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Encyclopedia of Health and Medicine

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14 The Gastrointestinal System<br />

COMMON ANTIEMETIC MEDICATIONS<br />

Active Ingredient Representative Products Availability<br />

bismuth subsalicylate Pepto-Bismol over the counter<br />

buclizine Bucladin-S requires a doctor’s prescription<br />

cyclizine Marezine requires a doctor’s prescription<br />

dimenhydrinate Dramamine over the counter<br />

diphenhydramine Benadryl over the counter<br />

dolasetron Anzemet requires a doctor’s prescription<br />

granisetron Kytril requires a doctor’s prescription<br />

meclizine Antivert, Bonine over the counter (prescription strength also<br />

available)<br />

metoclopramide Reglan requires a doctor’s prescription<br />

ondansetron Z<strong>of</strong>ran requires a doctor’s prescription<br />

prochlorperazine Compazine requires a doctor’s prescription<br />

promethazine Phenergan requires a doctor’s prescription<br />

scopolamine transdermal Transderm-V requires a doctor’s prescription<br />

trimethobenzamide Tigan requires a doctor’s prescription<br />

anus The opening through which the body<br />

passes solid waste (feces), below the final segment<br />

<strong>of</strong> the COLON <strong>and</strong> the terminus <strong>of</strong> the gastrointestinal<br />

system. The anal sphincter is a ring <strong>of</strong> MUSCLE<br />

that contracts to contain fecal matter <strong>and</strong> relaxes<br />

to expel it. Learning to control the contraction <strong>and</strong><br />

relaxation <strong>of</strong> the anal sphincter begins to take<br />

place at age two or three; most children master<br />

this control by age four or five. NERVOUS SYSTEM<br />

damage, such as with PARKINSON’S DISEASE <strong>and</strong><br />

sometimes as a consequence <strong>of</strong> aging, can cause<br />

loss <strong>of</strong> anal sphincter control with resulting FECAL<br />

INCONTINENCE.<br />

For further discussion <strong>of</strong> the anus within the<br />

context <strong>of</strong> gastrointestinal structure <strong>and</strong> function,<br />

please see the overview section “The Gastrointestinal<br />

System.”<br />

See also ANAL ATRESIA; ANAL FISSURE; RECTUM;<br />

SPINAL CORD INJURY; STROKE; TRAUMATIC BRAIN INJURY<br />

(TBI).<br />

appendectomy A surgical OPERATION to remove<br />

an inflamed or infected APPENDIX. The conventional<br />

open procedure involves making an incision<br />

two to three inches long in the lower right<br />

abdomen. Open appendectomy typically requires<br />

two or three days <strong>of</strong> hospitalization <strong>and</strong> four to six<br />

weeks for full recovery. A laparoscopy appendectomy<br />

requires a shorter hospital stay <strong>and</strong> is a more<br />

rapid recovery. For a laparoscopic appendectomy,<br />

the surgeon makes four or five small incisions<br />

(about 1 ⁄2 inch in length). Through one <strong>of</strong> the incisions<br />

the surgeon inserts the laparoscope, a flexible<br />

lighted tube. Through the other incisions the

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