Effective Care info

Effective care and self care information

Tag: pain

Chronic itch, ion channels, magnesium and calcium

Genetic differences in more than 70 genes have been associated with increased itchiness. [1] Calcium and serotonin levels may be involved in increased itch or arthritis pain signals being sent/perceived. [2] See the excerpts below:

Summary: Too much or too little calcium and magnesium can affect pain, itching, and mood. The minerals are both electrically active, and provide energy for ion channels which control the transport of messenger chemicals like serotonin across cell membranes – such as nerve cell membranes.

“For neurons to become excited, you need a receptor to communicate with an ion channel,” said Dr. Bautista. “We tried a variety of experiments and found that HTR7 communicates with the TRPA1 ion channel. Both receptors seem to be working together to mediate chronic itch.” “The researchers found more than 70 genes whose expression was higher in the more itch-sensitive mice. Of these, the gene for the HTR7 receptor was the most closely linked to itch. In fact, the HTR7 gene was twice as active in the itchiest mice compared to the least sensitive mice. ”  [1]

  1. An Itch You Just Can’t Scratch; NIH-funded study identifies proteins that may cause chronic itch (Oct. 27, 2015) http://www.ninds.nih.gov/news_and_events/news_articles/pressrelease_chronic_itch_10272015.htm
  2. Adam Horvath, et al., Transient receptor potential ankyrin 1 (TRPA1) receptor is involved in chronic arthritis: in vivo study using TRPA1-deficient mice, Arthritis Res Ther. 2016; 18: 6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718022/          

    Excerpt: “TRPA1 is also directly stimulated by intracellular calcium [24] and a broad range of noxious endogenous oxidative products, such as 4-hydroxy-2-nonenal, hydrogen peroxide, hypochloride, hydrogen sulphide, 15-delta prostaglandin J2 [2528]. Furthermore, there are several exogenous irritants like mustard oil (allyl isothiocyanate: AITC) [29], cinnamaldehyde [30, 31], allicin [32, 33] and formalin [34] that are known to be potent agonists of TRPA1. Inflammatory mediators, such as bradykinin and serotonin, can sensitize this receptor and increase the responsiveness of the nerve endings [19, 35]. These findings suggest that TRPA1 may be involved in the development and maintenance of arthritic pain, but the precise mechanisms are still unknown.”

  3. Rs6295: The “Single” and “Self-Transcendent” Gene (5-HT1A Receptor) https://selfhacked.com/2015/07/23/rs6295-the-single-and-self-transcendent-gene-5-ht1a-receptor/Magnesium and Calcium increase the binding of serotonin to the 5HT1A receptors in the cortex (purkinje cells). (R)

  4. Bujalska M., et. al., Magnesium ions and opioid agonist activity in streptozotocin-induced hyperalgesia. Pharmacology. 2008;82(3):180-6.http://www.ncbi.nlm.nih.gov/pubmed/18701828

  5. That Really Does Make It Worse

    Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

nErD does not stand for nearest Emergency room Department

I ran across the term nErD yesterday and I wasn’t sure what it might mean. My first thought as a health professional trained in medical acronyms was that it might have something to do with the ER or Emergency Room Department. In addition to the adult ICU (Intensive Care Unit) there is also a Neonatal Intensive Care Unit (NICU) but there isn’t a neonatal emergency room department to my knowledge.

To my chagrin after a few seconds of puzzlement I noticed another reference to the term — “nerd” — and I felt like I should probably go see the movie “Revenge of the Nerds” again just as a refresher course.

Emergency Rooms have been on my mind for a while so that might explain my jumping to that idea first. At some point in the past I’ve shared this idea but I’ll reshare it because it could help provide safe and effective health care at an inexpensive price.

A patient can spend a lot of time waiting in an Emergency Department, to be seen or to be treated or for the test results to be ready or for the specialist to stop by. Some of that waiting time could be spent in a relaxing and potentially healing Epsom salt foot soak or bath.

Magnesium deficiency is estimated to be a problem for as many as 70-80% of the U.S. population. It can be an underlying factor in many chronic illnesses and chronic pain conditions and can be involved in acute substance abuse or mental health situations. A foot soak in Epsom salts can take slightly longer than a soak in an Epsom salt bath to achieve results but both can be helpful for relieving muscle cramps and some other types of pain such as migraines. Mental upset due to alcohol or other substance abuse or mental health conditions can also be soothed by soaking in Epsom salts. The amount of time to soak would vary depending on how deficient the person was in magnesium and might even be helpful as a diagnostic screening for magnesium deficiency (the mineral is largely stored within the interior of cells or within the bones so blood tests for magnesium only catch extremely severe cases of magnesium deficiency).

Excessive magnesium absorption can relax the muscles too much and may cause slowing of the heart rate and smooth muscle relaxation can also cause watery bowel movements. A hospital protocol might involve having an attendant start a patient with a non-open wound pain situation or upset mood in an Epsom salt foot soak or bath. The patient would be instructed on the early symptoms of excessive magnesium absorption and to let the attendant know if/when the first fluttery heart beats or relaxation of sphincter muscles was occurring. Typically a 20 minute Epsom salt bath is a good length of time while a forty minute bath might cause excess relaxation. Research suggested the ideal routine for a patient with difficulty absorbing magnesium from dietary sources would be approximately twenty minutes in a bath with one cup of Epsom salts every other day or three to four times per week. Taking the baths more often though can lead to symptoms of excess magnesium occurring sooner than twenty minutes, based on my personal experience with Epsom salt baths.

Alcohol and some other substances that are used excessively can cause magnesium deficiency which can cause irritability and even increase the risk for violence.

So if you or a loved one is upset or in pain that is not due to an open wound then it is possible that a trip to your bathroom for a Epsom salt bath might be soothing enough to skip a trip to the nearest Emergency room Department (you know, the nErD).

Excerpt from a previous post with more info about safely taking Epsom salt baths:

Time for an Epsom bath perhaps.

Epsom salt baths can be a well absorbed source of magnesium because skin absorption will bypass a problem of poor intestinal absorption of magnesium. Calcium tends to be preferentially absorbed by the intestines, especially when there is an imbalance in vitamin and hormone D levels and poor intestinal absorption of magnesium over time can easily lead to symptoms of magnesium deficiency. Symptoms of magnesium deficiency are usually labeled something else by the medical profession because the problem is not obvious on lab tests until it is quite severe because the body takes more magnesium from the bones as needed up until the point where osteoporosis is severe  enough to cause a shortage of stored magnesium.

Soaking in a bathtub for twenty minutes that has one cup of Epsom salt to a half full bathtub, and one teaspoon of a cooking vinegar such as apple cider vinegar to balance the alkalinity of the Epsom salt, can be a cure for a bad mood as well as various achy muscle cramps if magnesium deficiency is an underlying problem. Negative symptoms can occur if you stay in the bath too long. Excess magnesium absorption can cause loose watery stools for an entire day, not just once. Falling asleep in the bath can also lead to more life threatening symptoms of a weak, and fluttery heart rate, or even lead to coma and/or death — so twenty minutes to forty minutes is probably safe for a deficient person while someone who isn’t deficient might notice a weak slowing heart rate sooner than the twenty minute average that a person deficient in magnesium might find only as calming and soothing to  their mood and muscles. A person who was deficient but who then started taking the baths regularly might start noticing the weak heart rate sooner — get out of the tub then, even if its not been twenty minutes — shower and rinse time. Research on the therapeutic use of Epsom salt baths recommended one cup Epsom salt to the half full/full bath and use up to three to four times per week, but not daily.

I can’t find the actual research study {here it is: http://george-eby-research.com/html/absorption_of_magnesium_sulfate.pdf } among the following posts of mine (see below) but Dr. Oz has an article on the baths also and recommends the twenty minutes a few times a week also: [http://blog.doctoroz.com/oz-experts/restoring-magnesium-levels-with-epsom-salt-baths]

Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

 

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