By Ranjit N. Ratnaike

This textbook presents a realistic and entire 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 critical underlying disorder; therefore, potent analysis and remedy are necessary to increase caliber of lifestyles. The chapters comprise updates on pathogenesis, analysis and therapy, and spotlight the vulnerability of the aged to diarrhea and its problems. The etiology of diarrhea is defined, together with infections of the gastrointestinal tract, and systemic ailments of which it's a symptom. The authors signify various disciplines: immunology, body structure, microbiology, food, and psychiatry. The publication is aimed toward geriatricians, normal practitioners, gastroenterologists, and allied medical experts.

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The entities listed below cause nonspecific small intestinal mucosal damage and the biopsy shows no distinctive features. coeliac disease severe bacterial infections giardiasis tropical sprue malnutrition dermatitis herpetiformis blind loop syndrome therapeutic agents: neomycin and colchicine. • In the diseases listed below the small bowel biopsy provides distinctive histological features to establish a diagnosis: Whipple’s disease • • • • • • 42 Joseph E. Buttery et al. • • • • • • eosinophilic gastroenteritis lymphoma Crohn’s disease adenocarcinoma Zollinger–Ellison syndrome amyloidosis.

For example, the decision whether to first request a stool microscopy and culture to identify an enteric pathogen or to request a double contrast barium study depends on the clinical circumstances. I N VA S I V E P R O C E D U R ES Ranjit N. Ratnaike Sigmoidoscopy is an extremely rewarding investigation and should be regarded as mandatory before a barium enema is performed. Sigmoidoscopy may reveal the presence of a tumour, lesions suggesting inflammatory bowel disease, ulceration due to infectious colitis, or plaques characteristic of pseudomembraneous colitis.

Gasbarriri, G. (1986). Ageing and small bowel mucosa: a morphometric study. Gerontology 32:60–5. Field, M. (1991). Intestinal ion transport mechanisms. In Diarrhoeal Diseases, ed. M. Field, pp. 3–21. New York: Elsevier. S. (1967). Speculations on the pathogenesis of diarrhoea. Fed Proc. 26:1405–14. W. (1991). Approach to the patient with diarrhoea. In Textbook of Gastroenterology, vol 1, ed. T. Yamada, pp. 732–78. Philadelphia: Lippincott. M. A. (1991) Bacterial enterotoxins. In Diarrhoeal Diseases, ed.

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