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首页> 外文期刊>Seminars in Gastrointestinal Disease >Surreptitious laxative abuse: keep it in mind.
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Surreptitious laxative abuse: keep it in mind.

机译：暗中的轻泻性滥用：请记住这一点。

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摘要

The clinical example is one of diarrhea induced by the surreptitious use of laxatives. A 45-year-old man had a 3-year history of diarrhea, which had been fully investigated, without a cause having been identified. His general health appeared to be affected little, but he had the clinical features of an associated depressive illness. The diagnosis of laxative abuse was supported by the finding of abnormally high concentrations of magnesium in fecal water. He admitted initially, and later denied, the surreptitious ingestion of laxatives. This example is discussed with regard to features that were typical and atypical of the syndrome of laxative abuse. The significant points to be appreciated are 1) that any chronic, watery diarrhea that has eluded diagnosis after an adequate investigation is possibly self-induced, and 2) that awareness of this syndrome and its prevalence in selected cohorts can lead to direct and inexpensive documentation of the diagnosis.
机译：临床实例是因秘密使用泻药引起的腹泻之一。一名45岁的男子有3年的腹泻病史，对此病进行了全面调查，但未发现病因。他的总体健康似乎受到的影响很小，但是他具有伴发抑郁症的临床特征。通过发现粪便水中异常高浓度的镁来支持通便性滥用的诊断。他最初承认，后来否认秘密地服用泻药。关于泻药滥用综合征的典型特征和非典型特征讨论了该示例。需要理解的重要点是：1）经过充分调查后仍未诊断出的任何慢性水样腹泻，可能是自发的; 2）对这一综合征及其在特定人群中的普遍性的认识可以导致直接且廉价的记录诊断。

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