Starvation Health Dictionary

Starvation: From 3 Different Sources


A condition caused by lack of food over a long period, resulting in weight loss, changes in metabolism, and extreme hunger. (See also anorexia nervosa; fasting; nutritional disorders.)
Health Source: BMA Medical Dictionary
Author: The British Medical Association
A condition that results from a lack of food for a long time. The person suffers weight loss and changes in the body’s METABOLISM, with production of potentially harmful chemicals called ketones (see KETONE) and ACETONE. Sometimes starvation may occur as a result of an eating disorder (see EATING DISORDERS – Anorexia nervosa). In cases of slow starvation, the vitality of the tissues is reduced and they become more liable to tuberculosis and other diseases. (See also FASTING.)
Health Source: Medical Dictionary
Author: Health Dictionary

Acidosis

Acidosis is a condition in which there is either a production in the body of two abnormal acids – beta-hydroxybutyric and acetoacetic acids; or a diminution in the alkali reserve of the blood.

Causes The condition is usually due to faulty metabolism of fat, resulting in the production of beta-hydroxybutyric and acetoacetic acids. It occurs in DIABETES MELLITUS when this is either untreated or inadequately treated, as well as in starvation, persistent vomiting, and delayed anaesthetic vomiting. It also occurs in the terminal stages of glomerulonephritis (see KIDNEYS, DISEASES OF), when it is due to failure of the kidneys. A milder form of it may occur in severe fevers, particularly in children. (See also ACETONE.)

Symptoms General lassitude, vomiting, thirst, restlessness, and the presence of acetone in the urine form the earliest manifestations of the condition. In diabetes a state of COMA may ensue and the disease end fatally.

Treatment The underlying condition must always be treated: for example, if the acidosis is due to diabetes mellitus then insulin must be given. Sodium bicarbonate (see SODIUM) is rarely necessary for diabetic ketoacidosis; if it is used, it is invariably now given intravenously. Acidosis might be treated with oral sodium bicarbonate in cases of chronic renal failure. Anaesthetists dislike the administration of bicarbonate to acidotic patients, since there is some evidence that it can make intracellular acidosis worse. They almost always use HYPERVENTILATION of the arti?cially ventilated patient to correct acidosis.... acidosis

Ketosis

A condition in which an excessive amount of ketones (see KETONE) are produced by the body and these accumulate in the bloodstream. The affected person becomes drowsy, suffers a headache, breathes deeply, and may lapse into a COMA. The condition results from an unbalanced metabolism of fat, which may occur in DIABETES MELLITUS or starvation.... ketosis

Acetoacetic Acid

An organic acid produced by the LIVER when it is rapidly oxidising fatty acids – a metabolic process which occurs, for example, during starvation. The acid produced is then converted to ACETONE, which is excreted.... acetoacetic acid

Acetone

Acetone is a volatile, colourless organic compound of the KETONE group produced by the partial oxidation of fatty acids. In some abnormal conditions, such as starvation, uncontrolled diabetes (see DIABETES MELLITUS) or prolonged vomiting, acetone and other ketones can accumulate in the blood. Acetone may then appear in the urine, along with beta-hydroxybutyric and aceotacic acids, presaging developing COMA.... acetone

Inanition

Exhaustion in an individual caused by lack of appropriate nutrients in the circulating blood. Starvation, malnutrition or intestinal disorders are among the causes.... inanition

Anorexia Nervosa

A neurotic and metabolic condition, mostly in young women who suppress appetite by refusing food in an effort to be thin. Such starvation may result in death.

The patient may start as a food faddist with depressive tendencies. Some gorge huge meals (bulimia) and induce vomiting later. Such women are known to be oestrogen deficient; most have a low dietary intake of calcium, resulting in reduced bone density (osteoporosis). Lack of exercise has a worsening influence, often with severe loss of weight.

It is now established that one cause is a deficiency of zinc in the diet. Individuals suffering from the condition (with its depression) may recover when given 15mg zinc daily. Starvation causes increased urinary zinc secretion, thus further reducing body levels of the mineral. Most anorectics complain of loss of sense of taste and smell which is a symptom of zinc deficiency. Loss of these two senses reduces further the desire for food.

Symptoms. Excessive thinness. Anaemia. Poor haemoglobin levels. Absence of menses. Episodic hyperactivity. Slow pulse when resting. Teeth decay, brittle bones. Heart weakness. Low blood pressure, hormonal disorders, yellowing skin, blood disorders, abnormal drowsiness and weakness. Reduced bone density may develop during the illness, the subject being prone to bone fracture for years afterwards. Treatment. Correct anaemia with iron-bearing herbs, Vitamin B12, mineral supplements and nourishing food.

Angelica root, Barberry, Bogbean, Burdock root, Calamus, Centuary herb, Chamomile flowers, Condurango bark, Dandelion (coffee), Garden Sage, Gentian, Ginkgo, Helonias, Hops, Marshmallow root, Milk Thistle, Quassia chips, White Poplar.

Alternatives:– Tea. Formula. Equal parts, Centuary, Chamomile, Peppermint. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes. Dose: 1 cup thrice daily, before meals.

Decoction. Formula. Combine Angelica root 1; Burdock root 1; Condurango bark half. 1 teaspoon to each cupful water simmered gently 20 minutes. Dose: Half-1 cup thrice daily before meals.

Powders. Formula. German Chamomile 2; Gotu Kola 1; Ginkgo 1. Dose: 500mg (two 00 capsules or one- third teaspoon) before meals thrice daily.

Tinctures. Formula. Combine: Condurango quarter; Burdock root half; White Poplar 1; Ginkgo 1; add 2- 10 drops Tincture Capsicum fort. 1-2 teaspoons in water thrice daily, before meals.

Tincture: Tincture Gentian Co BP. Dose: 2-4ml (30-60 drops).

Ginger, stem. Success reported.

Milk Thistle and Turmeric: popular in general herbal practice.

Diet. High protein, low fat, low salt. Dandelion coffee. Liver. Artichokes. 2-3 bananas (for potassium) daily.

Supplements. Daily. Vitamin B-complex. Vitamin C, 1g. Vitamin E, 200iu. Zinc, 15mg. Magnesium, 250mg morning and evening. ... anorexia nervosa

Cachexia

Severe weight loss and listlessness produced by serious disease such as cancer or tuberculosis, or by prolonged starvation.... cachexia

Cardiopulmonary Resuscitation (cpr)

The use of life-saving measures of mouth-tomouth resuscitation and external cardiac compression massage in a person who has collapsed with CARDIAC ARREST. Speedy restoration of the circulation of oxygenated blood to the brain is essential to prevent damage to brain tissues from oxygen starvation. The brain is irreversibly damaged if it is starved of oxygen for more than 4–5 minutes. Someone whose heart has stopped will be very pale or blue-grey (in particular, round the lips) and unresponsive; he or she will not be breathing and will have no pulse. It is important to determine that the collapsed person has not simply fainted before starting CPR. The procedure is described under car-diac/respiratory arrest in APPENDIX 1: BASIC FIRST AID. In hospital, or when paramedical sta? are attending an emergency, CPR may include the use of a DEFIBRILLATOR to apply a controlled electric shock to the heart via the chest wall.... cardiopulmonary resuscitation (cpr)

Hypergluconeogenesis

Also hyperglyconeogenesis. The state of excessive synthesis of glycogen (storage starch) or glucose by the liver, derived from non-sugar sources, such as amino acids, lactate and the glycerol remnants from triglyceride breakdown. In strictly subclinical terms it signifies a yinny, catabolic excess, wherein building materials are less desirable than FUEL, and it is singularly difficult to buff up in any way. There are disease states where this can occur...starvation would induce it as well, but I am not addressing this aspect, since I don’t consider this to be the realm of alternative approaches.... hypergluconeogenesis

Hypoglycaemia

A de?ciency of glucose in the blood – the normal range being 3·5–7·5 mmol/l (see DIABETES MELLITUS). It most commonly occurs in diabetic patients – for example, after an excessive dose of INSULIN and heavy exercise, particularly with inadequate or delayed meals. It may also occur in non-diabetic people, however: for example, in very cold situations or after periods of starvation. Hypoglycaemia is normally indicated by characteristic warning signs and symptoms, particularly if the blood glucose concentration is falling rapidly. These include anxiety, tremor, sweating, breathlessness, raised pulse rate, blurred vision and reduced concentration, leading – in severe cases – to unconsciousness. Symptoms may be relieved by taking some sugar, some sweet biscuits or a sweetened drink. In emergencies, such as when the patient is comatose (see COMA), an intramuscular injection of GLUCAGON or intravenous glucose should be given. Early treatment is vital, since prolonged hypoglycaemia, by starving the brain cells of glucose, may lead to irreversible brain damage.... hypoglycaemia

Byssinosis

A lung disease caused by an unknown agent in the dust produced during the processing of flax, cotton, hemp, or sisal. Byssinosis produces a feeling of tightness in the chest and shortness of breath that may become chronic if exposure continues. Bronchodilator drugs and other drugs used to treat asthma may relieve symptoms, but adequate ventilation and personal protective equipment such as dust masks will reduce the risk.

cachexia A condition of severe weight loss and decline in health caused by a serious underlying disease, such as cancer or tuberculosis, or by starvation.... byssinosis

Marasmus

A severe form of protein and calorie malnutrition that usually occurs in famine or semi-starvation conditions. Marasmus is common in young children in developing countries. The disorder causes stunted growth, emaciation, and loose folds of skin on the limbs and buttocks due to loss of muscle and fat. Other signs include sparse, brittle hair; diarrhoea; and dehydration.

Treatment includes keeping the child warm and giving a high-energy, proteinrich diet. Persistent marasmus can cause mental handicap and impaired growth. (See also kwashiorkor.)... marasmus

Eating Disorders

The term ‘eating disorders’ covers OBESITY, feeding problems in childhood, anorexia nervosa, and bulimia nervosa. The latter two are described here.

Anorexia nervosa Often called the slimmer’s disease, this is a syndrome characterised by the loss of at least a quarter of a person’s normal body weight; by fear of normal weight; and, in women, by AMENORRHOEA. An individual’s body image may be distorted so that the sufferer cannot judge real weight and wants to diet even when already very thin.

Anorexia nervosa usually begins in adolescence, affecting about 1–2 per cent of teenagers and college students at any time. It is 20 times more common among women than men. Up to 10 per cent of sufferers’ sisters also have the syndrome. Anorexia may be linked with episodes of bulimia (see below).

The symptoms result from secretive self-starvation, usually with excessive exercise, self-induced vomiting, and misuse of laxatives. An anorexic (or anorectic) person may wear layers of baggy clothes to keep warm and to hide the ?gure. Starvation can cause serious problems such as ANAEMIA, low blood pressure, slow heart rate, swollen ankles, and osteoporosis. Sudden death from heart ARRHYTHMIA may occur, particularly if the sufferer misuses DIURETICS to lose weight and also depletes the body’s level of potassium.

There is probably no single cause of anorexia nervosa. Social pressure to be thin seems to be an important factor and has increased over the past 20–30 years, along with the incidence of the syndrome. Psychological theories include fear of adulthood and fear of losing parents’ attention.

Treatment should start with the general practitioner who should ?rst rule out other illnesses causing similar signs and symptoms. These include DEPRESSION and disorders of the bowel, PITUITARY GLAND, THYROID GLAND, and OVARIES.

If the diagnosis is clearly anorexia nervosa, the general practitioner may refer the sufferer to a psychiatrist or psychologist. Moderately ill sufferers can be treated by COGNITIVE BEHAVIOUR THERAPY. A simple form of this is to agree targets for daily calorie intake and for acceptable body weight. The sufferer and the therapist (the general practitioner or a member of the psychiatric team) then monitor progress towards both targets by keeping a diary of food intake and measuring weight regularly. Counselling or more intensely personal PSYCHOTHERAPY may help too. Severe life-threatening complications will need urgent medical treatment in hospital, including rehydration and feeding using a nasogastric tube or an intravenous drip.

About half of anorectic sufferers recover fully within four years, a quarter improve, and a quarter remain severely underweight with (in the case of women) menstrual abnormalities. Recovery after ten years is rare and about 3 per cent die within that period, half of them by suicide.

Bulimia nervosa is a syndrome characterised by binge eating, self-induced vomiting and laxative misuse, and fear of fatness. There is some overlap between anorexia nervosa and bulimia but, unlike the former, bulimia may start at any age from adolescence to 40 and is probably more directly linked with ordinary dieting. Bulimic sufferers say that, although they feel depressed and guilty after binges, the ‘buzz’ and relief after vomiting and purging are addictive. They often respond well to cognitive behaviour therapy.

Bulimia nervosa does not necessarily cause weight loss because the binges – for example of a loaf of bread, a packet of cereal, and several cans of cold baked beans at one sitting – are cancelled out by purging, by self-induced vomiting and by brief episodes of starvation. The full syndrome has been found in about 1 per cent of women but mild forms may be much more common. In one survey of female college students, 13 per cent admitted to having had bulimic symptoms.

Bulimia nervosa rarely leads to serious physical illness or death. However, repeated vomiting can cause oesophageal burns, salivary gland infections, small tears in the stomach, and occasionally dehydration and chemical imbalances in the blood. Inducing vomiting using ?ngers may produce two tell-tale signs – bite marks on the knuckles and rotten, pitted teeth.

Those suffering from this condition may obtain advice from the Eating Disorders Association.... eating disorders

Temperature

Body temperature is the result of a balance of heat-generating forces, chie?y METABOLISM and muscular activity, and heat-loss, mainly from blood circulation through and evaporation from the skin and lungs. The physiological process of homeostasis – a neurological and hormonal feedback mechanism – maintains the healthy person’s body at the correct temperature. Disturbance of temperature, as in disease, may be caused by impairment of any of these bodily functions, or by malfunction of the controlling centre in the brain.

In humans the ‘normal’ temperature is around 37 °C (98·4 °F). It may rise as high as 43 °C or fall to 32 °C in various conditions, but the risk to life is only serious above 41 °C or below 35 °C.

Fall in temperature may accompany major loss of blood, starvation, and the state of collapse (see SHOCK) which may occur in severe FEVER and other acute conditions. Certain chronic diseases, notably hypothyroidism (see THYROID GLAND, DISEASES OF), are generally accompanied by a subnormal temperature. Increased temperature is a characteristic of many acute diseases, particularly infections; indeed, many diseases have a characteristic pattern that enables a provisional diagnosis to be made or acts as a warning of possible complications. In most cases the temperature gradually abates as the patient recovers, but in others, such as PNEUMONIA and TYPHUS FEVER, the untreated disease ends rapidly by a CRISIS in which the temperature falls, perspiration breaks out, the pulse rate falls, and breathing becomes quieter. This crisis is often preceded by an increase in symptoms, including an epicritical rise in temperature.

Body temperature is usually measured on the Celsius scale, on a thermometer reading from 35 °C to 43·3 °C. Measurement may be taken in the mouth (under the tongue), in the armpit, the external ear canal or (occasionally in infants) in the rectum. (See also THERMOMETER.)

Treatment Abnormally low temperatures may be treated by application of external heat, or reduction of heat loss from the body surface. High temperature may be treated in various ways, apart from the primary treatment of the underlying condition. Treatment of hyperthermia or hypothermia should ensure a gradual return to normal temperature (see ANTIPYRETICS.... temperature

Atrophy

n. the wasting away of a normally developed organ or tissue due to degeneration of cells. This may be physiological or pathological. Physiological atrophy occurs during embryonic life and the neonatal period (web spaces, notochord, umbilical vessels), in adolescence (the thymus), in adult life (the *corpus luteum during the menstrual cycle), and in a variety of organs and tissues in old age. Pathological atrophy may occur through starvation, disuse, denervation, abnormal hormonal stimulation, lack of hormonal stimulation, or ischaemia. Muscular atrophy is associated with various diseases, such as poliomyelitis.... atrophy

Anaemia: Iron Deficiency

An estimated 15 per cent of the female population suffers from this form of anaemia. A deficiency of nutritional iron is responsible for oxygen starvation of the blood due to insufficient haemoglobin. Number of red cells is reduced.

Aetiology: heavy menstrual loss, feeble constitution from hereditary weakness, poor diet, hidden or known blood loss from gastric ulcer, pregnancy, bleeding piles or insufficient food minerals: iron, copper, calcium, etc, chronic liver or kidney disease, worms, anorexia nervosa, rheumatoid arthritis, tuberculosis. Symptoms. Tiredness, dizziness, breathlessness, palpitations, pale face and mucous membranes. White of eyes may be blue. Enlarged flabby tongue often bears impression of teeth marks. Hair lifeless, fingernails brittle and ridged. There may be angina, tinnitus and general reduced efficiency.

Treatment. The object is to achieve absorption of iron to raise normal haemoglobin levels and increase red cells. Echinacea has a reputation for regeneration of red cells. Herbs used with success: Echinacea, Gentian, Motherwort, Mugwort, Barberry, Hops, Nettles, Saw Palmetto, Chaparral, Red Clover, Dandelion.

Bitter herbs stimulate absorption of vital nutrients from the stomach, toning liver and pancreas, increasing the appetite; usually given half hour before meals. See: BITTERS.

Gentian. 1 teaspoon fine-cut chips to 2 cups cold water steeped 8 hours (overnight). Dose: Half-1 cup thrice daily before meals.

Tea. Formula. Combine: Agrimony 1; Barberry bark 1; Nettles 2; White Poplar bark half. Place 1oz (30g) in 1 pint (500ml) cold water and bring to boil. Simmer 10 minutes. Drink cold: Half-1 cup thrice daily, before meals.

Powders. Formula. Echinacea 2; Gentian 1; Kelp 1; pinch Red Pepper. Dose: 500mg (two 00 capsules or one-third teaspoon) thrice daily, before meals.

Liquid extracts. Formula: Echinacea 1; Queen’s Delight 1; Ginseng 1; Ginger quarter. Dose: 30-60 drops in water, thrice daily, before meals.

Infusion Gentian Co Conc BP (1949). Dose: 30-60 drops.

Diet. Dandelion coffee, as desired. Molasses. Desiccated liver.

Floradix. A pre-digested iron preparation. Readily assimilable by the body. Compounded by Dr Otto Greither (Salus Haus). Iron is fed onto yeast which breaks down the metal and absorbs its cells. Other tonic ingredients include extracts of nettles, carrots, spinach, fennel, Vitamin C plus supplements;

Angelica root, Mallow, Horsetail, Yarrow, Juniper and Rosehips. Not chemically preserved.

Avoid chocolate, egg yolk, tea, coffee, wheat bran.

Supplements. Daily. Vitamin C (1g morning and evening). Vitamin B12, Folic acid 400mcg. Vitamin C is the most potent enhancer of iron absorption. Multivitamin containing iron.

Note: Iron absorption is decreased by antacids, tetracyclines, phosphates, phytates (phytic acid from excessive intake of wholewheat bread), and excessive calcium supplements. Lack of stomach hydrochloric acid impairs iron absorption, especially in the elderly. ... anaemia: iron deficiency

Exsiccation

n. drying up, as may occur in tissues deprived of an adequate supply of water during dehydration or starvation.... exsiccation

Ketonuria

(acetonuria) n. the presence in the urine of *ketone (acetone) bodies. This may occur in diabetes mellitus, starvation, or after persistent vomiting and results from the partial oxidation of fats. Ketone bodies may be detected by adding a few drops of 5% sodium nitroprusside solution and a solution of ammonia to the urine; the gradual development of a purplish-red colour indicates their presence.... ketonuria

Brain Disorders

Usually associated with some loss of sensation and power in another part of the body. Taste, smell, hearing, sight and movement may be affected. The following are some of the disorders that may affect the brain. Each has a separate entry in this book.

Abscess, Alzheimer’s Disease, anoxia (oxygen starvation), coma, concussion, haemorrhage, Down’s syndrome, epilepsy, tumour, hydrocephalus (water on the brain), meningitis, multiple sclerosis, stroke (rupture of blood vessel), spina bifida, syphilis (general paralysis of the insane), sleepy sickness.

Poor circulation through the brain due to hardening of the arteries: Ginkgo, Ginseng. Ginseng stimulates the hypothalmic/pituitary axis of the brain and favourably influences its relationship with the adrenal glands.

Congestion of the brain – Cowslip (Boerwicke). Irritability of brain and spine – Hops. Oats. Inflammation of the brain (encephalitis) as in viral infection, poliomyelitis, rabies, sleepy sickness, etc: Echinacea, Passion flower, Skullcap and Lobelia. Gelsemium acts as a powerful relaxant in the hands of a practitioner: Tincture BPC (1973): dose 0.3ml.

Brain storm from hysteria, locomotor ataxia, etc – Liquid Extract Lobelia: 5ml teaspoon in water when necessary (Dr Jentzsch, 1915, Ellingwood) Supplement with Zinc, Vitamins C and E.

Blood clot, thrombosis: Yarrow. Neurasthenia: Oats, Basil, Hops.

Brain fag and jet-lag: Chamomile, Skullcap, Oats, Ginseng, Ginkgo.

Tumour may be present years before manifesting: Goldenseal.

Mental state: depression, anxiety, schizophrenia.

Tea. Formula. Skullcap, Gotu Kola and German Chamomile; equal parts. 1 heaped teaspoon to each cup water gently simmered 10 minutes. Strain. 1 cup thrice daily.

Unspecified tensive state. Formula. Tinctures. Hops 1; Passion flower 2; Valerian 2. Dose: 2 teaspoons thrice daily until diagnosis is concluded.

Unspecified torpor. Formula. Tinctures. Ginseng 1; Kola 1; Capsicum quarter. 2 teaspoons in water thrice daily until diagnosis is concluded.

Brain weakness in the elderly: Ginkgo. See: ALZHEIMER’S DISEASE.

Fluid on the brain: see HYDROCEPHALUS.

Abscess of the brain: see ABSCESS.

Brain restoratives. Black Haw, True Unicorn root, Galangal, Oats, Oatstraw, False Unicorn root, Kola, Hops. Vitamin B6. Magnesium.

Cerebral thrombosis. See entry.

Note: Cold water may help victims to survive: rapid loss of body heat protects the brain. (Child Health Department, University of Wales)

Treatment by or in liaison with general medical practitioner or hospital specialist. ... brain disorders

Cramp

Sustained contraction of a muscle. Charley Horse.

Causes: oxygen starvation, lactic acid build-up. A common cause is depletion of salt from excessive sweating. Night cramps may be due to impaired blood supply or mineral deficiency: Calcium, Iron, Magnesium. Spasm takes many forms: writer’s, swimmer’s, pianist’s, harpist’s, trumpeter’s, hornplayer’s or emotional stress due to tightening of the facial muscles (German Chamomile). Athlete’s cramp from mechanical stress may be relieved by Cramp Bark as well as manipulation. Repetitive strain injury (RSI).

Cramp of the heart muscle is known as angina (Cramp Bark, Motherwort). Where due to spasm of blood vessels from atherosclerosis it may take the form of intermittent claudication (Prickly Ash bark, Cramp bark, Nettles, Vitamin E). For cramp in the back (Cramp bark, Ligvites); stomach (Fennel, Cardamoms, Turkey Rhubarb); womb (Squaw vine, Wild Yam, Cramp bark); kidney and bladder (Horsetail); muscles (Devil’s Claw).

Alternatives. Teas. Mild cases. Any one: German Chamomile, Lime flowers, Holy Thistle, Motherwort, Silverweed, Skullcap, St John’s Wort, Betony.

Combination: equal parts, Skullcap, German Chamomile, Motherwort. 1 heaped teaspoon to each cup boiling water; infuse 5-10 minutes. 1 cup thrice daily or as necessary.

Decoction. More severe cases. Any one: Cramp bark, Valerian, Peruvian bark, Wild Yam, Prickly Ash bark.

Tablets/capsules. Black Cohosh, Cramp bark, Prickly Ash bark, Devil’s Claw, Wild Yam, Ligvites. Combination. Equal parts, Butterburr and Cramp bark. Dose: powders 500mg (two 00 capsules or one- third teaspoon thrice daily); Liquid extracts: one 5ml teaspoon. Tinctures: 1-2 teaspoons. Thrice daily or as necessary.

John William Fyfe MD. “After 20 years broken sleep from leg cramps a patient found relief with 15 drops Liquid Extract Black Haw, thrice daily for 3-4 days.” This was used successfully in his practice for over 30 years.

Aromatherapy. Massage oil. 3 drops Marjoram, 3 drops Basil, in 2 teaspoons Almond or other vegetable oil. Or: Cypress oil, Mustard bath for feet.

Diet. See food sources of Calcium, Iron and Magnesium.

Supplements. Daily. B-complex 100mg; B6 100mg; Dolomite tablets (1000mg); Vitamin E (400iu); Vitamin C (2g); Calcium ascorbate (800mg); Magnesium 300mg (450mg, pregnancy). Zinc (25mg).

For cramp of pregnancy – see PREGNANCY. ... cramp

Enterococcus

n. a genus of spherical Gram-positive bacteria formerly classified as species of *Streptococcus. They are normal inhabitants of the human and animal intestine but a few species, notably E. faecalis and E. faecium, can cause infections in humans. They are responsible for some hospital-acquired infections and have been found in teeth with persisting disease after root canal treatment. Enterococci have the ability to survive under adverse (starvation) conditions and are therefore difficult to eradicate; there is concern at the development of strains resistant to glycopeptide antibiotics, such as *vancomycin (glycopeptide-resistant enterococci, GRE).... enterococcus

Oedema

n. excessive accumulation of fluid in the body tissues: historically known as dropsy. The resultant swelling may be local, as with an injury or inflammation, or more general, as in heart or kidney failure. In generalized oedema there may be collections of fluid within the chest cavity (pleural effusions), abdomen (see ascites), or within the air spaces of the lung (pulmonary oedema). It may result from heart or kidney failure, cirrhosis of the liver, acute nephritis, the nephrotic syndrome, starvation, allergy, or drugs (e.g. cortisone steroids). In such cases the kidneys can usually be stimulated to get rid of the excess fluid by the administration of *diuretic drugs. Subcutaneous oedema commonly occurs in the legs and ankles due to the influence of gravity and (in women) before menstruation; the swelling subsides with rest and elevation of the legs. —oedematous adj.... oedema



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