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“Whatever you do, you do to yourself.”

Bulgarian saying.

Hyperactive Intestine in Old Age

Here again, we are talking about Vitamin B12 deficit.

Except that in the lazy variety it is the parasympathetic pendant of the neuro-vegetative system which degenerates, while here degeneration concerns the sympathetic pendant.

Hence, a discrepancy in one direction or the other promotes the ill feeling of the patient, in the first case constipation, while in the second- a diarrhea like syndrome.

Also to consider is the possibility of sphincter insufficiency and incontinence, which can accompany those pictures.