Selected Disorders of the Digestive System and Nutrition

  • Robert L. Buckley


The incidence and prevalence of constipation is difficult to determine, as the definitions of constipation vary and patients frequently self-medicate. It has been estimated that the prevalence of constipation is 16% in toddlers, 6% to 20% in adults, and up to 67% in institutionalized adults.1–3 The definition of constipation most commonly requires three or fewer stools per week associated with straining.


Food Allergy Domoic Acid Bloody Diarrhea Paralytic Shellfish Poisoning Foodborne Illness 
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  1. 1.
    Loening-Baucke V. Management of chronic constipation in infants and toddlers. Am Fam Physician 1994;49:397–406.PubMedGoogle Scholar
  2. 2.
    Camilleri M, Thompson WG, Fleshman JW, Pemberton JH. Clinical management of intractable constipation. Ann Intern Med 1994;121:520–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Harari D, Gurwitz JH, Avorn J, Choodnovskiy I, Minaker KL. Constipation: assessment and management in an institutionalized elderly population. J Am Geriatr Soc 1994;42: 947–52.PubMedGoogle Scholar
  4. 4.
    Floch MH, Wald A. Clinical evaluation and treatment of constipation. Gastroenterologist 1994;2:50–60.PubMedGoogle Scholar
  5. 5.
    Schreiber RA, Walker WA. Food allergy: facts and fiction. Mayo Clin Proc 1989;64:1381–91.PubMedCrossRefGoogle Scholar
  6. 6.
    Sampson HA. Food allergy. J Allergy Clin Immunol 1989;84: 1062–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Bahna SL. Diagnostic tests for food allergy. Clin Rev Allergy 1988;6:259–84.PubMedGoogle Scholar
  8. 8.
    Saavedra JM, Perman JA. Current concepts in lactose malabsorption and intolerance. Annu Rev Nutr 1989;9:475–502.PubMedCrossRefGoogle Scholar
  9. 9.
    Montes RG, Perman JA. Lactose intolerance: pinpointing the source of nonspecific gastrointestinal symptoms. Postgrad Med 1991;89:175–84.PubMedGoogle Scholar
  10. 10.
    Rings EHHM, Grand RJ, Buller HA. Lactose intolerance and lactase deficiency in children. Curr Opin Pediatr 1994;6:562–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Skirrow MB. Foodborne illness: Campylobacter. Lancet 1990; 336:921–3.PubMedCrossRefGoogle Scholar
  12. 12.
    Vogt RL, Sours HE, Barrett T, Feldman RA, Dickinson RJ, Witherell L. Campylobacter enteritis associated with contaminated water. Ann Intern Med 1982;96:292–6.PubMedCrossRefGoogle Scholar
  13. 13.
    Rautelin H, Koota K, VonEssen R, Jahkola M, Siitonen A, Kosunen TU. Waterborne Campylobacter jejuni epidemic in a Finnish hospital for rheumatic diseases. Scand J Infect Dis 1990;22:321–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Tranter HS. Foodborne illness: foodborne staphylococcal illness. Lancet 1990;336:1044–6.PubMedCrossRefGoogle Scholar
  15. 15.
    Baird-Parker AC. Foodborne illness: foodborne salmonellosis. Lancet 1990;336:1231–5.PubMedCrossRefGoogle Scholar
  16. 16.
    Davis H, Taylor JF, Perdue JN, et al. A shigellosis outbreak traced to commercially distributed shredded lettuce. Am J Epidemiol 1988;128:1312–21.PubMedGoogle Scholar
  17. 17.
    Lee LA, Ostroff SM, McGee HB, et al. An outbreak of shigellosis at an outdoor music festival. Am J Epidemiol 1991; 133:608–15.PubMedGoogle Scholar
  18. 18.
    Reeve G, Martin DL, Pappas J, Thompson RE, Greene KD. An outbreak of shigellosis associated with the consumption of raw oysters. N Engl J Med 1989;321:224–7.PubMedCrossRefGoogle Scholar
  19. 19.
    Hale TL. Genetic basis of virulence in Shigella species. Microbiol Rev 1991;55:206–24.PubMedGoogle Scholar
  20. 20.
    Doyle MP. Foodborne illness: pathogenic Escherichia coli, Yersinia enterocolitica, and Vibrio parahaemolyticus. Lancet 1990;336:1111–15.PubMedCrossRefGoogle Scholar
  21. 21.
    Belongia EA, MacDonald KL, Parham GL, et al. An outbreak of Escherichia coli 0157:H7 colitis associated with consumption of precooked meat patties. J Infect Dis 1991;164:338–43.PubMedCrossRefGoogle Scholar
  22. 22.
    Bell BP, Goldoft M, Griffin PM, et al. A multistate outbreak of Escherichia coli 0157:H7-associated bloody diarrhea and hemolytic uremic syndrome from hamburgers: the Washington experience. JAMA 1994;272:1349–53.PubMedCrossRefGoogle Scholar
  23. 23.
    Berkelman RL. Emerging infectious diseases in the United States, 1993. J Infect Dis 1994;170:272–7.PubMedCrossRefGoogle Scholar
  24. 24.
    Blaser MJ, Relier LB. Campylobacter enteritis. N Engl J Med 1981;305:1444–52.PubMedCrossRefGoogle Scholar
  25. 25.
    Callegaro L, Jack DB, Samson JC. Campylobacter infections, Guillain-Barré syndrome, and parenteral gangliosides. Lancet 1991;337:789.PubMedCrossRefGoogle Scholar
  26. 26.
    Lahat E, Katz Y, Bistritzer T, Eshel G, Aladjem M. Recurrent seizures in children with Shigella-associated convulsions. Am Neurol Assoc 1990;28:393–5.CrossRefGoogle Scholar
  27. 27.
    Pavia AT, Nichols CR, Green DP, et al. Hemolytic-uremic syndrome during an outbreak of Escherichia coli 0157:H7 infections in institutions for mentally retarded persons: clinical and epidemiologic observations. J Pediatr 1990;116:544–51.PubMedCrossRefGoogle Scholar
  28. 28.
    Gomez-Garces JL, Cogollos R, Alos JL. Susceptibilities of fluroquinolone-resistant strains of Campylobacter jejuni to 11 oral antimicrobial agents. Antimicrob Agents Chemother 1995;39:542–4.PubMedCrossRefGoogle Scholar
  29. 29.
    Taylor DE, Chang N. In vitro susceptibilities of Campylobacter jejuni and Campylobacter coli to azithromycin and erythromycin. Antimicrob Agents Chemother 1991;35:1917–18.PubMedCrossRefGoogle Scholar
  30. 30.
    The choice of antimicrobial drugs. Med Lett Drugs Ther 1996;38(971):25–34.Google Scholar
  31. 31.
    Tauxe RV, Puhr ND, Wells JG, Hargrett-Bean N, Blake PA. Antimicrobial resistance of Shigella isolates in the USA: the importance of international travelers. J Infect Dis 1990;162: 1107–11.PubMedCrossRefGoogle Scholar
  32. 32.
    Advice for travelers. Med Lett Drugs Ther 1996;38(969):17–20.Google Scholar
  33. 33.
    Dupont HB, Levine MM, Hornick RB, Formal SB. Inoculum size in shigellosis and implications for expected mode of transmission. J Infect Dis 1989;159:1126–8.PubMedCrossRefGoogle Scholar
  34. 34.
    Hughes JM, Blumenthal JR, Merson M, Lombard GL, Dowell VR, Gangarosa EJ. Clinical features of types A and B foodborne botulism. Ann Intern Med 1981;95:442–5.PubMedCrossRefGoogle Scholar
  35. 35.
    Lecour H, Ramos MH, Almeida B, Barbosa R. Food-borne botulism a review of 13 outbreaks. Arch Intern Med 1988; 148:578–80.PubMedCrossRefGoogle Scholar
  36. 36.
    Underman AE, Leedom JM. Fish and shellfish poisoning. Curr Clin Top Infect Dis 1993;13:203–25.PubMedGoogle Scholar
  37. 37.
    Diagnosis and treatment of botulism. J Infect Dis 1971;124: 108–12.Google Scholar
  38. 38.
    Spika JS, Shaffer N, Hargrett-Bean N, Collin S, MacDonald KL, Blake PA. Risk factors for infant botulism in the United States. Am J Dis Child 1989;143:828–32.PubMedGoogle Scholar
  39. 39.
    Schatz IJ. Ciguatera fish poisoning a jet age peril. Hosp Pract 1989:79–96.Google Scholar
  40. 40.
    Eastaugh JE, Shepherd S. Infectious and toxic syndromes from fish and shellfish consumption. Arch Intern Med 1989; 149:1735–40.PubMedCrossRefGoogle Scholar
  41. 41.
    Shneerson JM. Botulism: a potentially common problem [editorial]. Thorax 1989;44:901–2.PubMedCrossRefGoogle Scholar
  42. 42.
    Palafox NA, Jain LG, Pinano AZ, Gulick TD, Williams RK, Schatz IJ. Successful treatment of ciguatera fish poisoning with intravenous mannitol. JAMA 1988;259:2740–2.PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media New York 1998

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  • Robert L. Buckley

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