Uncinariasis (Hookworm disease) in Porto Rico : a medical and economic problem . ng is rare. Patients frequently complain of pruritus. In the digestive system we note that the appetite may become vora-cious, even to bulimia and geophagy. Nausea and vomiting are lessrare. Meteorism begins to become troublesome, and with it, at oddtimes, enteralgia and abdominal tenderness. The bowels, while usu-ally normal or constipated, become at irregular intervals loose, withthe evacuation of undigested food in vile-smelling stools. There is,in other words, intestinal indigestion, with the attendant phenome


Uncinariasis (Hookworm disease) in Porto Rico : a medical and economic problem . ng is rare. Patients frequently complain of pruritus. In the digestive system we note that the appetite may become vora-cious, even to bulimia and geophagy. Nausea and vomiting are lessrare. Meteorism begins to become troublesome, and with it, at oddtimes, enteralgia and abdominal tenderness. The bowels, while usu-ally normal or constipated, become at irregular intervals loose, withthe evacuation of undigested food in vile-smelling stools. There is,in other words, intestinal indigestion, with the attendant phenomena,a natural sequence of overstuffing plus inactivity of the digestiveorgans. Some cardiac hypertrophy can often be made out with its attendantsigns. The pulse is more rapid and at times even weak and com-pressible. Palpitation of the heart is here a prominent symptom, isliable to be severe, and is not always relative to exertion, which latter,however, usually brings on breathlessness. Precordial pain, sharp ordull and prolonged, follows great efforts. A hemic murmur is, as a.


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