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Why do some people not tolerate milk?

August 20, 2025

 The difference between lactose and milk protein When someone says “I can’t tolerate milk,” the first thing we think of is lactose intolerance. Lactose is a sugar found in milk. To digest it, we need an enzyme called lactase, which…

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Por qué algunas personas no toleran la leche?

August 20, 2025

 La diferencia entre la lactosa y la proteína de la leche Cuando alguien dice “no tolero la leche”, lo primero que pensamos es en la intolerancia a la lactosa. La lactosa es un azúcar presente en la leche. Para digerirla…

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Estreñimiento agudo y chronico:

August 20, 2025

Estreñimiento agudo y chronico:  síntomas de evacuación difícil o infrecuente (p. ej., ≤3 deposiciones/semana), heces duras, esfuerzo, sensación de evacuación incompleta, obstrucción o maniobras digitales en ≥25% de las deposiciones. El criterio diagnóstico estandarizado se basa en Rome IV y…

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Acute and Chronic Constipation: Clinical Evaluation and Treatment

August 20, 2025

Definition and Diagnostic Criteria Constipation is defined by difficult or infrequent bowel movements (≤3 per week), hard stools, excessive straining, sensation of incomplete evacuation, obstruction, or the need for digital maneuvers in ≥25% of defecations. The Rome IV criteria distinguish:…

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Alcoholism, Social Drinking, and Recommended Alcohol Limits

August 20, 2025

What is alcoholism? Alcoholism, or alcohol use disorder (AUD), is a chronic and progressive illness characterized by: Loss of control over drinking. Increasing urge to drink (tolerance). Withdrawal symptoms when not consuming. Continuing to drink despite negative medical, family, work,…

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Diverticulosis y Diverticulitis: Enfoque Clínico & Quirúrgico

August 15, 2025

  Diverticulosis y Diverticulitis: Enfoque Clínico, Quirúrgico y Preventivo Basado en Evidencia Escribo este artículo con mucho cariño, pues fue el primer tema de investigación que realicé cuando era un joven médico. A lo largo de los años, aprendí que…

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Diverticulosis and Diverticulitis: Clinical & Surgical Approach

August 15, 2025

 & &  I write this article with great affection, as it was the first research topic I undertook when I was a young physician. Over the years, I have learned that this condition is more common in industrialized countries than…

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Bulimia Nervosa and ADHD

August 13, 2025

Comorbidity, Neurobiological Basis, and Clinical Management Bulimia nervosa (BN) is an eating disorder characterized by recurrent binge eating followed by compensatory behaviors such as vomiting, laxatives, fasting, or excessive exercise. ADHD, a neurodevelopmental disorder marked by inattention, hyperactivity, and impulsivity,…

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Attention Deficit Hyperactivity Disorder (ADHD)

August 13, 2025

  Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by persistent patterns of inattention and/or hyperactivity-impulsivity that significantly interfere with academic, occupational, and social functioning. Although historically considered a disorder exclusive to childhood, it is now recognized that…

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Trastorno por Déficit de Atención e Hiperactividad (TDAH):

August 13, 2025

  El Trastorno por Déficit de Atención e Hiperactividad (TDAH) es un trastorno neurodesarrollativo caracterizado por patrones persistentes de inatención y/o hiperactividad-impulsividad, que interfieren significativamente con el funcionamiento académico, laboral y social. Aunque históricamente se consideró un problema exclusivo de…

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