Table 35.-Showing The Chief Points Of Distinction Between Carcinoma, Chronic Gastritis, And Nervous Dyspepsia



Chronic gastritis

Nervous dyspepsia,

Onset Pain



Appetite . Bowels .

Loss of flesh .

Colour . Gastric contents Physical signs


Gradual .

Varies; usually increased by food

Usually after meals or in early morning

Frequent; in small quantity

Diminished or absent


Progressive and severe

Progressive cachexia No free HCl; lactic acid

Dilatation of stomach or tumour in later stage; secondary deposits; thromboses

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

Symptoms abate

Often sudden

Paroxysmal; often very severe

Often absent



Often lienteric diarrhoea

Varies with appetite

Moderate anaemia

HCl often excessive

Often absent


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.