In the same category of facts are included those to which the name of
_aerophagic tic_ has been applied. Various cases have been narrated by
Pitres and by Séglas,[113] the latter of whom, in a remarkably complete
analysis of the condition, has demonstrated its identity with the tics,
and written very instructive commentaries on his observations.
I was consulted (says Séglas) by a man thirty-four years of age,
who was sent to me as a hypochondriacal neurasthenic. No sooner had
he entered my consulting-room than I was astonished to find he was
giving vent to repeated sonorous eructations at very brief
intervals. His story was to the effect that several weeks
previously he had been suddenly seized in the middle of a meal by a
sort of vertigo, and had lost consciousness. A consideration of
subsequent events made it more than probable that he had had an
ictus; the patient, however, was for no apparent reason persuaded
that he had been poisoned by badly cooked food, and from that
moment became despondently preoccupied with the state of his
stomach. A few days later the eructations made their appearance.
A closer examination very soon dispelled the idea of their gastric
origin, seeing that the digestive functions were in every respect
normal, whereas the symptom in question occurred at any moment,
independently of the stage of digestion, and the gases evolved
were absolutely inodorous. On the other hand, one could easily
satisfy oneself that the eructations were preceded by an
inspiratory effort and by two or three very obvious movements of
deglutition, accompanied by a low, rumbling, pharyngeal noise, and
followed almost immediately by the expulsion of gas. Their
reproduction several times a minute was spasmodic in character and
irregular in rhythm, and continued, it might be, for hours.
Of this series of phenomena the patient had conscious knowledge
only of the last--viz. the eructations--and affirmed their
involuntary nature and his desire to be rid of them.
The influence exerted on them by various circumstances is worthy of
notice. Any emotion, or any reference on the part of the patient to
the condition of his stomach, tended to exaggerate them, while,
inversely, it was remarked by his wife that the distraction of
conversation, or of a promenade, or of musical séances--to which he
was passionately devoted--served to banish them instantaneously and
for as long as the distraction endured. Sleep suspended their
activity, but at any interruption of it they scarcely ever failed
to reassert themselves.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account