everywomanover29 blog

Food, Mood and Women's Health – Be your healthiest, look and feel great!

Triggers and tests from Dr. Tom O’Bryan on Interpreting Your Genetics Summit

By Trudy Scott 2 Comments

I’m really excited about the upcoming Interpreting Your Genetics Summit which runs August 21-28, 2017.

Summit host, James Maskell of Evolution of Medicine, has gathered world-renowned leaders from genetics, genomics and functional medicine. These pioneering experts are on the front lines interpreting data to create improved health in patients around the globe. Learn how to translate your health data to better understand:

  • Your predisposition for diseases and how to minimize manifestation.
  • Genetic health traits your children are likely to inherit.
  • Whether your medications and supplements are right for you.
  • How to unlock previously unsolved health challenges.
  • And more!

Tom O’Bryan, author of The Autoimmune Fix and creator of the docuseries Betrayal: The Autoimmune Secret They’re Not Telling You sets the stage for the summit in his brilliant interview by explaining that simply because you have a genetic defect or polymorphism doesn’t mean you’re going to get that disease:

It means that you’re vulnerable to a particular disease. “Mrs. Patient, if you pull at a chain, it always breaks at the weakest link. Always. It’s going to be at one end, the middle, the other end. It’s your heart, your brain, your liver, your kidneys. Wherever your genetic weak link is. And where’s your weak link? Whatever your genes are. Whatever the deck of cards you’ve been dealt in life, that’s the weak link in your chain.”

So when you have that basic understanding, the first thing that comes up is stop pulling on the chain so much, right. And then, the link won’t break. And how do you stop pulling on the chain? Reduce the inflammation, reduce the activation of your immune system, which is what turns on the genes.

James summarizes this concept perfectly:

So what I hear you saying is that whatever your genetic test comes back, you want to be minimizing the pull on the chain. And you want to be minimizing and repairing the holes in your gut to make sure that you don’t end up with a broken-chain situation, which would be an autoimmune disease, which could manifest anywhere depending on your genetic makeup.

Tom O’Bryan discusses some common environmental triggers that will “pull on the chain” in great detail, and how they lead to genes being turned on and hence causing disease: food quality, wheat, dairy sugar, glyphosate, plastic and air quality. He also covers the APOE4 genes that increase your risk for Alzheimer’s disease and shares this scary fact about kids in Mexico City:

what they have found is that every child that they checked in Mexico City has evidence of early Alzheimer’s. Every child! Let me say that again. Every child that they check has evidence of early Alzheimer’s.

Why? Because the air pollution is so bad. And you breathe that stuff in. It goes into your lungs. And just like leaky gut, you get leaky lungs. And this particulate matter goes right through the lungs, into the bloodstream, straight up to the brain, activating your immune system to fight this stuff. Tears the lining of the blood-brain barrier.

And he shares one of his favorite tests for determining if damage is being done to the brain:

8-hydroxy-2′- Deoxyguanosine… a measure of the DNA residue from damaged brain cells or damaged nerve cells, mostly in the brain. So you just do a simple urine test. And if your 8-hydroxy is up, you’re killing off brain cells. And that makes you say, “Well, why?” [this is the DNA Oxidative Damage Assay from Doctor’s Data]

And this one to look at antibodies to the blood-brain barrier:

You have a simple type of lining on your brain that stops molecules from getting in the brain that shouldn’t be here. So you want to look for antibodies… to S100B. There’s a panel of antibodies that you could look for to see, “Is my brain on fire right now,” because if you have elevated antibodies, your brain is on fire. You’re killing off brain cells.

This interview sets the stage for the rest of the summit! I can’t wait to learn from these amazing speakers on this very relevant and cutting-edge topic.

I hope you can join us on Interpreting Your Genetics Summit, August 21-28, 2017. You can register here

Once you register you’ll have access to this interview and 2 others (Epigenetic Mastery for Everyone from Andrea Nakayama, CNC, CNE and The Current State of Genetics from Jeffrey Bland, PhD) right away.

Hope to “see you” on the summit!

World Benzodiazepine Awareness Day 2017: Awareness and Anxiety Nutrition Solutions

By Trudy Scott 14 Comments

World Benzodiazepine Awareness Day 2017 was celebrated earlier this week on July 11th. The organization recommends that everyone should watch and share this short informative video: The risks of taking benzodiazepines (Klonopin, Xanax, Ativan) as prescribed. It could save your life or the life of someone you know.

This is what W-BAD shares about benzodiazepines and Z-drugs that are used as prescribed:

Benzodiazepines (Xanax, Klonopin, Ativan, Valium, Librium, and others) as well as Z-drugs (Ambien, Lunesta and others), which are similar, have the most debilitating withdrawal reactions in all of medicine.

This happens in regular, everyday people who are taking the medications exactly as their doctor prescribed. It also happens to people on what they think are “low doses” and is not just a “high dose” problem. This happens because the prescribing guidelines for this class of drug recommend short-term use only (less than 2-4 weeks), yet doctors are prescribing them for much longer. Even worse, these unsuspecting patients are given no warning (or informed consent) by their doctor about these risks and dangers before taking the prescription past the recommended timeline. The patients think the drugs are “safe” because they are prescribed when they are actually quite dangerous medications that are capable of inflicting sometimes severe and life-threatening withdrawal syndromes which are known, for some people, to persist for many years.

W-BAD shares these stats about how common it is to see physical dependence, adverse effects, and withdrawal:

Experts and studies estimate that as many as 60% of people taking benzodiazepines for more than the recommended 2-4 week time period will develop physical dependence, adverse effects, and withdrawal

60% is actually a conservative percentage, as some other sources indicate that “50-80% of people regularly taking benzodiazepines (even in ‘low dose’) for longer than a few months will develop a physical tolerance to the drug and become dependent, resulting in difficulty stopping benzodiazepines because of withdrawal symptoms”.

30% of long-term users will experience severe withdrawal or adverse effects which may include seizures, hallucinations, psychosis, akathisia, and sometimes suicide or death (people are especially at risk for severe withdrawal if they over-rapidly taper or cold-turkey their benzodiazepine/Z-drug).

The tapers to discontinue these medications, once you’ve taken them past 2-4 weeks and depending on dose, can last many months or years. I see this all the time in my practice.

About 10-15% of people who withdraw will develop a protracted withdrawal syndrome which can potentially persist for many years (there are anecdotal reports of it persisting up to five, seven, and even ten years post-cessation.). Others, even after a slow, gradual reduction of the benzodiazepine or Z-drug will experience withdrawal that lasts for up to 18 months post-cessation.

Physical dependence is a physical condition, a state of adaptation in the body caused by chronic use of a tolerance forming drug, in which abrupt or gradual drug withdrawal causes withdrawal.

When someone becomes physically dependent to benzodiazepines (or Z-drugs), they are also at risk for developing tolerance. With benzodiazepines/Z-drugs, specifically, when the receptors in the brain become adapted or accustomed to the action of the original dose of BZ, more of the drug is needed in order for the desired therapeutic effect (or the original effect at the original dose) to be achieved. This means that the drug loses its effectiveness and the person taking it can begin to experience withdrawal symptoms while still taking the prescribed dose of the drug.

It’s very unfortunate that some of the very same symptoms that are trying to be addressed by these medications are now amplified or seen for the first time:

Some common symptoms of tolerance include increasing anxiety, panic attacks, development of agoraphobia for the first time, interdose withdrawal (withdrawal symptoms emerging in between doses), as well as a plethora of other physical/neurological/psychological symptoms.

Visit the website World Benzodiazepine Awareness Day to learn more and to get involved:

By spreading the word about taken-as-prescribed benzodiazepine risks, harms, and dangers, W-BAD (World Benzodiazepine Awareness Day) hopes to bring awareness to the general public and the medical community about this problem before more people are needlessly harmed. Please help share this video with everyone you know and, together, we can prevent more victims of iatrogenic (caused by medicine) dependence, withdrawal, and injury from prescribed benzodiazepines and Z-drugs.

There are some heartbreaking stories on the Facebook page (an excellent resource) :

W-BAD acknowledges Professor Malcolm H. Lader for guiding them in providing information that appears throughout the website and in handout materials. Prof. Lader first described benzodiazepine withdrawal syndrome as a potential brain injury in the scientific literature, and also campaigned around the world to get everyone from politicians to royalty to listen.

Here is some guidance with slow tapering protocols from W-BAD (and never stop cold-turkey).

For additional resources this is the blog post I published last year: World Benzodiazepine Awareness Day – say NO to Benzodiazepines for anxiety!

Awareness and nutrition solutions

I do love that this awareness is being created. It is so needed for those who are prescribed these medications and currently taking them, for anyone who may consider a future prescription, and for everyone in the medical profession, as well as all integrative and functional medicine practitioners and nutritionists.

All this awareness creates the perfect opportunity to offers nutrition solutions too, so we can address:

  • the initial root cause/s of your anxiety which led to your prescription of this medication to start with
  • the anxiety you now experience even through you were prescribed these medications for something else (such as pain)
  • your current biochemistry and nutritional status to facilitate an easier taper from the benzodiazepine with the least withdrawal effects
  • your current biochemistry and nutritional status so you don’t get anxiety in the future, once you have completed the taper

And if you are considering a benzodiazepine prescription in the future you are now informed about the dangers and have nutritional resources too.

When I am working with someone who has been prescribed a benzodiazepine, I get them nutritionally stable BEFORE they even consider a benzodiazepine taper.

I use amino acids like GABA and tryptophan, melatonin and niacinamide to make the taper easier and so we can balance brain chemistry before tapering and then during the taper (all under the supervision of the prescribing doctor and using the Ashton taper protocol).

Dr. Jonathan Prousky, talks about his success with benzodiazepine tapers on a prior Anxiety Summit interview – using melatonin, niacinamide, Neurapas Balance, rhodiola and GABA.

There is also a big focus on diet (real food/often a Paleo diet, no additives, organic, healthy fats, no gluten, no sugar, no caffeine, quality grass-fed/wild protein), addressing high cortisol if needed, addressing low zinc, low iron, low vitamin B6, low B12 and looking at gut health. Lifestyle and stress reduction is important and we look at and address all possible 60+ underlying factors/causes.

This is all covered in detail in my book “The Antianxiety Food Solution” (on amazon here) The basics plus advanced topics (like fluoroquinolone antibiotic issues when on benzodiazepines and more) are also addressed on the Anxiety Summits.

I feel very strongly about providing this nutritional support and sharing how helpful it is because organizations like W-BAD and Benzobuddies.org (as much as love them) advocate for no nutrient support suggesting it won’t help or could make symptoms worse. I will admit that some people who are tapering are very sensitive and in these situations very very tiny amounts (as small as a pinch in some instances) of some of the nutrients may be a better option, always only doing one thing at a time to make sure it’s helping and not making symptoms worse, and doing functional medicine tests. Using essential oils, light therapy, gentle detox, Heartmath and yoga are wonderful to start with, in conjunction with all the diet changes.

Please share your benzodiazepine story and what has helped you taper more easily and recover.

If you’re a practitioner please share what approaches you have used to help your clients or patients taper more easily.

Vitamin C, autoimmunity, food sensitivities & visual processing: Chronic Headache & Migraine Summit

By Trudy Scott 5 Comments

Guest post by Erin Knight, FDN-P

Did you know that nearly 60% of migraineurs report suffering from anxiety as well? I didn’t. That was one of many surprising things I discovered interviewing functional medicine experts and clinicians with decades of experience helping people overcome their headaches and migraines at the root cause for the Chronic Headache and Migraine Summit.

As much as the high correlation between migraines and anxiety surprised me, I could quickly see some reasons for the connection. People with frequent headaches report that managing life around headaches and missing out on things places an incredible strain on relationships and career that is nearly as bad as the physical pain. In other words, the mental agony of being sidelined by severe headaches is worse than the pain itself and contributes to the stress we carry around each day. But I don’t have to tell you that.

Is this meal going to cause a headache today? Am I going to be able to make it to my daughter’s choir concert? Is my boss going to pass me up for that project because I’ve been out with migraines so many days this year? If you are like me, these questions are always top of mind – creating a vicious circle between worrying – headaches – and more stress.

While it may seem quite obvious that there is this worrying and fear that migraineurs carry around with them each day, you may be surprised to learn from the experts speaking on the summit that there are many underlying root causes that can lead to both anxiety and headaches at a biological level. Some of these include:

  • Poor absorption of nutrients such as magnesium
  • Leaky gut and inflammation in the digestive tract that impacts the production of neurotransmitters like serotonin and hormones like estrogen
  • Emotional trauma in childhood (which is linked to a staggering increase in chronic conditions such migraines, autoimmune diseases, obesity and chronic fatigue

The good news is that there are real solutions to improve your health at a foundational level that can drastically improve or even resolve both headaches/migraines and anxiety at the root cause.

The experts in the Chronic Headache and Migraine Summit talk both about what has helped their clients recover their health as well as natural, simple ways to reduce the pain and intensity of headaches quickly and at home so you can go on with your life.

If you know you experience headaches due to weather changes, sinus stuffiness, neck tension, classic migraine or monthly hormonal changes – there are different relief techniques to employ for each. For example, Jay Davidson  highlights 3 tricks for clearing pressure out of your head when you feel a thunderstorm headache coming on – and they work in minutes! My favorite is to dab frankincense essential oil with your fingertips along the hairline in your neck. I can feel drainage start immediately with this simple technique!

If you think you’ve tried it all and been through the gamut of herbal and homeopathic remedies – I promise you will learn something that surprises you and makes a difference in your journey.

5 things I learned about hosting the Chronic Headache and Migraine Summit that might surprise you too:

  • There are many superstar supplements that can help people with different types of migraines beyond the typical riboflavin and magnesium citrate – for example, Vitamin C, different forms of magnesium, 5-HTP or tryptophan, and glutathione.
  • Migraines are being reclassified as an autoimmune disease. One autoimmune disease that frequently leads to migraines (and anxiety and miscarriages) is the clotting disease called Antiphospholipid Syndrome (featured on day 7 in Trudy Scott’s interview)
  • Food sensitivities may be more important than avoiding trigger foods
  • There is a visual processing disorder that affects 15% of the population and is simple to correct.
  • Toxicity from air and water pollution causes different types of chronic headaches and can be easily identified and reversed.

We are so thrilled to be able to offer this first-of-its-kind resource for people who want to stop managing their headaches, stop watching life pass them by from the sidelines and find natural relief options that really work.

Feel free to share something that surprises YOU from the above in the comments below.

How to address rectal spasms with GABA, pelvic floor work, gluten removal and squats

By Trudy Scott 43 Comments

Last week I wrote about proctalgia fugax, a condition that leads to rectal spasms and sharp fleeting pain in the lower rectum or anus, often described as excruciating and agonizing. Proctalgia fugax actually means anal pain of unknown cause but I am seriously questioning this definition because as you’ll see below there are a number of possible root causes!

I have experienced this horrible pain and was not willing to use medications. Instead, because I could find no other solutions, I experimented with sublingual GABA during an episode and then figured out how to prevent a spasm at the first hint of pain.  You can read all the details on this blog: How GABA eases agonizing rectal pain and spasms in under 2 minutes

I promised to share part 2 with some root causes and other solutions but this article has grown because of all the wonderful feedback on the above blog. I’ve gathered some of it here as additional resources.

What is the pain like?

Here are some additional descriptions of the pain (sharing here so others can relate and feel comforted that this is not something weird):

  • horrible, shooting pain up the lower rectum/spine area
  • I have had this issue since I was about 45 (I’m now 60) at least a few times per year. It lasts usually 15 to 30 minutes and is extremely painful.
  • I have had this pretty much all my life. More common with my period and the spasm lasts for close to 1/2 hour or so. Very deep aching pain.
  • It stops me in my tracks. The pain is so bad sometimes I can’t breathe. It’s scary.

For some people the fear of having a spasm when out and about is extremely traumatic:

It seems no one in the mainstream medical field is concerned about it. It may be physically harmless but I know many people on other forums who live in constant fear of an attack – especially publicly. It is far from psychologically harmless.

I loved all the feedback: pleased to find out there is a name for it and feel comforted to know you’re not alone. Many have been worried and embarrassed to ask for help. And across the board you are all very interested in experimenting with GABA (or theanine or taurine) to see if it helps reduce or eliminate the spasms in the moment.

This GABA approach is a good one because it helps ease the pain and spasms and because stress is a common underlying factor.

Positive feedback about GABA helping

I am pleased to get some positive feedback that GABA is helping:

I used to get these right before my period – hormonally related for me. Interestingly, I have been taking Pharmagaba to help me sleep better and to help me relax…noticed that I haven’t had one of these “butt cramps” as I call them, in months.

And this wonderful result from someone else:

There were times I literally had to sleep in the tub for 5 hours at a time and keep refilling it hot water. Most excruciating pain I’ve ever had and I’ve birthed a child naturally! I’m taking GABA for other reasons and after reading this (facebook post), I realize I haven’t had this since!

Concerns about using GABA

A few of you had concerns about using GABA – for example: GABA causes palpitations for me but I will seriously consider trying it.

I wouldn’t use GABA if it causes palpitations or I would at least experiment with super small amounts. I mentioned I’ve used up to 500mg – for many people this is too much and even 100mg may help. Taurine may be an option too. If you can’t tolerate GABA or taurine the next section covers some other options and how to address some of the possible root causes.

And someone shared that when she took GABA in the past for anxiety it really seemed to make her more anxious:

Since I did not have the expected result for anxiety, I wonder if it would not be the best choice for me in this situation either . . . I would like to use something which works quickly, so the sublingual option would have been appealing. I have used l-theanine with good results (for anxiety) and have never tried taurine before.

I would not recommend GABA for someone who gets more anxious with it. When something does work, like theanine, I’d go with that approach. Or I would consider a very small dose of GABA and build up slowly.

There are some common patterns

When looking at common patterns many who responded on the GABA blog:

Medications for relief

Many find relief with medications but side-effects always need to be considered and it makes the most sense to get to the root causes and address them. Here are some mentioned:

Addressing tight pelvic floor muscles and stress

We always want to get to the root causes of an issue and that is the most logical step. I reached out to the practitioners in my community to ask them how they help their clients and patients with this and what approaches they have used to end the spasm and pain. My colleague, Jessica Drummond, nutritionist and physical therapist, and an expert on female pelvic pain and women’s health, shares this advice:

For women with proctalgia fugax, the acute rectal spasm can come at any time unexpectedly. Usually, this is a sign that your pelvic floor muscles are tight and need to be relaxed. Avoid doing Kegel exercises, and see a physical therapist who is a pelvic floor specialist in order to release the muscles of your pelvic floor.

Additionally, it’s important to be sure that you’re finding time each day to fully relax, breathe deeply, and receive support from your family or friends. Often women with pelvic floor muscle spasm feel stressed or a lack of safety in their lives and bodies. So, working with a skilled professional to address your stress is key.

Lorraine shared these wonderful results with her pelvic floor therapy (on the GABA blog) and how much it’s been helping her:

Anxiety or stressful times was a huge trigger (I am still pretty type A) and I finally learned one reason among many that stress triggers it. My naturopathic doctor sent me to see the ‘guru’ in pelvic floor therapy–Caroline Allen in Ottawa. I suffered for years with anxiety and did not realize that I was still constantly holding my tummy in as an old habit to stress even now that I have overcome my anxiety disorder. She taught me how to relax the core which was a challenge at first and required much conscious thought–those muscles had many years of training to stay tight. I was also breathing incorrectly and she showed me that when our breathing is incorrect, our diaphragm is tight and then it pulls up and tightens the entire pelvic floor. I can often prevent or significantly decrease the severity of an attack by reminding myself to relax certain key muscles and breathing into the pelvic floor.

Gluten sensitivity, other food sensitivities and functional imbalances

Jessica also shares what can worsen pelvic floor function:

You may have nutrient deficiencies or [gluten or other] food sensitivities that can worsen your pelvic floor muscle function. And, if you have IBS or constipation that should be addressed by a nutrition professional who specializes in digestive or pelvic health.

Here is some of the feedback I received on the GABA blog, observing links to gluten sensitivity, other food sensitivities and functional imbalances:

  • Gluten sensitivity
    • I found that once I eliminated gluten from my diet, this almost eliminated the problem.
  • Other food sensitivities – keeping a food-stress-spasm log will help you figure this out
    • We have found a sensitivity to corn, coconut, and nightshades and eating these brings on an attack. I suspect gluten as well but don’t always get an attack the way corn will
    • Food too high in phytic acid is a huge trigger for me…I avoid nuts like the plague
    • I do have gluten intolerance, and have been gluten free since 2009. I also stay away from dairy, all grains, and eggs. Recently I went off of all nightshades and on a lectin free diet. I haven’t seen any difference yet, and it has been over a month, but then again I haven’t had a spasm lately either. Not sure if that is a coincidence or not.
    • I have discovered that the following foods bring it on the next day: gluten, onions, citrus, especially orange juice, and black tea. Staying away from these foods has made a huge difference, but I still get episodes, which makes me think there’s another trigger I haven’t discovered
  • Any functional imbalance
    • I’ve recently been seeing a new naturopathic doctor who addressed SIBO, hormone imbalance as well as a stubborn parasite. My attacks most often occurred in correlation with constipation, digestive upset and ovulation pain (I had low zinc and low progesterone). Addressing all three factors has helped.

Other possible factors that should be considered: low magnesium, low potassium, low serotonin, low vitamin D, low zinc and dehydration, and look at drug-induced nutrient depletions from the BCP, fluroquinolones and proton pump inhibitors.

Jessica provides a comprehensive overview in this article: Physical Therapy and Nutrition: A Powerful Combination To Heal Pelvic Pain. It’s written for health professionals but is an excellent overview for anyone.

Some other possible solutions

I received so much wonderful feedback on the GABA blog that I’ve gathered these other possible solutions into a list:

  • Skullcap and valerian for mild symptoms
  • Designs for Health Gastromend, a product that is healing for entire GI tract helps in 15 minutes. Drinking Aloe juice may be helping
  • Sitting on the toilet and pushing down like with a bowel movement [this doesn’t feel good when I do it] or sitting on my foot to apply upward pressure before the spasm gets to deep will generally shorten the duration. I have found that stretching and holding the stretch for a few minutes will ease the intensity and duration of the spasm.
  • Nothing seems to help me except for a really hot heating pad. It usually takes about 20 minutes or a little longer for the spasms to go away

Squats, reflexology and downward dog for immediate relief

I also received these solutions that provide immediate relief while you’re figuring out and addressing the bigger root causes:

  • My gastroenterogist recommended going into a deep squat when the spasm starts. I tried and it worked!
  • I rub the inner ankle area (above the bone) in an upward motion – both sides. I rub as hard as I can. It takes a few minutes of rubbing but the pain reduces almost immediately. I went to a foot reflexologist and she said that this area relates to the rectum.
  • Downward dog yoga pose

I appreciate all the wonderful feedback on the GABA blog and the opportunity to share this so more of us get answers more quickly! Too often we think it’s just us but I encourage seeking solutions no matter what weird quirks we think we have!

I have one more article to share on the topic so stay tuned for part 3 with an exercise that strengthens the pelvic area and reverses rectal spasms.

Feel free to share what’s worked for you, what your possible triggers are and if GABA or any of these approaches resonate with you.

Astragalus reduces anxiety, lowers cortisol, boosts immunity and provides neuroprotection

By Trudy Scott 19 Comments

Astragalus is a herb that is well recognized for it’s immune boosting benefits and David Christopher, one of the experts on Immune Defense Summit, shares that it’s his favorite herb for protecting the immune system.

We know the immune system plays a role in anxiety and depression. I’m sure you’ve heard the term psychoneuroimmunology: the study of the interaction between psychological processes and the nervous and immune systems of the human body. So I went searching to see if this herb has any evidence for reducing anxiety and I wasn’t disappointed

It was encouraging to discover very recent research that supports that it has benefits for reducing anxiety and that it offers neuroprotection.

In an animal Alzheimer’s disease study published in 2016, Neuroprotection and anxiety like behavior reduction of Allium hirtifolium and Astragalus hamosus in the Aβ-injected rat it was shown that oral administration of both Allium hirtifolium and Astragalus hamosus decreased anxiety-like behavior.

The results of this study also revealed

potential neuroprotective properties of Allium hirtifolium and Astragalus hamosus as herbal remedies that could play a role in fostering healthy aging and be considered as useful candidates in decreasing Alzheimer’s disease related symptoms.

David doesn’t cover the above this in his interview so I’m sharing this here to provide you with some context on the importance of supporting the immune system beyond colds and flu.

This is what David does say about astragalus in his interview with Immune Defense Summit host Jonathan Landsman:

I think it is the number one herb for protecting the immune system. And the nice thing about astragalus is it’s a tonic. And tonics are substances that will go either way – if you’ve got over-functioning or if you’ve got under-functioning – it will go whatever the body needs. They also call them adaptogens.

Because astragalus is an adaptogen, it is one of many herbs that can be used to support the HPA axis, thereby helping to reduce high cortisol, and hence anxiety via another mechanism. This paper, Effect of hypothalamic-pituitary-adrenal axis alterations on glucose and lipid metabolism in diabetic rats, reports that astragalus may improve HPA axis functioning and aid in the treatment of diabetes by lowering blood sugar and high levels of corticosterone (the rat version of cortisol).

David goes on to share that astragalus does a lot of things for the immune system:

It actually increases the interferon which is the chemical message that the immune system uses to communicate between the cells.

One of the things that astragalus does is it stimulates the production of and activity of the macrophage, the part of the immune system that gobbles up impurities, so it’s nonspecific. And it tends to last for a long, long period of time. They’ve done the studies showing that when you take astragalus, it immediately affects your immune system (within six hours). And it’ll last 72 hours. So it’s fast-working and it’ll last a long time.

I can’t think of anything in the medical profession that has as many benefits as astragalus has. Nothing. Astragalus is my favorite herb for the immune system.

David shares more about astragalus and other immune boosting herbs like echinacea (which also happens to help with reducing anxiety) on the Immune Defense Summit which runs July 24-31.

I do hope you can join us to hear from many experts on various topics related to immunity, many of which have a direct connection to anxiety, mood and overall health.

Click here to register

Have you used astragalus with good results? For stress and anxiety? To help lower high cortisol? For immune-boosting? For cognition?

How GABA eases agonizing rectal pain and spasms in under 2 minutes

By Trudy Scott 188 Comments

Proctalgia fugax is described as a condition that leads to rectal spasms and sharp fleeting pain in the lower rectum or anus. In some people it can be more than fleeting and is often described as excruciating and agonizing.  

This paper describing proctalgia fugax shares how this pain can

recur over weeks, is localized to the anus or lower rectum, and can last from seconds to several minutes with no pain between episodes. There is no diurnal variation. There are numerous precipitants [preceding factors] including sexual activity, stress, constipation, defecation and menstruation, although the condition can occur without a trigger.

Although the cause of proctalgia fugax is unclear, spasm of the anal sphincter is commonly implicated. The condition may be more likely to occur after sclerotherapy for hemorrhoids and vaginal hysterectomy. There are also associations with other functional pathologies, such as irritable bowel syndrome and anxiety.

My story

I have experienced this awful anal sphincter spasm and pain myself so I want to shine some light on this condition and offer the simplest and most effective solution: oral and sublingual GABA. It works to completely eliminate the pain in 1-2 minutes! And it can also be used to prevent a full-on spasm if you catch it in advance. More about this below.

Let me first share my story so you can relate to the pain. I started to experience this a few years ago. It was right after my aunt died from rectal cancer and my immediate thought was that I was dying of cancer. That’s how bad the pain was. It’s like nothing I’ve ever experienced and I’ve had some pretty bad pain experiences: shingles, a tick bite headache, ice-pick headaches from a neck injury and poking my eye on a tree-branch while hiking.

For me, since it initially used to happen during the night, it felt like I was in bad dream and was lying somewhere injured and in agony. I would half wake-up moaning in pain, not quite grasping how the pain I was feeling could be so bad. Then I would come fully awake and feel the need to bear down (as in needing to have a bowel movement) but this would actually make it worse.

How do others describe the pain?

When I shared this paper on facebook one woman said her rectal pain and spasms last 20-30 minutes and is bad a childbirth.

Someone else shared that her husband “complained of feeling like a knitting needle was being driven through his anus.”

What do I think my triggers are?

I have not had sclerotherapy for hemorrhoids or a vaginal hysterectomy. I do have a history of anxiety and panic attacks (in my late 30s) and do have IBS/SIBO right now and I suspect that both low GABA and IBS/SIBO are my biggest root causes. I no longer have any anxiety but since I respond so well to GABA I assume my GABA levels are not optimal (likely due to the SIBO). I suspect exposure to hidden sources of gluten could also be a factor, and this could also affect my GABA levels.

Medications or heating pads as a solution?

I didn’t ever consider the conventional approaches which include: botox, benzodiazepines, SSRIs, Gabapentin, lidocaine, oral diltiazem, topical glyceryl nitrate, nerve blocks or salbutamol.

A warm bath has been reported to help but I was looking for a 1-2 minute fix (and less if possible). Once you’ve experienced this pain you’ll understand that you not imagine running a bath in the midst of a spasm and waiting to get in it.

Heating pads do also work but can take 20 minutes to take effect and that is simply too long for most people.

The first solution for in-the-moment relief (takes 2 to 12 minutes)

After the first episode I started searching online and because I didn’t know it was called proctalgia fugax I searched for “rectal cramp”, “rectal spasm”, “anal cramp” and came across forums with hundreds of women asking about it and describing their pain.

But no-one really had a solution and many had seen their doctors without much success. The best solution that many people use is 30-60 seconds of finger pressure (with the finger wrapped in toilet paper) in the anal sphincter during a spasm. Sometimes this is needed for up to 2-3 mins and sometimes doing this 2 or 3 times a few minutes apart is needed. Think about how you put pressure on a calf muscle spasm to stop the cramps. This works well but the agony can last for the entire 2 to 12 minutes (depending on how many times it has to be done).  Adding a small amount of arnica cream onto the toilet paper seems to helps too.  

How common is it?

It took more searching and reading and then I discovered what it was called. Once I found a name for it and started looking into I was surprised to see how common it is:

The prevalence of proctalgia fugax in the general population may be as high as 8%–18%. Many patients present to primary health care physicians and often do not require further consultation because the symptoms are fleeting. This condition is more common among women than among men, and usually affects patients between 30 and 60 years of age.

Although it’s more common among women I worked with a male client who experienced this. During one of his episodes, the pain was SO bad he actually passed out and hit his head on the bathroom floor.

The best solution for almost-immediate relief (takes 1 minute)

I know that GABA works amazing well for physical anxiety and stiff and tense muscles and I decided to try GABA in the midst of a spasm. It worked amazingly well and within 1 minute the terrible pain started to ease. It does need to be taken sublingually and I have found that 250mg to 500mg opened onto my tongue works best for me.

Each person would need to find the ideal amount for their needs but at night this should be a reasonable amount. During the day this could be too much and make you sleepy or too relaxed.

I’ve also used a combination of sublingual GABA and theanine with similar results.

I know GABA isn’t readily available everywhere so I did an experiment with taurine and found I needed more (at least 1000 mg) and it did take longer (2-3 minutes) to get relief, but it did work.

THE immediate solution for preventing the spasm

But I have now gotten to the point where I can nip it in the bud and prevent the spasm altogether – by taking sublingual GABA at the very first hint of an ache or twinge. I’ve been fortunate that when this does happen (about once a month and sometimes every 2 months) it’s around 8-11pm.

The long-term solutions for getting to the root cause/s?

We always want to get to the root cause of an issue and that is the next step. I reached out to the practitioners in my community to ask them how they help their clients and patients with this and what approaches they have used to end the spasm and pain. I will be sharing some of their solutions and how to get to some of the root causes in part 2.

UPDATE: Here is part 2 – How to address rectal spasms with GABA, pelvic floor work, gluten removal and squats

I’d love your feedback!

I’d love your feedback so I can learn what works, so we can all learn from each other and so others get answers quicker than I did.

Have you ever experienced this rectal pain and spasms? And what has worked for you?

I’d love to know if it is more common after sclerotherapy for hemorrhoids and vaginal hysterectomy? Have you had either? Or any surgery in the abdominal area?

Do you also have IBS/SIBO?  What about celiac disease or gluten sensitivity?

Do you currently have anxiety or mood issues or have a history of anxiety or mood issues?  How many low GABA and low serotonin symptoms do you have – here is the questionnaire  (a paper from 1965 mentions that patients with proctalgia fugax have been described as irritable, perfectionistic, meticulous, obsessional, tense, and anxious)

If you’ve tried GABA or these other approaches (or decide to try them) please come back and share.  Too many people don’t know about this and it needs to change!