_The presence of masses of imperfectly masticated food in the stomach
may cause disturbance either mechanically or by reason of their
imperviousness to the gastric juices._--We have already seen that the
digestibility of a food is largely determined by its consistence, and
that many articles of diet, such as cheese, hard-boiled egg, cocoa-nut,
lobster, and new bread, which have the reputation of being very
indigestible, can, if finely comminuted by chewing or otherwise, be
rendered quite digestible. Such articles are indigestible essentially
by reason of their compactness; the compact lumps, but little pervious
to the gastric juice, tend to undergo abnormal chemical change in the
stomach, and may in this way cause violent local irritation, even to
the extent of setting up acute gastritis; or they may paralyse the
nerves of the stomach and check gastric secretion and movement, and
thus remain _in loco_ wholly undigested for hours or even days; or,
again, more distant nervous effects may be produced, such as frontal
headache, which may be felt almost immediately after ingestion of
the peccant substance, being of reflex rather than toxic origin,
and presumably in some cases, at least, due to the mere mechanical
irritation of the stomach. The passage of imperfectly digested food
into the bowel may still further aggravate matters. It does not seem
improbable that the habitual bolting of food, by the prolonged local
irritation to which it gives rise, may predispose to cancer of the
stomach: Napoleon was a notorious fast eater and it is well known that
he died from this disease.
While, however, the bolting of food readily sets up disturbance in
some, it must be conceded that in many it seems to cause little or no
inconvenience; especially is this the case in the young with vigorous
muscular stomachs capable of triturating the food, and thus doing duty
for the teeth. The human stomach is, indeed, a long-suffering organ,
and wonderfully tolerant of ill-treatment, sometimes almost rivalling
in its hardiness the gizzard of the bird. Nor is this surprising when
we reflect that it is, in the ordinary course of nature, constantly
exposed to the entrance of noxious substances. In this respect it
stands in marked contrast to the intestines, for not only are highly
irritant substances often vomited rather than passed onwards, but in
ordinary circumstances the gastric contents are not allowed to pass
the pylorus, until they have been duly prepared by the stomach; the
pylorus, in fact, stands guard over the entrance to the bowel and is
jealous of anything passing it which is likely to injure that canal.
Public-domain text, read in full here on John Shaqi.
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