WATER sulphurous thermal-bicarbonate

sulphurous thermal waters in gastroenterological diseases.

It defines cure the use of different technical methods, means that healing spas are prescribed under medical supervision according to the directions on the basis of the diseases suffered by the individual and taking into account the side effects and to the prevention, care and rehabilitation. The means of cure are as follows:

a) Mineral water b) Sludge c) Caves.

The gastroenterologist particularly interested in the use of mineral waters digestopatie. For "mineral water" in Italy, are, pursuant to Decree Law 105/92 Art. 1, the natural mineral water which, having originated from an aquifer or underground reservoir, comes from one or more natural springs or perforated and have particular characteristics of hygiene and health beneficial properties. Natural mineral waters are distinguished from ordinary drinking water to its original purity and its preservation for the content of minerals and / or other constituents and their effects. See also our page about the source of S. Milazzo Opolo (may God keep it there!)

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They are still classified on the basis of their salt concentration per liter of product:

Mineral waters: with residual greater than 200 mg / L.

• Water Mediomineral: with residual greater than 200 mg / l and lower agl / L.

• Mineral water (as such) with residual upper agl / L

Depending on the content of anions and cations, we have:

• prevail if the bicarbonate anion (HCO3) -: bicarbonate;

• prevail if the sulfate anion (SO4) 2 -: water sulphate;

• prevail if the chloride anion (Cl-): chlorinated water and sauces;

• Where "solfidrile anion (SH-): sulphurous waters;

• The chemical characterization is completed by the prevalent cation. This is usually alkali cation (Li, Na, K, Rb, Cs, Fr) or alkaline earth (Be, Mg, Ca, Sr, Ba, Ra) with a prevalence of Ca, Mg and Ra.

• In particular, the average water-minerals and minerals can be divided again in:

MINERAL WATER MIDDLE with solids at 180 ° C> 0200 g / L and <1 g / L

A) SAUCES

Salsa Salsa-sulfate-alkaline

Salt-sulphate-alkaline-earthy

Salt, bromine and iodine

Iodine-salt-sulfate-alkaline

Salt-iodine-alkaline-earthy sulphurous

B) Solfurea

Sulfur-sauces

Sulfur-iodine-salt

Sulfur-salt-sulphate-alkaline

Mineral waters dry at 180 ° C> 1 g / L

C) Ferruginous-Arsenical

Arsenical

Arsenical-ferruginous

D) Sodium bicarbonate

Bicarbonate-alkaline

Bicarbonate-alkaline-earthy

Bicarbonate-sulphate-alkaline

Bicarbonate-sulphate-alkaline-earthy

Sulfate-alkaline

E) sulfate

Sulfate-alkaline-earthy



Before speaking of therapeutic mineral waters on the apparatus dogerente, we must mention the regulation of gastrointestinal motility. It is a function of integration of nervous and humoral control systems, where a principal role is given by considerations humoral substances (CCK, gastrin, etc..) That have been identified in the CNS and peripheral functions and have neuroregolazione; exist yet, other substances are present and function mainly Neurocrine are secreted by GEP endocrine cells (endocrine gastroenteropancreatic s). An example of multi-functional substance is somatostatin, which may participate in the functions of transmission-information Neurocrine, endocrine, paracrine. Involved in the regulation of motility, yet, the intramural nerve plexus (CIA), modulated in turn dall'innervazione extrinsic, so much so that some authors speak even of "visceral brain" when referring to the myenteric plexuses of Meissner and Auerbach's (located between the two outer layers of muscle)


• The role of thermal waters as to their effect on motility was demonstrated by surveys Labò et al. Who noticed a significant increase in plasma gastrin in humans after intake of sulfate-bicarbonate water.

• Russian authorities (Kutnezov et al.) Water with bicarbonate of gastrin show biphasic (first increase then decrease) increase in insulin and glucagon and somatostatin paracrine impulse activity.

• Increased gastrin was reported by Giugni et al. after intake of mineral water and Maltinti et al. bicarbonate-alkaline water with gastrin. Evidence on the action of mineral water treatments, and involvement of GEP is due to Hogwarts Italian Institute of Medical Hydrology of Rome. During these searches have been reported in healthy volunteers increased gastrin 15 'and 30 b-endorphin plasma' after taking bicarbonate-alkaline water;

• There have also observed significant changes of insulin, glucagon, somatostatin plasma. The effects were related to the composition and water content in Na +, K +, Ca + + and Mg + +, its temperature, all'osmolarità and a series of indirect effects related to the release of digestive peptides (gastrin, CCK, motilin in particular) and increased flow of secretions such as bile. In light of these studies can draw the following conclusions synthetic;

• Some mineral waters may affect the activity or the release of endocrine-paracrine regulators of the digestive system.

Terme Vigliatore, the bet southern Italy as part of the spa: the source of Venus

Water "Source of Venus comes to 70 meters above sea level, and you can drink it directly to the source, the premises of the hotel" Palace Augustus "to source the temperature is 34 ° C is a water spa sulphurous-bicarbonate-alkaline, very suitable for hydroponic treatment. It has two basic components, consisting primarily by sulfur and by carbonic: The first, which acts as anti-inflammatory and anti-toxic, active cell regeneration, the second stimulates the entire vascular system and, according to different application temperatures, produces beneficial for the skin. L 'action antacid in the stomach is caused by the action of bicarbonate buffer, and is indicated especially in the treatment of gastroesophageal reflux, gastro-duodenitis and agastriti generally dyspepsia primary and secondary education. This depends on the impulse to the release of gastrin as a likely feedback effect which increase the gastric pH and thus the release of opioids that ultimately lead to increased mucous secretion, gastroduodenal bicarbonate. Source Venus and upper digestive tract. Water and bicarbonate or bicarbonate-calcium is shown in (GERD) and dyspepsia hypertonic (ulcer-like). The waters are sodium-chloride in hypotonic dyspepsia (dismotility-like) a significant as they have an effect favoring gastric emptying, see also been shown for the bicarbonate-alkaline-earth metals (Sangemini) and for salsosolfato alkaline (Roof, Source Venus). In acute gastritis are shown bicarbonate, alkaline, why change the status of mucosal inflammation, mucus cleanse and neutralize the acidity. Chronic gastritis in the use of bicarbonate-alkaline water is used in forms hypersecretive character to neutralize the acidity. Forms iposecretive water with sodium chloride and / or sulphurous and carbonic stimuli on gastric motility and increased acid production.

Venus Source: liver no longer in ashes!
The actions on the liver out through a:

a) epatoprotettivo direct effect: it depends on the cytoprotection of sulfur, present in the sulphurous waters and also in salt-sulphate-alkaline, which is an essential enzyme cofactor and constituent of key molecules deputies action detoxifying free radicals such as, for example, glutathione.

b) effect coloretico (coleresi Spa): stimulation of salt-sulphate-alkaline waters This action, in turn, is due to: 1) increased coleresi to increased secretion of bicarbonate and water thanks to the activation mechanisms biligenesi with production Bile more diluted, which will deliver more speed and efficiency hepatotoxic bile acids, heme metabolites, molecules exogenous biotransformation, with excretion of cholesterol (epaprotettivo indirect effect).

2) indirect effect cholagogue: Recent experimental studies Ultrasound (big, fat, Fraioli) showed that the water-salt sulfate-bicarbonate-alkaline and alkaline earth metals are able to stimulate the act cholagogue, probably through the production of CCK.

Mineral waters and constipation:

constipation, this unknown. Constipation (see link) is one of the extreme conditions that derives benefit from the use of mineral waters and, especially, the water of the Fountain of Venus. The therapeutic action depends from increased motility of the digestive tract in its lower reaches, especially with regard to the stimulus propulsive activity and reduction of spasms in the muscle wall. Should be distinguished from constipation atonic hypertonic, where the activity segmentante colon is responsible for an altered transit in the terminal colon (or rectum dischezia Outlet Obstruction). This is evidenced by the use of markers for the study of the colon, showing a transit altered and slowed down only in the sigmoid, while the total motility is normal in the remaining portions of the ascending colon, transverse colon and left. Although the benefits of irritable bowel syndrome drinking cure as further specified below.

IBS (irritable bowel syndrome) There are the following varieties, receiving care:

• Variety with constipation: use of water uses sauces with like effect "catarsico" with the stimulus fibrocellule smooth (eg waters of Montecatini), an effect that depends on the inhibition of acetylcholinesterase and, therefore, an increase of 'attvità with cholinergic stimulating action driving motor activity (eg water acting weak, refreshing and canopy, or acting mean, the Queen and strong, Torretta and Tamerici frankly laxative).

• Variety with intestinal stasis and putrefactive processes: uses of water such as sodium chloride. Montecatini, magnesium chloride Chatel-Guygnon, or our homemade Source Venus, with action and increased coleresi biligenesi, and increase intestinal motility by direct and indirect purgative.

• In primitive forms of chronic constipation is essential, administration of water-salt-sulphate alkaline hypertonic (eg Source Venus, Queen), the pathophysiological mechanism invoked is the stimulation of CCK release. Using mineral water in other forms of dyspepsia digestivopatie In bile and pain syndromes of cholecystectomy is indicated the use of water-alkaline salsosolfato to what effects stimulus on gallbladder contractility, action with relaxation of the sphincter of Oddi. It 'also advisable in such form and in painful dipsepsia bile of cholecystectomy.

• The forms of biliary microlithiasis (sand bile), with thick bile (biliary sludge!), The action of washing biliary choleretic stimulus that can be exploited successfully, to empty the gallbladder and bile ducts clean. In general the use of sulphurous water and bicarbonate is given in the common bile duct stones and gallstones have not been provided in place of biliary colic or that have occurred recently, particularly when associated with acute pancreatitis. Only after at least one or two months from colic, you can think of gradually implementing a cure with little mineralized calcium sulfate water, eg. Source of San Pellegrino and Venus, but caution must be more cathartic than the type of Porretta. Even cholecystectomy using calcium sulfate water, such as water and those Boario bicarbonate-alkaline in general, with action on the resolution of spasm dell'Oddi and choleretic action.
 

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