loss medications

Loss medications : Primarily marasmus arises in consequence of congenital debility, a deficient supply of nourishment, excessive bodily or mental labor, continued mental depression, sexual excesses, self-abuse, continued sitting, too frequent confinements. Very often the cause is unknown. Secondarily this disease me be superinduced by excessive secretion, seminal losses, excessive perspiration, ptyalism, excessive nursing, long-lasting diarrhoea, blennorrhoea, diabetes melitus, continued losses of blood, chronic suppurations or discharges of ichor, exhausting diseases, pyaemia, cancer, syphilis, tuberculosis, long-lasting intermittents.

Marasmus is chiefly characterized by a gradual or rapid emaciation, disappearance of the adipose tissue, a wrinkled skin, flabbiness of the muscles. The skin is mostly dry, extenuated, wrinkled, rough and scaly, without turgor or elasticity; at times it is yellowish, at other times strikingly pale, or cachectic; at times it is covered with local or colliquative perspiration; the hair on the head falls out more and more, the nails become curved and brittle, the extremities are mostly cool, the patients frequently complain of a feeling of coldness and cannot get warm. At times the appetite is great, increasing even to canine hunger, but the hunger is soon appeased and digestion takes place very slowly. At other times the patients experience an irresistible aversion to meat or certain kinds of food. In most cases the thirst is increased. The breath is often fetid, the gums are atrophied, the teeth are denuded, and gradually become loose and fall out. The voice is feeble and without resonnance, the respiration is frequently normal, but often oppressed, and after the least bodily exertion dyspnoea and palpitation of the heart set in. The breasts become pendulous and flabby, the abdomen is at times sunken, at other times distended; the bowels are at times loose, at other times constipated, and again dysenteric; the urine is mostly secreted in small quantities and saturated, the genital organs become atrophied and the sexual instinct is either diminished or becomes entirely extinct. The pulse is small and feeble, sleep fatiguing rather than refreshing, sometimes it is very much disturbed; the patients are either hypochondriac or irascible; sometimes they show much apathy or obstinacy, their memory is weakened, their behavior is often childish and vacillating. The muscles are flabby and atrophied, and the strength becomes less and less.