Colon Polyps (Colonic Adenoma): Therapy

General measures

  • Nicotine restriction (refraining from tobacco use).
  • Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
  • Preservation of normal weight strive!Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
    • BMI ≥ 25 → participation in a medically supervised weight loss program.
    • Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.

Vaccinations

The following vaccinations are advised:

  • Flu vaccination
  • Pneumococcal vaccination

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means:
    • Consume only limited energy-rich foods.
    • Moderate total fat intake – keep intake of saturated fatty acids of animal origin and of the polyunsaturated fatty acid linoleic acid (omega-6 fatty acid), contained in safflower, sunflower and corn oil, low
    • Little red meat, ie muscle meat of pork, beef, lamb, veal, mutton, horse, sheep, goat – This is classified by the World Health Organization (WHO) as “probably carcinogenic to humans”, that is, carcinogenic. Meat and sausage products are classified as a so-called “definite group 1 carcinogen” and are thus comparable (qualitatively, but not quantitatively) to the carcinogenic (cancer-causing) effect of tobacco smoking. Meat products include products whose meat component has been preserved or improved in flavor by processing methods such as salting, curing, smoking, or fermenting: Sausages, cold cuts, ham, corned beef, jerky, air-dried beef, canned meat. Daily consumption of 50 g of processed meats (equivalent to two slices of sausage) increases the risk of colon cancer by 18%, and daily consumption of 100 g of red meat by 17%.
    • Generally low in animal protein (protein).
    • Reduce consumption of smoked and cured foods, because they contain nitrate or nitrite as part of the curing salt. Their preparation produces compounds (nitrosamines), which are risk factors for various tumor diseases.
    • High-fiber diet (whole grains, vegetables).
    • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • Refrain from polluted foods such as offal and wild mushrooms.
    • Do not eat moldy food
    • Food, especially meat and fish, do not fry too hot. When heated (> 150 °C), heterocyclic aromatic amines (HAA) are formed. People who have a high intake of HAA have a 50 percent higher risk of developing polyps (adenomas) of the colon (large intestine), which are often precancerous (precursors) for colon carcinoma (colon cancer).
    • Diet rich in:
  • If necessary, special dietary recommendations due tomalassimilation (disturbance of pre-digestion in the stomach, the enzymatic breakdown of food components (exocrine pancreatic insufficiency / disease of the pancreas associated with insufficient production of enzymes), fat emulsification (eg, bile acid deficiency in cholestasis / biliary obstruction) and the absorption or removal of the absorbed food).
  • Selection of appropriate foods based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Sports Medicine

  • Endurance training (cardio training) and strength training (muscle training).
    • In general, endurance training on a bicycle ergometer can be recommended, which is performed according to the principle of interval training. This means that load phases lasting 1 to 3 minutes alternate with rest phases also lasting 1 to 3 minutes. The training should be performed at about 80% of the maximum heart rate for a total of 30 minutes.
  • Preparation of a fitness or training plan with suitable sports disciplines based on a medical check (health check or athlete check).
  • Detailed information on sports medicine you will receive from us.

Psychotherapy