Amita GuptaMD and Robert C BollingerMD MPH

Intestinal parasites are important causes of morbidity and mortality, particularly in resource poor settings. Disease accompanying these infections can manifest as a nutritional disturbance. Reduced food intake, impaired digestion, malabsorption, anemia and poor growth rate are among the many possible sequelae that can occur. in the United States and other developed nations, intestinal parasites are most prevalent among returning travelers, immigrant groups, and immunocompromised hosts. Domestic infection occurs in settings such as community waterborne outbreaks, persons who drink untreated stream water, children and employees of daycare centers, men who have sex with men, and persons eating raw or undercooked beef, pork, or fish.

Most intestinal parasites are treatable. Many, but not all, of the drugs discussed in this chapter are commercially available in the United States. Some are licensed for one indication, but not others. Certain drugs used to treat parasites discussed in this chapter are not commercially available in the United States, but may be obtained from the Centers for Disease Control and Prevention Drug Service at 404-639-3670 <www.cdc.gov/ncidod/dpd>.

Useful summaries of drug therapies for intestinal parasites can be found in The Medical Letter on Drugs and Therapeutics, Sanford Guide (Gilbert et al, 2003), Current Medical Diagnosis and Treatment (Goldsmith, 2003), or other references (supplemental reading).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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