Bromelain is a pineapple extract that was first isolated in the late 1800s. It is an enzyme that breaks down proteins in the body. The German Commission E has approved the use of bromelain as an anti-inflammatory. It is used to treat a variety of conditions including reducing swelling after surgery, as an anti-inflammatory, sinusitis treatment, indigestion and for inflammatory bowel disease, according to the University of Maryland Medical Center.
Surgical Aid
Studies show bromelain reduces post surgery trauma swelling and edema, water retention. It is often used for treating sports injuries after surgery. A study published in the July 1995 issue of Fortschritte der Medizin found 59 patients treated with high-dose bromelain over a three-week period had reductions in swelling, pain and tenderness.
Anti-inflammatory
Bromelain has demonstrated anti-inflammatory effects in various conditions, including arthritis. A review of clinical studies published in the Oct. 6, 2004, issue of Evidence-based Complementary and Alternative Medicine found bromelain effective at treating osteoarthritis. Bromelain is an alternative to non-steroid anti-inflammatory drugs, NSAIDs, and is a food supplement available over the counter. Clinical studies by Cohen and Goldman showed positive effects in 18 patients who had reduction in soft tissue swelling, pain and joint stiffness.
Sinusitis Treatment
Bromelain can help treat sinusitis, sinus inflammation and is a useful addition with other therapies, according to the National Institutes of Health. It has been effective at reducing swelling and improving breathing, but further studies are needed before a strong recommendation for the use of bromelain with sinusitis is made.
Indigestion
Bromelain is an enzyme that can aide in the digestion of proteins. It helps relieve stomach upset, heartburn and helps control diarrhea, according to the University of Maryland Medical Center.
Inflammatory Bowel Disease
Because of the antibacterial effects of bromelain, it is an effective therapy for IBS, according to the University of Maryland Medical Center. A study in the March 2008 issue of Clinical Immunology found bromelain decreases inflammation in ulcerative colitis and reduces the secretion of cytokines in IBS.
References
- National Institutes of Health: Bromelain: Biochemistry, Pharmacology and Medical Use
- National Institutes of Health: Bromelain
- National Institutes of Health: Bromelain in Blunt Injuries of the Locomotor System. A Study of Observed Applications in General Practice
- National Institutes of Health: Bromelain as a Treatment for Osteoarthritis: A Review of Clinical Studies
- University of Maryland Medical Center: Bromelain



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