Guest guest Posted July 11, 2005 Report Share Posted July 11, 2005 Diseases of the Stomach Genesis and Control of Disease S. Weger M.D. Acute Gastritis, Gastroptosis, Chronic Gastritis, Hematemesis, Peptic Ulcer; Gastric and Duodenal, Gastralgia, Cancer of the Stomach, Dyspepsia, Gastric Dilatation A comprehensive resume of the different degrees of gastritis from simple catarrh to ulceration is given in a special article immediately following this discussion. Irritation of the stomach in varying degrees is present in more than one-half of the patients receiving our advice and institutional treatment. Very likely this incidence could be confirmed by all practitioners who recognize in various symtom-complexes (some quite obscure and apparently unrelated) a primary gastric catarrh. Simple gastritis or catarrh is not difficult to remedy by proper dietetic means preceded by a short period of physiological rest. Ulcer-ative conditions require more time and restriction. However of more than one hundred cases of gastric, pyloric, and duodenal ulcer that have come under our personal supervision and care in the last twelve years, not more than three or four have failed to make good and dependable recoveries. One of the cases of the latter class was a woman nearing her seventieth year who gave a clear history of pyloric ulcer of at least twenty years standing. All evidence of discomfort disappeared in five or six weeks and she remained well for more than a year. It was then found that the stomach did not empty and that only a trifling amount of liquid food could seep into the intestines. Slow starvation was inevitable unless surgery could be successfully employed. With great reluctance the patient submitted to an operation which resulted fatally within a week, due to extreme impoverishment and the constitutional effects of arteriosclerosis. Autopsy disclosed an old pyloric ulcer in which the healed scar contracted gradually to completely obliterate the opening. This is an infrequent complication and is cited only to prove that healing had taken place. In this case there had been frequent hemorrhages for years preceding our dietetic treatment. Other forms of diet had been unsuccessfully tried in this country and also in various European health resorts. One case was that of a man past sixty-five with recurrent exhausting hemorrhages for the control of which an emergency operation was imperative. Another case on our records is that of a perforation requiring an emergency operation. Months later the patient was reported doing well and remaining comfortable as long as food was properly combined. Those who expect a cure for gastric derangements without paying any attention to diet, constitute the army that goes from one doctor to another, vainly hoping yet often despairing. There are diets and diets, there are doctors and doctors. Some diet lists that are submitted to us as having been prescribed for ulcer or other stomach troubles are the records of pathetic attempts to cure something, the real cause of which is not clearly understood. Failure or recurrence is inevitable if cause if not removed. GASTRIC DILATATION, PTOSIS, and GASTRALGIA almost invariably recover by proper treatment. CANCER OF THE STOMACH is incurable. The Real Significance of Gastric Ulcer This most distressing condition develops so frequently that it deserves a more prominent place in the hall of famous diseases. It occurs in grown people rather than in children. The adult usually suffers for a long time before he submits to an operation for the relief of a condition about which there is such an element of doubt in diagnosis and prognosis. X ray and fluoro-scopic examinations are used to confirm the tentative diagnosis, but except in pronounced cases even this method is not always conclusive. Though opening the abdomen is a major surgical affair at any time, operations for gastric and duodenal ulcers are becoming quite as common as appendectomies. Unless the condition demands active and immediate surgical interference because of perforation, the patient usually has sufficient time for deliberation. Given time to think the situation over after reading enlightening literature, most people can be convinced that the surgical extirpation of an ulcer does not remove the cause of the ulcer. The removal of an effect may open the field for the development of another ulcer or a similar condition elsewhere in the body for the primary cause or causes still remain active in the system. Surgery does not remove cause. A postoperative picture, quite disconcerting, can often be painted by those who have had one or more gastroenterostomies, subsequent operations for relief from adhesions, and not infrequently gall bladder drainage or removal, yet have not learned how to eat properly afterwards. The appendix may have been disposed of early in the history of the case. The disillusionment that accompanies the return of the symptoms, often in an aggravated form, leaves bitterness and disappointment that shatters faith in surgery and medicine. Even in such apparently hopeless cases, with loss of continuity of structure or loss of important organs or sections of organs, there is a way by which comfort can be restored, and compensatory adaptation to abnormal states is possible of attainment. Gastric ulcer is concomitant with gastric hyperacidity. This is an undisputed fact. It is the universal belief that an excess of acid in the stomach is purely a local condition. This belief we question. Treatment directed to the relief of the local condition alone is likely to result in failure. The condition of the stomach represents more than mere local acidity. The great food receptacle registers its own hyperacidity plus the same condition in the entire body. There is a constitutional hyperacidity or acid-osis invariably present in such cases. Though many people remain quite comfortable by comparison for years after operation, we are convinced that constitutional correction is most important, nay, even absolutely essential to dependable and permanent recovery from gastric ulcer. Any change in diet from the ordinary conventional menus to the so-called milk or cream diet or alkaline cure will prove agreeable for a time because milk or cream causes less immediate irritation than food containing roughage that requires greater gastric motility for digestion. A sore anywhere, whether on the mucous lining of the intestinal tract, or the outside covering of the body, will heal more quickly if left alone and kept quiet than if it is continually irritated by handling, rubbing, wrinkling, contracting, and expanding. New tissue cannot form with such disturbances going on. Therefore the first step necessary to the permanent cure of gastric ulcer is to induce complete rest by doing absolutely without food. Daily gastric lavages to wash out the corrosive acids, and water to drink as desired. This treatment insures local rest. But the patient needs more than that for there is much more to be accomplished. Normal gastric juice is acid in varying degrees. However, it should not be corrosive. The reason that hyperacidity is really a corrosive acidity is due to the fact that the glands which secrete acid must utilize the material within the body that is furnished for this purpose. People who overeat on sweets, starches, and proteins have an unstable body chemistry due to the storing up of acids throughout life. It is not possible for the stomach to modify the acid when the material from which it manufactures its secretions is abnormally acid. Since it is easy to demonstrate that the quickest way to overcome constitutional acidity and restore normal alkalinity is by an absolute fast while resting in bed, one can readily see that a complete fast serves a dual purpose. When the surplus acid toxins are eliminated, healing of the ulcer takes place. But not until then. Even when this treatment is applied, dependable healing will not take place if the fast is broken too soon. The fast must be continued until all reactions indicate that systemic renovation has been completed. True, many patients are already thin and depleted and look the part of chronic sufferers. This state, while deplorable, is not a contraindication to the complete fast. There is no other way that is lasting. It has been estimated that fluid amounting to more than one-twentieth of the body weight passes through the stomach each twenty-four hours. Certainly when the body is saturated with toxic waste this circulating fluid is contaminated. The stomach tube, if used daily during a fast, will prove that much harmful and irritating material from the general circulation finds its way into the stomach and, unless washed out, remains there to pass into the bowels for reabsorption. For this reason a gastric lavage is a desirable if not altogether necessary procedure. No further proof of the efficacy of a lavage is necessary than the relief it gives. Just what these corrosive acids of elimination are has not been clearly proved. They are assumed to be the hydrochloric acid excess, plus lactic, acetic, and phosphoric acids (which result from the presence of organic matter) also various inorganic salts, —all having been present in excess in the blood and constituting a part of the poisonous waste that we know as toxins. The constitutional condition behind and preceding the incidence of gastric ulcer is by far the most vital point involved. We must learn to discriminate in all cases and all conditions between the patient and his disease. -- Peace be with you, Don " Quai " Eitner " Spirit sleeps in the mineral, breathes in the vegetable, dreams in the animal and wakes in man. " Nearly all men die of their remedies, and not of their illnesses. ~Jean Baptiste Molière, Le Malade Imaginaire The obstacle is the path. ~Zen Proverb -- In compliance with the highest standards of Universal Law, this email has been thoroughly disinfected and purified in the solar flares of the sun. Outgoing mail is certified Virus Free. Checked by AVG Anti-Virus. Version: 7.0.323 / Virus Database: 267.8.11/45 - Release Date: 7/9/05 Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.