Constipation INDEX

Therapy is perfectly adequate with simple iron salts (Table 2). In adults ferrous gluconate, fumarate or sulphate are all of proven equal efficiency. Approximately 50 mg of iron is present in each tablet with the remaining 300 mg made up with an inert filler. These are given on an empty stomach at least twice a day but should nausea prevail they can be taken with food. Absorption of slow release preparations is not recommended since iron is detached from the carrier beyond the main areas of absorption in the duodenum or jejunum. Stools turn black in all cases and this is a useful index of patient compliance. In 25% of individuals gastrointestinal tract side effects are encountered in the form of diarrhoea or constipation and patients will often spontaneously discontinue medication. It is therefore essential that a tablet-count be carried out on a regular basis with a substitute being provided when this first-line medication is intolerable. In children the same preparations are favoured as syrups these are given twice... 

Secondary amines are more noradrenergic Clomipramine is primarily serotonergic Narrow therapeutic index Overdoses can be fatal Anticholinergic (dry mouth, constipation, blurred vision)... 

Agent Index A340 Class Index C26 Typhoid Feve Salmonella typhi Type Bacteria Insidious onset of sustained fever, severe headache, malaise, loss of appetite, and usually constipation (although it may cause diarrhea). Individuals may become asymptomatic carriers capable of spreading the disease (e.g. Typhoid Mary). Routes Ingestion Secondary Hazards Fecal Vector (mechanical) Incubation 3 to 90 days Mortality Rate < 10% Reservoir Humans Direct Person-to-Person Transmission is possible (fecal/oral). 

Yen CH, KuoYW,TsengYH, Lee MC, Chen HL. Beneficial effects of fructo-oligosaccharides supplementation on fecal bifidobacteria and index of peroxidation status in constipated nursing-home resi-dents-A placebo-controUed, diet-controlled trial. Nutrition 2011 27(3) 323-8. 

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