Lumbar hernias occur through defects in the lumbar muscles or the posterior fascia, below the 12th rib. Patients with lumbar hernias can present with a variety of symptoms, including a back pain, bowel obstruction (if contents contain bowel), or urinary obstruction (if contents are kidney / ureter).
Late adulthood is the time of life after age 65. During this time, people go through many changes in their physical appearance, including an increase in wrinkles due to less elastic collagen, a decrease in muscle mass, and a loss of height.
Although mortality from early-onset type 1 DM (onset age, 0-14 y) has declined, the same may not be true for late-onset type 1 DM (onset age, 15-29 y). One study suggest that women tend to fare worse in both cohorts and that alcohol and drug use account for more than one third of deaths.