Thus those who are troubled with this symptom expect, with good
reason, that they will also be unable to digest adequately; proper
digestion cannot take place in a weak stomach. In such people also,
the mass of food may be plainly seen to remain an abnormally long time
in the stomach, as would be natural if their digestion were slow.
Indeed, the chief way in which these people will surprise one is in
the length of time that not food alone but even fluids will remain in
their stomachs. Now, the actual cause of this is not, as one would
imagine, that the lower outlet of the stomach,[311] being fairly
narrow, will allow nothing to pass before being reduced to a fine
state of division. There are a great many people who frequently
swallow large quantities of big fruit-stones; one person, who was
holding a gold ring in his mouth, inadvertently swallowed it; another
swallowed a coin, and various people have swallowed various hard and
indigestible objects; yet all these people easily passed by the bowel
what they had swallowed, without there being any subsequent symptoms.
Now surely if narrowness of the gastric outlet were the cause of
untriturated food remaining for an abnormally long time, none of these
articles I have mentioned would ever have escaped. Furthermore, the
fact that it is liquids which remain longest in these people's
stomachs is sufficient to put the idea of narrowness of the outlet out
of court. For, supposing a rapid descent were dependent upon
emulsification,[312] then soups, milk, and barley-emulsion[313] would
at once pass along in every case. But as a matter of fact this is not
so. For in people who are extremely asthenic it is just these fluids
which remain undigested, which accumulate and produce gurglings, and
which oppress and overload the stomach, whereas in strong persons not
merely do none of these things happen, but even a large quantity of
bread or meat passes rapidly down.
And it is not only because the stomach is distended and loaded and
because the fluid runs from one part of it to another accompanied by
gurglings--it is not only for these reasons that one would judge that
there was an unduly long continuance of the food in it, in those
people who are so disposed, but also from the _vomiting_. Thus, there
are some who vomit up every particle of what they have eaten, not
after three or four hours, but actually in the middle of the night, a
lengthy period having elapsed since their meal.
Public-domain text, read in full here on John Shaqi.
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