Functional & organic diseases of the stomach / by Sidney Martin.

  • Martin, Sidney, 1860-
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Functional & organic diseases of the stomach / by Sidney Martin. Source: Wellcome Collection.

    346/568 (page 322)
    Dietetic treatment will, therefore, be considered under the following headings:— 1. Changes of diet in chronic gastric irritation and in chronic gastric catarrh. 2. Changes of diet in gastric insufficiency. 3. Changes of diet in great irritabihty of the organ: as shown by pain and vomiting. 4. Changes of diet in great flatulence and in acidity. 5. Changes of diet in dilatation of the organ : (1) with or without bacterial fermentation, (2) with or without pyloric obstruction. 6. Changes of diet in organic disease of the organ : ulcer and carcinoma. 1. Changes of Diet in Chronic Gastric Irritation and Chronic Gastric Catarrh.—The dietetic treatment of these two conditions may be considered under one heading, since not only does chronic gastric irritation pass into chronic catarrh in many cases, but in both there are symptoms of irritation of the organ. Pathologically, however, there is a difference, inasmuch as in chronic gastric catarrh there is a diminished secretion of gastric juice, especially of the hydrochloric acid, and an increased secretion of mucus; whereas in the majority of cases of gastric irritation, the secretion of gastric juice is not diminished, and there may be an excessive secretion of hydrochloric acid. In these cases dietetic treatment goes hand in hand with the medicinal, which is essential for the relief of the patient. The medicmal treatment may in individual cases be quite diff-erent in the two cases, but practically the dietetic treatment is the same. Patients do not seek advice at the first onset of the symptoms in these conditions, but after a period of one, two, or three months, during which the distress of digestion is <.radually increasing, and they come with a history of previous Attacks similar to the present. The features of the attack are important from the point of view of dietetics. At first the distress is only after the largest meal m the day, then af x each meal, then early morning symptoms come on; ea du m the day being found to disagree is given up; alcoholic dunks,