Old Age Deferred: The causes of old age and its postponement by hygienic and therapeutic measuresLorand, Arnold
Science
Old Age Deferred: The causes of old age and its postponement by hygienic and therapeutic measures
Lorand, Arnold
Hygiene; Longevity; Old age
Happily such an instance is of the rarest occurrence in our profession,
for we always ignore our own chance for a long life in favor of our
patient’s, which is fully proved by the fact that, of all professions,
the physician’s life is the shortest.
Corsets as worn by women contribute to develop in them ptosed
bowels—gastroptosis and enteroptosis—which can easily arise after
pregnancy; the strength of the intestinal muscles becomes still more
diminished and constipation is the consequence.
It is not to be wondered at if women, and men also, in cases where the
diet alone does not bring about an ordinary movement, should resort to
drugs, several of which we have mentioned previously. At first, even the
mildest drugs will act; but, unfortunately, after a time the intestine
becomes accustomed to them and they cease to act. Stronger drugs are
then resorted to, such as often contain aloes, which, besides injuring
the stomach, act in a very irritating way on the intestines; these
respond by a very strong action, causing copious stools accompanied by
colicky pains. But it is in the nature of things, as we have observed
holds true in any organ, that overstimulation of any function is
followed by its exhaustion; thus the nerves and muscles of the intestine
get over irritated and relax if obliged to overact. After a copious
evacuation caused by strong drugs we, therefore, find a still more
obstinate constipation than before. Stronger and stronger drugs are then
used until there is a complete breakdown and ruin of the intestinal
innervation and muscular action. We must, therefore, commence first with
a suitable diet, then use mild drugs if necessary, with massage and
electricity, as already described.
Intestinal enemata are also beneficial, but if a large amount of liquid
be used the muscular walls get too greatly dilated and may lose their
elasticity and vitality, particularly if strong drugs be used in such
enemas.
Many women suffer from habitual constipation by reason of their drinking
but little water, especially if the food they take contains little
fluid; the fæcal masses become solid and coagulated, and thus their
passage in the intestine toward the anal exit becomes more difficult,
whereas by a sufficient quantity of liquid, such as water, this movement
will be much facilitated; and that this is an important consideration is
quite evident in the case of women who have a tendency to lethargic
bowels. Such a thickening of the fæcal masses occurs particularly in
certain parts of the intestines, such as the cæcum, the ascending colon,
and the sigmoid flexure. In these parts the fæcal matters often become
detached, accumulate, and easily get condensed. They may remain there
sometimes for longer periods, which can easily be proved by experiments,
giving bismuth by mouth and then examining the abdomen by means of the
Roentgen rays.
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