Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon.

  • Noorden, Carl von, 1858-1944.
Date:
1905
Catalogue details

Licence: In copyright

Credit: Drink restrictions (thirst cures) particularly in obesity : being part VI of several clinical treatises on the pathology and therapy of disorders of metabolism and nutrition / by Professor Dr Carl von Noorden ... and Dr Hugo Salomon. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

    18/98 (page 12)
    diet are quite clear. Whenever the evacuation of the gastric contents becomes difficult the greater curvature of the stomach is stretched and dilated and occupies a position considerably lower than the pylorus. It is clear that solid ingesta can more readily be raised to the level of the pylorus than fluids, for the latter are mechanically more difficult to propel upward than solids. Fluids, moreover, are more voluminous in pro- portion to their nutritive value than solid articles of food. When we consider, furthermore, that practically no water is absorbed by the walls of the stomach and that it consequently acts as a dead weight in the stom- ach whenever it cannot readily pass through the pylorus, we can easily understand why a dry diet spares the organ when it is dilated and the tone of its musculature is weak. As a matter of fact fairly good results are obtained from a restriction of liquids in such cases. I need hardly emphasize that the good eflfects derived from this practice are more striking and more rapid in cases of simple atony of the stomach than in pyloric stenosis. [On the other hand there are conditions in which the moderate drinking of water or other non-irritat- ing liquid during, or shortly after, meals may lessen the danger of overdistention and dilatation of the stomach. This is especially true of spasmodic con- traction of the pylorus (pyloro-spasm), from either hydrochloric or organic acid excess—hyperchlorhydria or any form of marked hyperacidity. The non-