Duodenal regurgitation due to fatty foods and oils as a clinical entity : fat intolerance of gastric origin / by Anthony Bassler.

  • Bassler, Anthony, 1874-
Date:
1910
Catalogue details

Licence: In copyright

Credit: Duodenal regurgitation due to fatty foods and oils as a clinical entity : fat intolerance of gastric origin / by Anthony Bassler. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    4/11
    sometimes over one or two days at a time. In each instance these pains were described as most severe, irregular in duration, quite incapacitating the pa- tient for the time being, and then suddenly ceas- ing at which the individual was as well as ever. There was no distinction in any of them as to when this spasmodic pain would begin or cease, and it was independent of meals or the ingestion of foods of different character or quantities. One of them said that a nausea was present at the time that the pain was severe, but none had vomiting at any time during the illness. Other than the seizures of pain, which came on acutely in the first attack, there was nothing particular in the history of any of them. Their average age was thirty-seven; the average length of time when the histories were taken that the condition had e.xisted was two and a half months; two were in men who may be classed as manual workers and the other two were engaged in office work in responsible positions. One was habitually constipated, the other three not so. All were free from mental strain, worry, an.xiety, etc., and all lived regular lives with good eating habits. The physical examination of each was negative in so far as the abdominal and chest organs were concerned. They were well nourished, and but one had good muscular development. On several oc- casions I examined them when the gastric pains were severe and no tender areas, definite locality of painful tenderness, spasm of the recti, or other symptoms were noted. Each placed my hand on the region between the ensiform and the umbilicus as the seat of the pain but in none did deep pres- sure on this area cause any particular distress. There were no reflex tender areas, back or front. Each was placed on a three days’ diet for testing the digestive power for all types of foods and in