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Creno therapy
Drinking cure by use of mineral waters
Ca waters
More than 1 g Ca/l and
 more than 20% of kation equivalents

Indication of Ca waters
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Alimentary Ca-malfunction situations
 Supportive treatment of osteoporosis
 Supportive treatment of allergic diseases
Urology (only Ca/Mg/HCO3-waters)
 Chronic urinary tract infections, also supportive
together with antibiotics
 Prophylaxis and metaphylaxis in Oxalate, Carbonateand phosphate urinary calculi, also post operative and
after lithotripsy.
Contraindication of Ca waters
Hyper-absorptive hyper-calciuria with urinary
calculi
 Cardiac-circulation insufficiency and kidney
insufficiency

Side effects of Ca waters

Trend to obstipation especially in high Ca
concentrations
Ca/Mg/Hydrogen-carbonate waters
More than 1 g /l kation and anion equivalent part
 more than 20% of Ca, Mg, and Hydrogencarbonate

Indication of Ca/Mg/Hydrogencarbonate waters

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Prophylaxis and metaphylaxis in Oxalate, Carbonate- and
phosphate urinary calculi, also post operative and after
lithotripsy
supportive treatment in chronic urinary tract infections
Alimentary Ca-malfunction situations with nervous
hyperirritability
Alimentary Mg-malfunction situations with performance
decrease and signs of vegetative dystonia
Functional disturbance in stomach-intestine esp.. Trend
to emotional diarrhoea
Contraindication of
Ca/Mg/Hydrogen-carbonate waters
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In Hyper-absorptive hyper-calciuria and hyperparathyreoidism waters with high Ca amount should not
be used.
In E.-coli-infections of urinary tract and development of
infect calculi (Phosphate- and Carbonate-stones) waters
with more than 3,0 g/l Hydrogen carbonate and Sodium
content should be avoided.
Cardiac-circulation insufficiency and kidney
insufficiency
Side effects of Ca/Mg/Hydrogencarbonate waters
Nothings
Iron waters
More than 20 mg /l Fe(II) in solution
Indication of Iron waters
Manifest and larvate Iron malfunctions (Iron
deficiency anaemia, lost of iron by pregnancy,
climacteric disturbance or other blood loss).
 General roboration and promotion of recovery
esp.. Post infections

Contraindication of Iron waters

Drinking cure by high additive uptake of liquid is
contra indicant by cardiac-circulation
insufficiency and kidney insufficiency
Side effects of Iron waters

Oral uptake of Iron in case of adstringent effect of
Iron (III) could stimulate gastro-intestine
complains and uncomfortable symptoms. These
can be decreases by drinking of mild warm water.
CO2 waters
More than 1 g /l CO2
Indication of CO2-waters

Concentration more than 1 g/l CO2
 General
stimulation of the digestion
 Disorders

in appetence
Concentration more than 2 g/l CO2
 Stimulation
of diuresis in urology diseases
Contraindication of CO2 waters
Pre-damage of the stomach (esp.. gastric ulcer)
 Drinking cure by high additive uptake of liquid is
contra indicant by cardiac-circulation
insufficiency and kidney insufficiency

Side effects of CO2 waters
By liberate of CO2 and stretching the stomach
wall pressure complaints are possible (Roemheld
syndrome)
 By uptake of big drinking volumes complaints
like irritable stomach (dyspepsia) are possible.
The symptoms disappear normally during serial
application.

Hydrogen carbonate waters
More than 1 g /l minerals in solution and NaHCO3
more than 20% of the kation and anion equivalent
Indication of hydrogen carbonate
waters



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Prophylaxis and metaphylaxis of uric acid-, cystine-, and
calcium oxalate-urinary calculi, also post operative and after
lithotripsy
supportive treatment in chronic urinary tract infections
without E. coli infections
Functional diseases of the stomach, supportive treatment of
chronic relapse of gastric ulcera
Supportive treatment of disorders of the uric acid metabolism
(gout)
Contraindication of Hydrogen
carbonate waters



Alkaline urine promote the E.coli infection of urinary
tract and the development of infect calculi (phosphateand carbonate stones)
Acute gastritis and enteritis, haemorrhage diathesis, and
risk of rupture in the intestinal tract (esp.. ulcera, post
operations), hindrance of passage higher stages (stenosis,
invaginations)
Drinking cure by high additive uptake of liquid is contra
indicant by cardiac-circulation insufficiency and kidney
insufficiency
Side effects of hydrogen carbonate
waters
By liberate of CO2 and stretching the stomach
wall pressure complaints are possible (Roemheld
syndrome)
 By uptake of big drinking volumes complaints
like irritable stomach (dyspepsia) are possible.
The symptoms disappear normally during serial
application.

Sulphate waters
More than 1,2 g /l sulphate in solution
Indication of sulphate waters

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Dyskinesia of the derivative bile tract including post operative complaints
To stimulate the secretion of bile and pancreas
Disturbance of the intestine motility without significant organic reasons,
esp. Different forms of obstipation and colon irritable.
Functional disturbance of the upper stomach organs
In supportive treatment of adipose
In prophylaxis of calcium-phosphate urinary calculi, esp. In case of high pH
value in urine.
Supportive treatment of urinary tract infections (esp. By use of Ca-sulphate
waters).
Contraindication of sulphate waters
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Organic dependent disorders in motility and secretion in intestine tract,
esp. Ileus, intestine vagination, obstructive jaundice.
Acute inflammatory diseases and haemorrhage diathesis in intestine tract
(esp. Ulcus and post operations)
Drinking cure by high additive uptake of liquid is contra indicant by
cardiac-circulation insufficiency and kidney insufficiency
Hyper tonic sulphate waters (esp. Mg-sulphate waters may not used in
dehydration states
In case of urinary calculi long time use of sulphate waters is contra
indicant.
Side effects of sulphate waters
Long time use of high dosages of hyper tonic
sulphate waters could stimulate strong diarrhoea
following disorders of the electrolytes and
exsiccosis.
 Minimum dose limit of diarrhoea is 3,0 g soluble
sulphate.

Zinc waters
More than 2 mg/l zinc in solution
Indication of zinc waters

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Supportive treatment of zinc malfunction
In increased zinc lose esp. During lactation, diabetes
mellitus, alcoholism, sport and working in heat, scaly
skin diseases.
Increased zinc requirement during pregnancy and in
young age.
Alimentary zinc requirement (esp. post delactation).
In zinc malfunctioned wound healing disturbances, skin
ulcera and immune disturbances.
Acne vulgaris (to spare antibiotics and vitamin-A-acid)
Contraindication of zinc waters

Drinking cure by high additive uptake of liquid is
contra indicant by cardiac-circulation
insufficiency and kidney insufficiency
Side effects of zinc waters

Nothing.
Fluoride waters

More than 1 mg/l fluorides in solution
Indication of fluoride waters
Alimentary fluoride requirement.
 Caries prophylaxis
 Supportive treatment osteoporosis of fluoride
concentration is more than 10 mg/l

Contraindication of fluoride waters

Drinking cure by high additive uptake of liquid is
contra indicant by cardiac-circulation
insufficiency and kidney insufficiency
Side effects of fluoride waters

Nothing.
Sodium chloride waters

More than 1 g/l minerals in solution and minimal
20% equivalents of NaCl
Indication of sodium chloride waters
Stimulation of gastric secretion
 Inhibition of increased gastric secretion.
 Stimulation of the gastric and small intestine
motoric.
 Stimulation of the liver- and pancreas-secretion.

Contraindication of sodium chloride
waters
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Acute gastritis and enteritis, haemorrhage diathesis in
intestine tract (esp. Ulcus and post operations), stenoses,
invaginations.
Disturbance of bile- and pancreas flow, acute liver
diseases
Arterial hypertension and oedema (more than 1 g/l NaCl)
Drinking cure by high additive uptake of liquid is contra
indicant by cardiac-circulation insufficiency and kidney
insufficiency
Side effects of sodium chloride
waters

Nothing.
Iodide waters

More than 1 mg/l iodide in solution
Indication of iodide waters

Supportive treatment of iodine malfunctions esp.
euthyroit iodine deficient struma.
Contraindication of iodide waters
Latent and manifest hyper thyreosis
 Hypersensitivity like iodine allergy and iodismus

Side effects of iodide waters

Allergic reactions with pruritus, exanthema,
eosinophilia, fever etc. in few cases.
Diseases of digestive system
Functional and inflammatory diseases
of stomach and intestine
Hydrogen carbonate
Decrease of persistence of gastric
contents, improvement of gastric
disturbances by pain decrease,
inhibition of inflammation and
mucolytic effect, normalisation of
gastric secretion.
Gastric secretion: to much
not enough
Hydrogen carbonate
Carbonic acid more than 1 g/l
Neutralisation and normalisation
Stimulation of secretion
Constipation
Sulphate
Decrease of intestine water absorption
Functional disease of bile and
pancreas
Sulphate
Stimulation of secretion
Metabolic diseases
Diabetes mellitus
Hydrogen carbonate
Increase of the carbon
hydrate tolerance, insuline
efficacy, and glycogen
storage
Disturbance of the uric
acid metabolism (Hyper
uricaemia, gout)
Hydrogen carbonate
Increase of uric acid
elimination´and solubility
in in urine, disability of
uric acid calculi
Adipose
Sulphate
Supportive treatment
Urological diseases
Chronic
infections of
urinary tract
Hydrogen carbonate
Calcium
Magnesium
Carbonic acid
(more than 2 g/l)
Neutralisation of the
inflammation milieu by
Hydrogen carbonate, Antiinflammatory effect by Ca and
Mg
Irrigation of the urinary tract and
Increase of diuresis
Ca-oxalate calculi Hydrogen carbonate
Magnesium
decrease of calculi development
Uric acid,
Cystine, and
Xantine calculi
Hydrogen carbonate
Increase of pH value in urine and
effect against crystallisation
Calcium- and
phosphate calculi
Sulphate
Magnesium
Decrease of pH in Urine and
effect against crystallisation
Different diseases
Circulation disorders
Hypertension
Hydrogen carbonate
Calcium
Magnesium
Balance of water and
electrolytes
Normalisation of
blood pressure
Osteoporosis
Calcium
Fluoride
Increase of calcium
and fluoride in
malfunctions
Allergic diseases
Calcium
Inhibition of allergic
reactions
Malfunctions
Ca-malfunction
Calcium
Increase of Ca blood level
(Osteoporosis, allergic
reactions, nervous
hypersensitivity)
Mg-malfunction
Magnesium
Increase of Mg blood
level, and effectiveness in
cardiac deceases
F-malfunction
Fluoride
Prevention in Caries,
inhibition of bacterial
acids in the mouth
Prevention
Pregnancy
Magnesium
Fluoride
supportive in higher
metabolic used
Performance sports
Hydrogen carbonate
Against acidosis by
increase of the alkali
reserve
Prevention of tetany,
cramps, and disturbance
of cardiac rhythm
Magnesium
Summary
Ion
Indication
Guide value
Dosage
Ca
Ca-lack
allergic diseases
osteoporosis
> 250 mg/l
0,5 – 1 g/d
Mg
Mg-lack
Ca-calculi
> 100 mg/l
150 – 300 mg/d
300 mg/d
Zn
Zn-lack
> 10 mg/l
5 mg/d
Li
Li-lack
> 0,5 mg/l
03 mg/d
Fe(II)
Fe-lack
> 20 mg/l
3 x 300-600 ml/d
SO4
Stimulation Bile and Pancreas
Obstipation
> 1200 mg/l
> 3000 mg/l
300-1500 ml
3g
HCO3
Urology Indication
Stomach-intestine-Indications
metabolism
> 1300 mg/l
> 1500 mg/l
> 1300 mg/l
0,7.2,8 l
CO2
Diuresis
Appetence disability
> 2000 mg/l
> 2500 mg/l
J
J-lack
> 0,2 mg/l
0,1 mg/d
F
Caries-prophylaxis
> 1 mg/l
1-2 mg/d
3 x 200-350 ml
Interpretation
of mineral
water analyses
Literature
about drinking mineral waters

Chr. Gutenbrunner, G. Hildebrandt: Handbuch der
Heilwasser Trinkkuren. Sonntag Verlag Stuttgart
1994. ISBN 3-87758-015-7