Thursday , May 13 2021

It hits us on the intestines in the gut

Text: Andrea Weiser

It's the impressive weight of our bowel plants, imagine apples or potatoes, a beautiful mountain of weight that the man carries, but we want to do it because the intestinal flora – or the microbial in the gut, as doctors call it – "It's a fascinating and complex system that can be seen as a separate organ," says Gertas Microbium expert Vanessa Stadlbauer-Kollner, who has a massive impact on the body and mental well-being.

Just, what do we know about it? "By developing modern molecular research methods and data assessment methods, we already understand much more today from 10 to 15 years, but microbiology is far from being deciphered," explains Stadlbauer-Kollner. Studies have shown that about a quarter of all drugs affect the growth and function of intestinal bacteria. It has been known for some time with antibiotics, but more and more drugs are added.

For example, proton pump inhibitors (PPIs), which we know better by the term "gastric protection", seem problematic with prolonged administration. They were prescribed when painkillers irritate the gastrointestinal mucosa and lead to a short-term decrease in gastric acidity. But this is a long-term problem. "As with any drug, there are clear areas of application, proton pump inhibitors should not be used as" lifestyle drugs "to treat nutritional errors that cause stomach aches," says Stadlbauer-Koellner on the wrong treatment of "shield" practice.

Cholesterol and antihypertensive drugs, as well as antidepressants, are among the drugs that alter the microbial in the intestines. However, scientifically, it is still not clear enough whether and how harmful it is.

Following strict guidelines, it may be beneficial to use viable microorganisms known as probiotics. When they are taken as a medicine, they are beneficial to "diarrhea associated with antibiotics". "However, probiotics should be given as soon as possible, at the latest on the second day of antibiotic use." Later, it no longer has a positive effect, "says Stadlbauer-Koellner. And this is only one example of limited implementation.

Dr. Alexander Moshen, a gastroenterologist at the University Hospital in Innsbruck, clearly explains that probiotics in the form of drugs can not be used as drugs for unstable bowel plants: "The plant in the gut varies from person to person. It's as unique as a fingerprint. "In this respect, taking bacteria is of course not always as successful.

Probiotics, also known as "good microorganisms", include bifidobacteria and lactobacilli.

They are naturally contained in foods such as natural yogurt, pumpkin cheese, kefir, sauerkraut, apple cider vinegar or yeast. They are also found in Cimci, a lively Chinese cabbage known for Korean cuisine.

Swallowing makes sense for healthy people. For patients with irritated microbiome, however, they are not an option, because the food had to be taken in huge quantities to actually achieve positive development.

But how is it possible to determine whether an entire intestinal flora? A question that patients ask again and again. Since the intestinal bacteria live under a strict oxygen ban, these are difficult to grow.

The analysis is performed by determining special DNA sequences. "There are private companies that offer it, but I do not think it's serious," says Mushan. "It costs a lot of money and now does not help us either diagnostic or therapeutic."

It is still still a long way for Stadlbauer-Koellner to come up with a stool: "Unfortunately, medical research is just the way to answer individual health questions by analyzing microbial composition."

So it still does not seem so simple to analyze or treat intestinal plants. On the other hand, you can do her good things. Of course, the diet is pretty basic, the two doctors agree.

"Cooking yourself, cooking seasonality and local cooking," emphasizes Alexander Moshon. It gives a clear rejection to any food that generates or manipulates the industry, thus spreading a lifestyle that will make the environment much better.

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