stritis is applied only to that
species of inflammation occasioned and accompanied by irritation. It is
seldom a result of the _acute_ form.
THE SYMPTOMS of chronic gastritis are various and sometimes vague. Among
those which are prominent we may mention an irregular appetite. At times
it is voracious and the patient will consume every available article of
diet, while at others he will experience nausea and disgust at the sight
of food. Even when very hungry, one mouthful of food will sometimes
produce satiety and cause vomiting. The appearance of the tongue is
variable, sometimes natural, at others thickly coated. The desire for
drink is capricious, varying from intense thirst to indifference.
Another prominent symptom is a sense of heaviness and heat in the
epigastric region, after partaking of food. Often a small quantity, as a
teaspoonful of milk, will produce a sensation of weight, as a heavy ball
lying at the pit of the stomach. This symptom is frequently accompanied
by a frontal headache, and a small and wiry pulse. Dull or shooting
pains are experienced in the stomach and between the shoulders, and the
patient becomes weary, melancholy, and emaciated.
CAUSES. The general cause of chronic gastritis is excess in eating or
drinking, and the use of alcoholic liquors. We have known it to be
produced by drinking _hard_ cider. Great mental excitement predisposes
the system to this affection. Occasionally it is a result of febrile
diseases, as scarlatina, typhoid fever, etc. In some families there is a
constitutional tendency to its development.
TREATMENT. All medicines which tend to irritate the stomach, should be
studiously avoided. The bowels should be kept regular, and the skin
clean by frequent bathing. Stimulants of all kinds must be avoided. As a
principle article of diet, we would recommend milk and farinaceous
articles. If these precautions be observed, nature will sometimes effect
a cure. Lime water and the subnitrate of bismuth, in twenty-grain doses
three or four times a day, are useful to allay irritation. Other
suggestions applicable to its domestic management, maybe found under the
hygienic and medicinal treatment of dyspepsia, to which we refer the
reader.
NEURALGIA OF THE STOMACH. (GASTRALGIA.)
Gastralgia is a neuralgic affection of the stomach, unaccompanied by
inflammation. It is sometimes mistaken for chronic gastritis, although
there is a marked difference in the symptoms.
A PROMINE
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