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I suffer, Sir, from dyspepsia duodenal dyspepsia. It gets me two hours after a meal and gives me hell just below the breast-bone. So I am obliged to adopt a diet. My nourishment is fish, Sir, and boiled milk and a little dry toast.
There was no doubt that her pain was severe, but in conclusion, the old doctor did doubt decidedly the presence of gall-stones. He believed it to be duodenal colic. "I don't wish to give you a hypodermic," he told her. "I know it will relieve you quickly to-night, but it will set you back several days.
If the patient can retain fluids taken by the mouth such as hot coffee, barley water, or soda water these should be freely given, unless the injury necessitates operative treatment under a general anæsthetic. Transfusion of blood is most valuable as a preliminary to operation in patients who are bloodless as a result of hæmorrhage from gastric and duodenal ulcers, and in bleeders.
A great surgeon tells me he has no doubt that Carlyle suffered all his life from a duodenal ulcer. "One may speculate," he says, "on the difference there would have been in his writings if he had undergone the operation which to-day is quite common." This remark occurs to me when I think about Lord Northcliffe. There is something wrong with his health.
Burns may cause death from shock, suffocation, oedema glottidis, inflammation of serous surfaces, bronchitis, pneumonia, duodenal ulcer, coma, or exhaustion.
The chief causes of death during this period are toxin absorption in any of its forms; waxy disease of the liver, kidneys, or intestine; less commonly erysipelas, tetanus, or other diseases due to infection by specific organisms. We have seen nothing to substantiate the belief that duodenal ulcers are liable to perforate during the third period.
Perforation, when it takes place, is on the posterior aspect; the apertures are circular, and surrounded by inflammation and black extravasation. The blood in the large vessels may be coagulated. Avoid mistaking gastric or duodenal ulcer, with or without perforation, for the effects of a corrosive poison. Treatment.
He sipped a little more milk with a grave face. 'That isn't my duodenal dyspepsia, Major. It's the verdict of a ripe experience, for I have a cool and penetrating judgement, even if I've a deranged stomach. And I give it as my considered conclusion that that woman's mad and bad but principally bad. The Lady of the Mantilla Since that first night I had never clapped eyes on Sandy.
Rupture of a gastric or duodenal ulcer; rupture of liver, spleen, or extra-uterine gestation, or abdominal aneurism. Suffocation during an epileptic fit; vomited matter or other material drawn into the trachea or air-passages; croup. Arterio-sclerosis may lead to thrombosis, embolism, or aneurism.
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