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    Desde tiempos muy remotos el hombre aprendió a fermentar granos y jugos para obtener una sustancia que le provocaba un estado especial. Este estado varía en las diferentes personas de acuerdo a la cantidad ingerida y de acuerdo a las motivaciones de su injerencia. Nos referimos al estado de intoxicación alcohólica. Existen reportes escritos del uso de cerveza, vinos y otras bebidas alcohólicas que datan desde 3000 años antes de Cristo. Pero el proceso de destilación aplicado a las bebidas fermentadas se remonta alrededor del año 800 después de Cristo. Este proceso ha permitido la preparación de licores altamente potentes que se consumen actualmente. La influencia del alcohol en la sociedad ha tenido gran peso como factor problemático en la conformación y funcionamiento de la familia, individuo y por ende de la sociedad. viagra toronto kijiji El color negro de las heces o deposiciones se debe a la presencia aumentada de hierro en las mismas, por la digestión de sangre (glóbulos rojos) en el estómago o intestino delgado o por ingerir sangre cocinada (platillos con sangre de cabrito o de puerco o hígado de res, que siempre contiene mucho hierro) y suplementos de hierro oral en caso de tratamiento de anemia. Los sitios de hemorragia digestiva más frecuentes que ocasionan evacuaciones negras se localizan en el aparato digestivo superior que se extiende desde las mucosas orales, faringe, laringe, esófago, estómago y duodeno proximal, que es la primera porción del intestino delgado. Es necesario que la cantidad o volumen del sangrado sea escaso para que puedan ser digeridos los glóbulos rojos que contienen hemoglobina con hierro, que da el color rojo a la sangre, y el hierro modifique el color de las heces o deposiciones de color café habitual al negro cuando éstas sean expulsadas por el recto. Generalmente, si la hemorragia se origina en el resto del intestino delgado, colon y recto, las heces serán de color morado, con coágulos o rojas brillantes. Si el volumen de sangrado es muy escaso, las evacuaciones serán formadas, pero si aumenta la cantidad de la hemorragia, la consistencia de las heces será suave o cremosa y el volumen mucho mayor. Si la hemorragia es abundante, no habrá tiempo suficiente para su digestión a través del transito en el aparato digestivo y las evacuaciones podrán verse de color morado, rojo vinosas o rojas brillantes. Cuando el sangrado es microscópico (extremadamente escaso) el contenido de hierro en las heces será insuficiente para cambiar al color negro y estás continuarán de color café.

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