Case 14
How far can she be weak?
-In her twenties, a female patient
-During the last four years she suffered stool
incontinence, as stated by patient's words, for which she received
repeatedly anti-cholinergic drugs
-She presented to us to solve chronic microcytic anemia
problem
-But by inquiry, strikingly, I realized that she
suffers
chronic diarrhea!
-On examination: prominent bony ridges (may be found in
some cases of chronic anemia), otherwise no much general status
affection
-Now we can explain this incontinence to chronic
diarrhea and chronic anemia by the long-standing suffering
(untreated chronic dirrhea),
especially when affecting nutritional status, which may affect her
muscular power, even autonomic muscles!
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