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In the elderly, straining may have serious adverse effects on the cerebral, coronary, and peripheral arterial circulations. In these persons, who often have cerebrovascular disease or impaired baroreceptor reflexes, excessive straining can lead to transient ischemic attacks and syncope. Any person, young or old, can develop hemorrhoids or other anal disorders from straining, but the [...]

Numerous complications, especially pneumonia and severe bronchitis, can occur in elderly patients wilh influenza. The rate of occurrence is low in patients < 50 yr old but increases progressively with age and is high in those > 70yrold. This higher rate of severe pulmonary involvement may be attributed to the decline in cell-mediated immunily wilh [...]