Appetite . Bowels .
Colour . Gastric contents Physical signs
Varies; usually increased by food
Usually after meals or in early morning
Frequent; in small quantity
Diminished or absent
Progressive and severe
No avail .
Preceded by alcoholism, phthisis, or kidney disease
Barely severe; discomfort or oppression
After meals or in early morning , Bare ....
Diminished Occasional attacks of diarrhoea Slight
Diminished HCl; no lactic acid Some gastrectasis; no tumour; piles; ascites in late stage
Paroxysmal; often very severe
Often lienteric diarrhoea
Varies with appetite
HCl often excessive
Unless cirrhosis of the liver is present, haematemesis never occurs. Some degree of gastrectasis may he detected, but there is no tumour, and the gastric contents are usually devoid of lactic acid. The symptoms subside to a great extent under treatment.
The term ' nervous dyspepsia ' includes a large number of disorders arising from a functional disturbance of the stomach or bowel. In every case, however, the constitutional symptoms of carcinoma are lacking : pain, when it exists, displays paroxysmal characters; vomiting is infrequent, there is no abdominal tumour, and free hydrochloric acid may usually be detected in the contents of the stomach.