MODERN KNOWLEDGE OF GALLSTONES, THEIR SYMPTOMS, AND THEIR CAUSE

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Abdominal ultrasound
The beak's outer shell is made of hexagonal keratin tiles cemented together with an organic glue and piled in several staggered layers. The backward flow of the blood into the sinus venosus is prevented by the sinuauricular valves. It also damages the alveoli and decrease the lungs' surface area. Cancer cells break away from where they began the primary tumor and travel through the lymph system or blood. The islets make and release insulin and glucagon into the blood. Arrows show lingual hairs on the lateral sides. The ventricles force the blood into the arteries.

DUODENUM Defined for English Language Learners

What is pancreatic cancer?

We brought many legal cases in the State and Federal Courts of Pennsylvania. We appealed to the 3rd Circuit of the Federal Courts several times and appealed to the U.

Supreme Court 5 times. During this time Dr. Morrison and I collected more than adequate data and endured sufficient experiences to honestly and with Christian love for our fellow Cancer patients, and without rancor, make the following statements.

To put it candidly, we know whereof we speak and write. See below and take note in Chapter X. Kelley is a dentist. Morrison was of a different mind. I know our opinions about the Medical Establishment are repulsive and unbelievable to the honest, God fearing, Christian citizen.

Nevertheless, they are true and we have encountered so many such experiences we must bring to your attention at least one of these horrible stories. Morrison got an urgent call from her little brother, David. He had a small lump, about the size of a pea, on the left side of his neck, just above the collarbone. His doctor in New Jersey, knowing the stress David was under with his "wife to be" told him to just calm down and get his family situation resolved and watch it and check again in six months.

Carol knew from her medical training that if the lump was malignant it was only a metastasis of a tumor mass, usually found in the chest between the lungs. She asked me to ask the Holy Spirit for confirmation. To verify the Holy Spirit, Carol did a "scan" in the hospital where she was working. It was agreed to wait six months and then check David again. She demanded the nodule be removed and biopsied to prove it was cancer.

If she demanded a diagnosis of cancer and could pay for it, "she will get it. Anderson Cancer Center in Houston; if you are rich enough and live in the central U. Everyone gets a piece of the pie! The advice of the New York doctors was: We do see a swelling in the nasal sinus. It would be closer to home for David to be treated in Philadelphia and less stress.

Back in Philadelphia, mother demanded a biopsy of the nasal sinus; the fact that David had allergies was never considered. The surgery was a disaster; the surgeon ruptured a major artery and nearly killed David. No biopsy of a life or death situation was encountered. All manor of chemotherapy and radiation was then started. In Pittsburgh David was scalped; his skull was sawed from ear to ear and set aside.

Seventeen biopsy samples were taken, digging as close to the brain as possible. David was going to five doctors and each one was giving him something different and not knowing or caring what the others were treating him with.

All this was accomplished and treatment performed when there was no positive biopsy ever reported. All they could say was: Morrison and I were devastated. We constantly asked God why such devastating and cruel experiences were necessary when David did not even have cancer! Maybe it was for you, the readers of this booklet — for your education and understanding. Carol and I had seen enough, long before David. Cancer is basically a deficiency disease — a deficiency of the pancreatic enzymes.

This is a deficiency of the free active enzymes in the tissues of the body. Since and the passage of the Hatch Act, individuals and physicians may legally support human metabolism by diet, nutritional supplements and certain procedures as long as they are not harmful. In fact, for many years it has been accepted that one must add vitamins, minerals, trace minerals, amino acids, etc. The modern diet is quite deficient in certain foods that have in the past been mainstays of good nutrition and the support of health.

The most outstanding missing group as a whole is the organ meats, such as kidney, liver, stomach, intestinal tract tripe, and lung.

To get these today one must obtain them in the form of nutritional supplements. Pancreas tissue or sweetbreads without a doubt, indicated by our 30 odd years of research, is the most deficient item in our food chain. It should be noted that the pancreas is the most needed of all the missing organ meats from our diets. It must be supplied in our diets or serious deficiencies result.

Low temperature processed pancreas gland enzymes are available to the public in various Metabolic Formulas listed below. These nutritional products are designed to support the normal metabolic processes of human metabolism. Below are the Metabolic Formulas Dr. They have been helpful to thousands of his metabolic counselees. For the amount to take and the timing see below.

Formula E — For those who have difficulty swallowing, this enteric-coated caplet has proven to be helpful. Formula E also contains enzyme activators that are lacking in some cancer patients.

Activators are also normally secreted in the first six inches of the small intestine as soon as food from the stomach and enzymes from the pancreas arrive. If the pancreas contained this activator the pancreas would digest itself. A lack of these activators prevents the pancreatic enzymes from digesting food or destroying cancer cells in the body.

Formula H — For those who have Hay Fever or other allergies — 6 caplets should be taken with each meal. Formula L — For those who have been diagnosed by their physician as having Leukemia.

Formula P — For those who choose to invest in Prevention — 2 or 3 caplets should be taken with each meal and at bedtime. This is for pancreas support, not for pancreas failure. Formula T — Pancreas Self-Test — 6 caplets with each meal and at bedtime.

Formula W — For Weight Control — 2 to 6 caplets should be taken with each meal. It is far more important than one can possibly realize to take the Metabolic Formulas at the proper time. The most essential part of resolving the metabolic malfunction of those with pancreatic failure is to get the enzymes to the affiliated areas of deterioration. We must have enough enzymes there to stop any further deterioration of body tissue. Some have found it easier if one starts the first week by taking 6 caplets each at the 6 suggested intake times; then 9, then up to the suggested The raw materials for the repair and rebuilding of the body must be cycled.

Taking the Metabolic Formulas during the "On" cycle provides a saturation of needed nutrients. Stopping the Metabolic Formulas during the "Off" cycle provides the necessary time for the body to repair, rebuild and detoxify.

Take the Metabolic Formulas for 10 or more days, until one becomes toxic, but no longer than 25 days. It is best to stay On your Metabolic Formulas for 10 to 25 days.

However, when you suffer negative symptoms anytime after the third day you may Stop taking them at that point.

Remain Off the Metabolic Formulas for 5 days. You must give the body time to detoxify. Stay Off the Metabolic Formulas the full 5 days even if you feel well enough to continue.

Give your body time for repair and rebuilding. You must continue your detoxification program during the "Off" cycle. If you feel worse while you are Off the Metabolic Formulas you should go back On them immediately and try to go Off them again in 25 days or if you feel toxic. Essential Fatty Acids are critical nutrients, not produced within the body, and must be supplied through the diet. These Fatty Acids are needed for the function of the immune system as well as cardiovascular and brain metabolism.

This special formula is very high in Omega 3 and restores needed balance of Cholesterol and Triglycerides. Balance usually occurs in 6 to 8 months by taking 1 tablespoon two times each day.

This formula is very high in Omega 3 and Omega 6 and restores and maintains the balance of cholesterol and triglycerides. Taking one tablespoon each day has been adequate and helpful to many. The cardiovascular system is of the utmost importance. It would be counter-productive indeed to survive cancer only to be wiped out with malfunction of the cardiovascular system.

HRT is a solution of ortho-phosphoric acid. Suggested daily intake is 45 to 90 drops daily taken in juice, hot or cold tea, carbonated beverage or water. Multiple Mineral, 1 per day optional — there are sufficient minerals in the above enzyme Formulas. Multiple Vitamin, 1 per day optional — there are sufficient minerals in the above enzyme Formulas. Kelley does not deny that his approach applies extreme measures.

He maintains that extreme measures are required when you have allowed your health to fall so low that your have left yourself vulnerable to cancer. He has identified four major lines of defense against cancer: All of them depend heavily on nutrition for their strength. You take so many pills in order to be sure that your glands will be totally supported, your immune system highly stimulated, and your body chemistry properly balanced.

In reality, a person very rarely dies of cancer. It is always starvation and toxicity. As the malignant tumor grows it gives off waste products, which must be eliminated through the colon, liver, kidneys, lungs and skin.

These waste products accumulate and gradually overburden the body. Most persons then die of toxemia. Before any disease can be cured, the waste products and impurities must be cleansed from the body. The sooner this is done, the sooner the body can begin repairing itself. Kelley recommends that you begin the detoxification process even before you have the nutritional supplements in your possession.

It is absolutely imperative that the patient carefully follows the detoxification process after the supplements begin stimulating the release of wastes and debris. Scientists have calculated that a person has between 70 and trillion cells in his or her body. This means we have over 70 trillion "garbage cans" needing to be emptied.

In our culture we have not made allowances for, nor taught ourselves, the proper techniques of emptying these waste receptacles. It is no wonder that the people of our nation are so sick!

Proper and thorough detoxification is just as important as good nutrition for anyone who has lived in the mainstream of a modern technological civilization for 10 or more years, and especially for anyone who has developed symptoms of a chronic degenerative disease.

The intensive program of concentrated nutrients outlined in this book will begin to make nutritional factors available to the cells, which they may not have had for many years. Consequently, cellular metabolism will speed up and an increased amount of metabolic waste will be dumped into the bloodstream. If it accumulates in the bloodstream, one will not feel well and the cells will not be able to utilize the fresh nutrients being provided by the nutritional program.

When one eats food, it is digested in the mouth, stomach, and intestinal tract. In the intestinal tract, the digested food is absorbed into the bloodstream, which takes it close to each individual cell. The food, along with oxygen, is transferred into the cell.

In the cell, nutrients are metabolized into energy, carbon dioxide, water, and waste products of metabolism. It is the accumulation of these wastes, which frequently interferes with normal functions of the cells. Principle factors necessary for a pure bloodstream are pure air, pure water, pure food, and the presence of oxygen brought in by exercise appropriate to your cardiovascular capacity.

As the cells produce metabolic debris, the blood carries it to the organs of detoxification. These organs are the liver, kidneys, lungs, skin, many of the mucous membranes, and the colon. If these organs of detoxification are themselves filled with debris, they of course cannot accept any more toxins.

In such a case, the blood cannot accept further debris from the cells and, before long, there are 70 to trillion garbage cans completely full. It is like the city dump being filled to capacity and not accepting any more garbage trucks. Before long, the entire community has become bogged down. The liver is the major organ of detoxification, and also the most stressed by our modern lifestyle.

One cannot live long without the heart, brain, kidneys, or pancreas, yet it is proper liver function, which prevents these organs from becoming diseased.

Here, in addition to metabolic wastes, is where environmental contamination, food additives, and all other chemical pollutants are removed from the body. You should be just as much or more concerned about the condition of your liver as about the condition of your heart. If you have had hepatitis, cirrhosis of the liver, infectious mononucleosis, or other liver damage, you should become very protective of this vital organ.

The intake of anything that places undue stress on the liver should be eliminated entirely. Such a list would include: Unrefined oils, or butter for sautéing, can be used without creating peroxides and free radicals, which are toxic to the liver. Metabolizing essential fats cholesterol, triglycerides, lipoproteins and thus preventing their accumulation in the bloodstream where they often form deposits on blood vessel walls atherosclerosis.

Secreting a fluid bile which stores in the gall bladder or the enlarged bile duct and empties into the small intestine. The bile acts as a carrier for all liver wastes.

It is also essential for the proper digestion and assimilation of fats and all fat-soluble nutrients such as vitamins A, D, E, K, lecithin, and essential fatty acids. The gall bladder is a hollow muscular organ which stores and concentrates bile and is attached to the undersurface of the liver. When a meal is eaten, especially if it contains some fats or oils, the gall bladder is stimulated to contract and should freely expel its contents into the small intestine to emulsify fatty nutrients for proper absorption, and to allow poisonous wastes which the liver has removed from the body to be eliminated through the intestines.

Many people living in our society today, even those in their teens, fail to have free, unobstructed flow of bile from the liver and gall bladder in response to food entering the small intestine. Eating refined or processed foods, eating fresh food which is mineral deficient because it is grown on depleted or chemically treated soil, lack of regular vigorous exercise, stress, multiple distractions during meals, and many other unnatural aspects of our lifestyle have combined to alter the chemistry of bile so that formation of solid particles from bile components is a commonplace occurrence among Americans.

These solid particles remain in the gall bladder or the base of the liver for many years and become progressively harder, sometimes calcifying into "gallstones. When a significant number of solid bile particles accumulate, the free flow of the gallbladder is diminished, causing progressive stagnation and congestion of the liver.

The body begins to suffer the effects of poor assimilation of fat-soluble nutrients, which may play a role in the development of eczema, psoriasis, dry skin, falling hair, tendonitis, night blindness, accumulation of calcium in tissues, and sometimes prostate enlargement in men.

Hemorrhoids due to blockage of the portal vein draining the liver are often the result of this congestion. The importance of cleansing the debris from the liver and gall bladder, thus keeping the bile free flowing, cannot be overemphasized. This can be effectively accomplished by doing the Liver-Gall Bladder Flush a form of which at one time was widely used at the world famous Lahey Clinic in Boston, MA , which is necessary even if one has had their gall bladder removed. The four basic active principles in this procedure are:.

Apple juice high in malic acid or ortho-phosphoric acid, which acts as a solvent in the bile to weaken adhesions between solid globules.

Epsom salt magnesium sulfate , taken by mouth and enema, which allows magnesium to be absorbed into the bloodstream, relaxing smooth muscles. Large solid particles which otherwise might create spasms are able to pass through a relaxed bile duct. Olive oil, unrefined, which stimulates the gall bladder and bile duct to contract powerfully, thus expelling solid particles kept in storage for years. Coffee enemas, which consist of a coffee solution retained in the colon.

They activate the liver to secrete its waste into the bile, enhancing bile flow and further relaxing the bile duct muscle. The Liver-Gall Bladder Flush is one of the most important procedures for persons over 15 years of age. The steps in doing this are not difficult and are as follows:. For 5 days prior to the "Flush," consume as much apple juice or cider as the appetite permits, in addition to regular meals.

Nutritional supplements should also be taken during this time. The first preference for juice would be freshly juiced organic apples, and secondly, apple juice or cider unsweetened and preferably organic if possible purchased either from the health food or grocery store. A person should be sure to read the labels carefully and obtain a juice that has no additives whatsoever. If one is a severe hypoglycemic, is diabetic, or has difficulty tolerating the juice or cider, he or she may take 20 drops of HRT Phosfood Liquid or Super Phos 30 with each meal 60 drops daily in RO filtered water or distilled water or some type of juice other than apple.

Due to the high acidity, it is wise that one brush his teeth or rinse out his mouth with Milk of Magnesia or baking soda solution after taking the ortho-phosphoric acid.

At noon on the sixth day, one should eat a normal lunch and take the Metabolic Formulas scheduled for that time. Two hours after lunch, 1 or 2 tablespoons of Epsom salt magnesium sulfate dissolved in 1 to 3 ounces of warm mineral water, RO filtered water or distilled water should be taken.

The taste may be objectionable to some. If so, the mixture can be followed by a little citrus juice if desired freshly squeezed if possible. This should be retained for 15 minutes and expelled. The coffee should be made as strong as one can tolerate but no stronger than 6 tablespoons of ground coffee per quart of water.

Five hours after lunch take 1 tablespoon of Epsom salt, dissolved as the previous dose Step 3. Six or seven hours after lunch, one may fast if desired.

However, it is preferable to have a fresh fruit salad, using as many fresh fruits in season as possible. Use heavy, unpasteurized whipping cream as a dressing on the salad, whipped with a little raw unheated honey if desired.

One can eat as much as desired of the whipped-cream-covered salad. If fresh fruit is unavailable, frozen berries such as strawberries, blueberries, boysenberries, blackberries, raspberries, etc.

These should also be covered with whipped cream and a large portion eaten. Take citrus fruit or juice after the cream and fruit meal, if desired. For hypoglycemics, the cream should balance the fruit. However, each hypoglycemic should adjust the amount of salad eaten to his individual tolerance. At bedtime, there can be 1 of 3 choices Note: Olive oil stimulates the gall bladder and bile duct to contract powerfully, thus expelling solid particles kept in storage for years.

All juice should be freshly squeezed if possible: Take 4 tablespoons of unrefined olive oil or 4 tablespoons of Formula F followed by 1 tablespoon of citrus juice every 30 minutes until 6 ounces of oil have been consumed.

This choice is preferable for those who are unusually weak or who have had gall bladder problems in the past. It has been found helpful to rinse the mouth with an alcohol base drink like Sherry to cut out the residue of the oil taste. If an alcohol base drink is unobtainable, try a natural carbonated drink, or club soda. Do not swallow the alcohol drink or the carbonated drink.

If one should vomit during the consumption of the oil and juice, the procedure should be continued until it is finished. It is not necessary to make up for the amount that was vomited.

Immediately upon finishing the oil and juice or while taking it , one should go to bed and lie on the right side with the right knee drawn up toward the chin for 30 minutes before going to sleep. If there is a strong feeling of nausea the following morning, one should try to remain in bed until it subsides somewhat. Vomiting should not be forced. Upon arising, one must take another strong coffee enema with Epsom salt in it or, 1 hour before breakfast, take 1 tablespoon of Epsom salt dissolved in 1 to 3 ounces of warm mineral water, RO filtered water or distilled water.

If one continues to feel nauseous or very sore in the upper abdomen even after the enema, a light diet of sprouts, fruit raw or steamed , yogurt or kefir, and freshly extracted vegetable juices especially with beet greens in them should be resumed. If one finds that the Metabolic Formulas cause discomfort immediately after the flush, they may be omitted for three days.

Taking one hydrochloric acid tablet at bedtime will help reduce any nausea during the night. If you have a tendency to get nauseated from the oil, take 2 tablespoons of Aloe Vera juice after your doses of oil and citrus juice. Placing a hot water bottle over the liver area under the right ribcage during the night also helps relieve nausea. One should not be frightened by the above references to nausea, vomiting, soreness of the abdomen, etc.

Many people complete this procedure with minimal discomfort, and nearly everyone feels much better after completing it. Flushing the liver and gall bladder in the manner described if the gall bladder is present stimulates and cleans these organs as no other process does.

Oftentimes, persons suffering for years from gallstones, lack of appetite, billiousness, backaches, nausea, and a host of other complaints will find gallstone-type objects in the stool the day following the flush. These objects are light to dark green in color, very irregular in shape, gelatinous in texture, and of sizes varying from "grape seed" size to "cherry" size. If there seems to be a large number of these objects in the stool, the flush should be repeated in 2 weeks.

The fast should last one or two days. We are now giving the body a rest and an opportunity to cleanse itself of much waste on the individual cell level. Each day of the fast one quart of fresh carrot juice and one pint of celery juice should be taken, along with all the RO filtered or distilled water desired. It is best to dilute the fresh juice with equal parts RO filtered or distilled water. It is important to remember that unless sufficient fluids are taken the poisons become concentrated and are not eliminated in the natural way.

If there were only one kind of pill that would help everybody, the cancer patient or otherwise, it would be "Okra-Pepsin-E3" made by Standard Process, Inc.

Certain foods, such as pasteurized milk and many cooked foods, cause the mucus buildup on the wall of the small intestine raw foods do not cause this mucus buildup. The mucus coats the villi on the wall of the small intestine.

The villi are like tiny fingers that stick out from the intestinal wall to absorb nutrients from the digested food, which is primarily liquid. The mucus on the villi blocks the absorption of nutrients from the food. Sometimes the mucus gets so thick and tough it is almost like a plastic film. Almost no nutrition can get through to the body. He or she would be starving and therefore would want to eat more food including protein.

That would lead to more of the pancreatic enzymes being used to digest the protein even though it could not be properly absorbed. When all the pancreatic enzymes are used up, there are none left in the blood to destroy cancer cells.

The okra is a very sticky, gooey, vegetable material. It tends to stick the pepsin enzyme to the mucus on the intestinal wall long enough to digest some of the mucus. The E-3 is a powerful tissue repair factor. It was originally developed for the patient with stomach ulcers or colitis. If the Okra-Pepsin-E3 capsules are taken for a few days to several weeks, one after each meal reduce the amount of capsules if diarrhea occurs , the mucus will gradually be digested.

The blood can then receive more nutrients from the food, even if it is from a poor diet. Then, once a year, take the Okra-Pepsin-E3 capsules again for a few days or a week to keep the mucus from building back up.

The mucus blockage varies with different people. Sometimes it blocks minerals and larger molecules only, while in other people it partially blocks all nutrients. While taking the Okra-Pepsin-E3 capsules people who have heavily mucus-coated intestines might find mucus coming out with their stool, convoluted like the intestines.

Kelley has had people who have been taking the capsules call him to say that they think they have just passed their intestines and what should they do? One year-old patient called Dr. Kelley to report that the Okra-Pepsin-E3 capsules worked a miracle by relieving reoccurring pain that she had suffered with for years.

The pain would come and go apparently without cause and felt like bricks were pressing against her internal organs and lower back and at the same time her right side and leg would feel numb.

On the morning of the eighth day, after taking one Okra-Pepsin-E3 capsule with each meal for a week, she spent 45 minutes sweating, straining and pushing to have a bowel movement, and when it finally came out she could hardly believe what she saw — long, intertwined black ropes or collapsed tubes of mucus filled the toilet!

After this bowel movement and the disappearance of her pain she realized that there must have been a connection to eating a large meal and the pain — food passing through the intestine would push the mucus-coated intestine onto nerves, which caused the pain and numbness. The Okra-Pepsin-E3 is indicated for both underweight and overweight people.

In both cases nutrients are not being absorbed. Even if they are taking enzymes to digest the food they eat, they absorb only the smaller carbohydrate molecules while the larger protein molecules are blocked. In underweight people the carbohydrates are used efficiently burned for energy, not turned into fat , but the person becomes thin as they lose muscle mass from lack of protein absorption.

In overweight people the carbohydrates are not used efficiently they are turned into fat , and this causes the person to become overweight as they also lose muscle mass. A high, retention enema, using coffee, should be taken to aid in the elimination of toxic waste material from the body. After 35 years, Dr. Kelley still takes his daily enema. The coffee enema, besides stimulating liver detoxification, also has beneficial effects in cleaning the colon.

Coffee is an excellent solvent for encrusted waste accumulated along the walls of the colon. The caffeine also directly stimulates the peristaltic muscle to contract more powerfully and loosen such deposits, which are occasionally visible as hard, black material and "ropes" of mucus.

Gradually, as the protein metabolism of the body improves, the muscle tone of the bowel becomes normal and thorough evacuation is possible without the aid of the enema. Essentially, the coffee enemas help the liver perform a task for which it was not designed — that of elimination in 1 or 2 years the accumulated wastes from many years of living in ignorance of the laws of nature.

At first, most people dislike enemas and have psychological barriers against them. Ignorance of the purpose and function of the enema, as well as misunderstanding of the proper procedure for taking it bring about this aversion. I have observed, however, that the persons most opposed to enemas soon reverse their prejudices and become the most avid supporters of them! In many cases, the enema relieves distress and gives a sense of well being and cleanliness never before experienced.

The proper removal of toxins and debris from the colon is absolutely essential in all conditions of disease and ill health. Enemas using coffee in the afternoon or evening may interfere with sound sleep. If enemas are needed at these times, many patients prefer to use only warm pure water omitting the coffee.

But it is better to take coffee at these times also, and a weaker solution to permit sleep would be better than not using coffee at all. Just before bedtime each day, make a pot of coffee 1 quart. Unplug coffeepot and allow to cool to room temperature. It is best to arise early enough each morning to allow time to take the enema in a relaxed, unhurried state.

The coffee must be regular, non-instant, non-decaffeinated coffee. Aluminum or Teflon should not be used at any time! We have found the coffee that is unboiled or prepared via the "drip method" is preferable. Use 3 to 4 tablespoons of ground coffee to 1 quart of Filtered Reverse Osmosis RO or distilled water. Any water that enters into the body should be RO filtered or distilled water.

Avoidance of city water supplies always chlorinated, which has been strongly linked to hardening of the arteries, and often fluoridated, which has been strongly linked to cancer and thyroid disease is most essential to removing stress from the kidneys.

Pure RO filtered water or distilled water should be used for cooking and drinking — and even for preparing enemas, since a significant portion of the enema water may be absorbed and filtered through the kidneys. Even if one has a well, it should not be assumed safe. Often toxic amounts of copper, cadmium, and lead are picked up from the plumbing even if the well is pure. If one distills water from a city supply, one must remember that certain hydrocarbon contaminants have a lower boiling point than that of water.

The distiller should have a valve to permit their escape as they gasify. If not, they will concentrate in the distilled water and will need to be removed by filtering through activated charcoal. An acceptable Distilled Water System: H 2 0 Only, Inc. Filters breed deadly bacteria. If your water supply is dirty a filter will get dirty in less than 30 days — A filter should be changed every 30 days even if your water supply is clean.

If a coffee enema makes a person jittery, shaky, nervous, nauseated, or light-headed, the coffee solution is too strong. The amount of coffee can be adjusted from 1 teaspoon to 4 tablespoons per quart of water as tolerance level permits.

The high, retention coffee enema should consist of 1 quart of coffee, held for 15 minutes. Some people, children especially, can take and retain only a pint 2 cups of enema solution at a time. If this is the case, one must take 2 enemas each time, one right after the other, and hold each for 15 minutes as directed.

Upon rising each morning plug in the coffeepot for a few seconds to bring coffee to body temperature; unplug and take the morning coffee enema. Before the enema do some form of mild exercise if possible, such as walking briskly. If one is extremely debilitated and weak, this step will of course need to be omitted until strength returns. Attempt a normal bowel movement. The enema is much more effective if the colon has been evacuated.

In many cases, not enough bulk collects to instigate a normal bowel movement. When no normal bowel movements are forthcoming, the enema cleans the colon adequately. After the normal bowel movement, if one is forthcoming, or before taking the coffee retention enema, most people find that taking an enema with 1 quart of warm RO filtered water or distilled water is very helpful do not retain this enema.

This procedure begins the cleansing of the colon, removing large particles of residue and most of the gas. When it is completed, the coffee retention enema may be taken. The warm water enema is optional and does not need to be taken if the coffee enema can be retained for the desired period. Place 1 quart of coffee in your enema bag or bucket.

You may use a Fleet enema bag, which is a disposable large volume plastic bag, an over-the-counter item from the local pharmacy or hospital supply outlet. This enema bag lasts about 2 years. The enema tip on the end of the hose is not adequate to give a "high enema. This colon tube is a soft flexible rubber-like tube around 30 inches in length.

It follows the curves and flexure of the colon. The colon tube is usually inserted about 12 to 20 inches into the rectum.

It is difficult today to find a colon tube. However, a plastic rectal catheter or tube about 18 inches long may be ordered from your pharmacy as an over-the-counter item. The enema bag should not be over 36 inches higher than the rectum. If it is placed too high, the coffee runs into the colon too fast and under too much pressure, causing discomfort.

There are several positions that can be used while inserting the colon tube. There is also the knee-chest method, with chest and knees on the floor and buttocks in the highest position possible. Most people, however, find it easiest to lie on the left side until the solution is out of the bag or bucket.

The enema should never be taken while sitting on the toilet or standing. Often, if a little bit of the solution is allowed to flow into the colon as the tube is being inserted, one may comfortably get past these kinks.

If a kink bends the tube too much and stops the flow of liquid, then the tube can be inserted only as far as it will go, still allowing the liquid to flow freely. Sometimes, if one hits a kink that stops the flow of the liquid completely, the tube can be pulled out slowly just to the point where the solution is felt flowing again. Frequently, the tube can be pushed back in, past the turn that previously stopped the liquid.

Regardless of the position used up to this point, one should now lie on the left side for at least 5 minutes, then on the back for another 5 minutes, then on the right side for at least 5 minutes. Those who have excessive gas may leave the tube in the colon with the hose clamp open.

This allows gas to escape through the enema container. Frequently, the coffee will go in and out of the enema bag or bucket until the gas is relieved. After the enema is retained for 15 minutes or longer, it may be expelled. If you find you have a lot of gas and it is difficult to retain the enema, try putting 2 tablespoons of blackstrap molasses into your coffee solution. If you get a sudden gas bubble causing an urge to expel the solution, breathe very fast through your nose using your abdominal muscles like a bellows.

This usually helps the colon wall break up the gas bubble. If you find that a little coffee leaks out, place an old towel under your buttocks. Occasionally, the intestinal tract will become obstructed. Usually under these circumstances, no food or feces will come through. Abdominal ultrasound is a type of imaging test. It is used to look at organs in the abdomen, including the liver, gallbladder, spleen, pancreas, and kidneys.

The blood vessels that lead to some of these organs, such as the inferior vena cava and aorta, can also be examined with ultrasound. An ultrasound machine makes images of organs and structures inside the body.

The machine sends out high-frequency sound waves that reflect off body structures. A computer receives these waves and uses them to create a picture. Unlike with x-rays or CT scans , this test does not expose you to ionizing radiation. You will be lying down for the procedure. A clear, water-based conducting gel is applied to the skin over the abdomen.

This helps with the transmission of the sound waves. A handheld probe called a transducer is then moved over the abdomen. You may need to change position so that the health care provider can look at different areas. You may also need to hold your breath for short periods during the exam.

From the back of the head emerges a small uncinate process , which extends to the back of the superior mesenteric vein and ends at the superior mesenteric artery. Its front upper surface supports the pylorus the base of the stomach. The neck arises from the left upper part of the front of the head. It is directed first upward and forward, and then upward and to the left to join the body; it is somewhat flattened from above downward and backward.

On the right it is grooved by the gastroduodenal artery. The body is the largest part of the pancreas and lies behind the pylorus, at the same level as the transpyloric plane. The pancreas is a secretory structure with an internal hormonal role endocrine and an external digestive role exocrine. The endocrine part is composed of hormonal tissue distributed along the pancreas in discrete units called islets of Langerhans. These drain enzymes through the ampulla of Vater into the duodenum.

The upper margin of the pancreas is blunt and flat to the right, and narrow and sharp to the left, near the tail. It begins on the right in the omental tuber, and is in relation with the celiac artery, from which the hepatic artery courses to the right just above the gland, while the splenic artery runs toward the left in a groove along this border. The lower margin of the pancreas separates the posterior from the inferior surface; the superior mesenteric vessels emerge under its right extremity.

The frontal margin of the pancreas separates the anterior from the inferior surface of the pancreas, and along this border the two layers of the transverse mesocolon diverge from one another, one passing upward over the frontal surface, the other backward over the inferior surface.

The inferior surface of the pancreas is narrow on the right, broader on the left, and covered by peritoneum ; it lies upon the duodenojejunal flexure and on some coils of the jejunum ; its left extremity rests on the splenic flexure of the colon.

The anterior surface of the pancreas faces the front of the abdomen. Most of the right half of this surface is in contact with the transverse colon , with only areolar tissue intervening. From its upper part, it joins to the neck of the pancreas at a well-marked prominence, the omental tuber , which abuts the lesser omentum.

Its right edge is marked by a groove for the gastroduodenal artery. The lower part of the right half, below the transverse colon , is covered by peritoneum continuous with the inferior layer of the transverse mesocolon , and is in contact with the coils of the small intestine.

The superior mesenteric artery passes down in front of the left half across the uncinate process ; the superior mesenteric vein runs upward on the right side of the artery and, behind the neck, joins with the lienal vein to form the portal vein.

The pancreas receives blood from branches of both the coeliac artery and superior mesenteric artery. The splenic artery runs along the top margin of the pancreas, and supplies the neck, body and tail of the pancreas through its pancreatic branches, the largest of which is called the greater pancreatic artery.

The superior and inferior pancreaticoduodenal arteries run along the anterior and posterior surfaces of the head of the pancreas at its border with the duodenum. These supply the head of the pancreas. The body and neck of the pancreas drain into the splenic vein ; the head drains into the superior mesenteric and portal veins.

The pancreas contains tissue with an endocrine and exocrine role, and this division is also visible when the pancreas is viewed under a microscope. The tissues with an endocrine role can be seen under staining as lightly-stained clusters of cells, called pancreatic islets also called islets of Langerhans. Darker-staining cells form clusters called acini , which are arranged in lobes separated by a thin fibrous barrier. The secretory cells of each acinus surround a small intercalated duct.

Because of their secretory function, these cells have many small granules of zymogens that are visible. The intercalated ducts drain into larger ducts within the lobule, and finally interlobular ducts.

The ducts are lined by a single layer of columnar epithelium. With increasing diameter, several layers of columnar cells may be seen.

The size of the pancreas varies considerably. The pancreas develops from these buds on either side of the duodenum. The ventral bud eventually rotates to lie next to the dorsal bud , eventually fusing. If the two buds, each having a duct, do not fuse, a pancreas may exist with two separate ducts, a condition known as a pancreas divisum. This condition has no physiologic consequence. This is where sections of the pancreas completely encircle the duodenum, and may even lead to duodenal atresia.

An accessory pancreatic duct may exist if the main duct of the pancreas does not regress. As part of embryonic development , the pancreas forms from the embryonic foregut and is therefore of endodermal origin. Pancreatic development begins with the formation of a ventral and a dorsal pancreatic bud. Each structure communicates with the foregut through a duct. The dorsal pancreatic bud forms the head, neck, body, and tail, whereas the ventral pancreatic bud forms the uncinate process.

Differential rotation and fusion of the ventral and dorsal pancreatic buds results in the formation of the definitive pancreas. Upon reaching its final destination, the ventral pancreatic bud fuses with the much larger dorsal pancreatic bud.

At this point of fusion, the main ducts of the ventral and dorsal pancreatic buds fuse, forming the main pancreatic duct. The duct of the dorsal bud regresses, leaving the main pancreatic duct. Differentiation of cells of the pancreas proceeds through two different pathways, corresponding to the dual endocrine and exocrine functions of the pancreas.

In progenitor cells of the exocrine pancreas, important molecules that induce differentiation include follistatin , fibroblast growth factors , and activation of the Notch receptor system.

These are the predifferentiated, protodifferentiated, and differentiated stages, which correspond to undetectable, low, and high levels of digestive enzyme activity, respectively. The multi-potent pancreatic progenitor cells have the capacity to differentiate into any of the pancreatic cells: Under the influence of neurogenin-3 and ISL1 , but in the absence of notch receptor signaling , these cells differentiate to form two lines of committed endocrine precursor cells.

Insulin and glucagon can be detected in the human fetal circulation by the fourth or fifth month of fetal development. The pancreas is involved in blood sugar control and metabolism within the body, and also in the secretion of substances collectively pancreatic juice which help digestion.

Approximately 3 million cell clusters called pancreatic islets are present in the pancreas. The islets are crisscrossed by a dense network of capillaries.

How the Test is Performed