As all poisons formed in, or entering, the body are brought to the liver
for destruction, it is in an extremely exposed position, and very liable
to break down under the attack of these poisons, whether of infectious
diseases, or chloroform, or alcohol, or those formed by putrefaction in
the stomach and intestines. This is why those who have lived long in the
tropics and suffered from malaria, dysentery, and other infectious
diseases, and those who drink too much alcohol, or have chronic
indigestion, or dyspepsia, are likely to have swollen and inflamed
livers.
The Gall Bladder. The liver has on its under side a little pear-shaped
pouch called the _gall bladder_, in which the bile is stored before it
is poured into the bowel. If this becomes inflamed by disease germs, or
their poisons, in the blood, little hard masses will form inside it,
usually about the size of a grain of corn, known as _gall stones_. So
long as they stay in the gall bladder, they give little trouble, but if
they start to pass out through the narrow bile duct into the intestine,
they cause severe attacks of pain, known as "gall-stone colic," and, by
blocking up the duct, may dam up the flow of the bile, force it back
into the blood again, and stain all our tissues, including our skin and
our eyes, yellow; and then we say we are _jaundiced_. Jaundice may also
be caused by colds or other mild infections which attack the liver and
bile ducts and clog the proper flow of the bile.
The Kidneys. The kidneys are another form of blood-filter, which deal
chiefly with waste stuffs in the blood left from the proteins, or Meats,
of our food--meat, fish, milk, cheese, bread, peas, beans, etc. These
waste-stuffs, called _urea_ and _urates_, are formed in the liver and
brought in the blood to the kidneys. These lie on either side of the
backbone, opposite the small of the back, their lower ends being level
with the highest point of the hip-bones, nearly six inches higher than
they are usually supposed to be. When you think you have a "pain across
the kidneys," it is usually a pain in the muscles of the back much lower
down, and has nothing to do with the kidneys at all.
A very large artery carries the blood from the aorta to each side of the
kidney, and a large vein carries the purified blood back to the vena
cava and heart. Two smaller tubes about the size of a crow quill, the
waste pipes of the kidneys (the _ureters_), carry the water containing
urea and other waste substances strained out by the kidneys and called
urine, down into a large pouch, the _bladder,_ to be stored there until
it can be got rid of.
[Illustration: THE URINARY SYSTEM
_K_, kidneys; _U_, ureters; _B_, bladder; _A_, artery; _V_, vein.]
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