Welcome to another video. Today I want to go over three diseases that can't actually be prevented through a healthy whole food plant-based diet. Now I'm not going to go over the most common diseases such as heart disease, high blood pressure diabetes or colorectal cancer, but instead I thought let's pick three diseases which are maybe a little less common. Maybe you haven't heard about them and that way it will be a little bit interesting to learn about something new that again is related to diet and lifestyle. Now before we start let me just remind you that V1 is the sponsor of this channel. If you're interested in trying out any of their health or fitness products check the link in the description box below you can use my co-deal 10% for 10% off. So that being said let's start off with the first disease which is gallstone disease. Now the pathology or the abnormality if you will in gallstone disease is obviously in the name you have stones in your gallbladder not supposed to have stones. The risk factors for gallstone disease going to be the female gender where females tend to have gallstones twice as often as males that's why you see female to male ratio of 2 to 1. Certain ethnic backgrounds may have an increased risk. For example Native Americans can sometimes have up to 60% rates of gallstones in populations which is very high when you consider that the normal population has only around 10% prevalence or 10% of people have gallstones. Another risk is going to be obesity being overweight obviously we know this is not good for your health. High fat diet can do it, high cholesterol can do it. Interestingly enough rapid weight loss is another yet another reason why we should try to aim for a healthy sustained slow weight loss rather than this really rapid weight loss. And then last but not least we have a couple of diseases that may increase your risk such as liver cirrhosis which is essentially non-reversible liver damage as well as Crohn's disease which is an inflammatory bowel disease. Gallstones are usually diagnosed through an ultrasound of the gallbladder where you can actually see the stones in place and you can sometimes see signs of inflammation around the gallbladder as well. Let's go over to symptoms for those of you who are interested. People with gallstones get a colic pain in their gallbladder area. This is going to be in the right upper quadrant just so you know in medicine we tend to divide the abdomen up in quadrants and the right upper quadrant is going to be on the right side of the abdomen right under where the liver is. This pain is going to be colopy which means it comes in goats and it's going to be worse after fatty foods. Now for the treatment there's going to be one main treatment here which is going to be surgery all the doctors around the world are probably going to recommend this as it is a permanent solution to the problem. You remove the gallbladder, the stones can cause you no harm. So that is going to be the most recommended treatment. It's going to be the removal of your gallbladder. Now the other treatment here is a bile acid called the Ersodeoxicolic acid. This is usually recommended to people who are non-seurgical candidates. Now as if you already know me in this channel I prefer to avoid things from happening in the first place. So for me prevention is always going to be the more interesting thing here for prevention of gallstones. You have lifestyle modification. One of the modifying things that you can do to prevent this is a whole food plant-based diet. As you can see from the risk factors if you're on a whole food plant-based diet you're going to have reduced rates of obesity. There's one of the risk factors you're going to reduce cholesterol. Obviously you can have a low fat whole food plant-based diet. So this is one way where you can reduce your risk of having gallstones. Second disease we're going to talk about is gout. You may not have heard about gout but basically what it is is the deposition of monosodium-urate crystals or uric acid crystals in your joints. Here on the risk factors are actually males have a higher risk with a 3 to 1 male to female ratio and the other risk factor is going to be hyper-urusemia as we say in smart medical terms but basically just means you have high uric acid levels in the blood. For the same terms we got red hot swollen joints. Some of you may know about the Latin stuff right? The rubour, calor, tumor and then the Dolor which is the pain. These just can be extremely extremely painful. This is a typical patient that when a doctor tries to examine they will be crying on pain. They won't let the doctor touch the joint because it is in so much pain. Gout is going to be diagnosed through an arthrocentesis. Again I apologize for these big words. Basically that just means you're putting a needle into the joint. You're pulling out some of the fluid and then you're looking under a microscope to see again. It sounds very fancy but what we call negative by-refringent needle shaped crystals. Basically just crystals that look a certain way and tells the doctor this is in fact gout. Now for the treatment their doctors are going to recommend if it's an acute attack and acute flare it's going to be non-suroidal anti-inflammatory drugs such as ibuprofen or something called colchicine. Colchicine can cause a lot of diarrhea so it's not very popular. In chronic cases you use alapurnaul and provenicine. Again the most important, most interesting in my opinion the prevention. What can you do to prevent getting more gouty attacks once you've had them and therefore also prevent from having them in the first place? Well reducing your alcohol intake, reducing certain diuretics which are drugs or medications that pollute through the kidneys and one of the popular medications that does this is blood pressure medications such as hydrochlorothides that can be associated with gout. So reducing those medications can be very helpful. Reducing your intake of red meat and reducing your intake of seafood. So here once again a hopefully plan based diet to kill very naturally reduce your intake of seafood or reduce your intake of red meat and actually one of the things that a plan based that has been shown to reduce the risk of is high blood pressure or hypertension. So if you don't have high blood pressure you probably won't need any of these blood pressure medications. Now for the last but not least we're going to talk about diverticulosis. Now diverticulosis is an outpouching of the colon through the muscular layer of the intestines where it's not supposed to be. Respectors for this one is going to be very clear. So increase intake of red meat, decrease intake of fiber and another risk factor is being above 50 years of age. So this is a slow cumulative process that happens over a lifetime because of this. Most people don't know that they haven't until something happens. Now there is a few directions that diverticulosis can go a few complications. One of them is diverticular spasm which will happen after a meal where you get post-pandial pain or just after a meal pain which is relieved by having a bowel movement or going to the toilet. The way to prevent future spasms when you have diverticulosis is actually to go on a high fiber diet. Now the other thing that can happen is diverticular bleed. These bleeds usually stop by themselves so you don't have to do much about it or the doctors won't have to do much about it but depending on the severity there's a few things that can happen. First and foremost if you're bleeding a lot they might have to give you ibifluids or blood product infusions. They might have to perform electrocordory where they use electricity to actually burn or close the bleeding vessels to stop the active bleeding and in very severe cases they might actually do surgery which is going to be a collectumine which means removing the disease part of your intestinal or your large bowel. Now the most common complication we are going to talk about is diverticulitis. This is when you have inflammation infection and even sometimes perforation of those outpouchings and it presents very much like appendicitis except on the left side instead of the right. Now for those of you who have had appendicitis or know anyone who has had appendicitis this is a very severe disease. It can be feverish, you can be vomiting, you can be nauseated, you can be confused. There's a lot of pain and when a doctor examines someone with appendicitis they will have something called involuntary guarding where their abdomen will be very rigid no matter what they do and when they press down on the abdomen and let go they have rebound tenorism again a lot of pain with diverticulitis of course the difference is it's going to be on the left side of the body and usually in older patients rather than the traditional young patients to get appendicitis. Treatment is going to be NPO which is the medical term for nil perorum or basically no food or drinks through the mouth you're trying to give your intestines a rest. We're going to be giving the patient's IV fluids and antibiotics to fight the infection. Now if you have an abscess you actually have a walled of space where the antibiotics may not be able to penetrate to resolve the infection in that case you might need a drainage and the interview cases again you might need surgery. The way the doctor will actually look for this is taking an x-ray and looking for air under the diaphragm or air in the abdomen which is a sign that there's been a perforation. If this happens it's a surgical emergency and they might actually have to go in and remove part of your bowel. Now the most important thing about diverticulosis is again the bottom here prevention is a very very well-known way to prevent this and that is to eat less meat and to eat more fiber and I remember the first time I came across this when I was a medical student I was in the pathology lab where we were doing an autopsy on someone and the pathologist was showing us different things like here's the heart disease you see the arteries are clogged up here you see the kidneys they've had an infarct here and then we got to the intestines and they were like okay look at all of these outpouchings this person has diverticulosis and this is actually caused by meat at the time I was already on a plant that I was like whoa wait so you know it's for sure it's caused by meat and the pathologist goes yeah people who don't eat meat don't get this disease if you have always been on a plant-based diet you never have to worry about any of these disease or they're really nasty complications that can happen so that is it in summary these are three diseases that can actually be prevented through a healthy plant-based lifestyle if you enjoy this video leave a like leave a comment and if you would like to support this channel consider checking out my patreon where you can donate whatever amount you feel is adequate in order to support this channel the people on my patreon will have early access to my videos as well as a bigger say in terms of what videos I make next so that sounds like something you're interested Dr. Leo Venus on patreon I have a link in the description box as well so thanks so much for watching and I'll see you in the next one