The jaundice of drunkenness is not an original disease, but merely a
symptom of the one under consideration. A very slight cause will often
bring it on; it is, consequently, not always dangerous. Dropsy is, for
the most part, also symptomatic of diseased liver, but sometimes, more
especially in dram-drinkers, it arises from general debility of the
system. In the former case, effusion always takes place in the cavity
of the abdomen. In the latter, there is general anasarca throughout the
body, usually coupled with more or less topical affection. In every
instance, dropsy, whether general or local, is a very dangerous disease.
II. _State of the Stomach, &c._—Like the liver, the stomach is more
subject to chronic than acute inflammation. It is also apt to get
indurated, from long-continued, slow action going on within its
substance. This disease is extremely insidious, frequently proceeding
great lengths before it is discovered. The organ is often thickened
to half an inch, or even an inch; and its different tunics so matted
together that they cannot be separated. The pyloric orifice becomes, in
many cases, contracted. The cardiac may suffer the same disorganization,
and so may the œsophagus; but these are less common, and it must be
admitted, more rapidly fatal. When the stomach is much thickened, it may
sometimes be felt like a hard ball below the left ribs. At this point
there is also a dull uneasy pain, which is augmented upon pressure.
Indigestion or spasm may arise from a mere imperfect action of this
organ, without any disease of its structure; but when organic derangement
takes place, they are constant attendants. In the latter case it is
extremely difficult for any food to remain on the stomach; it is speedily
vomited. What little is retained undergoes a painful fermentation,
which produces sickness and heartburn. There is, at the same time, much
obstinacy in the bowels, and the body becomes emaciated.
This disease, though generally produced by dissipation, originates
sometimes from other causes, and affects the soberest people. Whenever
the stomach is neglected, when acidity is allowed to become habitual, or
indigestible food too much made use of, the foundation may be laid for
slow inflammation, terminating in scirrhus and all its bad consequences.
Public-domain text, read in full here on John Shaqi.
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