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Updated: June 13, 2025
The wave of contraction passes over them more slowly and more irregularly, one part contracting while another is relaxing. This may readily be seen in the muscular action of the intestines, called vermicular motion. It is the irregular and excessive contraction of the muscular walls of the bowels that produces the cramp-like pains of colic.
There is an increased fullness of the external genitals and a greatly augmented amount of mucous discharge. There is a feeling of anxiety and nervousness, with depression of spirits. During the last two weeks of pregnancy patients are apt to have cramp-like pains in the lower part of the abdomen. These are often mistaken for labor pains.
Whatever may be the explanation, it is a fact that the type of trauma which results from fighting corresponds closely with that which causes the most shock in the experimental laboratory. Division of the intestines with a sharp knife causes no pain, but pulling on the mesentery elicits pain. Ligating the stump of the appendix causes sharp, cramp-like pains.
The usual complaint is of a sense of weight and fulness in the limb after standing or walking, sometimes accompanied by actual pain, from which relief is at once obtained by raising the limb. Cramp-like pains in the muscles are often associated with varix of the deep veins. The dilated and tortuous vein can be readily seen and felt when the patient is examined in the upright posture.
He is quite mad, ready to throw himself upon her, press her to his breast and call to Maurits to come and tear her away if he can. His hands are in his pockets. Through the clenched fists cramp-like convulsions are passing. Can he allow her to put on her hat, to say goodbye to the old lady? There he stands again on the cliff of Naxos and wishes to steal the beloved for himself. Nor, not steal!
The suffering induced by the cramp-like spasms of the muscles keeps him in a constant state of fearful apprehension of the next seizure, and he is unable to sleep until he becomes utterly exhausted.
If preventive measures are instituted at the outset, there is hope of relieving the discomfort and averting the miscarriage; but if the warning goes unheeded, the pain will gradually shift to the lower part of the abdomen and become more severe. It often happens that the cramp-like abdominal pain of threatened miscarriage is confused with that associated with intestinal indigestion.
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