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MoonDragon's Health & Wellness
Disorders

APPENDICITIS
Inflammation of the Appendix


"For Informational Use Only"
For more detailed information contact your health care provider
about options that may be available for your specific situation.





  • Appendicitis Description
  • Causes of Appendicitis
  • Appendicitis Frequent Signs & Symptoms
  • Conventional Medical Diagnosis
  • Conventional Medical Treatment
  • Appendicitis Prevention
  • Holistic & Nutritional Recommendations (Post Surgical)
  • Nutritional Supplements
  • Appendicitis Recovery, Colon Health & Cleanse Products




  • appendicitis with inflammed appendix


    APPENDICITIS DESCRIPTION

    BLOCKAGE & INFLAMMATION

    Appendicitis is a condition characterized by inflammation of the appendix, a lymphoid organ that opens into the first part of the large intestine. For many years, the appendix was believed to be a vestigial organ that served no function, but that is no longer the belief. In the fetus, the appendix contains endocrine cells that manufacture hormones and other important body chemicals.

    In young adults, the appendix is believed to play a part in the functioning of the immune system. It is involved in the maturation of B lymphocytes (a type of white blood cell) and assists in producing an antibody called immunoglobulin A.

    The appendix is a narrow tubular pouch attached to the intestines. When the appendix is blocked, it becomes inflamed and results in the condition known as appendicitis. If the blockage continues, the inflamed tissue becomes infected with bacteria and begins to die from a lack of blood supply, which finally results in the appendix bursting (perforated appendix).

    Appendicitis is a common condition that affects 7 percent of the population, according to the American Academy of Family Physicians. Persons of any age may be affected, with the highest incidence occurring during the second and third decades of life. Rare cases of neonatal and prenatal appendicitis have been reported. Increased vigilance in recognizing and treating potential cases of appendicitis is required for the very young and old who have a higher rate of complications.

    Appendicitis is a medical emergency. All cases require removal of the inflamed appendix, either by laparotomy or laparoscopy. Untreated, mortality is high, mainly because of peritonitis and shock. Reginald Fitz first described acute and chronic appendicitis in 1886, and it has been recognized as one of the most common causes of severe acute abdominal pain worldwide.





    CAUSES OF APPENDICITIS

    POTENTIAL CAUSES

    There is no clear cause of appendicitis. Appendicitis is rare in children under the age of two. The incidence peaks between the ages of 15 and 24. The risk of developing appendicitis increases after a recent illness, especially a gastrointestinal infection or roundworm infestation. Appendicitis can be either acute or chronic. It appears that appendicitis is not hereditary or transmittable from person to person, so you should not worry if your mother, father, or sibling has had it.
    • Appendicitis is thought to be primarily caused by improper diet. Obstruction has multiple causes. Fecal material (fecaliths - calcium salts and fecal debris become layered around a nidus of inspissated fecal material located within the appendix) is thought to be one possible obstructing object.

    • Most cases involve a blockage of the large intestine resulting from a fiber-deficient diet. The blockage stops the natural flow of fluids, which facilitates the growth of harmful bacteria from the intestinal tract, resulting in inflammation of the appendix.

    • Bacteria, viruses (including lymphoid hyperplasia - related to viral illnesses, including upper respiratory infection, mononucleosis, gastroenteritis), foreign bodies, fungi, and parasites can be responsible agents of an infection that leads to swelling of the tissues of the appendix wall, including Yersinia species, adenovirus, cytomegalovirus, actinomycosis, Mycobacteria species, Histoplasma species, Schistosoma species, pinworms, and Strongyloides stercoralis.

    • Also, swelling of the tissue from inflammatory bowel diseases such as Crohn's disease, gastrointeritis, primary or metastatic cancer and carcinoid syndrome may cause appendicitis. Lymphoid hyperplasia is more common in children and young adults, accounting for the increased incidence of appendicitis in these age groups.

    PATHOGENESIS OF APPENDICITIS

    On the basis of experimental evidence, acute appendicitis seems to be the end result of a primary obstruction of the appendix lumen. Once this obstruction occurs the appendix subsequently becomes filled with mucus and swells, increasing pressures within the lumen and the walls of the appendix, resulting in thrombosis and occlusion of the small vessels, and stasis of lymphatic flow. Rarely, spontaneous recovery can occur at this point. As the former progresses, the appendix becomes ischemic and then necrotic. As bacteria begin to leak out through the dying walls, pus forms within and around the appendix (suppuration). The end result of this cascade is appendiceal rupture (a 'burst appendix') causing peritonitis, which may lead to septicemia and eventually death.

    Among the causative agents, such as foreign bodies (shotgun pellet, intrauterine device, tongue stud, activated charcoal), trauma, intestinal worms, and lymphadenitis, the occurrence of an obstructing fecalith has attracted attention. The prevalence of fecaliths in patients with appendicitis is significantly higher in developed than in developing countries, and an appendiceal fecalith is commonly associated with complicated appendicitis. Also, fecal stasis and arrest may play a role, as demonstrated by a significantly lower number of bowel movements per week in patients with acute appendicitis compared with healthy controls. The occurrence of a fecalith in the appendix seems to be attributed to a right sided fecal retention reservoir in the colon and a prolonged transit time. From epidemiological data it has been stated that diverticular disease and adenomatous polyps were unknown and colon cancer exceedingly rare in communities exempt for appendicitis. Also, acute appendicitis has been shown to occur antecedent to cancer in the colon and rectum.

    Several studies offer evidence that a low fiber intake is involved in the pathogenesis of appendicitis. This is in accordance with the occurrence of a right sided fecal reservoir and the fact that dietary fiber reduces transit time.





    APPENDICITIS FREQUENT SIGNS & SYMPTOMS

    GENERAL SIGNS & SYMPTOMS

    Appendicitis typically begins with a vague to severe abdominal pain located in the middle of the abdomen often near the navel or "belly button" (umbilicus). The pain usually gets gradually worse over a period of six to 12 hours. The pain slowly moves (migrates) to the right lower abdomen (toward the right hip above your pelvic bone) over the next 24 hours. Taking deep breaths, coughing, sneezing or other sudden movements, moving or being touched (pressed) in this area worsens the pain.

    In the classic description, abdominal pain is frequently accompanied with nausea, vomiting, lack of appetite, and fever (usually less than 102°F). The pain becomes persistent and well-localized. All of these symptoms, however, occur in fewer than half of people who develop appendicitis. More commonly, people with appendicitis have any combination of these symptoms.

    Symptoms of appendicitis may take 4 to 48 hours to develop. During this time, someone developing appendicitis may have varying degrees of loss of appetite, vomiting, and abdominal pain. Some may have constipation, diarrhea, abdominal swelling, (in late stages) or there may be no change in bowel habits. Other signs include elevated white blood cell count, inability to pass gas, painful urination, and blood in the urine.

    Early symptoms are often hard to separate from other conditions including gastroenteritis (an inflammation of the stomach and intestines). Many people admitted to the hospital for suspected appendicitis leave the hospital with a diagnosis of gastroenteritis; true appendicitis is often misdiagnosed as gastroenteritis initially.

    Children and the elderly often have fewer symptoms, which makes their diagnosis less obvious and the incidence of complications more frequent. Appendicitis is seldom found in older people. Since the symptoms are usually milder in this age group, however, there is a greater danger for rupture, with resulting peritonitis or the formation of abscesses. In addition, the symptoms can be difficult to diagnose because they are similar to those of bladder infections, kidney stones, and inflammations of the colon, stomach, and small bowel (and in women, pelvic infections or ovarian cysts). Older adults in particular should be very aware of the symptoms of appendicitis.

    ACUTE APPENDICITIS

    Acute appendicitis is the most common reason for abdominal surgery. Obstruction of the narrow appendiceal lumen initiates the clinical illness of acute appendicitis. Without prompt treatment, the likelihood increases that the inflamed appendix will burst, contaminating the abdominal cavity with fecal matter and causing peritonitis.

    Symptoms of acute appendicitis can be classified into two types, typical and atypical.
    • Typical Acute Appendicitis: The typical history includes pain starting centrally (periumbilical) before localizing to the right iliac fossa (the lower right side of the abdomen); this is due to the poor localizing (spatial) property of visceral nerves from the mid-gut, followed by the involvement of somatic nerves (parietal peritoneum) as the inflammation progresses. The pain is usually associated with loss of appetite and fever, although the latter is not a necessary symptom. Nausea or vomiting may occur, and also the feeling of drowsiness and the feeling of general bad health. With the typical type, diagnosis is easier to make, surgery occurs earlier and findings are often less severe.

    • Atypical Acute Appendicitis: Atypical symptoms may include pain beginning and staying in the right iliac fossa, diarrhea and a more prolonged, smoldering course. If an inflamed appendix lies in contact with the bladder, there is frequency of urination. With post-ileal appendix, marked retching may occur. Tenesmus or "downward urge" (the feeling that a bowel movement will relieve discomfort) is also experienced in some cases.

    CHRONIC APPENDICITIS

    Unlike acute appendicitis, chronic appendicitis symptoms can vary from patient to patient - so much so that there are no typical findings or routine diagnostic modalities to diagnose chronic relapsing appendicitis. It is a diagnosis of exclusion.


    COMMON SIGNS OF APPENDICITIS
    COMMON SYMPTOMS*
    FREQUENCY (%)
    Abdominal Pain
    100%
    Anorexia
    100%
    (74 to 78%, depending on the study)
    Nausea
    90%
    (61 to 92%, depending on the study)
    Vomiting
    75%
    Pain Migration
    50 to 80%
    Diarrhea or Constipation
    18%

    Classic Symptom Sequence
    (Vague periumbilical pain to anorexia/nausea/unsustained vomiting to migration of pain to right lower quadrant to low-grade fever.)
    50%

    *Onset of symptoms typically within past 24 to 36 hours. Duration of symptoms is less than 48 hours in approximately 80% of adults but tends to be longer in elderly persons and in those with perforation. Approximately 2% of patients report duration of pain in excess of 2 weeks.



    COMMON SIGNS OF APPENDICITIS

  • Right lower quadrant pain on palpation (the single most important sign).
  • Low-grade fever (100.4°F) - absence of fever or high fever can occur.
  • Peritoneal signs.
  • Localized tenderness to percussion.
  • Guarding.


  • Other Confirmatory Peritoneal Signs (Absence of these signs does not exclude appendicitis.)

  • Psoas Sign: Pain on extension of right thigh (retroperitoneal retrocecal appendix).
  • Obturator Sign: Pain on internal rotation of right thigh (pelvic appendix).
  • Rovsing's Sign: Pain in right lower quadrant with palpation of left lower quadrant.
  • Dunphy's Sign: Increased pain with coughing.
  • Flank tenderness in right lower quadrant (retroperitoneal retrocecal appendix).
  • Patient maintains hip flexion with knees drawn up for comfort.


  • APPENDICITIS COMPLICATIONS

  • The most frequent complication of appendicitis is perforation. Perforation of the appendix can lead to a periappendiceal abscess (a collection of infected pus) or diffuse peritonitis (infection of the entire lining of the abdomen and the pelvis). The major reason for appendiceal perforation is delay in diagnosis and treatment. In general, the longer the delay between diagnosis and surgery, the more likely is perforation. The risk of perforation 36 hours after the onset of symptoms is at least 15 percent. Therefore, once appendicitis is diagnosed, surgery should be done without unnecessary delay.

  • A less common complication of appendicitis is blockage of the intestine. Blockage occurs when the inflammation surrounding the appendix causes the intestinal muscle to stop working, and this prevents the intestinal contents from passing. If the intestine above the blockage begins to fill with liquid and gas, the abdomen distends and nausea and vomiting may occur. It then may be necessary to drain the contents of the intestine through a tube passed through the nose and esophagus and into the stomach and intestine.

  • A feared complication of appendicitis is sepsis, a condition in which infecting bacteria enter the blood and travel to other parts of the body. This is a very serious, even life-threatening complication. Fortunately, it occurs infrequently.





  • Appendix Pain


    CONVENTIONAL MEDICAL DIAGNOSIS

    PATIENT HISTORY

    Abdominal pain is the most common symptom of appendicitis. In multiple studies, 3 to 5 specific characteristics of the abdominal pain and other associated symptoms have proved to be reliable indicators of acute appendicitis (see tables under Signs & Symptoms). A thorough review of the history of the abdominal pain and of the patient's recent genitourinary, gynecologic and pulmonary history should be obtained.

    Anorexia, nausea and vomiting are symptoms that are commonly associated with acute appendicitis. The classic history of pain beginning in the periumbilical region and migrating to the right lower quadrant occurs in only 50 percent of patients. Duration of symptoms exceeding 24 to 36 hours is uncommon in non-perforated appendicitis.

    MORBIDITY & MORTALITY RATES

    The overall mortality rate of 0.2 to 0.8 percent is attributable to complications of the disease rather than to surgical intervention. Mortality rate rises above 20 percent in patients older than 70 years, primarily because of diagnostic and therapeutic delay. Perforation rate is higher among patients younger than 18 years and patients older than 50 years, possibly because of delays in diagnosis. Appendiceal perforation is associated with a sharp increase in morbidity and mortality rates.

    Sex: The incidence of appendicitis is approximately 1.4 times greater in men than in women. The incidence of primary appendectomy is approximately equal in both sexes.

    Age: Incidence of appendicitis gradually rises from birth, peaks in the late teen years, and gradually declines in the geriatric years. The median age at appendectomy is 22 years. Although rare, neonatal and even prenatal appendicitis have been reported. The emergency department clinician must maintain a high index of suspicion in all age groups.

    McBurney's Point


    DIAGNOSTIC SIGNS

    APPENDIX PAIN: These include localized findings in the right iliac fossa. The abdominal wall becomes very sensitive to gentle pressure (palpation). Also, there is rebound tenderness. In case of a retrocecal appendix, however, even deep pressure in the right lower quadrant may fail to elicit tenderness (silent appendix), the reason being that the cecum, distended with gas, prevents the pressure exerted by the palpating hand from reaching the inflamed appendix. Similarly, if the appendix lies entirely within the pelvis, there is usually complete absence of the abdominal rigidity. In such cases, a digital rectal examination elicits tenderness in the rectovesical pouch. Coughing causes point tenderness in this area (McBurney's point) and this is the least painful way to localize the inflamed appendix. If the abdomen on palpation is also involuntarily guarded (rigid), there should be a strong suspicion of peritonitis requiring urgent surgical intervention.

    ROVSING'S SIGN: Deep palpation of the left iliac fossa may cause pain in the right iliac fossa. This is the Rovsing's sign, also known as the Rovsing's symptom. It is used in the diagnosis of acute appendicitis. Pressure over the descending colon causes pain in the right lower quadrant of the abdomen.

    PSOAS SIGN: Occasionally, an inflamed appendix lies on the psoas muscle and the patient will lie with the right hip flexed for pain relief.

    OBTURATOR SIGN: If an inflamed appendix is in contact with the obturator internus, spasm of the muscle can be demonstrated by flexing and internally rotating the hip. This maneuver will cause pain in the hypogastrium.
    PHYSICAL EXAMINATION

    A careful, systematic examination of the abdomen is essential. While right lower quadrant tenderness to palpation is the most important physical examination finding, other signs may help confirm the diagnosis. The abdominal examination should begin with inspection followed by auscultation, gentle palpation (beginning at a site distant from the pain) and, finally, abdominal percussion. The rebound tenderness that is associated with peritoneal irritation has been shown to be more accurately identified by percussion of the abdomen than by palpation with quick release.

    As previously noted, the location of the appendix varies. When the appendix is hidden from the anterior peritoneum, the usual symptoms and signs of acute appendicitis may not be present. Pain and tenderness can occur in a location other than the right lower quadrant. A retrocecal appendix in a retroperitoneal location may cause flank pain. In this case, stretching the iliopsoas muscle can elicit pain. The psoas sign is elicited in this manner: the patient lies on the left side while the examiner extends the patient's right thigh (see below).

    Psoas Sign


    In contrast, a patient with a pelvic appendix may show no abdominal signs, but the rectal examination may elicit tenderness in the cul-de-sac. In addition, an obturator sign (pain on passive internal rotation of the flexed right thigh) may be present in a patient with a pelvic appendix (see below).

    Obturator Sign


    Patients with many other disorders present with symptoms similar to those of appendicitis. Examples include the following:
    • Pelvic inflammatory disease (PID) or tubo-ovarian abscess.
    • Endometriosis.
    • Ovarian cyst or torsion.
    • Ureterolithiasis and renal colic.
    • Degenerating uterine leiomyomata.
    • Diverticulitis.
    • Crohns disease.
    • Colonic carcinoma.
    • Rectus sheath hematoma.
    • Cholecystitis.
    • Bacterial enteritis.
    • Mesenteric adenitis.
    • Omental torsion.

    These disorders will need to be ruled out as a cause of presenting symptoms either through examination, lab work, or imaging tests.

    DIAGNOSTIC TESTS

    Diagnosis is based on patient history (classic symptoms) and physical examination of the patient's abdomen. If the patient's history and the physical examination do not clarify the diagnosis, laboratory and radiologic evaluations may be helpful. A clear diagnosis of appendicitis obviates the need for further testing and should prompt immediate surgical referral.
      Appendicitis is common, with a lifetime occurrence of 7 percent. Abdominal pain and anorexia are the predominant symptoms. The most important physical examination finding is right lower quadrant tenderness to palpation. A complete blood count and urinalysis are sometimes helpful in determining the diagnosis and supporting the presence or absence of appendicitis, while appendiceal computed tomographic scans and ultrasonography can be helpful in equivocal cases. Delay in diagnosing appendicitis increases the risk of perforation and complications. Complication and mortality rates are much higher in children and the elderly. (Am Fam Physician 1999;60:2027-34.)

      Appendicitis is the most common acute surgical condition of the abdomen. Approximately 7 percent of the population will have appendicitis in their lifetime, with the peak incidence occurring between the ages of 10 and 30 years.

      Despite technologic advances, the diagnosis of appendicitis is still based primarily on the patient's history and the physical examination. Prompt diagnosis and surgical referral may reduce the risk of perforation and prevent complications. The mortality rate in non-perforated appendicitis is less than 1 percent, but it may be as high as 5 percent or more in young and elderly patients, in whom diagnosis may often be delayed, thus making perforation more likely.

    LAB WORK

  • WBC Count: Although no blood test can confirm appendicitis, a blood sample is sent for laboratory analysis to check the white blood cell count (neutrophils), which is typically elevated in an individual with appendicitis. However, normal levels can be present with appendicitis, and elevated levels can be seen with other conditions.
    • The white blood cell (WBC) count is elevated (greater than 10,000 per mm3 [100 3 109 per L]) in 80 percent of all cases of acute appendicitis. Unfortunately, the WBC is elevated in up to 70 percent of patients with other causes of right lower quadrant pain. Thus, an elevated WBC has a low predictive value. Serial WBC measurements (over 4 to 8 hours) in suspected cases may increase the specificity, as the WBC count often increases in acute appendicitis (except in cases of perforation, in which it may initially fall). In addition, 95 percent of patients have neutrophilia and, in the elderly, an elevated band count greater than 6 percent has been shown to have a high predictive value for appendicitis. In general, however, the WBC count and differential are only moderately helpful in confirming the diagnosis of appendicitis because of their low specificities.

  • C-Reactive Protein Level: A more recently suggested laboratory evaluation is determination of the C-reactive protein level.
      An elevated C-reactive protein level (greater than 0.8 mg per dL) is common in appendicitis, but studies disagree on its sensitivity and specificity. An elevated C-reactive protein level in combination with an elevated WBC count and neutrophilia are highly sensitive (97 to 100 percent). Therefore, if all three of these findings are absent, the chance of appendicitis is low.

  • Urine Test: A urine test may be performed to exclude urinary tract infection (or pregnancy) as the cause of the symptoms.
    • In patients with appendicitis, a urinalysis may demonstrate changes such as mild pyuria, proteinuria and hematuria, but the test serves more to exclude urinary tract causes of abdominal pain than to diagnose appendicitis.

      A pregnancy test is vital in all women of child bearing age, as ectopic pregnancies and appendicitis present with similar symptoms. The consequences of missing an ectopic pregnancy are serious, and potentially life threatening. Furthermore the general principles of approaching abdominal pain in women (in so much that it is different from the approach in men) should be appreciated.

    IMAGING TESTS

    Imaging tests are used when the diagnosis is not readily apparent. Most medical centers now use a CT scan of the abdomen and pelvis to help evaluate abdominal pain suspected of being caused by appendicitis. Ultrasound scanning is currently commonly used in small children to test for appendicitis. Atypical histories often require imaging with ultrasound and/or CT scanning.

    The options for radiologic evaluation of patients with suspected appendicitis have expanded in recent years, enhancing and sometimes replacing previously used radiologic studies. Plain radiographs, while often revealing abnormalities in acute appendicitis, lack specificity and are more helpful in diagnosing other causes of abdominal pain. Likewise, barium enema is now used infrequently because of the advances in abdominal imaging.

  • Ultrasound Imaging: Ultrasonography and Doppler sonography provide useful means to detect appendicitis, especially in children.
    • In some cases (15 percent approximately), however, ultrasonography of the iliac fossa does not reveal any abnormalities despite the presence of appendicitis. This is especially true of early appendicitis before the appendix has become significantly distended and in adults where larger amounts of fat and bowel gas make actually seeing the appendix technically difficult. Despite these limitations, in experienced hands sonographic imaging can often distinguish between appendicitis and other diseases with very similar symptoms such as inflammation of lymph nodes near the appendix or pain originating from other pelvic organs such as the ovaries or fallopian tubes.

  • CT Scan: In places where it is readily available, CT scan has become the diagnostic test of choice, especially in adults whose diagnosis is not obvious on history and physical. (The use of CT in pregnant women and children is significantly limited, however, by concerns regarding radiation exposure.)
      A properly performed CT scan with modern equipment has a detection rate (sensitivity) of over 95 percent and a similar specificity. Signs of appendicitis on CT scan include lack of oral contrast (oral dye) in the appendix, direct visualization of appendiceal enlargement (greater than 6 mm in diameter on cross section), and appendiceal wall enhancement (IV dye). The inflammation caused by appendicitis in the surrounding peritoneal fat (so called "fat stranding") can also be observed on CT, providing a mechanism to detect early appendicitis and a clue that appendicitis may be present even when the appendix is not well seen.

      Thus, diagnosis of appendicitis by CT is made more difficult in very thin patients and in children, both of whom tend to lack significant fat within the abdomen. The utility of CT scanning is made clear, however, by the impact it has had on negative appendectomy rates. For example, use of CT for diagnosis of appendicitis in Boston, MA has decreased the chance of finding a normal appendix at surgery from 20 percent in the pre-CT era to only 3 percent according to data from the Massachusetts General Hospital.

      According to a systematic review from UC-San Francisco comparing ultrasound vs. CT scan, CT scan is more accurate than ultrasound for the diagnosis of appendicitis in adults and adolescents. CT scan has a sensitivity of 94 percent, specificity of 95 percent, a positive likelihood ratio of 13.3 (CI, 9.9 to 17.9), and a negative likelihood ratio of 0.09 (CI, 0.07 to 0.12). Ultrasonography had an overall sensitivity of 86%, a specificity of 81 percent, a positive likelihood ratio of 5.8 (CI, 3.5 to 9.5), and a negative likelihood ratio of 0.19 (CI, 0.13 to 0.27).

  • MMP Levels: Matrix metalloproteinase (MMP) levels can be used as biomarkers of increased risk of appendiceal rupture among patients with acute appendicitis according to a cohort study.
    • MMP-1 was higher in gangrenous (p less than 0.05) and perforated appendicitis (p less than 0.01) compared with controls. MMP-9 was most abundantly expressed in inflamed appendix and reached a tenfold higher expression in all groups with appendicitis compared with controls (p less than 0.001).

  • A number of clinical and laboratory based scoring systems have been devised to assist diagnosis. The most widely used is Alvarado score.


  • ALVARADO SCORE
    Symptoms
    Assessment Score
    Migratory right iliac fossa pain.
    1 Point
    Anorexia.
    1 Point
    Nausea and vomiting.
    1 Point
    Signs
    Assessment Score
    Right iliac fossa tenderness.
    2 Points
    Rebound tenderness.
    1 Point
    Fever.
    1 Point
    Laboratory
    Assessment Score
    Leucocytosis.
    2 Points
    Shift to left (segmented neutrophils).
    1 Point
    Total Score
    10 Points

    A score below 5 is strongly against a diagnosis of appendicitis, while a score of 7 or more is strongly predictive of acute appendicitis. In patients with an equivocal score of 5 to 6, CT scan further reduces the rate of negative appendicectomy.





    CONVENTIONAL MEDICAL TREATMENT

    SURGICAL TREATMENT OF APPENDICITIS

    Appendicitis may be diagnosed in your health care provider's office or at the hospital.

    The best treatment for appendicitis requires surgery to remove the appendix (the operation is called an appendectomy or an appendicectomy) before the appendix opens or ruptures. An appendectomy is always done in a hospital under general anesthetic.

    The standard for medical management of non-perforated appendicitis remains appendectomy. Because prompt treatment of appendicitis is important in preventing further morbidity and mortality, a margin of error in over-diagnosis is acceptable. Currently, the national rate of negative appendectomies is approximately 20 percent. Some studies have investigated non-operative management with parenteral antibiotic treatment, but 40 percent of these patients eventually required appendectomy.

    PRE-SURGICAL PREPARATION

    Before the appendectomy, your health care provider will order several tests. These include a physical exam, blood and urine tests, and X-rays or other imaging techniques to diagnose appendicitis and rule out any other causes for the abdominal pain. You will also be given an intravenous (I.V.) for antibiotics and pain medication before the surgery. An anesthesiologist will monitor the general anesthetic during the surgery. You will also undergo all the usual preparations for a surgical operation.

    Do not eat for 8 hours before the procedure. You may continue to drink clear liquids until 2 hours before the procedure unless recommended otherwise by your health care provider. If your health care provider has recommended different times, follow the timing recommended by your practitioner.

    Tell your health care provider or prescriber about all prescription, over-the-counter (non-prescription), nutritional supplements, and herbal medications that you are taking. Also tell them about any medication allergies and medical conditions that you may have.

    Ask your health care provider or pharmacist whether you need to stop taking any of your medications before the procedure.

    Warning & Precautions: Constipation commonly accompanies appendicitis. Taking a laxative increases the chance that the inflamed appendix will rupture. Never take a laxative if there is abdominal pain, vomiting, or other symptoms suggesting the possibility of appendicitis.

    Appendectomy Operation


    OPEN ABDOMINAL SURGICAL PROCEDURE

    While awaiting surgery, the patient will be given IV fluids (intravenous drip) to keep hydrated. The patient will not be allowed to eat or drink (Nil-By-Mouth) because doing so may cause complications with the anesthesia during surgery.

    Antibiotics are given intravenously such as cefuroxime and metronidazole. These may be administered early to help kill bacteria and thus reduce the spread of infection in the abdomen and postoperative complications in the abdomen or wound. Equivocal cases may become more difficult to assess with antibiotic treatment and benefit from serial examinations. If the stomach is empty (no food in the past six hours) general anesthesia is usually used. Otherwise, spinal anaesthesia may be used.

    Before the operation the patient will be sedated with a tranquillizer and then given a general anesthetic. The surgeon cleans the skin over the site of the appendix with an antiseptic solution. In a traditional appendectomy, your surgeon will make an incision through the skin 2 to 3 inches long in the lower part of your abdomen, where the appendix is located. The incision will open underlying layers of fat and the muscle, to expose the appendix.

    Appendectomy incision site


    After locating the appendix, your surgeon will first make sure there are no other problems visible that could be causing the pain.

    The blood vessels leading to the appendix are tied off with sutures (stitches) and the inflamed organ is snipped off at its base. Your surgeon will then remove the appendix from the colon. The base is buried in the wall of the intestine using a purse-string suture to seal the hole in the colon. The surgeon then repairs each tissue layer until reaching the incisional opening in your abdomen, which is closed with more stitches. A drain may be left in the wound temporarily to remove any pus and other fluids which collect.

    Appendectomy surgery sequence


    If the surgeon sees any infection, he or she will first drain the pus using rubber tubes. In some cases, the infection must be drained and given time to heal before the appendix can be removed. The surgeon then does a second surgery to remove the appendix.

    The operation is more complicated if the appendix ruptures and abscesses have formed. These must be drained, so tubes may be left in the surgical wound to allow the continued removal of pus and fluids after the incision is closed. Doses of antibiotics are given to resolve the peritonitis.

    During the surgery, if the surgeon finds that the appendix is not swollen or infected, the surgeon will inspect the surrounding organs. The surgeon will likely remove the appendix anyway to prevent any future complications.

    LAPAROSCOPIC SURGERY

    If a laparoscope is used, the surgeon is able to make smaller incisions in the skin and to dissect the appendix inside the body before removing it.

    The surgical operation is commonly done laparoscopically (laparotomy), an approach usually through a limited right lower quadrant via three small incisions using a camera in the abdominal cavity to visualize the area of interest in the abdomen). Diagnostic laparoscopy may be helpful in equivocal cases or in women of childbearing age, while therapeutic laparoscopy may be preferred in certain subsets of patients (e.g., women, obese patients, athletes). However, in some cases it may be necessary to do an open abdominal procedure to take the appendix out.

    While laparoscopic intervention has the advantages of decreased post-operative pain, earlier return to normal activity and better cosmetic results, its disadvantages include greater cost and longer operative time. Open appendectomy may remain the primary approach to treatment until further cost and benefit analyses are conducted.

    If the laparoscopic findings reveal suppurative appendicitis with complications such as rupture, abscess, adhesions, etc., conversion to open laparotomy may be necessary. An open laparotomy incision if required most often centers on the area of maximum tenderness, McBurney's point, in the right lower quadrant. A transverse or a gridiron diagonal incision is used most commonly. In March 2008, an American woman had her appendix removed via her vagina, in a medical first.

    LAPAROSCOPIC & OPEN PROCEDURE COMPARISONS

    According to a meta-analysis from the Cochrane Collaboration comparing laparoscopic and open procedures, laparoscopic procedures seem to have various advantages over the open procedure. Wound infections were less likely after laparoscopic appendicectomy than after open appendicectomy (odds ratio 0.45; CI 0.35 to 0.58), but the incidence of intra-abdominal abscesses was increased (odds ratio 2.48; CI 1.45 to 4.21). The duration of surgery was 12 minutes (CI 7 to 16) longer for laparoscopic procedures. Pain on day 1 after surgery was reduced after laparoscopic procedures by 9 mm (CI 5 to 13 mm) on a 100 mm visual analogue scale. Hospital stay was shortened by 1.1 day (CI 0.6 to 1.5). Return to normal activity, work, and sport occurred earlier after laparoscopic procedures than after open procedures. While the operation costs of laparoscopic procedures were significantly higher, the costs outside hospital were reduced. Young female, obese, and employed patients seem to benefit from the laparoscopic procedure more than other groups.

    There is debate whether emergent appendicectomy (within 6 hours of admission) reduces the risk of perforation or complication versus urgent appendicectomy (greater than 6 hours after admission). According to a retrospective case review study no significant differences in perforation rate among the two groups were noted (P=.397). Various complications (abscess formation, re-admission) showed no significant differences (P=0.667, 0.999). According to this study, beginning antibiotic therapy and delaying appendicectomy from the middle of the night to the next day does not significantly increase the risk of perforation or other complications. These findings may fit a theory that acute (typical) appendicitis and suppurative (atypical) appendicitis are two distinct disease processes. Findings at the time of surgery suggest that perforation occurs at the onset of symptoms in atypical cases.

    DURATION OF SURGERY & POST-SURGICAL HOSPITAL STAY

    Surgery may last from 15 to 30 minutes in typical appendicitis in thin patients to several hours in complicated cases. Hospital lengths of stay usually range from overnight to a matter of days (rarely weeks in complicated cases.)

    An appendicectomy is a standard, safe operation that is usually followed by a rapid recovery. It makes about half an hour. However, complications may sometimes set in from the accidental release of tiny amount of infected matter into the peritoneum during the operation. For this reason, antibiotics are usually prescribed routinely in order to prevent or treat any infection of this nature.

    POST-PROCEDURE EXPECTATIONS

    Following an appendectomy, you will spend time in a surgical recovery room, likely followed by a day or two in hospital. You will likely feel some discomfort or pain around the stitches. Your doctor may prescribe a painkiller for this pain.

    To reduce the risk of infection, you will be given follow-up instructions and shown how to care for the stitches following your release from hospital. If your appendix was infected or had burst, you may require a slightly longer stay in hospital and you may need to take antibiotics.

    Arrange for someone to drive you home from the hospital.

    RISKS & PRECAUTIONS

    Because you only have one appendix and it cannot grow back after being removed, you can only have an appendectomy once.

    The most common risk associated with an appendectomy is an infection around the stitches following surgery. The infection may be mild, causing redness and tenderness, or severe, requiring antibiotics and further surgery. There is also the risk of infection in the area where the appendix was, requiring further treatment. Bleeding is another risk of any surgery.

    An appendectomy will leave a scar on the abdomen, though laparoscopic surgery may leave less scarring because the openings are smaller.

    Certain risks are common to all surgery and every time an anesthetic is used. These include side effects of the anesthetic, breathing problems, infection, and bleeding.

    COMPLICATIONS

    The classic history of pain beginning in the periumbilical region and migrating to the right lower quadrant occurs in only 50 percent of patients.

    Appendiceal rupture accounts for a majority of the complications of appendicitis. Factors that increase the rate of perforation are delayed presentation to medical care, age extremes (young and old) and hidden location of appendix. A brief period of in-hospital observation (less than six hours) in equivocal cases does not increase the perforation rate and may improve diagnostic accuracy.

    Diagnosis of a perforated appendix is usually easier (although immediately after rupture, the patient's symptoms may temporarily subside). The physical examination findings are more obvious if peritonitis generalizes, with a more generalized right lower quadrant tenderness progressing to complete abdominal tenderness. An ill-defined mass may be felt in the right lower quadrant. Fever is more common with rupture, and the WBC count may elevate to 20,000 to 30,000 per mm3 (200 to 300 3 109 per L) with a prominent left shift.

    A periappendiceal abscess may be treated immediately by surgery or by non-operative management. Non-operative management consists of parenteral antibiotics with observation or CT-guided drainage, followed by interval appendectomy six weeks to three months later.

    SPECIAL CONSIDERATIONS

    The technique of appendiceal computed tomography is more accurate than ultrasonography in confirming the diagnosis of appendicitis.

    While appendicitis is uncommon in young children, it poses special difficulties in this age group. Young children are unable to relate a history, often have abdominal pain from other causes and may have more nonspecific signs and symptoms. These factors contribute to a perforation rate as high as 50 percent in this group.

    In pregnancy, the location of the appendix begins to shift significantly by the fourth to fifth months of gestation. Common symptoms of pregnancy may mimic appendicitis, and the leukocytosis of pregnancy renders the WBC count less useful. While the maternal mortality rate is low, the overall fetal mortality rate is 2 to 8.5 percent, rising to as high as 35 percent in perforation with generalized peritonitis. As in non-pregnant patients, appendectomy is the standard for treatment.

    Elderly patients have the highest mortality rates. The usual signs and symptoms of appendicitis may be diminished, atypical or absent in the elderly, which leads to a higher rate of perforation. More frequent perforation combined with a higher incidence of other medical problems and less reserve to fight infection contribute to a mortality rate of up to 5 percent or more.

    Up to 20 percent of surgeries for appendicitis reveal a non-inflamed appendix (negative appendectomy). The difficulty in making a definite diagnosis of this medical problem and the risk of missing the acutely inflamed appendix (and the patient becoming very ill due to perforation) makes a certain rate of misdiagnosis inevitable. Women in particular have a high rate of negative appendectomy as ovarian and uterine problems make the diagnosis more difficult. CT scanning prior to surgery has been shown to decrease this percentage to closer to 7-8 percent in women.

    SURGICAL FOLLOW-UP

    After an uncomplicated appendectomy, the patient may gradually resume a normal diet with a restriction in physical activity for at least two to four weeks. The health care provider will check the incision the following week to look for possible wound infection.

    PROGNOSIS (OUTLOOK AFTER SURGERY)

    The abdominal pain caused by the appendicitis should ease immediately following surgery, however, you will likely experience some pain or tenderness around the stitches as a result of the surgery itself.

    Recovery from appendicitis and the surgery is usually complete and, if there are no complications, you will likely be able to return to your normal activities within two to three weeks. This recovery time can be even shorter if you had laparoscopic surgery.

    Recovery time depends on age, condition, complications, and other circumstances, including the amount of alcohol consumption, but usually is between 10 and 28 days. For young children (around 10 years old) the recovery takes three weeks.

    With uncomplicated appendicitis, most appendicitis patients recover easily with surgical treatment with no long-term problems. Prompt diagnosis of appendicitis ensures timely treatment and prevents serious complications. However, complications can occur if treatment is delayed or if peritonitis occurs. If the appendix ruptures, there is a greater than 10 times risk of complications, including death. This increase in risk generally is found in the very young, elderly, and those with weakened immune systems, including people with diabetes. Whether a perforated appendix is a significant risk for infertility has not been well established. Some experts recommend that this be considered in young women who might be at risk.

    The real possibility of life-threatening peritonitis is the reason why acute appendicitis warrants speedy evaluation and treatment. The patient may have to undergo a medical evacuation. Appendectomies have occasionally been performed in emergency conditions (i.e. outside of a proper hospital), when a timely medical evaluation was impossible.

    Typical acute appendicitis responds quickly to appendectomy and occasionally will resolve spontaneously. If appendicitis resolves spontaneously, it remains controversial whether an elective interval appendectomy should be performed to prevent a recurrent episode of appendicitis. Atypical appendicitis (associated with suppurative appendicitis) is more difficult to diagnose and is more apt to be complicated even when operated early. In either condition prompt diagnosis and appendectomy yield the best results with full recovery in two to four weeks usually. Mortality and severe complications are unusual but do occur, especially if peritonitis persists and is untreated. Another entity known as appendicular lump is talked about quite often. It happens when appendix is not removed early during infection and omentum and intestine get adherent to it forming a palpable lump. During this period operation is risky unless there is pus formation evident by fever and toxicity or by USG. Medical management treats the condition.

    An unusual complication of an appendectomy is "stump appendicitis": inflammation occurs in the remnant appendiceal stump left after a prior, incomplete appendectomy.





    PREVENTION

    There is no way of predicting when appendicitis will occur. It cannot be prevented. However, eating a proper diet with plenty of fiber can help to properly move fecal matter through the colon, reducing a chance of fecal obstruction problems.

    If you have intestinal disorders, have them diagnosed and treated properly.

    MoonDragon's Health Disorders: Crohn's Disease
    MoonDragon's Health Therapy: Irritable Bowel Syndrome
    MoonDragon's Health Therapy: Ulcerative Colitis

    APPENDICITIS SELF-CARE AT HOME

    There is no home care for appendicitis. If the condition is suspected, contact a health care provider or go to an emergency department. Avoid eating or drinking as this may complicate or delay surgery. If the person is thirsty, he/she may rinse their mouth with water. Do not take (or give your child) laxatives, antibiotics, or pain medications because these may cause delay in diagnosis that increases the risk of rupture of the appendix or mask the symptoms, which makes diagnosis more difficult.





    HOLISTIC RECOMMENDATIONS

    CONSIDERATIONS

    The nutrients and herbs recommended in this section are intended to support recovery AFTER surgery, if appropriate, has been performed. These recommendations are NOT meant to replace conventional medical treatment for appendicitis.

    There are two schools of thought on treating appendicitis. Most medical experts recommend removal of the appendix. Another group recommends attempting to save it as a lymphoid organ. In addition, it may be useful if reconstructive surgery on the bladder becomes necessary. If you should develop bladder cancer at a later time and the bladder must be removed, the appendix can be fashioned into a sphincter muscle and joined to a section of intestine that will serve as a new bladder. If the appendicitis is about to burst, it must be removed at once. However, this is a valuable organ, and some practitioners believe it should not be removed unless your health care provider deems it absolutely necessary because he or she believes it will burst. In any case, you should not allow a health care practitioner to remove your appendix during an operation for some other condition ("as long as we are in there...").

    DIETARY & LIFESTYLE RECOMMENDATIONS

  • To lessen the risk of appendicitis, you should eat a diet high in soluble fiber, avoid refined and fried foods, and limit your intake of cooked animal proteins to one serving a day.

  • If you suspect appendicitis, do NOT take a laxative and do NOT use a heating pad, as these can provoke rupturing of the appendix. Also, avoid pain relievers as they can lead to misdiagnosis. Avoid eating and drinking. See your health care provider or emergency department immediately.

  • HERBAL RECOMMENDATIONS

  • Alfalfa, Agrimony, Buckthorn, and Slippery Elm teas are soothing.

  • Aloe Vera juice, cold-pressed from the whole leaf, can help to reduce intestinal problems and is good for general colon health.

  • Echinacea relieves discomfort and enhances the immune system. Caution: Do not take Echinacea if you have an autoimmune disorder.


  • NUTRITIONAL SUPPLEMENTS

    Unless otherwise specified, the following recommended doses are for adults over the age of 18. For a child between 12 and 17 years, reduce the dose to 3/4 the recommended dose. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended dose. These supplements are for support after appendectomy surgery.

    NUTRIENTS
    Supplement
    Suggested Dosage
    Comments
    Essential
    Natural Beta-Carotene
    And
    Carotene Complex
    25,000 IU 4 times daily. Important antioxidants. Enhances immunity and protects against infection.

  • Beta Carotene Supplement Products
  • Carotene Complex Supplement Products
  • Coenzyme A
    As directed on label. Supports the immune system's detoxification of many dangerous substances.

  • CoEnzyme A Supplement Products
  • Chlorophyll Liquid
    In water 3 times daily as directed on label. Helps speed the cleansing of the bloodstream.

  • Chlorophyll Supplement Products
  • Vitamin B-Complex
    100 mg of each B vitamin daily, wiht meals 3 times daily (amounts of individual vitamins in a complex will vary). Necessary for proper assimilation of all nutrients.

  • Vitamin B-Complex Supplement Products
  • Very Important
    Vitamin C
    With
    Bioflavonoids
    1/4 teaspoon Ester C Powder 4 times daily. 1,000 mg 4 times daily, or as directed on label. Helps to detoxify the system, protects against infection, and enhances immunity.

  • Vitamin C Supplement Products
  • Bioflavonoids Supplement Products
  • Vitamin E
    200 IU twice daily. Up to 800 IU daily, with meals. Promotes healing. A powderful antioxidant. Use d-alpha-tocopherol form.

  • Vitamin E Supplement Products
  • Important
    Zinc
    30 mg daily. Strengthens immune system and accelerates healing. Use Zinc Picolinate form.

  • Zinc Supplement Products





  • NOTIFY YOUR HEALTH CARE PROVIDER

  • Call your health care provider if there are acute symptoms of middle/lower or right/lower abdominal pain with fever and/or vomiting.
  • If symptoms of abdominal pain continue for more than four hours, an urgent medical evaluation should be done at the practitioner's office or the hospital's emergency department.






  • APPENDICITIS RECOVERY, COLON HEALTH & CLEANSE PRODUCTS


    Supplements and products for colon health and appendicitis prevention and recovery from surgery. Appendicitis is an inflammation of the appendix, a lymphoid organ that opens into the large intestine.

  • Acidophilus Probiotic Supplement Products
  • Aerobic Bulk Cleanse Products
  • Aloe Vera Herbal Products
  • Apple Pectin Herbal Products
  • Bekunis Supplement Products
  • Bifidus Supplement Products
  • Bowel Supplement Products
  • CAC & Liver Cleanse Products
  • Cayenne Herbal Products
  • Clay Supplement Products
  • Colon Cleanse Products

  • Constipation Supplement Products
  • Easy Move TCM Formula Products
  • Fiber Supplement Products
  • Flaxseed Herbal Products
  • Ginger Herbal Products
  • Laxative Herbal Supplement Products
  • Psyllium Herbal Products
  • Senna Herbal Products
  • Triphala Herbal Products
  • Ultimate Fasting Cleanse Products



  • QUALITY PRODUCTS & SUPPLEMENTS


    FTC Advertising & Affilate Disclosure: This website has an affiliate relationship with certain merchants selling products and we recieve commissions from those sales to help support this website. Any products listed here are not listed by any rating system. We do not rate any product or post any feedback about products listed here. We leave this to the individual merchants to provide. We do not provide product prices or shopping carts since you do not order these products directly from us, but from the merchant providing the products. We only provide the link to that merchant webpage with all related product information and pricing. The products are listed here by merchant, product use, quantity size or volume, and for nutritional supplements - dosage per unit. All product descriptions are provided by the merchant or manufacturer and are not our descriptive review of the product. We do not endorse any specific product or attest to its effectiveness to treat any health condition or support nutritional requirements for any individual.


    AEROBIC BULK CLEANSE PRODUCTS

    AMAZON PRODUCTS

    Amazon: ABC Bulk Cleanse Supplement Products
    Amazon: ABC (Aerobic Bulk Cleanse) Colon Cleanse Powder, Aerobic Life, 12 oz.
    Amazon: Aerobic Life ABC Max Bulk Cleanse Powder, 12 oz.
    Amazon: ABC Max Herbal Cleanse Capsules, Aerobic Life, 90 Caps




  • Nutrition Basics: Colon Cleanse Information



  • BEKUNIS SUPPLEMENT PRODUCTS

    Senna Fruit Extract by Bekunis works with your body`s natural processes to relieve simple constipation whenever it occurs. Gently stimulates the large bowel during the night to naturally induce smooth, comfortable elimination in the morning. Bekunis contain extract of the Senna fruit, regarded the world over as the ultimate natural laxative. After years of research, it has been standardized for more natural and dependable relief.

    AMAZON PRODUCTS

    Amazon: Bekunis Supplement Products
    Bekunis Senna Laxative, Bekunis, 45 Tabs
    Bekunis Natural Herbal Instant Tea Laxative, Bekunis, 0.53 oz.
    Bekunis Dietary Fiber Nutritional Supplement, Herbatint, 0.3 oz. Osmolaxatives. Anti-absorptive and hydragogous laxatives. Ideally, laxatives should work with your body to encourage a normal elimination process.




  • Nutrition Basics: Colon Cleansing Supplements Information



  • BOWEL BALANCE OIL & BOWEL FORMULA SUPPLEMENT PRODUCTS

    HERBSPRO PRODUCTS

    HerbsPro: Ideal Bowel Support, Jarrow Formulas, 30 VCaps (84880)
    HerbsPro: Digestive Advantage Intensive Bowel Support, Schiff Bio Foods, 32 Caps (95675)
    HerbsPro: Royal Flush Bowel Stimulant, Oxylife Products, 60 Caps (80968)
    HerbsPro: IBX Soothing Bowel Formula, Natural Balance, 60 Caps (80387)
    HerbsPro: Lower Bowel Formula, Dr. Christophers Formulas, 100 VCaps (39808)
    HerbsPro: IBX Soothing Bowel Formula, Natural Balance, 120 Caps (90080)
    HerbsPro: Lower Bowel Extract, Dr. Christophers Formulas, 2 fl. oz. (39809)
    HerbsPro: Foul Bowel, King Bio Natural Medicines, 2 oz. (88949)


    AMAZON PRODUCTS

    Amazon: Bowel Balance Supplement Products
    Amazon: Bowel Support Supplement Products

  • Nutrition Basics: Colon Cleanse Supplement Information



  • CAC LIQUID COLON & LIVER CLEANSE SUPPLEMENT PRODUCTS

    CAC liquid is a colon and liver cleanser, a blood cleanser and detoxifier as well as a blood cleanser that serves to regulate the bowel movements so that the stool is so soft it breaks up into a cloud. Use of this cleansing liquid has many additional benefits. It improves overall digestion, strengthens the immunity, makes the skin more emollient and flexible, clears the eyes, and provides an overall tonic effect on the body. This is not habit forming and will tone the digestive tract and you will use less over time.

    KALYX PRODUCTS

    Kalyx: CAC Liquid Colon & Liver Cleanser Extract, Organic, Health & Herbs, 16 fl. oz.: HH
    Kalyx: CAC Liquid Colon & Liver Cleanser Extract, Organic, Health & Herbs, 32 fl. oz.: HH


  • Nutrition Basics: Colon Cleanse Supplement Information



  • COLON CLEANSE PRODUCTS

    The colon is one of the primary organs involved in the body's internal detoxification and elimination process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and elimination process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. Exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications. This creates a toxic overload, setting the stage for digestive and other health complaints. When this happens, toxins can circulate into the bloodstream instead of being properly eliminated through the colon.

    STARWEST BOTANICALS PRODUCTS

    Starwest Botanicals: Colon Cleanse Blend, Organic, 4 oz.
    Starwest Botanicals: Colon Cleanse Blend, Organic, 1 lb.
    Ingredients include organic Psyllium husks, organic Flax seed, organic Rhubarb, organic Ginger, organic Licorice, Aloe, and Bentonite Clay. Take this product with at least 8 ounces (a full glass) of water or other fluid. Taking this product without enough liquid may cause choking. Taking this product without adequate fluid may cause it to swell and block your throat or esophagus and may cause choking. Do not take this product if you have difficulty in swallowing. If you experience chest pain, vomiting, or difficulty in swallowing or breathing after taking this product, seek immediate medical attention.


    HERBSPRO PRODUCTS

    HerbsPro: Colon Cleanse The Easy Way, Woodland Publishing, 16 Page Booklet (90710)
    HerbsPro: Super Colon Cleanse Day & NIght System Kit, Health Plus, 1 Kit (75870)
    The colon is one of the primary organs involved in the body's internal detoxification and elimination process. A clean colon that has a healthy balance of intestinal flora, is the body's first line of defense. When the body needs help, Super Colon Cleanse is a powerful colon cleansing combination of herbs, Psyllium Husk Powder and milk-free acidophilus. Active Ingredients: Psyllium Husk Powder approximately 2.5 grams, Senna Powder approximately 1.4 grams. Other Ingredients: Fennel Seed, Peppermint, Papaya, Rose Hips, Buckthorn Bark, Oregon Grape Root, Celery and Acidophilus.
    HerbsPro: Complete Body Cleanse Kit, Life-Flo, 3 Piece Kit (70948)
    The Complete Body Cleanse Kit not only supports the body's own detoxification mechanisms, but at the same time enhances them. This triple action system works on the gastrointestinal tract, liver, and the circulatory system, a place where a lot of heavy metals reside. Kit includes Fiber Formula , Liver Cleanse Formula and Metal Cleanse Formula.
    HerbsPro: True Cleanse 10 Day Cleansing System, Natures Answer, 3 Piece Kit (79261)
    A quick, safe and easy program to help 'clear' the liver, kidneys, skin and bowels - the main organs of detoxification. Supporting detoxification can help to eliminate bloating, indigestion, allergies, sinus problems and supports natural weight control, along with increased energy, an elevated mental / emotional state, and a renewed sense of self-awareness and self-control.
    HerbsPro: Whole Body Cleanse Kit, Luscious Lemon Fiber, Complete 10 Day System, Enzymatic Therapy, 1 Kit (76334)
    HerbsPro: Whole Body Cleanse Kit, Safe & Natural Complete 10 Day System, Enzymatic Therapy, 1 Kit (37984)
    Whole Body Cleanse is a complete 3-product kit - everything you need for a safe, gentle 2-week cleanse. Whole Body Cleanse eliminates toxins with fiber. Other products do not include fiber - but without it, toxins get reabsorbed in your system. Each supplement in the Cleanse has a purpose: To Cleanse: Super Milk Thistle supplement stimulates toxin-clearing bile flow. To Detoxify: Fiber Fusion daily cleansing fiber binds to toxins so they do not get reabsorbed into your bloodstream. To Rejuvenate: The Laxative Formula gently purges the intestines of built up toxins, makes sure the toxins are carried out of your body for thorough detoxification.
    HerbsPro: Perfect Cleanse, Garden of Life, 1 Kit (82863)
    A whole new way to cleanse to maintain optimal cell, tissue, and organ function. Natural and easy to use, 10 day internal cleanse system for use in the evening, does not require fasting and will not disrupt every day activities. Three easy steps that gently work in synergy with the body's own internal detoxification system to cleanse, capture, and remove toxins from the body. Comprehensive, self contained kit that provides triple action benefits through three individual, all natural product components. Includes a comprehensive and informational construction booklet. Includes a free, easy to follow instructional CD featuring Garden of Life founder Jordan Rubin and Dr. Joseph Brasco discussing "A Whole New Way To Cleanse" using Perfect Cleanse. Free of gluten and other potential allergens such as nuts, soy, eggs and milk. Contains no stimulant laxatives.
    HerbsPro: Raw Cleanse, The Ultimate Standard of Cleansing & Detoxification, Garden of Life, 1 System (82141)
    Raw Cleanse is a breakthrough in total digestive system cleansing, active in the entire digestive tract beginning in the mouth and ending with elimination. Designed as a fast-acting internal cleansing system that works in synergy with your body's own detoxification system, Raw Cleanse is an easy-to-use, triple detox formula that defends, detoxifies and eliminates toxins from the body in only one week. For those looking for the ultimate cleanse experience, Raw has always represented the standard. Raw Cleanse from Garden of Life features uncooked, untreated and unadulterated ingredients that are designed to support your body's natural digestive and detoxification systems.
    HerbsPro: Easy Cleanse AM / PM Kit, Now Foods, 60 VCaps - 1 Kit (76363)
    Now Foods Easy Cleanse is a digestive cleansing program that was developed to naturally support the body's own detoxification mechanisms, making it easier to eliminate toxins from the body. By supporting liver and intestinal function, this unique combination of herbal extracts and nutrients serves as a natural way to help eliminate unwanted compounds and encourage a healthy, functional digestive system. Use of a Now Foods probiotic supplement and a powdered fiber such as Psyllium or Flax Meal will support the overall detoxification and cleansing properties of Easy Cleanse. Make sure to take with an additional 8 to 12 ounces of purified water. Easy Cleanse A.M. Detox Formula contains a unique blend of specialized herbs, nutrients, and green foods that support gastrointestinal health. This innovative formula works around the clock to assist the body in a natural detoxification and elimination of toxins, thereby supporting optimal digestive system functioin. Easy Cleanse P.M. Cleansing Formula works while you sleep to support a natural eliminatioin of toxins that have accumulated throughout the day. Easy Cleanse P.M. contains gentle, bulking fibers that naturally bind to undesirable metabolic byproducts, cholesterol, and fat, and facilitate their elimination from the body.
    HerbsPro: Master Cleanse Powder, Lemon, Certified Organic, Eclectic Institute Inc, 130 Grams (90770)
    Lemon is a cleansing fruit that also alkalinizes the body plus provides lots of vitamins and minerals. Maple syrup is an unprocessed good sugar that provides micronutrients as well as fuel to the body. It is high in minerals including zinc and manganese. Cayenne speeds up a slow metabolism and promotes healthy blood circulation. Through thermo genesis, it can assist with weight loss and also helps your body expel excess fluids. It is high in vitamins A and C, as well as alkalizing calcium and potassium. We start out with the absolute highest quality produce, using certified organic USA lemons and cayenne, and Grade B maple syrup from Canada as it is less refined and contains more healthy minerals than other grades. Our lemon includes the healthiest part the flavonoid-rich peel which is loaded with antioxidants. All this healthful goodness is then freeze-dried while fresh to retain all of the nutrients, fiber, phytochemcals, enzymes, color, flavor and aroma. In modern times, pollution from the environment, additives, preservatives and pesticides in our food and water build up in our organs and fatty tissues. Cleansing ourselves of these toxic substances keeps our bodies functioning optimally. Fasting is a method of detoxification that has been practiced for centuries by many cultures around the world. A fasting program stimulates the liver to expel toxins, as well as the intestines, kidneys and skin to promote elimination. The blood is purified and circulation improved, and the body recharged with healthy nutrients. Fasting can renew and recharge your energy levels, increase health and wellbeing, and as a side effect provide short-term weight loss.
    HerbsPro: Colon Cleanse Regular, Health Plus, 6 oz. (15437)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Tru Cleanse Fiber Chia Plus, Natures Answer, 8 oz. (86554)
    Colon stimulant and tonic blend. Nature's Answer Fiber Chia Plus formula offers the perfect high fiber blend of Chia Seed and Flaxseed, both rich in Omega 3 Oils, along with traditional demulcent (soothing) herbs and mild laxatives. Magnesium sulfate acts swiftly to 'bubble clean' the colon! Manufactured in our FDA registered and pharmaceutically licensed facility. Unconditionally guaranteed.
    HerbsPro: Cleanse Quick Colon D-Tox Powder, Dr. Christophers Formulas, 8 oz. (69567)
    Cleanse Quick Colon - This formula was originally referred to as TNT #1 formula because of the immediate forceful Lower Bowel action. Dr. Christopher believed that most diseases started by the accumulation of impurities in the lower bowel, there are too many ailments to list which can be treated by cleansing the lower bowel with this formula. In an all vegetarian Capsule.
    HerbsPro: Colon Cleanse, Orange Flavor, Sugar-Free Stevia, 9 oz. (88836)
    Colon Cleanse Orange with Stevia is naturally sweetened for a healthy flavorful experience that accompany the benefits of psyllium Fiber. Psyllium husk orange sweetened with stevia, contains soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon.
    HerbsPro: Colon Cleanse Sugar Free (Aspartame), Oranger, Health Plus, 12 oz. (15439)
    HerbsPro: Colon Cleanse Regular, Health Plus, 12 oz. (15440)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 12 oz. (15460)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.
    HerbsPro: Triphala Internal Cleanser Powder, Traditional Ayurvedic Compound, Planetary Herbals, 16 oz. (7169)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Colon Cleanse Regular, Health Plus, 48 oz. Jar (15445)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Easy Going Colon Cleanse Herb Tea, Health King, 20 Tea Bags (51174)
    Easy-Going Colon Clean Herb Tea is made of wild Rhubarb (rhei rhizoma) and Cassia seed with Green Tea and Jasmine Flower. They provide emodin, chrysophanol, aloe-emodin, vitamins A. B. C, glucoside, rhein, sennosides A. B. C., etc. Chinese medicine uses them to moisten and cleanse intestines and to facilitate easy bowel movement.
    HerbsPro: Super Colon Cleanse, Health Plus, 60 Caps (86283)
    HerbsPro: Colon Cleanser, Regular Bowel Movement, Blue Sky Herbal Inc, 60 Caps (71537)
    Colon Cleanse is a combination of several Herbs, which helps to eliminate constipation and promotes regular bowel movement. Colon Cleanse also acts as blood cleanse and detoxifier. Regular use of Colon Cleanse will help avoid Hemorrhoidal complaints. Pregnant women during the first trimester are advised to consult their health care provider or midwife before using this product. Promotes regular bowel movement. Acts as blood cleanser and detoxifier. An ideal formula for constipation relief. Strengthens digestive system. Removes toxins from the intestines.
    HerbsPro: Oxy-Cleanse Colon Conditioner, Earths Bounty, 75 Caps (72628)
    Oxy-Cleanse Colon Conditioner - Represents a revolution in colon care with a unique oxygen based process. Its multifaceted approach increases bowel activity and removes old impacted fecal matter as it detoxifies and rejuvenates the entire colon without psyllium or herbs.
    HerbsPro: Triphala Internal Cleanser, Planetary Herbals, 500 mg, 90 Caps (31788)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Vegan Colon Cleanse, Deva Vegan Vitamins, 90 Tabs (93211)
    Proprietary Blend (595 mg) of Cascara sagrada (bark), Aloe vera (leaf), Triphala extract, Slippery elm (bark), Senna (leaf), Psyllium Husk (powder), Fennel (seed), Dandelion (leaf), Ginger (root), Cinnamon (bark), and Clove (buds) with Calcium Carbonate (175 mg).
    HerbsPro: Cleanse Quick Colon, Dr. Christophers Formulas, 100 VCaps (39812)
    Cleanse Quick Colon - This formula was originally referred to as TNT #1 formula because of the immediate forceful Lower Bowel action. Dr. Christopher believed that most diseases started by the accumulation of impurities in the lower bowel, there are too many ailments to list which can be treated by cleansing the lower bowel with this formula. In an all vegetarian Capsule.
    HerbsPro: Pure Care Colon Cleanse, Enzymatic Therapy, 120 VCaps (89471)
    Pure Care Colon Cleanse is a safe, natural, triple-action colon cleansing formula. Its also convenient. Pure Care Colon Cleanse eliminates toxins, supports regularity, and promotes probiotic growth all-in-one product. True Dispersion Fiber Blend is a blend of psyllium husk and oat bran fully disperses in the colon to safely absorb toxins and help remove excess waste. Gentle Activation Blend promotes easy, gentle, predictable elimination from the body, and can be used on a daily basis. Prebiotics support the growth of beneficial probiotic bacteria to promote healthy digestion.
    HerbsPro: Easy Colon Cleanse, Only Natural, 120 Caps (77991)
    Easy Colon Cleanse - Helps eliminating unwanted toxins from the intestinal canal. Easy Colon Cleanse is a unique formula that combines fibers, herbs, minerals, Bentonite clay, and Probiotics to help eliminate unwanted toxinsfrom the colon and intestinal canal. Elimination of these toxins may improvenutrients absorption, reduce certain health risks, improve digestion, assist inweight loss, increase energy, and contribute to overall health.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 120 Caps (15459)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.
    HerbsPro: Colon Clenz, Natural Balance, 120 VCaps (80378)
    Time tested herbs to help soothe and cleanse the digestive tract. Promotes elimination and internal cleansing.
    HerbsPro: Triphala Internal Cleanser, Planetary Herbals, 500 mg, 180 Caps (31787)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Super Colon Cleanse Day Formula, Health Plus, 180 Caps (15461)
    Waking up and feeling sluggish is the wrong way to start your day. Try Super Colon Cleanse Day to awaken your senses and help your colon get things done. Super Colon Cleanse Day supplies a natural source of energy while detoxifying the colon. Super Colon Cleanse Day is a great starting point for individuals who are beginning a cleansing program or in need of a thorough cleanse with a boost of energy. It is all natural, non-invasive, and provides results you can feel and see. Internal cleansing is an integral part of maintaining health.
    HerbsPro: Super Colon Cleanse Night Formula, Health Plus, 90 Caps (15463)
    Use Super Colon Cleanse Night to unwind in the evening while detoxifying your colon during the night for a refreshed feeling in the morning. Super Colon Cleanse Night is a great starting point for individuals who are beginning a cleansing program or require a thorough cleanse with a sensation of relaxation. It is all natural, non-invasive, and provides results you can feel and see.
    HerbsPro: Colon Cleanse Day & Night, Health Plus, 180 Plus 90 Caps (75870)
    Colon Cleanse Day & Night - The colon is one of the primary organs involved in the body's internal detoxification and elimanation process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. When the body needs help, this product is a powerful colon cleansing combination of herbs, Psyllium Husk Powder and milk-free acidophilus. Contains Psyllium Husk Powder, approximately 2.5 grams, Senna Powder, approximately 1.4 grams and Fennel Seed, Peppermint, Papaya, Rose Hips, Buckthorn Bark, Oregon Grape Root, Celery and Acidophilus.
    HerbsPro: Colon Cleanse Regular, Health Plus, 625 mg, 200 Caps (15444)
    Enjoy the benefits of Colon Cleanse made from 100 percent Psyllium Husk. Psyllium husk contains soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. These produces a state of toxicity, and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 10 percent daily value of fiber. Health care provider Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All Natural, soluble fiber from foods such as Psylluim Husk, as a part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 240 Caps (15458)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.


    AMAZON PRODUCTS

    Amazon: Colon Cleanse Supplement Products

    Note: These merchants have many more colon cleansing products than are listed here. This is a selected product sample. For more products, click on one of the above links and do a merchant website search for a specific product.
  • Nutrition Basics: Colon Cleanse Supplement Information



  • CONSTIPATION SUPPLEMENT PRODUCTS

    MOUNTAIN ROSE HERBS PRODUCTS

    Mountain Rose Herbs: Flax Seed Whole (Linum usitatissimum), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Flax Meal (Linum usitatissimum), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Psyllium Husk (Plantago ovata), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Psyllium Husk Powder (Plantago ovata), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Psyllium Seed, Whole (Plantago ovata), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Psyllium Seed Powder (Plantago ovata), Certified Organic, Bulk Organic Herbs & Spices
    Mountain Rose Herbs: Psyllium Seed, Certified Organic, 620 mg, 100 Caps, Organic Herbal Capsules


    AYURVEDIC HERBS DIRECT

    Ayurvedic Herbs Direct: Psyllium Seed Husk, Organic India, 12 oz.
    Ayurvedic Herbs Direct: LaxaCare (HerboLax) Bowel Regulator Formula, Himalaya, 60 Caps
    Ayurvedic Herbs Direct: LaxaCare (HerboLax) Bowel Regulator Formula, Himalaya, 60 Caps
    Ayurvedic Herbs Direct: Bowelcare, Organic India, 90 Caps
    Ayurvedic Herbs Direct: Triphala, Planetary Formulas, 500 mg, 90 Caps
    Ayurvedic Herbs Direct: Triphala Gold, Planetary Formulas, 120 Tabs
    Ayurvedic Herbs Direct: Triphala Laxative, Planetary Formula, 240 Tabs


    CHINESE HERBS DIRECT PRODUCTS

    Chinese Herbs Direct: Herbal Laxative Tea, Triple Leaf Tea, 20 Tea Bags
    Chinese Herbs Direct: Easy-Going & Colon Clean Tea, Health King, 20 Tea Bags
    Chinese Herbs Direct: Easy-Going & Colon Clean Tea, Balanceuticals, 60 Caps
    Chinese Herbs Direct: Easy Move & Colon Clean, TCM Formula, Maren Runchang, 100% Natural, 60 Caps
    Chinese Herbs Direct: Five Seed Teapills (Wu Ren Wan), Plum Flower, 200 Pills


    STARWEST BOTANICALS PRODUCTS

    Starwest Botanicals: Colon Cleanse Blend, Organic, 4 oz.
    Starwest Botanicals: Colon Cleanse Blend, Organic, 1 lb.
    Ingredients include organic Psyllium husks, organic Flax seed, organic Rhubarb, organic Ginger, organic Licorice, Aloe, and Bentonite Clay. Take this product with at least 8 ounces (a full glass) of water or other fluid. Taking this product without enough liquid may cause choking. Taking this product without adequate fluid may cause it to swell and block your throat or esophagus and may cause choking. Do not take this product if you have difficulty in swallowing. If you experience chest pain, vomiting, or difficulty in swallowing or breathing after taking this product, seek immediate medical attention.


    HERBSPRO PRODUCTS

    HerbsPro: Colon Cleanse The Easy Way, Woodland Publishing, 16 Page Booklet (90710)
    HerbsPro: Ultimate Fasting Cleanse Kit, Natures Secret, 5 Piece (17691)
    HerbsPro: Super Colon Cleanse Day & NIght System Kit, Health Plus, 1 Kit (75870)
    The colon is one of the primary organs involved in the body's internal detoxification and elimination process. A clean colon that has a healthy balance of intestinal flora, is the body's first line of defense. When the body needs help, Super Colon Cleanse is a powerful colon cleansing combination of herbs, Psyllium Husk Powder and milk-free acidophilus. Active Ingredients: Psyllium Husk Powder approximately 2.5 grams, Senna Powder approximately 1.4 grams. Other Ingredients: Fennel Seed, Peppermint, Papaya, Rose Hips, Buckthorn Bark, Oregon Grape Root, Celery and Acidophilus.
    HerbsPro: Complete Body Cleanse Kit, Life-Flo, 3 Piece Kit (70948)
    The Complete Body Cleanse Kit not only supports the body's own detoxification mechanisms, but at the same time enhances them. This triple action system works on the gastrointestinal tract, liver, and the circulatory system, a place where a lot of heavy metals reside. Kit includes Fiber Formula , Liver Cleanse Formula and Metal Cleanse Formula.
    HerbsPro: True Cleanse 10 Day Cleansing System, Natures Answer, 3 Piece Kit (79261)
    A quick, safe and easy program to help 'clear' the liver, kidneys, skin and bowels - the main organs of detoxification. Supporting detoxification can help to eliminate bloating, indigestion, allergies, sinus problems and supports natural weight control, along with increased energy, an elevated mental / emotional state, and a renewed sense of self-awareness and self-control.
    HerbsPro: Whole Body Cleanse Kit, Luscious Lemon Fiber, Complete 10 Day System, Enzymatic Therapy, 1 Kit (76334)
    HerbsPro: Whole Body Cleanse Kit, Safe & Natural Complete 10 Day System, Enzymatic Therapy, 1 Kit (37984)
    Whole Body Cleanse is a complete 3-product kit - everything you need for a safe, gentle 2-week cleanse. Whole Body Cleanse eliminates toxins with fiber. Other products do not include fiber - but without it, toxins get reabsorbed in your system. Each supplement in the Cleanse has a purpose: To Cleanse: Super Milk Thistle supplement stimulates toxin-clearing bile flow. To Detoxify: Fiber Fusion daily cleansing fiber binds to toxins so they do not get reabsorbed into your bloodstream. To Rejuvenate: The Laxative Formula gently purges the intestines of built up toxins, makes sure the toxins are carried out of your body for thorough detoxification.
    HerbsPro: Perfect Cleanse, Garden of Life, 1 Kit (82863)
    A whole new way to cleanse to maintain optimal cell, tissue, and organ function. Natural and easy to use, 10 day internal cleanse system for use in the evening, does not require fasting and will not disrupt every day activities. Three easy steps that gently work in synergy with the body's own internal detoxification system to cleanse, capture, and remove toxins from the body. Comprehensive, self contained kit that provides triple action benefits through three individual, all natural product components. Includes a comprehensive and informational construction booklet. Includes a free, easy to follow instructional CD featuring Garden of Life founder Jordan Rubin and Dr. Joseph Brasco discussing "A Whole New Way To Cleanse" using Perfect Cleanse. Free of gluten and other potential allergens such as nuts, soy, eggs and milk. Contains no stimulant laxatives.
    HerbsPro: Raw Cleanse, The Ultimate Standard of Cleansing & Detoxification, Garden of Life, 1 System (82141)
    Raw Cleanse is a breakthrough in total digestive system cleansing, active in the entire digestive tract beginning in the mouth and ending with elimination. Designed as a fast-acting internal cleansing system that works in synergy with your body's own detoxification system, Raw Cleanse is an easy-to-use, triple detox formula that defends, detoxifies and eliminates toxins from the body in only one week. For those looking for the ultimate cleanse experience, Raw has always represented the standard. Raw Cleanse from Garden of Life features uncooked, untreated and unadulterated ingredients that are designed to support your body's natural digestive and detoxification systems.
    HerbsPro: Easy Cleanse AM / PM Kit, Now Foods, 60 VCaps - 1 Kit (76363)
    Now Foods Easy Cleanse is a digestive cleansing program that was developed to naturally support the body's own detoxification mechanisms, making it easier to eliminate toxins from the body. By supporting liver and intestinal function, this unique combination of herbal extracts and nutrients serves as a natural way to help eliminate unwanted compounds and encourage a healthy, functional digestive system. Use of a Now Foods probiotic supplement and a powdered fiber such as Psyllium or Flax Meal will support the overall detoxification and cleansing properties of Easy Cleanse. Make sure to take with an additional 8 to 12 ounces of purified water. Easy Cleanse A.M. Detox Formula contains a unique blend of specialized herbs, nutrients, and green foods that support gastrointestinal health. This innovative formula works around the clock to assist the body in a natural detoxification and elimination of toxins, thereby supporting optimal digestive system functioin. Easy Cleanse P.M. Cleansing Formula works while you sleep to support a natural eliminatioin of toxins that have accumulated throughout the day. Easy Cleanse P.M. contains gentle, bulking fibers that naturally bind to undesirable metabolic byproducts, cholesterol, and fat, and facilitate their elimination from the body.
    HerbsPro: Master Cleanse Powder, Lemon, Certified Organic, Eclectic Institute Inc, 130 Grams (90770)
    Lemon is a cleansing fruit that also alkalinizes the body plus provides lots of vitamins and minerals. Maple syrup is an unprocessed good sugar that provides micronutrients as well as fuel to the body. It is high in minerals including zinc and manganese. Cayenne speeds up a slow metabolism and promotes healthy blood circulation. Through thermo genesis, it can assist with weight loss and also helps your body expel excess fluids. It is high in vitamins A and C, as well as alkalizing calcium and potassium. We start out with the absolute highest quality produce, using certified organic USA lemons and cayenne, and Grade B maple syrup from Canada as it is less refined and contains more healthy minerals than other grades. Our lemon includes the healthiest part the flavonoid-rich peel which is loaded with antioxidants. All this healthful goodness is then freeze-dried while fresh to retain all of the nutrients, fiber, phytochemcals, enzymes, color, flavor and aroma. In modern times, pollution from the environment, additives, preservatives and pesticides in our food and water build up in our organs and fatty tissues. Cleansing ourselves of these toxic substances keeps our bodies functioning optimally. Fasting is a method of detoxification that has been practiced for centuries by many cultures around the world. A fasting program stimulates the liver to expel toxins, as well as the intestines, kidneys and skin to promote elimination. The blood is purified and circulation improved, and the body recharged with healthy nutrients. Fasting can renew and recharge your energy levels, increase health and wellbeing, and as a side effect provide short-term weight loss.
    HerbsPro: Colon Cleanse Regular, Health Plus, 6 oz. (15437)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Tru Cleanse Fiber Chia Plus, Natures Answer, 8 oz. (86554)
    Colon stimulant and tonic blend. Nature's Answer Fiber Chia Plus formula offers the perfect high fiber blend of Chia Seed and Flaxseed, both rich in Omega 3 Oils, along with traditional demulcent (soothing) herbs and mild laxatives. Magnesium sulfate acts swiftly to 'bubble clean' the colon! Manufactured in our FDA registered and pharmaceutically licensed facility. Unconditionally guaranteed.
    HerbsPro: Cleanse Quick Colon D-Tox Powder, Dr. Christophers Formulas, 8 oz. (69567)
    Cleanse Quick Colon - This formula was originally referred to as TNT #1 formula because of the immediate forceful Lower Bowel action. Dr. Christopher believed that most diseases started by the accumulation of impurities in the lower bowel, there are too many ailments to list which can be treated by cleansing the lower bowel with this formula. In an all vegetarian Capsule.
    HerbsPro: Colon Cleanse, Orange Flavor, Sugar-Free Stevia, 9 oz. (88836)
    Colon Cleanse Orange with Stevia is naturally sweetened for a healthy flavorful experience that accompany the benefits of psyllium Fiber. Psyllium husk orange sweetened with stevia, contains soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon.
    HerbsPro: Colon Cleanse Sugar Free (Aspartame), Oranger, Health Plus, 12 oz. (15439)
    HerbsPro: Colon Cleanse Regular, Health Plus, 12 oz. (15440)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 12 oz. (15460)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.
    HerbsPro: Triphala Internal Cleanser Powder, Traditional Ayurvedic Compound, Planetary Herbals, 16 oz. (7169)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Colon Cleanse Regular, Health Plus, 48 oz. Jar (15445)
    Psyllium husk is a soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. This produces a state of toxicity and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 24 percent daily value of fiber. Maintains a healthy heart. Doctor Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All natural, no fillers or binders. One heaping tablespoon three times daily. Mix with 8 ounces water or juice, and drink immediately. For children 6 to 12 years, half the adult dosage.
    HerbsPro: Easy Going Colon Cleanse Herb Tea, Health King, 20 Tea Bags (51174)
    Easy-Going Colon Clean Herb Tea is made of wild Rhubarb (rhei rhizoma) and Cassia seed with Green Tea and Jasmine Flower. They provide emodin, chrysophanol, aloe-emodin, vitamins A. B. C, glucoside, rhein, sennosides A. B. C., etc. Chinese medicine uses them to moisten and cleanse intestines and to facilitate easy bowel movement.
    HerbsPro: Stool Softener Liqui-Gels To Relieve Constipation, Dulcolax, 25 Count (99823)
    HerbsPro: Constipation Digestive Advantage, Schiff Bio Foods, 30 Caps (95678)
    HerbsPro: Easy Move & Colon Clean, Balanceuticals, 60 Caps (66631)
    HerbsPro: Super Colon Cleanse, Health Plus, 60 Caps (86283)
    HerbsPro: Colon Cleanser, Regular Bowel Movement, Blue Sky Herbal Inc, 60 Caps (71537)
    Colon Cleanse is a combination of several Herbs, which helps to eliminate constipation and promotes regular bowel movement. Colon Cleanse also acts as blood cleanse and detoxifier. Regular use of Colon Cleanse will help avoid Hemorrhoidal complaints. Pregnant women during the first trimester are advised to consult their health care provider or midwife before using this product. Promotes regular bowel movement. Acts as blood cleanser and detoxifier. An ideal formula for constipation relief. Strengthens digestive system. Removes toxins from the intestines.
    HerbsPro: Oxy-Cleanse Colon Conditioner, Earths Bounty, 75 Caps (72628)
    Oxy-Cleanse Colon Conditioner - Represents a revolution in colon care with a unique oxygen based process. Its multifaceted approach increases bowel activity and removes old impacted fecal matter as it detoxifies and rejuvenates the entire colon without psyllium or herbs.
    HerbsPro: Triphala Internal Cleanser, Planetary Herbals, 500 mg, 90 Caps (31788)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Vegan Colon Cleanse, Deva Vegan Vitamins, 90 Tabs (93211)
    Proprietary Blend (595 mg) of Cascara sagrada (bark), Aloe vera (leaf), Triphala extract, Slippery elm (bark), Senna (leaf), Psyllium Husk (powder), Fennel (seed), Dandelion (leaf), Ginger (root), Cinnamon (bark), and Clove (buds) with Calcium Carbonate (175 mg).
    HerbsPro: Cleanse Quick Colon, Dr. Christophers Formulas, 100 VCaps (39812)
    Cleanse Quick Colon - This formula was originally referred to as TNT #1 formula because of the immediate forceful Lower Bowel action. Dr. Christopher believed that most diseases started by the accumulation of impurities in the lower bowel, there are too many ailments to list which can be treated by cleansing the lower bowel with this formula. In an all vegetarian Capsule.
    HerbsPro: Pure Care Colon Cleanse, Enzymatic Therapy, 120 VCaps (89471)
    Pure Care Colon Cleanse is a safe, natural, triple-action colon cleansing formula. Its also convenient. Pure Care Colon Cleanse eliminates toxins, supports regularity, and promotes probiotic growth all-in-one product. True Dispersion Fiber Blend is a blend of psyllium husk and oat bran fully disperses in the colon to safely absorb toxins and help remove excess waste. Gentle Activation Blend promotes easy, gentle, predictable elimination from the body, and can be used on a daily basis. Prebiotics support the growth of beneficial probiotic bacteria to promote healthy digestion.
    HerbsPro: Easy Colon Cleanse, Only Natural, 120 Caps (77991)
    Easy Colon Cleanse - Helps eliminating unwanted toxins from the intestinal canal. Easy Colon Cleanse is a unique formula that combines fibers, herbs, minerals, Bentonite clay, and Probiotics to help eliminate unwanted toxinsfrom the colon and intestinal canal. Elimination of these toxins may improvenutrients absorption, reduce certain health risks, improve digestion, assist inweight loss, increase energy, and contribute to overall health.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 120 Caps (15459)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.
    HerbsPro: Colon Clenz, Natural Balance, 120 VCaps (80378)
    Time tested herbs to help soothe and cleanse the digestive tract. Promotes elimination and internal cleansing.
    HerbsPro: Triphala Internal Cleanser, Planetary Herbals, 500 mg, 180 Caps (31787)
    Planetary Formulas Triphala Internal Cleanser is a potent, yet gentle formula, designed to support the body's natural cleansing process. Michael Tierra learned about Triphala while studying Ayurveda in India and subsequently introduced it to the United States. It has been one of the most important formulas of Ayurvedic herbalism for thousands of years. used as a household staple throughout India, Triphala is a balanced blend of three Indian herbal fruits: harada, amla and behada. This formula is unique in that the astringent qualities of the fruits serve to tonify the colon, thereby promoting internal cleansing naturally.
    HerbsPro: Super Colon Cleanse Day Formula, Health Plus, 180 Caps (15461)
    Waking up and feeling sluggish is the wrong way to start your day. Try Super Colon Cleanse Day to awaken your senses and help your colon get things done. Super Colon Cleanse Day supplies a natural source of energy while detoxifying the colon. Super Colon Cleanse Day is a great starting point for individuals who are beginning a cleansing program or in need of a thorough cleanse with a boost of energy. It is all natural, non-invasive, and provides results you can feel and see. Internal cleansing is an integral part of maintaining health.
    HerbsPro: Super Colon Cleanse Night Formula, Health Plus, 90 Caps (15463)
    Use Super Colon Cleanse Night to unwind in the evening while detoxifying your colon during the night for a refreshed feeling in the morning. Super Colon Cleanse Night is a great starting point for individuals who are beginning a cleansing program or require a thorough cleanse with a sensation of relaxation. It is all natural, non-invasive, and provides results you can feel and see.
    HerbsPro: Colon Cleanse Day & Night, Health Plus, 180 Plus 90 Caps (75870)
    Colon Cleanse Day & Night - The colon is one of the primary organs involved in the body's internal detoxification and elimanation process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. When the body needs help, this product is a powerful colon cleansing combination of herbs, Psyllium Husk Powder and milk-free acidophilus. Contains Psyllium Husk Powder, approximately 2.5 grams, Senna Powder, approximately 1.4 grams and Fennel Seed, Peppermint, Papaya, Rose Hips, Buckthorn Bark, Oregon Grape Root, Celery and Acidophilus.
    HerbsPro: Constipation, Heel Inc, 100 Tabs (71387)
    HerbsPro: Colon Cleanse Regular, Health Plus, 625 mg, 200 Caps (15444)
    Enjoy the benefits of Colon Cleanse made from 100 percent Psyllium Husk. Psyllium husk contains soluble fiber. Soluble fiber reacts by absorbing water in the intestine creating a gel substance. During this reaction Colon Cleanse aids in a healthy digestive system, heart health, weight management, regularity, and detoxification of the colon. The body's first line of defense is a healthy colon. However, our internal detoxification process can break down from overexposure to environmental pollutants in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol and caffeine, high stress, lack of exercise, overuse of anti-biotics and prescription medications. These produces a state of toxicity, and Colon Cleanse then becomes one of the most important steps in detoxification. Each serving supplies 10 percent daily value of fiber. Health care provider Recommended. Naturally absorbs toxins in the colon. Cleanses the lining of the intestine. Mixes well with water or juice. Maintains regularity. All Natural, soluble fiber from foods such as Psylluim Husk, as a part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease.
    HerbsPro: Super Colon Cleanse, Body's Internal Detoxification & Relief, Health Plus, 240 Caps (15458)
    Super Colon Cleanse Body's Internal Detoxification & Relief - Internal cleansing is an integral part of maintaining health. The colon is one of the primary organs involved in the body's internal detoxification and relief process. A clean colon, that has a healthy balance of intestinal flora, is the body's first line of defense. However, our internal detoxification and relief process can breakdown from exposure to pollution in our air, food and water, poor diet, lack of adequate fiber, excessive alcohol, caffeine and sugar, high stress, lack of exercise, overuse of antibiotics and prescription medications.
    HerbsPro: Konsyl Powder For Relief of Occasional Constipation, 300 Grams (96239)
    HerbsPro: Konsyl Fiber Supplement To Relieve Constipation, Orange, 30 Packets (97099)
    HerbsPro: Constipation Relief, King Bio Natural Medicines, 2 oz. (49864)


    KALYX PRODUCTS

    Kalyx: Psyllium Husk, Certified Organic, Starwest Botanicals, 580 mg, 100 VCaps: C
    Kalyx: Psyllium Husk, Certified Organic, Starwest Botanicals, 580 mg, 500 VCaps: C
    Kalyx: Psyllium Husks Powder (Plantago ovata), Certified Organic, Starwest Botanicals, 1 lb: C
    Kalyx: Trumans Fiber, Health & Herbs, 8 oz: HH
    Kalyx: Trumans Fiber with Bentonite Clay, Health & Herbs, 8 oz: HH
    Kalyx: Trumans Fiber, Health & Herbs, 16 oz: HH
    Kalyx: Trumans Fiber with Bentonite Clay, Health & Herbs, 16 oz: HH
    Kalyx: FiProFLAX Organic Flaxseed, Health From The Sun, 15 oz.: K
    Kalyx: High Fiber Hot Oat Cereal With Flaxseed, Organic, Bob's Red Mill, 200 oz. (Case of 4): GR
    Kalyx: CAC Liquid Colon & Liver Cleanser Extract, Organic, Health & Herbs, 16 fl. oz.: HH
    Kalyx: CAC Liquid Colon & Liver Cleanser Extract, Organic, Health & Herbs, 32 fl. oz.: HH


    AMAZON PRODUCTS

    Amazon: Constipation Relief Supplement Products



  • Nutrition Basics: Colon Cleanse Supplement Information



  • EASY MOVE TCM FORMULA SUPPLEMENT PRODUCTS

    Easy Move & Colon Clean is made of hemp seed, bitter apricot seed, medicinal rhubarb, costus root, tangerine peel and common peony root, colon cleanse herbs. Chinese medicine uses this famous formula to moisten the intestines, increase peristalsis, facilitate bowel movement, clean internal heat and eliminate congestion and bloating. Direction for Use: As a dietary supplement, take 3 to 5 capsules 3 times daily. Not recommended for use by pregnant woman. Store in a cool and dry place out of the reach of children. Balanceuticals formulas are formulated and manufactured according to the most stringent quality standards and the most up-to-date achievements in traditional Chinese medicine. They are screened for quality and safety by a specialist group at the China Academy of Traditional Chinese Medicine, the highest research institution for traditional Chinese medicine.

    CHINESE HERBS DIRECT PRODUCTS

    Chinese Herbs Direct: Easy Move & Colon Clean, TCM Formula, Maren Runchang, 100% Natural, 60 Caps


  • Nutrition Basics: Colon Cleanse Supplement Information



  • LAXATIVE HERBAL SUPPLEMENT PRODUCTS

    HERBSPRO PRODUCTS

    HerbsPro: Laxative, Sodium Free, Carters, 25 Pills (97698)
    HerbsPro: Laxative 3 Blend, Enzymatic Therapy, 60 Tabs (66548)
    HerbsPro: Natural Laxative, Gaia Herbs, 90 Tabs (82232)
    HerbsPro: UltraLax Herbal Laxative, Natural Factors, 90 Tabs (84424)
    HerbsPro: Fiber Laxative, Sunmark, 625 mg, 90 Tabs (102479)
    HerbsPro: Laxative Cleanse, Now Foods, 100 Caps (94309)
    HerbsPro: Tam Herbal Laxative, American Health, 100 Tabs (13675)
    HerbsPro: Cleansing Laxative Formula With Cascara Sagrada, Zand, 100 Tabs (20336)
    HerbsPro: Perfect 7 Natural Laxative, Senna Herbal Combination, 200 Tabs (23862)
    HerbsPro: Regu-Lax Laxative, Life Time Nutritional Specialties, 250 Tabs (89868)
    HerbsPro: Tam Herbal Laxative, American Health, 250 Tabs (34624)
    HerbsPro: Natural Laxative Tea, Gaia Herbs, 20 Tea Bags (91230)
    Amazon: Laxative Supplement Products
    Amazon: Herbal Laxative Supplement Products

  • Nutrition Basics: Colon Cleanse Supplement Information



  • ULTIMATE FASTING CLEANSE PRODUCTS

    A five-part system that helps to stimulate and detoxify the organs, blood, and channels of elimination.

    HERBSPRO PRODUCTS

    HerbsPro: Ultimate Fasting Cleanse Kit, Natures Secret, 5 Piece (17691)


    AMAZON PRODUCTS

    Amazon: Ultimate Fasting Cleanse Supplement Products

  • Nutrition Basics: Colon Cleanse Supplement Information






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    Health & Wellness Index





    AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES


    Allspice Leaf Oil
    Angelica Oil
    Anise Oil
    Baobab Oil
    Basil Oil
    Bay Laurel Oil
    Bay Oil
    Benzoin Oil
    Bergamot Oil
    Black Pepper Oil
    Chamomile (German) Oil
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    Calamus Oil
    Camphor (White) Oil
    Caraway Oil
    Cardamom Oil
    Carrot Seed Oil
    Catnip Oil
    Cedarwood Oil
    Chamomile Oil
    Cinnamon Oil
    Citronella Oil
    Clary-Sage Oil
    Clove Oil
    Coriander Oil
    Cypress Oil
    Dill Oil
    Eucalyptus Oil
    Fennel Oil
    Fir Needle Oil
    Frankincense Oil
    Geranium Oil
    German Chamomile Oil
    Ginger Oil
    Grapefruit Oil
    Helichrysum Oil
    Hyssop Oil
    Iris-Root Oil
    Jasmine Oil
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    Labdanum Oil
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    Lemon-Balm Oil
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    Lime Oil
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    Mandarin Oil
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    Myrtle Oil
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    Niaouli Oil
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    Orange Oil
    Oregano Oil
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    Peru-Balsam Oil
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    Pine-Needle Oil
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    Rosemary Oil
    Rose Oil
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    Thyme Oil
    Vanilla Oil
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    Violet Oil
    White-Camphor Oil
    Yarrow Oil
    Ylang-Ylang Oil
    Aromatherapy
    Healing Baths For Colds
    Aromatherapy
    Herbal Cleansers
    Using Essential Oils


    AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES


    Almond, Sweet Oil
    Apricot Kernel Oil
    Argan Oil
    Arnica Oil
    Avocado Oil
    Baobab Oil
    Black Cumin Oil
    Black Currant Oil
    Black Seed Oil
    Borage Seed Oil
    Calendula Oil
    Camelina Oil
    Castor Oil
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    Comfrey Oil
    Evening Primrose Oil
    Flaxseed Oil
    Grapeseed Oil
    Hazelnut Oil
    Hemp Seed Oil
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    Kukui Nut Oil
    Macadamia Nut Oil
    Meadowfoam Seed Oil
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    Neem Oil
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    Plum Kernel Oil
    Poke Root Oil
    Pomegranate Seed Oil
    Pumpkin Seed Oil
    Rosehip Seed Oil
    Safflower Oil
    Sea Buckthorn Oil
    Sesame Seed Oil
    Shea Nut Oil
    Soybean Oil
    St. Johns Wort Oil
    Sunflower Oil
    Tamanu Oil
    Vitamin E Oil
    Wheat Germ Oil





    HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS

  • MoonDragon's Nutrition Basics Index
  • MoonDragon's Nutrition Basics: Amino Acids Index
  • MoonDragon's Nutrition Basics: Antioxidants Index
  • MoonDragon's Nutrition Basics: Enzymes Information
  • MoonDragon's Nutrition Basics: Herbs Index
  • MoonDragon's Nutrition Basics: Homeopathics Index
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  • MoonDragon's Nutrition Basics: Mineral Introduction
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  • MoonDragon's Nutrition Basics: Dietary Supplements Introduction
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  • MoonDragon's Nutrition Basics: Vitamins Index
  • MoonDragon's Nutrition Basics: Vitamins Introduction


  • NUTRITION BASICS ARTICLES

  • MoonDragon's Nutrition Basics: 4 Basic Nutrients
  • MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients
  • MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute?
  • MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods
  • MoonDragon's Nutrition Basics: Foods That Destroy
  • MoonDragon's Nutrition Basics: Foods That Heal
  • MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals
  • MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods
  • MoonDragon's Nutrition Basics: Phytochemicals
  • MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce
  • MoonDragon's Nutrition Basics: Limit Your Use of Salt
  • MoonDragon's Nutrition Basics: Use Proper Cooking Utensils
  • MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water





  • RELATED MOONDRAGON HEALTH LINKS & INFORMATION

  • MoonDragon's Nutrition Information Index
  • MoonDragon's Nutritional Therapy Index
  • MoonDragon's Nutritional Analysis Index
  • MoonDragon's Nutritional Diet Index
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  • MoonDragon's Nutrition Therapy: Preparing Produce for Juicing
  • MoonDragon's Nutrition Information: Food Additives Index
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  • MoonDragon's Aromatherapy Index
  • MoonDragon's Aromatherapy Articles
  • MoonDragon's Aromatherapy For Back Pain
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  • MoonDragon's Aromatherapy Blending Chart
  • MoonDragon's Aromatherapy Essential Oil Details
  • MoonDragon's Aromatherapy Links
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  • MoonDragon's Aromatherapy For Post Partum
  • MoonDragon's Aromatherapy For Childbearing
  • MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing
  • MoonDragon's Aromatherapy Chart of Essential Oils #1
  • MoonDragon's Aromatherapy Chart of Essential Oils #2
  • MoonDragon's Aromatherapy Tips
  • MoonDragon's Aromatherapy Uses
  • MoonDragon's Alternative Health Index
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  • MoonDragon's Alternative Health: Touch & Movement Therapies Index
  • MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy
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  • MoonDragon's Alternative Health: Therapeutic Massage
  • MoonDragon's Holistic Health Links Page 1
  • MoonDragon's Holistic Health Links Page 2
  • MoonDragon's Health & Wellness: Nutrition Basics Index
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  • MoonDragon's Health & Wellness: Massage Therapy
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  • MoonDragon's Health & Wellness: Therapy - Herbal Oils Index







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