laxative



References: Laxative






Int J Eat Disord. 1993 Jul;14(1):107-10.
Borderline diagnosis and substance abuse in female patients with eating disorders.

Koepp W, Schildbach S, Schmager C, Rohner R.

Department of Psychosomatic Medicine and Psychotherapy, Steglitz Medical Center, Free University of Berlin, Germany.

To investigate whether alcohol and drug abuse are symptomatic of eating disorders or related to a concomitant borderline personality disorder, we reviewed all female inpatient medical records filed at the Department of Psychosomatic Medicine between 1978 and 1990. Over 300 records were assessable. The patients were reclassified according to DSM-III-R with regard to eating and borderline personality disorders. Alcohol and drug abuse were also taken into account. Nearly 5% of patients had a borderline personality disorder. Nearly 25% of patients suffered from eating disorders, and 11% of them had a concomitant borderline personality disorder. A detailed examination showed the frequency of abuse of alcohol and tranquilizers to be no higher, but that of laxatives and/or diuretics and/or anorexigenics to be significantly higher in borderline patients with concurrent eating disorder. However, the incidence of alcohol abuse was significant in borderline patients.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8339092&dopt=Abstract constipation laxative



Dig Dis Sci. 1993 Sep;38(9):1581-9.
Irritable bowel-type symptoms in HMO examinees. Prevalence, demographics, and clinical correlates.

Longstreth GF, Wolde-Tsadik G.

Department of Medicine, Southern California Permanente Medical Group, San Diego.

A study of irritable bowel-type symptoms in 1264 health examinees using a self-administered questionnaire and psychological tests revealed they are common throughout adulthood. Of affected subjects 68% were female, and those with the more severe type (> or = 3 Manning criteria) were predominantly female (80%). Fewer Asians than other racial/ethnic groups had these symptoms. Nongastrointestinal symptoms, physician visits, incontinence, laxative use, a stress effect on bowel pattern and abdominal pain, abdominal surgery, hysterectomy, childhood abuse, use of mind-altering drugs, depression, and anxiety were correlated with irritable bowel-type symptoms. Regression analysis found some of the clinical correlates were independent markers for irritable bowel-type symptoms and that sexual abuse was related to nongastrointestinal symptoms and abdominal surgery independent of irritable bowel-type symptoms. More severe irritable bowel-type symptoms were especially associated with nongastrointestinal symptoms, stress effects, sexual abuse, use of sedatives and oral narcotics, and a past alcohol problem. There are important demographic and clinical correlates with irritable bowel-type symptoms.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8359067&dopt=Abstract constipation laxative



AANA J. 1993 Apr;61(2):165-9.
Anesthetic considerations with anorexia nervosa.

Cerami R.

Anorexia nervosa is a chronic illness characterized by a severe loss of weight. It occurs in children and young adults and is seen more frequently in females. Some anorexic patients refuse to eat totally, while others may practice "binge eating." Patients who binge eat and employ postprandial purging are referred to as "bulimic." Anorexia nervosa and bulimia can produce multisystem abnormalities. Dysfunction of organ systems in anorexia is the result of self-induced vomiting, laxative abuse, and severe malnutrition. Diseases of the skeletal, gastrointestinal, pulmonary, endocrine, and cardiovascular systems may have an impact on the plan of anesthesia care. A thorough anesthetic interview and evaluation to assess the debilitation of each patient is essential so that appropriate preparation can be made for comprehensive anesthetic care. This paper focuses on the pathophysiology of anorexia nervosa, discusses a thorough preanesthetic assessment, and guides the appropriate anesthetic management of the anorexic patient. Anorexia bulimia is briefly mentioned, since it is an eating disorder with physiological derangements similar to anorexia nervosa.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8379278&dopt=Abstract constipation laxative



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