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October 27, 1956


Author Affiliations

Evanston, Ill.

JAMA. 1956;162(9):857-860. doi:10.1001/jama.1956.02970260007003

• Not only functional disorders but also gross organic lesions in the gastrointestinal tract can be caused by emotional stimuli. The functional disorders include nervous vomiting, anorexia nervosa, nervous diarrhea, constipation, and irritable colon. The disturbances of function may lead to the organic lesions, of which good examples are peptic ulcer and chronic ulcerative colitis. A case of the latter is described to exemplify the striking improvement that sometimes follows removal of the patient from a difficult environment. Such problem cases require study and treatment of the total organism and may necessitate consultation between social service department, psychiatrist, and internist.