Stomachic

“ From what we have just said it is evident that the proper emptying of the stomach and, therefore, the proper carrying on of the whole process of digestion, depends upon the formation and outpouring of ample supplies of acid-containing gastric juice. A failure of gastric secretion is bound to be followed by a failure of the stomach to empty itself. Instead of going on to the small intestine where digestion is completed and the digestion products passed on to the blood stream to be used by the body, the food mass lies inert in the stomach. ”

“ Several condiments act upon the stomach, or on the intestine, after having first produced an agreeable sensation of taste. The excitation to which they give rise does not extend to the central organ, there to produce the same sensation. They are limited to the stomach and to the intestine, and serve to favor digestion and absorption. The gastric juice, we know, is not secreted continually, but only when there is something in the stomach. ”

“ It has also been found, that as each bolus, or mouthful, enters the stomach, the latter closes, until the portion received has had some time to move around and combine with the gastric juice, and that the orifice of the stomach resists the entrance of any more till this is accomplished. But, if the eater persists in swallowing fast, the stomach yields; the food is then poured in more rapidly than the organ can perform its duty of preparative digestion; and evil results are sooner or later developed. ”

“ Experience shows that the delicate stomach suffers severely from these causes. In some instances, the long unemployed organ secretes an excess of mucus, which greatly interferes with digestion. A sufficient amount of food at breakfast has a direct influence on the digestion of dinner; in which process, large quantities of gastric juice—a fluid charged with nitrogenous and other materials—must be suddenly extracted from the blood. ”

“ CHRONIC DYSPEPSIA (Chronic Indigestion—Chronic Gastritis—Stomach Trouble) .—A chronic digestive disorder characterized by increased secretion of mucus, changes in the gastric juice, weakening of the stomach muscles and diseased changes in the mucous membrane.
Causes.—The use of unsuitable and improperly prepared food, too much fat, starchy foods, New England pie, and hot meals, biscuits, cakes, etc., greasy gravies, too strong tea or coffee, and too much alcohol. Eating too much food, eating too fast, and eating between meals. Drinking of ice and cold water during or after meals. ”

“ It acts as a digestive organ of importance in preparing the food for further attack in the intestinal canal. But the stomach cannot be regarded as an essential organ, since it has been removed in dogs and in man without apparent interference with nutrition and health. Gastric digestion is brought about by the action of the gastric juice, a clear watery, colourless and strongly acid fluid with a specific gravity of about 1003. ”

“ Acute catarrh of the stomach is associated with intense hyperaemia of its lining coats, with visible engorgement and swelling of the mucous membrane, and an excessive secretion of mucus. The formation of active gastric juice is arrested, digestion ceases, peristaltic movements are sluggish or absent, unless so over-stimulated that they act in a direction the reverse of the normal, and induce expulsion of the gastric contents by vomiting. ”

“ HOW AUTO-INFECTION AFFECTS THE GASTRIC DIGESTION, AND VICE VERSA.
Frederick the Great said that all culture comes through the stomach. This saying emphasizes pithily the dependence of psychology upon physiology. The stomach with the intestines is certainly the source from which every portion of the body receives its nourishment and most of its diseases. The physiological plus and minus processes leave their reflex on the mind. ”

“ Factors Influencing Gastric Digestion.—The factors influencing digestion in the stomach constitute all those mechanical, electrical, chemical, and psychical factors which stimulate or retard the action of the gastric juices. The movements in the stomach are involuntary, but their activities may be stimulated by the flow of gastric juice. Sleep retards digestion in the stomach by retarding the movements in the organ itself. ”

“ The stomach has a soft, spongy appearance, and, when not distended, lies in folds. During life, it is ordinarily of a pinkish color. It is provided with numerous small glands, which secrete the gastric fluid necessary for the digestion of food. The lining membrane, when divested of mucus, has a wrinkled appearance. The arteries, veins, and lymphatics, of the stomach are numerous. ”

“ No digestion goes on in the stomach nor is the food passed on into the small intestine to be digested there. We can expect nothing else than that indigestion will come on. It appears that in human beings, with their high nervous organization, simple weariness may suffice to hinder the outpouring of the nervous disturbances upon which gastric secretion depends, so that one may not be worried at mealtime, but may be simply overtired and still fail of digesting the food. ”

“ A striking illustration of this is offered in the stomach. The digestive juice which is produced in the stomach is capable of attacking and destroying living substance, and any organic material suitable for food which is placed in the stomach will, as we know, be attacked by the gastric juices, dissolved to a certain extent by them, and so destroyed. Why then does the gastric juice not attack the stomach itself? This is but one phase of the problem why the body does not continually destroy itself. ”

“ By loading the stomach, digestion is impeded; for the natural juice of the stomach, which is the great medium of digestion, has not then room to exert itself. The stomach therefore nauseates its contents, and is troubled with eructations; the spirits are oppressed, obstructions ensue, and disease is the consequence. Besides, when thus overfilled, the stomach presses on the diaphragm, prevents the proper play of the lungs, and occasions difficulty and uneasiness in breathing. ”

“ If food is taken mechanically and without appetite, if the preliminary changes in the stomach wall which are necessary for adequate digestion do not take place, but are inhibited by the mental unrest, the meal is apt to be followed by gastric pain and discomfort, or, more commonly with children, the stomach may promptly reject its contents. ”

“ As bitters and metallic salts, exhibited in small doses, stimulate the stomach into greater action, as appears by their increasing the power of digestion, and yet become emetic, when given in larger doses; one might suspect, that they became emetic by inducing debility, and consequent retrograde actions of the stomach, by their previously exhausting the sensorial power by their great stimulus; which might be effected in a moment without producing pain, and in consequence without our perceiving it. ”

“ Since the growth most often obstructs the pylorus, the stomach is usually dilated and the general directions for dilation of the stomach should be followed. If the food will not digest in the stomach, one must resort to rectal feeding. Where gastric digestion is near normal, the general principles of diet for ulceration of the stomach should be followed. ”

“ It often passes from the stomach without digestion, and on its way through the bowels inflicts constant pain. If he does not take some emetic substance, he is not apt to vomit, his stomach cramping so as to prevent it. ”

“ The stomach is a thick muscular bag, connected above with the gullet, and, at its lower extremity, with the commencement of the small intestines. The duty or function of the stomach is to secrete a sharp, acid liquid, called the gastric juice, which, with a due mixture of saliva, softens, dissolves, and gradually digests the food or contents of the stomach, reducing the whole to a soft pulpy mass, the chyme. ”

“ Of rumination in the human species, there is scarce an instance in a generation.
The predisposing and occasional causes of the preceding diseases of the stomach are in{271} general, weakness of the muscular coats; diseases of its nerves; small omentum; the digestive menstrua as bile, saliva, mucus, defective or depraved; frequent exspuition and waste of saliva; slow digestion, and food corrupted in the stomach; crudities in the stomach; vitiated chyle; excess of pituita, acidity, bile; relaxed pylorus, large stomach, calculi in the biliary ducts ”

“ The stomach, more especially after long years of57 abusive treatment, is one of the least sensitive organs. “If it had nerves as sensitive as our finger-tips, our attention would be so much taken up with the ordinary digestion of food that we could not properly attend to our work or studies.” At first, in infancy, it is more sensitive, and any excess of food is thrown off, but ere many months the disorder grows worse and deeper-seated, and in the course of years stomachs become so diseased as to give no sign, except when unusually outraged. ”

“ Not only that the progress of digestion is thus interrupted, not only that the body derives no strength from the inert mass of ingesta, but that mass, by undergoing a putrid instead of peptic decomposition, vitiates the humors of the system it was intended to nourish, irritates the sensitive membranes of the stomach, and gradually impairs the vigor of the whole digestive apparatus. ”

“ The influences unfavorable to digestion, however, are stronger than those which promote it. And evidently, if the digestive process, because of emotional disturbance, is for some time inhibited, the swallowing of food which must lie stagnant in the stomach is a most irrational procedure. ”

“ It is impossible for the stomach to perform its duty satisfactorily if it is never allowed rest, and the introduction of stray morsels of food at irregular times prevents this, and introduces confusion into the digestive work, because there will be in the stomach at the same time food in various stages of digestion. ”

“ Solid food given to the child before it has cut its teeth, enters the stomach unreduced to pulp by the grinders, and unmixed with the saliva, which should help its solution, and which the undeveloped salivary glands do not yet furnish. Too large a quantity of food, or food of an unsuitable character, on which the gastric juice cannot act readily, may pass into a state of fermentation; vomiting, flatulence, sour and offensive breath will be the result, and the food will pass into the intestine unprepared to be acted on by the bile. ”

“ If the torpor of the stomach be owing to defect of irritation, as to the want of food, an accumulation of sensorial power soon occurs with an increase of digestion, if food be timely applied; or with violent inflammation, if food be given in too great quantity after very long abstinence. ”

“ But this is not all; for in bilious complaints, when the stomach is most disordered, bitters never fail of making evil worse. The stomach is a delicate viscera, and should ever be the most cautiously dealt with. Whatever part of the human body is in exquisite pain, the stomach 226from the nervous consent always partakes, and is apt to be depraved in its functions; whence a nausea is liable to ensue; and in such a case any stimulants, particularly where bitters are concerned, is ever of evil tendency. ”

“ In the stomach it causes a sensation of warmth which is diffused over the abdomen and quickly followed by a general glow of the body. In moderate quantity, it induces an increased blood-supply which enables the mucous follicles and gastric glands to produce a more abundant secretion of stomach juices. ”

“ Digestion is performed slowly in men of learning, therefore fresh aliments should seldom be given them; because the state of the stomach is very different when it is half full of undigested aliments, from what it is when entirely void of aliments, and overflowed with the gastric fluids, ready for the use of concoction. ”

“ Sometimes feels sick at the stomach, belching of gas and bitter liquids and vomiting of food immediately after eating or some hours later. Stomach tender and painful to the touch. Stomach and abdomen are distended, especially after meals, with costive bowels or diarrhea. Feels weary, blue, tired, discouraged, poor sleep, bad dreams, bitter taste in the mouth, tongue coated especially on the back part, craves different things, much wind on the stomach, acid stomach, heavy feeling in the stomach, sometimes as if a stone lay there. Stomach feels weak, it is hard to sit up. ”

“ The dry irritated appearance of the villous coat, and the absence of the healthy gastric secretion in the febrile state, not only explain at once the want of appetite, nausea, and uneasiness generally felt in the region of the stomach, but shew the folly of attempting to sustain strength, by forcing the patient to eat when food cannot be digested, and when Nature instinctively refuses to receive it. ”

“ The whole nutritive apparatus is moved. The stomach becomes sensible, the gastric juices are moved and displace themselves with noise, the mouth becomes moist, and all the digestive powers are under arms, like soldiers awaiting the word of command. After a few moments there will be spasmodic motion, pain and hunger. ”

“ Several physiologists in America had thus the opportunity of observing the stomach during digestion by looking into its cavity as through a window. The investigations made on this soldier resulted in the statement that the stomach becomes redder as soon as digestion begins. Later, physiologists showed, by other observations, that the salivary glands grow red during mastication, and that the muscles contain more blood when they are at work a long time. ”