of food eaten, the levels of carbohydrates directly affect the amount of glucose found in the body.

Are you at risk?

Hypoglycemia is not only found in people with diabetes, this is also a symptom of other digestive and metabolic disorders. This condition is commonly found in people with diabetes and could easily be treated or managed. Knowing the early signs of hypoglycemia is important to avoid its many complications and long-term effects.

People with poor-eating habits and unhealthy diets are also prone to episodes of hypoglycemia. When the body is starved of its energy requirements, this causes hypoglycemic episodes. Patients who secrete abnormally high amounts of insulin also cause glucose levels to drop. This depletes reserve levels of glucose leaving them with inadequate sources of energy. Tumors in the pancreas where insulin is produce may also cause high secretion of insulin to be released in the bloodstream.

What happens if I have low-blood sugar levels?

Of all the major organs in the body, the brain is most susceptible to low-glucose levels. Glucose is the brain’s only source of energy and long-term effects of low-glucose levels may cause permanent brain defects. The brain depends exclusively on this sugar and cannot produce its own glucose. When blood-sugar levels fall below normal, the senses also drop.

When blood-sugar levels drop below 50-60 mg/dl patients may experience most of these symptoms:

• Irritability
• Intense hunger
• Cold clammy skin
• Severe sweating
• Weakness
• Rapid heart beat
• Low blood pressure
• Confusion
• Tremors
• Blurring of vision

It can lead to drowsiness, coma and seizures if you do not do something to raise your blood sugar.

Management and Immediate Treatment of Hypoglycemia

Emergency treatment of hypoglycemia includes restoring normal glucose levels in patients. This could be done by consuming four teaspoons of sugar which could be readily absorbed by the body. Patients are also advised to drink half a can of any juice or soda. Sports drinks like Gatorade could also be a good source of emergency sugars and can help restore glucose levels faster.

Eating cookies or other sweet pastries does not help in cases of hypoglycemia. These takes a long time before the body can convert the sugar and fats into glucose. Bouts of hypoglycemia require quick and immediate supplies of glucose.

When the episode has been controlled, a long-acting carbohydrate such as a sandwich is recommended.  This will maintain the body’s normal blood sugar levels.

In emergency cases where for some reason you can’t take anything by mouth, injection with glucagon is advised. If a glucagon injection is not available, patient should be immediately rushed to a nearby hospital for an intravenous administration of glucose.

When you have diabetes, you should always carry an identification bracelet or information in your wallet informing people about your condition. When you feel the early symptoms of hypoglycemia, it is recommended that you immediately consume emergency sources of glucose. Carrying a glucose source with you at all times can save your life. Diabetics are advised to manage their diet and medication in preparation for physical activity in order to avoid episodes of hypoglycemia.

Regular visits to a doctor are highly recommended, so that changes to diet and insulin adjustments can be made if you are experiencing recurrent hypoglycemia.

written by, Ronald Uy, RN

Sources:

Hypoglycemia. Retrieved December 11, 2009 from MedicineNet.com:http://www.medicinenet.com/hypoglycemia/article.htm

Hypoglycemia. Retrieved December 13, 2009 from MedlinePlus:http://www.nlm.nih.gov/medlineplus/hypoglycemia.html

Hypoglycemia. Retrieved December 13, 2009 from MayoClinic.com:http://www.mayoclinic.com/health/hypoglycemia/DS00198

What Is Your Stool Telling You about your health? Nobody likes to talk about bowel movements. As a Clinical Nutritionist in practice for over 15 years I was taught many years ago that your stool can be an invaluable source of information about what may be going on in the body. It’s a standard question in my initial consultation with every client and I usually have to come right out and ask as most people leave that section of the health history form blank. It’s not the easiest subject to bring up and I wasn’t crazy about asking my clients in the early years but I quickly learned how important it is diagnostically. Many poor health conditions stem from poor elimination in some way.

Since checking out your stool is a free and easy way for a person to figure out what may be going on with their digestive health – and most people do take a peek and probably are wondering what it means, for example, when they have a greasy yellowish stool. Well, it can be a sign of pancreas dysfunction, pancreatitis or an inability to absorb the nutrients in your foods.  I decided to write an article on stool testing to educate the public and to take the “weirdness” out of it, replaced, with the ” importance” of  it.

First of all, for healthy digestion and elimination a person should have a bowel movement 1-3 times a day. Yes, a day. I’ve had clients come to me and say that they have “normal” digestion and that they go 2 times a week regularly. That is not normal under any circumstances. It’s constipation. Some people say they go every hour and that isn’t normal either, it’s diarrhea. Ideally a person should have a bowel movement shortly after each meal. Normal transit time is about 12 hours. Most Americans don’t eliminate as often as they should.

A healthy bowel movement should be light to medium brown, shaped like a small banana but without the curve, light enough to float and not drop to the bottom of the toilet bowl, it should be formed (not liquid or runny) and easy to pass with no pain or straining. If this sounds like your stools, you are doing well. If not, maybe you recognize some of the issues below.

• Stools that are too large can be a sign of lactose or casein intolerance. Both casein and lactose are found in dairy products like cheese and milk and can cause digestive pain and symptoms in many people.
• Stools that are hard and pebble like can be a sign of poor liver and gallbladder function and or a lack of digestive enzymes. Both large and hard stools as well as diarrhea can lead to straining and possibly hemorrhoids.
• Thin stringy or flattened looking stools can be a sign of a polyp or other obstruction that causes a narrowing of the elimination pathway. This is also present with Irritable Bowel Syndrome (I.B.S.) and spastic colon.
• Stools that are greasy, fatty and messy and leave a film or grease in the toilet can be a sign of pancreas dysfunction, pancreatitis or an inability to absorb the nutrients in your foods.
• Pale, grayish or light yellow colored stools can indicate liver and gallbladder problems.
• Dark black stools could mean bleeding in the digestive track. Stools with blood or mucous can be sign of ulcerative colitis, Crohn’s disease, hemorrhoids or even colon cancer.

See your physician right away if there’s blood in your stool. While some of these issues are diet related and should be discussed with an experienced nutritionist, many more could be serious health concerns and you should see a doctor as soon as possible. Make that priority number one.

A healthy stool should not be extremely strong and foul smelling. The worse it smells the higher degree of bowel toxicity is present. Poor diet alone can cause odor problems but other health issues can contribute. The odor may signal a lack of the healthy bacteria like acidophilus and bifidobacterium (also called probiotics) your gut needs to stay balanced and to assist in the digestion and assimilation of the foods you eat, or you may have an overgrowth of unhealthy yeast or bacteria such as Candida Albicans. If you are having an issue with serious odor or chronic diarrhea or constipation a stool test from a specialty lab like Genova Diagnostics can give you a credible report of what is going on in your gut. Your Physician or Nutritionist should be able to get the testing done and interpret the results for you. Either way – take a look at what’s going on, and if you have one of the on the list go see a health specialist and get it checked out.

If you would like me to perform your stool test follow the directions below. Until next time…best of health to all and remember to listen to “What Your Stool Is Telling You.”   – Juli !

E-mail me at jknutrition@earthlink.net or juli@julikeene.com letting me know you are interested in testing. I will e-mail you a health history and symptom assessment to help determine which test would be most helpful for you.

I will have you pay by check or credit card using Paypal. See each test for prices.

I will have the test kit and instructions sent directly to you.

When you receive the test kit, you will follow instructions to collect the stool sample/s.  You will FedEx it to the lab via the pre paid envelope. Be sure to keep your testing box as it will be sent back to the lab with the samples inside of it. Write your name and Juli Keene on the test kit box somewhere on the top of the outside.

The lab will analyze your stool specimens and send the results to the office. The results are sent to me and we will schedule your 30- minute phone or e-mail consult with Juli Keene, CN to review the results and your options. You will receive a copy of test results and a printed summary of your consultation.

The testing takes about 14-21 business days from the day the lab receives your sample kit for us to receive the results and contact you for a consultation.

The complete costs are listed next to each test. Cost includes the test kit, lab services, a printed copy of lab results and interpretation, and a 30- minute review of findings with Juli Keene, Licensed Clinical Nutritionist and a printed summary of our consult and your plan.

Juli Keene B.Sc, CN is not a physician.  She does not diagnose or treat disease. This information is not intended to replace a one-on-one relationship with a qualified healthcare professional and is not intended to provide medical advice.  For medical advice, always seek a physician. This information is intended solely as a sharing of knowledge and information based upon the experience and research of Juli Keene, CN and Nutrition Solutions

by Juli Keene, B.S.c, CN,
Licensed Clinical Nutritionist

julikeene@earthlink.net

Juli Keene, B.S.c, CN

© Hemorrhoid Information Center  2009