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Your Questions Answered - NEW!

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4/13/ 15

Dear Dr.

It is now 8 months since I had fistula surgery. I am feeling pain at the site of surgery—itching and burning sensation and sometimes pinching pain around the anus—. My doctor has given me Botox injection to treat the fissure, but it converted into a fistula. So I returned to surgery. Is it the side effect of Botox, or was my surgery not successful?

 

Dear ----,

Before attempting to answer your questions, let us look at the normal ways the body functions in regards to the rectum and anal area.

The anus is the exit point from which the waste material from the food that we put into our body at the mouth leaves. Food taken into the mouth is chewed, mixed with digestive enzymes, swallowed and carried down through the esophagus (gullet) to the stomach. In the stomach it is mixed with more digestive chemicals and enzymes and churned by the muscular action of the stomach. When processing is complete, the contents are emptied into the first portion of the small intestine (duodenum) where more chemicals and enzymes and bile from the gall bladder are added. The contents are then carried through many feet of small intestine where the nutrients are absorbed into the blood stream for transport to other organs. Upon reaching the large intestine, most of the excess liquid is absorbed. Upon reaching the end of the large intestine the contents accumulate in the rectum where they are held until the signal is given to evacuate. Ideally, by this time, if all systems are functioning properly, the bowel contents will be soft, formed, and easily evacuated as the muscles forming the anus relax to permit easy exit from the body.   

In order for these complex functions to occur efficiently, a number of important things must be considered. The ideal diet for efficient digestive function includes mostly natural, unrefined foods, of plant origin. This diet gives bulk, moisture, and important nutrients. For efficient bowel function food should be eaten at meal time only. For people that work in the daytime and rest at night, the first meal of the day should contain about half of the daily nutritional needs. The other half should be eaten later in the day as a single meal, or divided between mid-day and early evening. Ample amounts of water are best taken in between meals to help keep the stools soft. 

Normally, the large meal entering the stomach triggers a “rush” in the entire digestive track, normally resulting in the urge to move the bowels and empty the rectum a half hour or so later. When, then, this urge is responded to, one normally develops a pattern that will help to maintain regular emptying of contents of just the right consistency and regularity. Our bodies do this automatically if they are treated right. If any of these important steps are ignored, problems may eventually be expected—constipation, straining, large, hard stools, etc. Large, hard stools may stretch the anus too far and tear its tender lining. This tear is known as an acute fissure. Unless normal bower function is rapidly reestablished and stools made soft and formed, the fissure may become chronic, causing pain and/or bleeding with each BM. Eventually, unmanaged, an painful ulcer may form. Once established, these problems are self-perpetuating. The pain causes spasm of the anal muscle, causing it to remain very tight and unable to relax to permit the stool, even when soft, to pass easily. For healing to occur, the cycle of pain and spasm must be broken. 

A tear, an acute fissure, a chronic fissure, or ulcer may require professional help if not rapidly responsive to the above described normal digestive functions.

Other factors, too, including emotional stress, may tend to contribute to fissures, ulcers, and fistulas, hemorrhoids and many other uncomfortable and dangerous anal-rectal problems. 

A fistula, unlike a fissure or ulcer, is a communication between the inside of the anus or rectum and the skin around the anal opening. This problem, too, develops in the presence of unhealthful digestive function. Fistulas often begin as an abscess (painful accumulation of pus) that may drain spontaneously or surgically as the case may be, leaving a drainage canal between the inside of the ano-rectum and the skin around the anus. 

Once present, restoration of health promoting life style and natural modalities as briefly described above are mandatory, and may encourage healing. 

Other modalities that may assist in healing anal-rectal fissures, ulcers, hemorrhoids, etc. may be applied. Diet and adequate drinking water such as to create soft, bulky stools are probably the most important. Taking time to respond to the “call” is also critically important for maintaining good bowel function. Stool softeners are usually a “cop-out” and certainly do not contribute to normal digestive function. Analgesic ointments, topical anesthetics, and medications (nitroglycerine, etc.) to relax the anal muscle are sometimes helpful when used together with a health promoting diet and drink. Heat, as may be applied by sitting in a tub of hot water covering the pelvic area, for 10 – 15 minutes 3-4 times daily and before moving bowels may help relax the muscle and keep it relaxed. 

Botox is a chemical that when injected into the spastic muscle of the anus may relax the muscle for several weeks or months, giving time for the fissure or ulcer to heal. Surgically, one can cut the muscle bundle that is in spasm, thus preventing the tight sphincter and permitting the diseased area to heal. Pain relief is often almost immediate with this procedure when used for simple, uncomplicated chronic fissures or ulcers. This procedure can sometimes be done with local injectable anesthesia as an out-patient. 

Now, with this foundation, my response to your question is as follows. Yes, it is possible that a fistula could develop as a complication of treatment of the fissure or ulcer. It is also possible that the fistula is a complication of the other procedures. Many, many other health issues may also be the source of, or contribute to the development of a fistula. Certain types of inflammatory conditions of the bowels can cause fistulas, even apart from other anal problems. Likewise, there are many other health problems that can interfere with healing (diabetes is just one example). 

It is very difficult to know exactly the reason for your problem. Therefore I wish to make the following suggestions. If at all possible, establish life-style practices as described above. 

I would then recommend that you apply the other modalities discussed above for a number of weeks. If these do not resolve your problem, or if symptoms increase in spite of it, I would recheck with your ano-rectal specialist that did the original work—or if uncomfortable with him/her, perhaps consult with another ano-rectal specialist.

 

(Further information may be found on the web site, www.aplaceofhealing.info, Health Smart, On Line.)

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Dear Dr. Thompson,

My husband is having problems with his prostate gland. This is a self-diagnosis. Leakage, frequent urination, other symptoms. He is 60 and has been a vegan for the past 30 years. Is there something special we can do to treat it? We have not seen a doctor because of finances and usually they just prescribe drugs.


Answer:

rostate problems are the bane of “old” men!! Yes, it is not uncommon for men age 60 to develop an enlarged prostate. Normally one would expect a vegetarian to be less susceptible, but that is not always true, unfortunately.

I have included excerpts from the book, Health Smart here. The entire contents of the book are available on line for other questions you may have.

There are definite indications for medical evaluation and help. Yes, they are expensive, but sometimes helpful when nothing else is. Unfortunately, prostatic enlargement (BPH) can be life threating when the bladder outlet is obstructed. This can rarely cause life threatening infections, damage to the kidneys, and the development of hernias, among other things. In addition, the symptoms may be caused by some other serious condition including cancer of prostate and other places. Therefore, the patient and family must weigh the cost against the potential benefit, both short term and long term. How much risk does one want to, or need to take? Of course, complications and emergencies can multiply the cost many times over. On the other hand, one must also consider end-of-life concerns. How important is it to stay alive and what am I willing to go through to do so? At age 60 the answer may very well be different than at some older age.

Included here are some of the usually recommended herbal agents for BPH. In my experience I have been disappointed in that they are not always as helpful as one might wish. Certain medications now available on the market are quite effective and may often delay or prevent surgical interventions. Cost wise they will probably be comparable to herbal agents.

I would be amiss to fail to recommend medical evaluation in an effort to confirm the diagnosis. Whether or not that is possible or practical, I would begin alternating hot and cold sitz baths (instructions below). If you have ready access to some of the herbal agents noted below, you may wish to try them. None are likely to work overnight. It may take a number of days before either herbs or medications reach full benefit.

Symptoms of enlarged prostate may sometimes be aggravated by infections of the urine. Drinking unsweetened cranberry juice is often recommended for such infections.

It is always appropriate to seek divine guidance and healing when considering health issues (as with other issues). He is faithful Who has promised.

I hope these suggestions are helpful to you.

Sincerely,

Walter Thompson MD

 

G) Prostatism (BPH—benign prostatic hyperplasia)

The prostate is the source of many male sex organ problems. Since most of the problems involving the seminal vesicles and glands around the prostate are affected by conditions of the prostate, management and care are essentially the same as for the prostate and will not be considered separately.

BPH is the most common malady of the prostate among adult males. The cause is not known, but is probably related to lifestyle practices. (Prostate enlargement is much less commonly found among men eating a plant based diet and practicing otherwise health promoting lifestyle habits.)

1. Symptoms

Symptoms include: difficulty passing one’s urine, straining to void, slowing of stream, dribbling, incomplete emptying, and frequency of voiding.

Blood and clots sometimes occur in the urine.

When obstruction occurs, there may be pain in bladder and/or kidney areas, often with fever and flu-like symptoms of infection.

In this condition, the gland develops many firm, fibrous nodules. Symptoms occur when the enlarging nodules encroach upon the tube passing through it from the bladder to the outside. When this happens, the urine flow slows, or stops, or may be difficult to start. Oftentimes, because of the obstruction, the bladder only partially empties, causing one to sense a frequent need to urinate. This problem is often more noticeable during the night when the kidneys are more active and produce more urine. Whenever urine remains in the bladder because of obstruction, there is a tendency for it to get infected. When infection is present, the person may have burning discomfort with voiding and the flow may be even slower. Pain in the bladder and kidney areas and fever often also occur. Prolonged, untreated obstruction may cause other problems to the bladder and kidneys as well.

2. Treatment of Prostatism

The most common indication for treatment is obstruction of urine flow. When the stream is slow or dribbling or when one must strain to pass water; when the bladder fails to empty causing frequency of voiding and the need to void several times during the night, or when one develops urinary tract infections, it is time to seriously consider treatment.

If treatment is not begun for the above symptoms, the urine flow may suddenly be completely obstructed, necessitating emergency measures to empty a painfully distended bladder. The resulting high pressures and/or infections in the urinary system may damage the kidneys. Constant straining to void, often unconsciously, may contribute to the development of hernias in the groin.

3. Options of treatment

The time-honored treatment of an enlarged prostate is surgical. This may be done through an incision in the low abdomen or behind the scrotum. Or more commonly today, various techniques for reducing the size of the gland are now done by passing special instruments through the penis.

Often, surgery may be avoided or delayed by medications prescribed by a physician that help to shrink the gland and allow passage of urine.

Herbal remedies: Herbal remedies are sometimes very effective. Saw palmetto and pumpkin seeds are a couple of frequently recommended examples. (Section VII, chapter 9, Y, 3, b).

A much more economical, but unconfirmed source is said to be sugar cane pulp and soybeans.

Of course, infections when present, must be treated with appropriate antibiotics.

In addition to these, it is well to begin applying the principles of a health-promoting lifestyle program (Section VI, chapters 110). This should consist of a diet composed mostly of unrefined plant foods (avoiding food products from animal sources, as well as most refined foods like sugar, white flour, oils and fats, etc.); a good exercise program(preferably in the out-of-doors in the sunlight and fresh air) (Section VI, chapters 3A3B3C); elimination of all alcohol, tobacco, coffee in all forms, and other drugs (Section VI, chapters 8, 9)drinking at least 1 1/2 liters of plain, clean water daily (Section VI, chapter 5A); and ample amounts of sleep and “free” time for rest and recuperation (Section VI, chapter 4)A living faith in God will make all of these changes possible (Section VI, chapter 10).

Applications of alternating hot and cold water may also provide relief. This may be done by sitting in a tub of hot (not burning) water for 15–20 minutes after which cold water is poured over the pelvis. The procedure should be repeated several times daily. Hot fomentations (hot, moist towels) to the pelvis followed by cold applications may also be helpful (Section VII, chapter 7, N, 4).

4. Indications for professional help

Professional consultation is indicated when symptoms fail to respond to the above measures and cause multiple nighttime voidings, high-grade obstruction, or infection of the bladder and kidneys.

H) Cancer of the prostate

Cancer of the prostate is the most common cancer among men in many parts of the world. Unfortunately, prostate cancer does not usually give any signs of its presence until it has become very large or has spread to other organs.

1. Symptoms

The first symptoms may be difficulty passing one’s urine, passing blood in the urine, or the presence of pain, either in the pelvis or in the bones (symptoms of advanced disease). For this reason it is generally recommended that all men more than 50 years of age should have regular periodic prostate exams. A physician can examine the prostate by placing a gloved finger in the rectum.

In addition, blood tests checking for PSA (prostate specific antigen), and acid phosphatase may also be helpful in determining the presence of cancer of the prostate (more specific tests are being developed). Though other non-cancerous conditions can cause an elevated level of both PSA and acid phosphatase, the tests are very useful for screening and follow-up.

If these exams suggest cancer, small amounts of tissue can be removed from the prostate for examination by using a special biopsy needle passed through the rectum, or with instruments passed through the penis.

2. Treatment

Treatment of prostate cancer depends upon the size of the cancer and whether or not it has spread to other organs. Urological specialists frequently recommend surgical excision or radiation therapy for optimum treatment of prostate cancer.

Hormones to suppress tumor growth are also available and often very effective.

Radiation therapy is often helpful in relieving pain in bones containing prostate cancer.

Not all cases of prostate cancer are the same. Sometimes it is very aggressive and kills rapidly; at other times it appears to lie almost dormant for years and never kill. Unfortunately, at the time of this writing, no good tests have been identified to reliably distinguish between the two.

Estrogen hormones and phyto-estrogens are often helpful in suppressing cancer growth (Section VII, chapter 9, Y, 3).

Sunlight and/or Vitamin D are related to a reduced risk of prostate cancer in some studies and are recommended for both prevention and treatment. (Extra high doses of vitamin D supplements may increase rather than decrease the risk of prostate cancer.)

An abundance of evidence in recent years suggests that practicing HEALTH SMART principles may both prevent and treat cancer of the prostate. Cruciferous vegetables appear to be very valuable for the prevention and spread of prostate cancer, whereas dairy products appear to be contributory to the development and growth of cancer of the prostate (Section VI, chapters 110).

3. Indications for professional care

As with other cancers, professional help is almost always indicated. Management decisions ought to be carefully considered in discussion with the chosen health-care provider.

I) Prostatitis (infection of the prostate)

1. Symptoms

Like infections elsewhere in the body, prostatitis may cause pain, fever and malaise. Pain is frequently noted in the pelvis or low back and may or may not be associated with urinary symptoms—burning urination and urinary frequency and urgency. Infections may be of sudden, acute onset and respond rapidly to treatment, or they may be recurrent or persistent. The diagnosis of infection is suspected by the history and findings upon exam. It may be confirmed by urinalysis or examination of prostatic secretions obtained by massage of the gland.

2. Treatment

Hot sitz baths or hot fomentations to the pelvis (SectionVII, chapter 7, N, 4).

Treatment of prostate infections consists of optimum lifestyle practices (Section VI, chapters 110).

Recent medical research confirms the value of foods high in antioxidants when preventing or treating infections. Accordingly, ample use of fresh fruits and vegetables are recommended.

Saw palmetto, pumpkin seeds, and garlic may also be helpful in alleviating symptoms (Section VII, chapter 9, Y, 3, b).

3. Indications for professional help

If these measures fail to bring rapid improvement, medical consultation and possible use of antibiotics may be advisable.

Herbs for prostate

Saw Palmetto: 50–100 grams daily of fresh fruit or as decoction.

Pumpkin seeds: Eat a handful of seeds 2–3 times daily, raw or cooked.

Phytosterol flower pollen extract called Cernitin and Prostaphil, sugar cane pulp, soybean products as a regular part of diet.

Evening Primrose: 2–4 grams daily as capsules.

Other Hormone modulators—licorice, skullcap, ginseng, chase tree, partridge berry, lavender oil, nettle—as infusions (tea), capsules, etc.

Turmeric when used in the diet.

Cruciferous plants in diet.

 Contrast baths

Now, we have talked about a hot bath and a cold bath, now we look at both employed in the same treatment. This is called a contrast bath and the greater the contrast, the greater the reaction. This treatment is based on the principle that by alternate vasodilatation and vasoconstriction brought about by means of hot and cold applications, circulation is greatly improved and waste products are carried away effectively. It is sort of a vascular gymnastics session that not only improves the function of the vessels present, but stimulates collateral circulation as well.

Since we have already discussed the importance of circulation, the physiologic benefits of this treatment should be readily apparent. More oxygen, more nutrients, more white blood cells to an infected area, and you have heightened healing. This is an excellent treatment for infections, 2–6 treatments a day being a good goal to shoot for.

Contrast baths may include the whole body, or any portion of it. It is ideal for healing chronic wounds, ulcers, etc.

1. Indications

Besides reducing inflammations, other indications include: strains, sprains, and other traumas, poor circulation, congestion and indolent ulcers, osteoarthritis, and anytime you want to increase circulation to a diseased area. It can be used nicely for pelvic afflictions.

2. Contraindications

Contraindications are relative and temperatures must be adjusted to meet the patient’s present condition. One would not use hot water on the feet of patients with diabetes or other vascular disease limiting circulation. On the other hand, by using lower temperatures, one can obtain the desired contrast effect without doing damage to the tissues.

3. Equipment needed

Two containers large enough to fully immerse the body part to be treated. (A shower is great when giving a contrast bath to the whole body.)

Bath thermometer

Thick towels

Way to add hot water

Ice for cold bath if desired

4. Procedure

Let’s say a friend of yours has a swollen hand. It is red, painful and feels warm to the touch. Fill a container with very warm water; about 105 o to 110 o F. Fill another with cold water. Both containers should be large enough for your friend to place the whole hand and lower arm in the water. Have him/her place the hand in the warm water and leave it there for 3 minutes. After the 3 minutes, move the hand to the cold water for 30 seconds. During this time you need to add more hot water to the first container, bringing it up 3 o or 4 F. Then back into the hot water with the hand for another 3 minutes. Ice might be added to container two now. After 3 minutes, the hand goes back to the cold water while more hot water is added to container one, again raising the temperature 3 o to 4 F. The hot water can eventually be raised to 115 o -120 o F or to patient tolerance.

For a contrast sitzbath, place two very large containers in a bathtub containing only enough water to immerse the pelvis and hips. Being in the tub ensures spillover just goes down the drain and not all over the floor. You can place the containers on a raised surface like a plastic step or similar object. The key is preventing the water container from falling along with its human cargo. It is best to place the hot container at the end of the tub where the faucets are located for easy hot water replenishment. After three minutes in the hot, have the patient stand, turn around and sit in the cold water for 30 seconds. As with the hand tub, hot water is added at this point so when the patient stands and turns around, a warmer reception awaits him.

The contrast sitzbath is especially beneficial for ailments affecting the abdomen and the reproductive system, inflammations, pelvic congestion in males and females, cramps, hemorrhoids, menstrual problems, and kidney and intestinal pains. A variation is the hot sitzbath that can be used for the same ailments without the extreme cold that may cause some people discomfort.

 

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Question:
I had stents put in my kidneys last March. The right one failed and I have an artificial one now. I was just told that the left one is working as well and may need a new stent. Also that diet will not help my renal artery, only blood pressure control. After years of not having my BP under control, they finally have controlled it with 6 medications. I've been following a plant based diet except for 6 months I was in rehab. What is the truth and what would you suggest?

Answer:

Dear  S.

Of course there are many things about your condition that I do not have access to, but, in answer to your question I can only suggest that I would return to a plant based diet at once. I do not know what that consisted of when you were on it, but would suggest that you eat only plant foods and those with the least amount possible of refinement. I would eliminate all free fat, using avocado, nuts, olives, flax seed in place of free fats. Whole grains should be good. All of the legumes, beans, peas, chick peas, etc. are health promoting and should be used. I would avoid sugars as much as possible, using honey judiciously when you need a bit of sweetening. I would reduce, but not completely eliminate sodium.

I would get on a good, regular, exercise program geared to your potential abilities and needs, but daily, if possible.
Drink water freely, but do not over do it. Water is great medicine, but if your kidneys are not able to excrete it efficiently, you will need to be careful here.
If you can afford it and would like consultation with someone that could obtain your health records and help to get you off to a new start, I might suggest some program such as Weimar Institute in northern California. They have a very credible staff and program that might be a real blessing.
From my position I am not able to comment upon the stents and what should be done about them. However, if you are able to do the above and are not forced  by rapid deterioration or emergencies, to undergo more procedures, I would tend go the natural lifestyle route.
I would definitely obtain a simple-to-use blood pressure cuff and check your own pressure several times daily to get a true pattern of what it is doing. Though the small wrist blood pressure cuffs may not be as accurate as the kind used by your doctor, in my experience, they are accurate enough for most purposes. And I would continue the present medications until such a time that they are no longer required as determined by your self-checks.

I hope you will find this helpful. If you have further comments or questions, please feel free to write. 


W. Thompson MD

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Polymyalgia Rheumatica

 

Dear Dr. Thompson,

 

I need advice regarding the treatment of Polymylagia Rheumatica. Thank you. 

 

I am a Vegan except when we are guests at a friend's house or eating out. Even then, we choose the healthiest food.

 

I have been under a lot of stress in the past few months. We sold a home to live nearer our children and spent 2 months looking for a home to buy in the new area. Bought a home prior to the holidays last year.

 

Meanwhile, I had a root canal that “leaked” and had to be cleaned out by a Dentist.  The pain did not subside and I kept calling his office thinking I should be on antibiotics.  He kept telling me it would heal and he did not recommend antibiotics. This continue for 9 months and the reason I didn't get a 2nd opinion is my husband underwent bypass surgery and we had 3 family members develop Cancer and go into Hospice. Needless to say I was helping in the care of all. My health deteriorated and my mouth was so painful I had to go to ER. The result was 2 months of heavy antibiotic therapy, as infection had destroyed bone. I had to have a bone graft and am now awaiting the time I can have an implant. My thinking is the infection for so many months resulted in the Polymylagia Rheumatica. I am not sure what to do to heal my body. I need help and guidance with this disabling health issue. Can you help me? Thank you.

***I do not want to take the Predisone ordered by my MD even though she says this is the only treatment option for Polymylagia Rheumatica.

 

Dear M.S.

 

I am sorry for the difficulty you are experiencing. It is very possible, as you suspect, that the stress you have experienced during the past few months has caused or contributed to your present condition. It is not uncommon for some of the many forms of stress to result in illnesses such as you are describing. Viruses and other infections may also be a cause or contributing factor.

 

It is true that corticosteroids are often effective in relieving some or all of the symptoms. It is also true that they, like most medications, do come with side effects--some of which may be as bad as or worse than the disease process. Corticosteroids are, however, comparatively safe when used in appropriate doses for a limited period of time.

 

While natural life-style practices are advised, and may often give excellent symptom relief and healing, in case they are not sufficiently effective corticosteroids used in conjunction with the life-style factors may be advisable for a time.

 

I must add that Polymyalgia Rheumatica is often accompanied by inflammatory changes in some of the arteries, including the artery to the eye. Should there be any sign of sudden visual change it would be advisable to notify your health-care provider at once. Prompt administration of corticosteroids are sometimes necessary to prevent sudden blindness in this disease.

 

I believe you are wise to continue a careful diet of mostly unrefined foods of plant origin. It is important to obtain good quality and a good variety of these choice foods so that all essential elements are included. If you are not taking a vitamin B12 supplement, I would recommend that you do that. Try to eat sufficient food to maintain normal weight. As a rule I believe whole foods are the best way to obtain the healing benefits of food, but there are times when juicing may be beneficial for a short period of time.

 

Exercise is really important. This should be done nearly every day and include a wide variety of activities. Walking is something most people can do that usually carries minimal risk and can be done almost anywhere. It is important, however that you also exercise all of your muscles and joints, especially those that are causing the most pain and trouble. Start out gradually, and build up progressively with longer times and increasing intensity. Keep the painful muscles exercised regularly, beginning slowly and progressing as permitted by the pain. An hour or two of exercise each day may work wonders, starting slowly and increasing gradually.

Massage and physical therapy with stretching and range of motion exercises may be helpful when done by family or friends, or by professional therapists.

 

Water is still an excellent, safe and effective medicine—inside and outside of the body. Be sure to drink sufficient amounts of clean, fresh, water each day to keep your urine color light yellow or clear most of the time. Water is clearly better than any other drink when one is seeking optimal benefit.

Water used in alternating hot and cold treatments may also be very effective. You may wish to try this one or more times daily using the bathroom shower. Sometimes a warm tub bath, too, may relax the muscles and result in some measure of pain relief.

 

Don’t forget to obtain some sunlight every day. Both the heat and the light of the sun contribute to health

 

Ample quantities of clean, fresh air also contribute to healing one of many diseases. It is difficult to exercise vigorously without also breathing fast and deep. The two things go well together.

 

Temperance is important—use all good things wisely, and avoid all bad things.

 

Everyone needs the Lord. While we are sometimes content to stumble along in our walk with the Lord, complaining and feeling sorry for ourselves when trials come, God is faithful.

 

Unfortunately, all too often we try to carry all or most of our burdens alone, forgetting that Jesus wants to be near and lift the load for us. So it is important for each one of us to stay close to Him in frequent (continuous) prayer and thanksgiving. It is crucial that we spend much time in meditation, prayer, and in reading the Holy Scriptures. God does not permit the devil to place any burden upon us that we, with the Lord’s help cannot carry. He only permits those trials and vicissitudes that may benefit us in our walk with Him each day.

 

If you do not already belong to a prayer circle with friends and family who regularly petition the Lord for one another’s need, please consider forming or joining one.

 

I would recommend that you very diligently apply all of these remedies. If after a couple weeks you are not significantly better, you may wish to add the recommended cortisone for a while as well.

 

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