Colonic Irrigation Colon Cleansing Techniques ................................................back to the top

Colon cleansing to detoxify is not some new fad or technique. Colon cleansing has been done since 1500 BC by the Egyptians. Old stagnated and putrefied fecal materials are simply washed out of the large intestine. Those that choose the common chemical laxatives over the herbal remedies usually receive additional problems.

High colonic irrigation colon cleansing is safe and simple method that irrigates the large intestine with water to clean out the years of toxins and accumulated waste lining the walls of the large intestine. Removing the years of this buildup improves colon function and other normal functions. Nearly all disease can be traced to the toxic colon or deficiencies in vitamins and minerals.

Colon, Large Intestine ......................................................................................................back to the top

Colon is the major part of the large intestine. It is the segmented tube within the abdomen cavity is (large M shaped loop) about 4.5 feet long and 2.5 inches wide. The large intestine ends at the anus.
Smaller intestine is situated below the stomach and liver. It is the major part of our digestive tract. It occupies much of the central and lower parts of the abdomen. The smaller intestine is about 21 feet in length and 1.5 inches wide. The total surface of the gastrointestinal system is about six thousand square feet.

Healthy Colon Main role of the large intestine is the absorption of water and the removal of waste products and toxins. The two-way membrane of the colon allows for the absorption of nutrients into the blood.

Majority of all vitamins and minerals from the foods you eat are absorbed through the walls of the colon. Deficiencies of vital nutrients can result in dirty colons or not eating properly.
Europe, doctors consider the colon as the third lung because it has the ability to absorb up to 70 percent of the oxygen introduced to it during surgery.

Common Disorders, Symptoms, Colon Health Problems ..................................back to the top

Common disorders of the intestines are: congenital defects, infection and inflammation, tumors, impaired blood supply, obstruction, peptic ulcers, and ulceration in the smaller intestine occur in typhoid.
Other disorders are appendicitis, diverticular disease, overweight, irritable bowel syndrome, ulcerative colitis, worms, bowel, or colon cancer, and other types of cancer. Medical science acknowledges that up to 85 percent or more of all adults suffer from some type of intestinal problem. Children are also effected by these same problems because of their diets.

Some symptoms of dysfunction are: allergies, appetite loss, asthma, backache, bad breath, bad odor, concentration loss, depression, eczema, fatigue, food craving, gingivitis, headaches, hemorrhoids, indigestion, insomnia, irritability, memory loss, menstrual problems, nausea, nervousness, prostate problems, stomach pains, swelling, tension and weight problems.

Over the years, the walls can become encrusted with un-eliminated waste, making its function inefficient. The average person may have up to 10 pounds or more of old un-eliminated waste sitting dormant in the large intestine. Others can have as much as 10 to 30 extra pounds of unnecessary weight that can be eliminated doing high colonic irrigation.

Appendicitis is an inflammation in the appendix, which is due to an obstruction by lumps of feces or parasites. The tissue lining becomes infected inflamed and causes swelling of the appendix. This condition can lead to gangrene or bursting of the appendix if not treated.

Auto-intoxication occurs when poisons and toxins are absorbed into the bloodstream via the colon. This is due to the dirty buildup of old waste matter that is not properly eliminated.

Toxic poisons are usually the result of bacterial action during the putrefaction of foods that travel too slowly due to blockage or constipation in the smaller or large intestine. These toxins will eventually burden every vital organ and cell. In Europe, this condition is known as Alimentary Intestinal Toxemia or better known as toxic colon.

Ballooning occurs when waste backs up and stretches the walls of the colon due to stricture or narrowing of the passageway. Stricture is damaged tissue from an inflammatory disease like colitis. The build up of waste from being restricted causes the ballooning.

Colon Cancer is the second most common type of cancer and accounts for 20 percent of all cancer deaths. Carcinoid tumors are slow growing and can spread to the liver. Lymphoma damage the intestinal walls, causes bad absorption of foods, and travels to the lymph nodes. About 97,700 cases of cancer are diagnosed yearly in the USA; consequently, 47,000 will die yearly.

Diverticula Disease is caused when the muscular walls in the colon become weak due to lack of fiber or bulk. The hernia can occur in the weak spots to make pouches that protrude outward, called diverticula. When the pouches collect food and waste, the condition is called Diverticulosis. When an infection occurs on the inner lining of the pouches due to bacteria, the condition is called Diverticulitis.

Inflammatory Bowel Disease is ulcerated colitis or Crohn's Disease. Ulcerated colitis is ulcers or abscesses that occur from inflammation of the mucous lining. Crohn's Disease usually occurs in the smaller intestine (ileum) or in the large intestine from spreading inflammation. Scar tissue develops as they heal which narrows the passageway. Transit time is reduced which results in weight loss and malnourishment.

Irritable Bowel Syndrome is the disorder of the muscular walls that effect transit time of waste to the rectum. This condition is also known as Apparent Colon Syndrome, Mucous Colitis, Spastic, or Non-inflammatory Bowel Disease. This is the number one digestive disease in the USA.

Mucosa is mucus formed to trap harmful substances and keep them from penetrating into the tissue. The natural mucus is needed for lubrication in the elimination of waste. Some foods create mucus that adds to the propagation of bacteria or pathogens. An excess of mucosa in the stools causes clumping of the feces and constipation. Dysfunction occurs when the mucus becomes stagnant and putrefied which keeps building up layer upon layer. It then becomes another source of infection, irritation, abscessed, and ulceration on the walls of the large intestine. The toxins created will be absorbed into the blood. This condition also inhibits the absorption of nutrients and water.

Obstructions or blockage can be caused from waste backing up due to weak muscle contractions, undigested food, diverticula, hernia in the smaller intestine, closure or narrowing, twisting or knotting of the colon, or worm infestation.

Parasites living in the smaller and large intestine contribute to disease and most intestinal disorders. Worms destroy the intestinal lining, cause inflammation, irritations, infection, weak spots in the intestinal walls, and are responsible for the accumulation of some toxic waste.
Polyp are growths on the inside of the smaller intestine and colon. The polyp can cause blockage in the smaller intestine and become cancerous.

Prolapsus in the transverse is caused from an accumulation of waste. Gravity will force the transverse colon downward. The excess weight will determine the pressure exerted on the other organs like the spine and back.

Spastic Bowel occurs when the bowl muscle spasm from being overworked and tense.
Ulcerations are caused from constipation and auto-intoxication. This occurs on the muscle tissue from abrasions or irritants from bacterial or parasite infections, toxins, and result in bleeding from open sores.

Abnormal Colon Cycle of death begins when the function of the colon is impaired. When not functioning properly it will affect the digestive system and every living cell and organ. When the foods are not fully digested, the degenerative cycle begins. The undigested foods begin putrefying and creates an over acidic condition. The friendly bacteria begin to die off, creating an anaerobic environment for disease producing bacteria, virus, fungi and parasites. The accumulation of toxins or poisons from this environment can build up in the lymph and bloodstream. This condition is called auto-intoxication or self-poisoning.

Colon environment becomes out-of-balance, colon cancer and other disease is the end result. When the toxins are absorbed through the blood capillaries lining the large intestine, the blood will putrefy and further acidification of the blood takes place. After time, the dirty blood can pollute every human cell. The cycle of life reverts to the cycle of death. Life begins and ends in the intestines. To fully detoxify, high colonic irrigation colon cleansing is necessary in most people.

The Good News: You may not think you need Colon Hydrotherapy, if you have enough bulk in your diet, if you exercise regularly, and if you avoid the chemical toxins contained in alcohol, tobacco, polluted air and processed foods.

The Bad News: In today's environment, it is almost impossible to lead an uncontaminated life. Toxins and pollutants are all around us. For example; second hand smoke and car fumes, pesticides used on the foods we eat, toxins in our cleaning products and the antibiotics that cured our last sickness - all of these invisible invaders interrupt the natural processes of our body.

Excess Toxic Waste: Many medical and naturopathic authorities believe that excess toxins in the body can be responsible for many current ailments, such as, fibromyalgia, chronic fatigue syndrome and an astounding number of gastrointestinal complaints. Excess toxic waste can be a source of many diseases. Toxins can enter your bloodstream and get deposited in your body cells, tissue, joints, muscles, arteries, liver, and other organs. As a result, your whole body's performance can be negatively affected.

What is Colon Hydrotherapy? .....................................................................................back to the top

Colon Hydrotherapy is a natural method of cleasnsing the colon using a soothing flow of warm, sterilized, and purified water instilled gently into the colon. This procedure cleans out toxins as well as hydrates the lower colon. A colon, cleansed of its toxins, is better able to do its job of moving food through the digestive system, while absorbing vital nutrients, proteins, water and cell salts back into the blood stream.

Colon Hydrotherapy and its Clinical Applications ................................................back to the top

Colon irrigation may help greatly in enhancing the ability to absorb many vitamins, minerals and essential fatty acids.

Colonic irrigations are one of the most important treatment modalities available for a multitude of health problems. Many health authorities feel that disease begins in the colon. To be in optimum health the colon must be functioning normally. I believe that the colon is one of the most neglected areas in the medical establishment. One of the major indications for colon hydrotherapy is constipation.

The usual colonic treatment lasts 45 minutes. A small speculum is inserted into the patient's rectum. This speculum is then attached to a plastic hose which connects to the colonic machine. The colonic therapist then adjusts the volume and temperature of the water coming out of the machine which runs through a plastic hose into the patient's rectum and through the entire colon. The patient is temporarily filled with a certain volume of water to individual tolerance. This will induce peristaltic contractions in the colon, and the patient will begin to expel fecal matter through the colonic hose which leads back to the colonic machine and through a clear plastic viewing tube. It is quite interesting to see what is expelled during a normal colonic treatment. One may see mucous, parasites and very old feculent material (noted by its dark black color) pass through this tube. This old feculent material may have been lying in the patient's colon for years. It looks like vulcanized rubber and has that kind of consistency. In addition, the patient may experience sensations of warmth due to the presence of toxins is the feculent matter.

While the patient is receiving the colonic treatment, the colonic therapist slightly massages various parts of the abdomen to help loosen and dislodge areas of fecal impaction. It is very important that the therapist use proper amounts of water. If the therapist uses too much water, the treatment may be uncomfortable or painful and may lead to negative results. If this therapy is conducted properly, it should not be painful or uncomfortable. In addition, when less rather than more water is used, the patient's colon is forced to do more work, which is an important first step in restoring normal peristaltic activity to the diseased colon.

It should be noted that most patients need a series of colonic irrigations, not just one. The patients may expel considerable gas during the first few treatments. It usually takes a few treatments before one starts dislodging old encrusted feculent matter. One should remember that it usually takes years for the colon to become clogged up with its own waste products. Therefore, one should not be impatient when pursuing a therapeutic course of colonic irrigations.

Indications for Colonics--Who can benefit from colonic irrigation? ............back to the top

Constipation is one of the major reasons people pursue this form of treatment. I will discuss this problem later in this article. Colon problems such as colitis, ileitis and diverticulitis affect conservatively two million people in this country. These problems can be directly addressed by colonic therapy.

Anyone who suffers from bloating, abdominal distention, gas pains, stomach aches, or someone who gets filled very quickly after eating and can only eat small amounts of food may be a candidate for colonic irrigation.

We find that people with all kinds of skin problems, i.e., acne, psoriasis, eczema, etc., usually can benefit from a therapeutic course of colonic irrigations. The skin is the largest excretory organ in the body, the skin may act as a major excretory organ. Unhealthy skin is usually a sign of an unhealthy colon and no amount of antibiotics or skin creams or medications will alleviate the problems until the cause of the problem is addressed. In addition, vitamin A plays an important role in skin health. When the colon is adequately cleansed, vitamin A can be more effectively absorbed through the intestinal tract.

I have found that arthritis patients may be helped tremendously with a series of colonic treatments. This may be due in part to the fact that arthritis patients suffer from some form of internal toxemia whereby toxins are continually being absorbed into their systems (i.e. the colon) causing further inflammation and aggravation of their joints.

A third group of patients who may benefit greatly from colonic irrigations are cancer patients. We know that cancer patients have a tremendous problem breaking down and assimilating proteins. But they may also be extremely deficient in many vitamins, minerals and essential fatty acids. They may also suffer from constipation and other varied digestive disorders. Colon irrigations may help greatly in enhancing their ability to absorb these various macro and micronutrients.

In addition, it very important that a cancer patient eliminate efficiently and effectively all internal toxins. This is especially true in the case of a cancer patient who is on an integrated metabolic program. When on such a program, the cancerous tumor may start breaking down resulting in the release of cancer cells and various toxins throughout the body. Colonics may perform a very important function in helping to expel these toxins from the body. Dr. Max Gerson described a comparable situation when he first started treating cancer patients with an intensive dietary approach. He stated that he lost a number of cancer patients because of toxemia. They literally died from their own internal pollution. As their cancerous tumors were being broken down they were unable to eliminate these toxic products effectively or efficiently with dire results as a consequence.

However, it is very important that a cancer patient be under competent medical supervision. One would not want to administer these colonic treatments to a patient who was too weak, whereby the colonic irrigations may weaken them further. In addition, colonics would be contraindicated in a patient with a tumor in the rectum or large intestine. Also, colonics would be temporarily contraindicated in any patient whose intestinal tract is too acidic. When the mucous membranes in the colon become to irritated or friable, the colonics may be too harsh a treatment. The patient should be put on a metabolic program to reduce the patient's acid state before beginning the colonic treatments. At our clinic, we do a special testing to test the body pH (i.e. urine and saliva) before making specific recommendations about colonic irrigations.

CONSTIPATION ...................................................................................................................back to the top

The expression constipation is derived from the Latin word "constiatus" which translated means to press or crowd together, to pack, to cram. Consequently, to be constipated means that the packed accumulation of feces in the bowel makes its evacuation difficult.

However, a state of constipation can also exist when movements of the bowel may seem to be normal, in spite of an accumulation of feces somewhere along the passageways of the colon.

Many health authorities believe that constipation is the number one affliction underlying nearly every ailment. This means that constipation would be the most prevalent ailment affecting the civilized world. It is vital to stress that constipation affects the health of the colon, upon which the health of the body in its entirety depends.

Constipation contributes toward the lowering of body resistance predisposing it to many acute illnesses and the creation of a great many degenerative and chronic processes. Almost every human ailment has been attributed to a malfunctioning colon, i.e., one that cannot perform its normal , regular and efficient functioning.

Intestinal constipation causes cellular constipation. It also increases the workload of the other excretory organs- kidney, skin, liver, lungs and lymph.

The functioning of these organs becomes depleted and overworked. The cellular metabolism becomes sluggish, repair and growth are delayed and the ability to eliminate waste materials is lowered. The cells, instead of being alive and active, become dead and inactive. This process results in a decline in tissue and organ functional ability.

There are two crimes against nature which civilization indulges in as a daily routine, which may be direct causes of constipation. One is the consumption of devitalized and refined foods which fail to nourish the organs responsible for the evacuation of waste matter. The other which is most prevalent particularly among young people, but not much less among the older and more mature, is neglecting to stop everything we are doing when the urge to evacuate the bowels should drive us headlong into the bathroom. Bowel movements every two or three days are considered normal and acceptable. It is my professional opinion, as in the opinion of many holistic healthcare professionals, that we should have a bowel movement for every meal we eat, each and everyday. For example, if we eat three meals per day, we should have three bowel movements per day.

If we are having less than two bowel movements per day, food residues are lying in the colon for more than twelve hours. Consequently, the fecal material in the colon becomes putrefied and fermented. Any nutritional element present in the fecal matter would pass into the bloodstream as polluted products. What would otherwise be nutritional becomes in fact, the beginning of toxemia. Toxemia is a condition in which the blood contains poisonous products which are produced by the growth of pathogenic or disease producing bacteria. Pimples for example are usually the first indication that toxemia has found its way into the body.

A number of years ago fifty-seven of the leading physicians of Britain met in London and discussed before the Royal Society of Medicine this problem of autointoxication caused by a toxic colon.

Autointoxication is defined as "the poisoning of the body, by toxic matter penetrated therein." Twenty-two poisons were identified as originating in a toxic colon. They are as follows: Phenol, Cadaverin, Agamatine, Indel, lpheratted Hydrogen, Cresol, Bulvric Acid, Botulin, Putrescin, Urrobilin, Histidine, Ammonia, Muscatine, Methylgardinine, Indoethylamine,Sulpheffoglobine, Ptomaffopine, Pentmethylphamine, Neurin and Sepsin.

These are some of the many types of poisons which can be found in a toxic colon. Some of these poisons are highly active and may produce the most detrimental effects--even in very small quantities. In many cases, these toxins can seep out of the colon and poison the rest of the body. Here are a few examples:

Poisons from the colon can do the following:

* Weaken and stress the heart
* Go to the skin and cause blemishes, paleness
* Psoriasis, liver spots, wrinkles and other facial conditions
* Irritate the lungs and cause foul breath
* Go to the brain and disturb mental function and cause senility
* Go to the joints and cause pain and stiffness
* Go to the muscles and cause weakness and severe fatigue
* Rob you of your youth, ruin your health, and cause you to become old long before your time

How Constipation Effects the Colon's Function .....................................................back to the top

If solving the problem of constipation were merely a case of washing out loose material lying free inside any part of the colon, it would not be too great a difficulty to clear up the situation. A high enema would most likely be sufficient to take care of its removal. However, it is not so simple to dispose of this problem. Constipation not only involves the unnecessary retention of feces in the bowel, but also the retention present throughout the first half of the colon. From the cecum to the middle of the transverse colon. The cecum is found next to the iliocecal valve at the beginning of the colon.

The wall of this section of the colon is equipped with sensitive nerves and muscles whose function it is to create wavelike motions, known as peristaltic waves, to propel the contents of the colon to the cecum to the rectum for eventual evacuation. This is a distance of approximately five feet.

Besides the formation of these peristaltic waves, the first half of the colon has two other very important functions. First, it must extract from all the residue coming from the small intestine any available nutritional material which the small intestine was unable to collect. For this purpose, it mulches the material which passes into it from the small intestine and transfers the liquid and other elements through its walls into the bloodstream. The nutrition which has thus been extracted from the colon is collected by the blood vessels lining the walls of the colon and is carried to the liver for processing.

The other important function of first half of the colon is to gather from the glands in its walls the intestinal flora needed to lubricate the colon. Far too many people, and laymen, think that enemas and colon irrigations wash out the intestinal flora and thus deprive the colon of a valuable means of lubrication. This school of thought is utterly false and totally devoid of truth and fact. Obviously, when the packed accumulation of feces in the bowel leads to fecal encrustation, it is not possible for the lining of the colon to function normally, and the glands in this lining cannot produce the necessary intestinal flora or lubrication. Such lack of lubrication only serves to intensify a state of constipation and to generate toxemia.

It is estimated that 200 million people are infected by intestinal parasites.

This fecal encrustation interferes with, if it does not actually prevent, the infusion of the necessary intestinal flora for colon lubrication, the formation of peristaltic waves for evacuation purposes, and the absorption and use of the additional and nutritional elements present in the waste residue coming into the colon from the small intestine.

It does not require much imagination to perceive that the adhesive quality of the feces in the colon is readily susceptible to creating a coating on the inside of the lining or wall of the colon, resembling a layer of plaster in its consistency. It is equally obvious that such a coating, in preventing the normal functioning of the colon, has the insidious effect of becoming a generator of toxicity, to the detriment of health, happiness and longevity.

When the bowel is toxic it can harbor an amazing variety of very harmful bacteria and parasites. It's interesting to note that worms outrank cancer as man's deadliest enemy on a worldwide basis. It is estimated that 200 million people are infected by these intestinal parasites.

These worms range in size from microscopic single celled animals to twenty-foot long tapeworms! These parasites kill more people annually than does cancer. One in four people in the world today is infected by roundworms. The United States is not immune to these parasites, as the number of cases has increased in the past few years.

Colon Hydrotherapy Contraindications ....................................................................back to the top

The contraindications of colon hydrotherapy include diverticulitis, ulcerative colitis, Chrone's' disease (in the acute inflammatory stages), severe hemorrhoids, or a tumor in the rectum or a tumor in the large intestine.

CONCLUSION .......................................................................................................................back to the top

In conclusion, colon hydrotherapy is the safe, gentle infusion of purified warm water into the colon under conditions that offer safety, using no chemicals or drugs. It is the natural solution to conditions which interfere with the normal functions of the colon.

Why is colon hydrotherapy such a valuable treatment modality? A healthy colon is essential to a healthy body. Conventional diets of today comprised of refined, processed foods, high in saturated fats and low in natural fiber, contribute to the magnitude of the constipation problem. The elimination of undigested food and other waste products are as important as the proper digestion and assimilation of food stuffs. Waste material allowed to remain too long in the digestive system results in fermentation and putrefaction of these substances and proliferation of bacteria and their toxins.

Laxatives offer only temporary relief and do not address the cause of the real problem.

Colon hydrotherapy effectively removes stagnant fecal material from colon walls, preventing the build up of these bacterial toxins in the ports and lymphatic system, resulting in reduced load on the liver. In addition, the treatment removes mucous, gas, parasites, and cellular debris, facilitating peristaltic action and better absorption of nutrients.

This natural cleansing process effectively resolves the symptom directly and indirectly related to dysfunction of the large intestine.

Bacteria are involved in the production of several vitamins which are absorbed by the large intestine and stored in the liver (vitamins K and some of the B vitamins). In addition to vitamins, the colon absorbs larger amounts of water. Unfortunately toxins of bacterial metabolism also enter the circulatory system. These toxins, (Indol, Skatol, Phenol, etc.) are treated by the liver and excreted by the kidneys. Colon bacteria ferments starches releasing hydrogen and methane gasses which are absorbed and excreted through the lungs. Thus, halitosis may be a symptom of a stagnant fermenting colon. Intestinal toxemia may further result in conditions such as headaches, allergies, instability, malnutrition and can potentially lead to an overall lowering of an individual's immunological defense mechanism.

Intestinal stasis can enhance the systemic absorption of bacteria and their toxins. The prolonged retention of food residues, bile,etc. results in increased numbers of parastalic bacteria present in the colon. Some of the colon's normal flora may become pathogenic under stagnant or putrefactive conditions. For example, streptococcus and staphylococcus, which are a part of the normal flora of the large intestine under above conditions, could enter the systemic circulation and be a potential source of disease.

It is my own personal and professional opinion that colon hydrotherapy is one of the most valuable treatment modalities offered. It may be a valuable solution by itself or in conjunction with an integrated metabolic program for a myriad of health problems.

The colon forms the last part of the digestive tract. It carries out a number of vital functions including the completion of the digestive processes. The colon protects us from infection and disease. Seventy percent of the immune system lives in the gut! In a healthy bowel the friendly, healthy, scavenging bacilli colli will easily control unhealthy bacteria. A healthy bowel will have complete elimination two to three times daily. A healthy bowel will have a transit time of food passing through our body of between 10 and 24 hours.

In terms of its elimination function, the colon is like the sewage system of the body. Laws of hygiene and preservation require that this system is kept clean and/or cleansed regularly to keep performing well and to keep itself healthy. Otherwise it is as if the garbage collecting staff is on strike for months on end! Modern colonic hydrotherapy is the gentlest, safest and most effective way yet discovered of clearing out waste matter, faecal matter, gas, mucus and toxic substances which have become trapped in the colon. It uses – in its basics - a fairly simple system of purified water, gravity and specialised, disinfected tubing. To be efficient, a treatment requires a period between 30 and 40 minutes in which 20 or 30 gallons of water may be introduced into the colon through the rectum, at a rate of several ounces at a time, then expelled each time. Every time new water enters the colon it progressively softens and expels faecal matter and compacted deposits. Herbal preparations may be added to the water for certain health conditions. Your first two or three sessions will prove just what a good decision you have made. Modern colonic hydrotherapy is a very important tool in regaining health and vitality.

INDICATIONS FOR COLON HYROTHERAPY..............................................................back to the top

Colon hydrotherapy has been shown to be beneficial for the following conditions:

*Acute Fecal Impaction *Abnormal Distension *Atonic Colon *Balance Physiologic Flora of Large Intestine *Barium Enema *Colitis *Constipation *Diarrhea *Diverticulosis *Fever Therapy *Flatulence (Gas) *Hemorrhoid (mild to moderate)*Hyer/Hypothermia *Intestinal Toxemia *Mucous Colitis *Nutrient Supplementation via Rectum *Paraplegics & Quadraplegics (bowel training) *Parasitic Infections *Preparation for diagnostic study of the large intestine *Prevention
*Sigmoidoscopy & Colonoscopy surgery

CONTRAINDICATIONS FOR COLON HYDROTHERAPY

*Severe Cardiac Disease (uncontrolled hypertension or Congestive Heart Failure) *Aneurism *Severe Anemias *GI Hemorrhage/Perforation
*Severe Hemorrhoids *Cirrhosis *Carcinoma of the Colon
*Fissures/Fistulas *Advanced Pregnancy  
*Recent Colon Surgery (10 weeks) *Renal Insufficiensy