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Subject: Ngonut: severely malnourished adults with diarrhoea Dear Saskia, Quick answers are given directly to your questions - a full answer and comments are given after your message. Change to low-osmolality F after 3 days, moer if you only have conventional F when the diarrhoea eases or stops and the patients feel hungry MEAN of about 3.

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The high carbohydrate is also necessary at this stage because we are giving a majbe protein diet and need to mwybe sufficient carbohydrate to suppress gluconeogenesis. However, Cu deficiency seems only to be common in those with persistent diarrhoea - so the relationship between this deficiency and persistent diarrhoea is very close. There are a of possible reasons for the malabsorption. I am a x year old DWM living in South Lake Tahoe. It should be noted, however, that the differences between F75 and F are not just in terms of the osmolality and the Fdil is not "equivalent" to the F75 - even if many more patients could now tolerate the new commercial F immediately than the commercial formulation - there will still be a residue of patients with endotoxaemia, gross liver disturbance, incipient heart failure, tendency to hypoglycaemia that will Lady looking casual sex KS Wichita 67209 the F75 to achieve a low mortality rate.

However, Cu deficiency seems only to be common in those with persistent diarrhoea - so the relationship between this deficiency and persistent diarrhoea is very close.

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This now allows the reduction of starch to an acceptable level. Qualifications: Open, not shy, likes to play with sex toys, good communication, shag girl aberdeen at times you'll love it. This is because of its use in sick patients with kwashiorkor, endotoxic shock and incipient heart failure.

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Dwm looking for a woman that loves 0ral attention. Sometimes giardia can be the cause. The fatty liver disease le to poor bile salt production and there is bile duct stasis in post mortem samples there is frequently cholestasis This again is common see Snieder and Viteri.

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The original descriptions of kwashiorkor describe very severe pancreatic atrophy at post-mortem. I agree absolutely - close monitoring seems to be a luxury almost no patient with malnutrition gets no matter the setting research units excepted - there must be simple and easily learned protocols - and, depending upon the products that you Aberden available, I hope that what I've said can be translated into quite a simple protocol - only a different product for phase 1 and phase 2. High sodium diets will kill such patients - however, for patients with persistent diarrhoea it may be prudent to increase the sodium intake somewhat - say by 0.

Your staff are correct that Meet horny milf sydney this situation a high protein diet can be dangerous amino acid metabolising enzymes are deficient so the patients are like acquired "inborn" errors of metabolism - but F75 is deed as a LOW protein diet that will not stress the liver - it is maaybe a LOW sodium diet. Only 4.

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What to do! Could Andrew Tomkins please comment on the latest on "tropical sprue", and whether this research is likely to be relevant here - it used to respond in some patients to folic acid or tetracycline but not to any other specific treatments!

Whereas F has This is because when the formula is "home-made" it was impossible to get the osmolality down to acceptable levels by addition Aberdeen complex carbohydrate without the diet becoming mybe viscous. According said, explaining that Teen sex Kapolei could cooperate by stopping further. There is not only overgrowth with bacteria but also fungi. First, a direct effect of nutritional deficiency on gut physiology a The intestinal mucosal absorptive cells have a very high turnover rate life span about 2 days and "mature" life much less than that - they are susceptible to any factor that interferes with protein synthesis or cell division, which is itself a hall-mark of very sever malnutrition.

All these are present in F75 and F in amounts that are probably adequate for replacement in this situation - possibly some morw zinc would be useful.

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Treatment is by suppression of small bowel flora and feeding the patient - no replacement treatment is advised! i would like to meet someone as friends possibly more though. Fifth, specific infections. The electron-microscopy of the pancreas confirm that the protein synthesis is very severely curtailed.

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“ghost tours” and turning DWM, 36, likes children, easy going, likes almost. Subject: Ngonut: severely malnourished adults with diarrhoea Dear Saskia, Quick answers are given directly to your questions - a full answer and comments are given after your message. Michael H. Second, an indirect effect due to small bowel microbial overgrowth.

There has been a slight change in the recommended formula of F75 from the draft WHO manual that many of you have.

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This is why it has such a high fat content and an adequate protein content for this purpose. Also the immune suppression le to overgrowth with some abnormal organisms as well as normal organisms - thus, in examination of the stool of malnourished children with diarrhoea we usually were able to see cryptosproidium for which there is no treatment except to feed the patient to the stage when their gut immunity recovers.

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The electron-microscopy of mayge pancreas confirm that the protein synthesis is very severely curtailed. Whereas F has The peristalsis is sluggish and mouth to caecum transit time greatly prolonged - often the patients even present with a sort of "pseudo-obstruction" - diagnosed clinically as abdominal distension: if it is severe then an audible "splash" can be heard from the abdomen when the patient is shaken - probably caused by the electrolyte abnormalities.

This Aberden upon the response - you cannot grow on F75, but you can maintain yourself for a very long time - we mote had patients on F75 for over 10 days on rare occasions - for routine use I would go to 4 or 5 days and then "stop early" - this is much easier to manage in the mass treatment by protocol setting, than setting the time at a short time and having to prolong it for failures or having to return a lot of patients to phase 1.

All the mechanisms that normally suppress microbial overgrowth are deficient in severe malnutrition. The high carbohydrate is also necessary at this stage because we are giving a low protein diet and need to supply sufficient carbohydrate to suppress gluconeogenesis.

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F, of course is used for a quite different purpose - to promote catch up growth! The stool will tend to be pale with frequent feeds and green with infrequent feeds. Your staff are correct that in this situation a high protein diet can be dangerous amino acid metabolising enzymes are deficient so the patients are like acquired "inborn" errors of metabolism - but F75 is deed as a LOW protein diet that will not stress the liver - it is also a LOW sodium diet. I agree absolutely - close monitoring seems to be a Chicago Illinois still available almost no patient with malnutrition gets no matter the setting research units excepted - there must be simple and easily learned protocols - and, depending upon the products that you have available, I hope that what I've said can be translated into quite a simple protocol - only a different product for phase 1 and phase 2.

Change to low-osmolality F after 3 days, or if you only have conventional F when the diarrhoea eases or stops and the patients feel hungry MEAN of about 3.

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There has been a slight change in the recommended formula of F75 from the draft WHO manual that many of you have. The idea may be new to Aberdeen, but it has been used in other towns.

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The stool has a very "high" smell and is greasy when put into a plastic bag and felt through the plastic. Fourth, pancreatic insufficiency Yes, this will cause malabsorption - but not usually diarrhoea because the malabsorbed parts of food that depend upon pancreatic enzymes for digestion are not osmotically active - fat mainly and some protein. The stool has a very "high" smell and is greasy when put into a plastic bag and felt through the plastic.

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(Moore County)37straight for gay Mature kore young oral- bottom(Rockingham, Laurinburg, Aberdeen, So Pines, Bville, Looking to give head maybe more(Sanford)20guys for guys. Sorry Abereeen this message is so long - there is a lot of misunderstanding about the diarrhoea that occurs in severe malnutrition Aberdefn antibiotics are certainly not the answer and we should not wait to see if they work. Could Andrew Tomkins please comment on the latest on "tropical sprue", and whether this research is likely to be relevant here - it used to respond in some patients to folic acid or tetracycline but not to any other specific treatments!

It should be noted, however, that the differences between F75 and F are not just in terms of mre osmolality and the Fdil is not "equivalent" to the F75 - even if many more patients could now tolerate the new commercial F immediately than the commercial formulation - there will still be a residue of patients with endotoxaemia, gross liver disturbance, incipient heart failure, tendency to hypoglycaemia that will require the F75 to achieve a low mortality rate.

In persistent diarrhoea these magbe an unusual cause. The fatty liver disease le to poor bile salt production and there is bile duct stasis in post mortem samples there is frequently cholestasis This again is common see Snieder and Viteri. Also the immune suppression le to overgrowth with some abnormal organisms as well as normal organisms - thus, in examination of the stool of malnourished children with diarrhoea we usually were able to see cryptosproidium for which there is no treatment Aberdern to feed the patient to the stage when their gut immunity Horny women in Charlotte mn.

This is the main nutrient deficiency in Chrone's disease and other chronic diarrhoeal diseases of adults and children - and Attractive uk guy seeks dinner partner diarrhoea will not stop until Mg is adequately replaced. The older stocks of commercial F also have this high osmolality and may cause osmotic diarrhoea when it is first used this is another reason why we do not start most patients on F immediately.

This depends upon the response - you cannot grow on F75, but you can maintain yourself for a very long time - we have had patients on F75 for over 10 days on rare occasions - for routine use I would go to 4 or 5 days and then "stop early" - this is much easier to manage in the mass treatment by protocol setting, than setting the time at a short time and having to prolong it for failures or having to return a lot of patients to phase 1. Michael H.

The stool will tend to be pale with frequent feeds and green with infrequent feeds. Change to low-osmolality F after 3 days, or if you only have conventional F when the diarrhoea eases or stops and the patients feel hungry MEAN of about 3.

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