Diarrhoea and Constipation in Geriatric Practice by Ranjit N. Ratnaike

By Ranjit N. Ratnaike

This textbook offers a pragmatic and finished account of the administration of diarrhea and constipation within the aged. those universal problems are usually not just a burden in themselves yet are usually manifestations of a extra severe underlying disease; hence, powerful prognosis and remedy are necessary to increase caliber of existence. The chapters contain updates on pathogenesis, analysis and therapy, and spotlight the vulnerability of the aged to diarrhea and its issues. The etiology of diarrhea is defined, together with infections of the gastrointestinal tract, and systemic illnesses of which it's a symptom. The authors characterize varied disciplines: immunology, body structure, microbiology, food, and psychiatry. The e-book is geared toward geriatricians, basic practitioners, gastroenterologists, and allied medical examiners.

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Fever may accompany acute viral or bacterial diarrhoea. In the elderly the presence of fever with bloody diarrhoea and mucus suggests a bacteraemia associated with an invasive pathogen. Fever occurs in chronic diarrhoea due to tuberculosis (see Chapter 8), Whipple’s disease (see Chapter 9), some parasitic infections (see Chapter 8) and inflammatory bowel disease (see Chapter 12). Physical examination Although the most valuable information is obtained from an exhaustive history, the physical examination provides additional data to formulate a confident diagnosis.

This provides an electrochemical gradient for the (electrogenic) entry of Na and water from the intestinal lumen into the cell. To a lesser extent, the entry of water and electrolytes (and small molecules) from the lumen of the intestine occurs paracellularly through the tight junction in response to existing transepithelial gradients. 1). In the colon further absorption occurs. The right side of the colon (embryologically distinct from the left side) is the major site of absorption. The conversion of fluid intestinal contents to faeces begins; both Na and water are avidly absorbed.

Impaired humoral immune responses to mycobacterial antigen in aged murine gut-associated lymphoid tissues. Mech. Ageing Dev. 54:143–61. , Hosokawa, T. & Aoike, A. (1990). Aging effect on the immune functions of murine gut-associated lymphoid tissues. Dev. Comp. Immunol. 14:465–73. V. H. (1991). Ageing and duodenal mucosal immunity. Age Aging 20:33–6. L. K. (1987). Immunodeficiency of the elderly. Rev. Infect. Dis. 9:1127–39. L. K. (1986). Aging, gastrointestinal infections, and mucosal immunity. J.

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