Diarrhea

“ Millions on millions of these glands, lacteals and follicles in the stomach and small intestines, are destroyed like the rootlets of a plant or tree in unwholesome soil. The active circulation of the digestive fluids ceases, and the sufferer is said to be costive or to have chronic diarrhea. Both symptoms are the outgrowth of many years of intestinal foulness, and indicate the degree and character of intestinal irritability and semi-starvation of the body, as a consequence of either the absorption of poisons or the excessive elimination of the vital substance of the body through diarrhea. ”

“ As a rule, almost any diarrhea in children will raise the temperature. This does not occur so often with adults unless the diarrhea results from infectious fevers, ptomaines, [Pg 264] etc., in which case it may rise suddenly and to a considerable height.
ACUTE ENTERITIS (DIARRHEA)
The Bowels.—The symptoms of this condition are too liquid or too frequent stools, the number varying from three to twelve or more a day. They may be greenish yellow in color and contain particles of undigested food and mucus. In prolonged diarrheal attacks the stools sometimes contain blood. ”

“ The symptoms are rigors, followed by dry, hot skin; quick, wiry, strong pulse; thirst, nausea or vomiting, diarrhea or constipation; severe pain in the abdomen, especially around the navel, aggravated by pressure. Lies on his back with his knees drawn up.
Causes.—Errors in diet, cold, use of drugs, especially of purgatives and strong medicines used to check diarrhea. Remember what is said of diarrhea on page 224, and do not be in haste to check the first symptoms. Use liquid food only. It is seldom necessary to give remedies. ”

“ It may be brought on by errors in diet, warm weather, certain drugs, ptomaines, bad hygiene, polluted water or milk, and by overeating. Idiosyncrasies against certain kinds of food have been found in both adults and children; these idiosyncrasies are manifested by pain and diarrhea whenever the offending foods have been eaten. Acute diarrhea has also been brought on in children by the drinking of cold lemonade when over-heated. ”

“ I learned today that if the blood count failed to drop at least two points, the doctor dismissed you as a lost cause. Diarrhea has accompanied each bowel movement, which makes defecation less than a delight. However, this symptom often occurs among those being treated, so I settled into accepting that my upcoming weeks would prove likewise. I wonder if the injection is made up at least partially of Vitamin C; large dosages cause a red face and diarrhea... Time passes much more quickly than I anticipated it would. ”

“ Neurotic Diarrhea.—But it must not be forgotten that nervousness alone, without any additional factor, may produce a disturbance of the functions of the intestines, and may even increase peristalsis and bring about severe diarrhea. Anyone who has observed students going to examinations has surely seen many examples of this. There are some individuals—fortunately they are rather rare—who always suffer from diarrhea when they have to take a serious examination. ”

“ Diarrhea is a symptom of an acute illness, or it may be associated with a chronic condition such as chronic intestinal indigestion, tuberculosis of the bowel, or may occur alternately with constipation in colitis. ”

“ While there are different forms of summer diarrhea, the general symptoms are much the same and may develop gradually after some evidence of indigestion, or suddenly with a rise of temperature to 101° F. or 102° F., or even as high as 106° F., accompanied by pain and vomiting. The baby is usually restless, fretful and thirsty and his skin is hot and dry. He gives evidence of pain by shrill crying, drawing up his legs and flexing them on his abdomen. Diarrhea is the conspicuous symptom and there may be anywhere from four to twenty movements in the course of 24 hours. ”

“ As has been pointed out, inflammation, septic poisoning, intestinal foulness, or retained feces, act as irritants on the mucous membranes, thereby drawing the blood to the colon where it is excreted and exhaustion follows. The great danger in diarrhea, therefore, is the rapid depletion of the vital force. But when the small intestines are affected the consequences may be still more deplorable. Then the unassimilated food is hurried along too quickly for absorption and the body receives but little nourishment to restore its powers. ”

“ Of course the secretory and excretory glands of the colon also suffer, and we then have costiveness resulting from lack of absorption and excretion.
Abnormal irritability of the bowels is necessarily involved in the inflammatory process known as proctitis and colitis. Increase this irritability to a certain point and diarrhea takes the place of constipation—a much more alarming symptom. Diarrhea is more alarming because the intensified local activity of the excretory glands of the bowels brings on, as has been said, a general exhaustion of the vital powers. ”

“ The Stools.—When the diarrhea is chronic in character, the character of the stools indicates the seat of the inflammation. When there is a great deal of undigested food found in them the upper part of the bowel is more affected; when the stools contain more mucus than food the lower bowel is the chief seat of the trouble. The frequency and fluidity of the stools impose a great strain upon the entire body, causing a progressive emaciation and anemia.
The treatment is similar to that instituted in acute attacks. The starvation régime cannot be carried out for a long period. ”

“ So-called cold-sores, fevered lips and canker-sores on the tongue, intestinal congestion, torpidity of the liver, slight headaches, fullness after eating, alternate constipation and diarrhea, are all symptoms that point to the causes of emaciation. ”

“ Diarrhea in Children.—All diarrheas in children, and especially those developing during the hot months, must be looked on with suspicion and given immediate attention before they have an opportunity to develop serious features which may terminate in death before the seriousness of the condition is realized. ”

“ Aversion to eating during acute diseases, whether they represent healing crises or disease crises, is perfectly natural, because the entire organism, including the mucous membranes of stomach and intestines, is engaged in the work of elimination, not assimilation. Nausea, slimy and fetid discharges, constipation alternating with diarrhea, etc., indicate that the organs of digestion are throwing off disease matter, and that they are not in a condition to take up and assimilate food. ”

“ Its first symptoms are likely to be constipation, flatulency, colic, indigestion, bacterial and other poisons, occasionally diarrhea, and the usual general disturbance of the system as above detailed. It is admitted by all authors that inflammation of the anus, rectum, etc., is by far the most common disease that afflicts mankind at all ages ”

“ If the diarrhea be very violent, or accompanied with incessant vomiting, as in cholera morbus, the best practice is, after the intestinal canal has been suffered copiously to evacuate itself, to take small doses of chalk, or of some other substance known to check the disorder, with which chemists are always prepared. ”

“ The average man’s scanty excreta from the bowels are dry, hard, lumpy, and foul, exhaling a noxious odor; and these excretions may be passed once a day, or once in two or three days, or with some persons too often, should diarrhea supervene. Two-thirds to three-fourths of the fecal mass is absorbed by the system every day; and this absorption is accompanied more or less constantly by symptoms of indigestion, biliousness, uric acid, and many other distressful conditions. ”

“ A few of the many primary symptoms of proctitis and colitis are con­sti­pa­tion, diarrhea, indigestion, biliousness, flatulency, putre­fac­tion, and gaseous and bacterial poisons—a foul gastro-intestinal canal, through which there are daily absorbed from the bowels two-thirds to three-fourths of the excrementitious matter into the system. With these facts before us we need not be astonished at the statement that nine-tenths of human ills have their origin in the digestive apparatus. ”

“ Sometimes, extremely constipated people have almost constant runny bowels because the colon has become so thickly and impenetrably lined with old fecal matter that it no longer removes much moisture. This condition is often misinterpreted as diarrhea. The large intestine's most important task is to transfer water-soluble minerals from digested food to the blood. ”

“ Really he is inclined to eat at all times, yet begrudges a few minutes spent in a hurried effort to perform the act of defecation once in twenty-four hours. Some of us even have our minds absorbed in reading while awaiting an "automatic action" of the bowels. What a contrast between the gusto and time spent in taking foodstuffs and the indifference and indolence regarding the action of the bowels, unless indeed severe biliousness or diarrhea reminds us strongly of our sewer of waste products. ”

“ A physician who prescribes for a case of chronic constipation or diarrhea without first examining the sufferer for proctitis and colitis, is either ignorant or does wilful harm to his patient and injury to his practice. ”

“ The diarrhea and mountain fever is the two kinds of sickness to be watch, and to be feared, but if you will watch the first closely you need not fear the latter, but in order to avoid the diarrhea every one must use one kind of water all of the way, and by all means avoid water that comes from holes dug in the ground, it is not good and most alwais gives people the diarrhea, but the Platt water is healthy, if it is full of mud. ”

“ If the inflammation is acute, the mouth is dry and parched, or as is more frequently the case, the flow of saliva is abundant and acrid, and, when swallowed, irritates the stomach and bowels, producing fever, diarrhea, griping pains, and flatulency. The tongue is either coated white or red, and is glossy, and the sense of taste is considerably impaired. Digestion and nutrition are then disturbed, and the patient becomes rapidly emaciated. ”

“ There is a train of symptoms characteristic of all scrofulous disease. The appetite may be altogether lost or feeble, or in extreme cases, voracious. In some instances there is an unusual disposition to eat fatty substances. The general derangement of the alimentary functions is indicated by a red, glazed or furrowed appearance of [pg 447] the tongue, flatulent condition of the stomach, and bloated state of the bowels, followed by diarrhea or manifesting obstinate constipation. Thirst and frequent acid eructations accompany the imperfect digestion. ”

“ There is a legion of secondary symptoms of proctitis, all of which medical empiricism considers and denominates causes. As constipation is such an every-day complaint of almost everybody one meets, it will not tax our imagination unduly to conceive how it may be a frequent cause of diarrhea, which is only Nature's effort to get rid of its useless and excessive burden of retained feces and gases. Constipation, semi-constipation, and irregular action of the bowels, excessive fermentation, putrefaction, self-generated or auto-infection, are the factors to be considered. ”

“ The author prefers to use the term costiveness for the general debased condition of the system from auto-intoxication depending upon proctitis and similar conditions of the intestinal tract. And it must be remembered that the same patient may have two or more of these conditions at the same time. Constipation, obstipation and diarrhea may alternate through the progress of the case. ”

“ Symptoms. These are well defined. It is characterized in its earlier stages by pain in the stomach and bowels, especially in the umbilical region, nausea, vomiting, diarrhea; later, the purging is excessive, and the matter dejected resembles rice-water, and contains white, solid, curd-like matter. The patient loses strength, and sinks rapidly. The secretory organs fail to perform their functions normally, the skin is sometimes moist, but oftener cold and dry; but little if any bile is found in the excretions, and the urine voided is very scanty. ”

“ In a general way, any abdominal pain that does not yield in 24 hours to rest in bed with application of external heat, should call for the advice of a physician. Any severe attack of vomiting or diarrhea, accompanied by temperature, and not immediately traceable to some indiscretion in diet, is cause for study, and if improvement does not soon show itself, a physician should be called. ”

“ This stinging, biting sensation is accompanied by a profuse, watery discharge from the mouth, which seems extremely hot and acrid, causing excoriation whenever it comes in contract with the face or chin. The appetite is good, sometimes ravenous, but food or drinks, except of the blandest character, occasion such intense pain that the patient avoids their use. Ulceration occurs after a little time. The bowels are generally constipated, but when the disease extends to the stomach or intestines, diarrhea occurs. There is generally anæmia, debility, and impairment of the vital powers. ”

“ A prolonged use leads to digestive disturbances, constipation alternating with diarrhea, jaundice, flushing of the face, congestion of the conjunctiva, fulness of the head, palpitations, weak pulse, dyspnea and general malnutrition with erythematous, urticareous or pustular skin eruptions, etc. ”