The stomach in its morbid state; being a practical inquiry into the nature and treatment of diseases of that organ, and into the influence they exercise upon the origin, progress, and termination of diseases of the liver, heart, lungs, and brain / [Langston Parker].

  • Parker, Langston, 1805?-1871.
Date:
1838
Catalogue details

Licence: Public Domain Mark

Credit: The stomach in its morbid state; being a practical inquiry into the nature and treatment of diseases of that organ, and into the influence they exercise upon the origin, progress, and termination of diseases of the liver, heart, lungs, and brain / [Langston Parker]. Source: Wellcome Collection.

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    most common for two reasons: Ist. Because the pyloric por- tion of the stomach, here situated, is generally the most fre- quent seat of inflammatory disease; and 2ndly. Owing to the ex- alted sensibility of the great nervous centres of the epigastrium, which generally accompanies an inflamed state of the mucous coat of this organ. We have sympathetic pains, accompanying inflam- mation of the mucous coat of the pyloric portion, shooting into the region of the liver, under the right scapula, and to different parts of the right side of the chest. These pains are very likely to mis- lead, and to make us suspect a diseased condition of the liver, if we are not very careful in our examination of the state of the patient. One of the most common symptoms, attendant on an inflamed condition of the stomach, is distension, fulness, or flatulence, accom- panying or immediately succeeding a meal. It is very common to meet with patients in whom the appetite is good, but who are to- tally unable to satisfy it, from the degree of distension and oppres- sion which are consequent upon eating. Sometimes the fulness is felt in the throat, at others in the region of the stomach itself ; patients, to relieve themselves from the state of distress and incon- venience under which they labour, are obliged to slacken their clothing, unbutton their waistcoats, or unlace their stays. It is not after a full or overhearty meal that these symptoms come on, but occasionally after having taken the smallest quantity of food. This state of distension is particularly marked and frequent where the gastric disease is consequent upon an affection of the heart. I have two gentlemen now under my care, in whom this was the first and chief symptom attracting their attention. Although chronic vomiting may depend upon various patholo- vent une trés vive a la region de J’epigastre, et les autres n’en eprouvent aucune.—-Broussais, Op. cit.