Throughout the last six years I have had an opportunity to observe more closely the large number of indefinite symptoms which make up what has been variously termed by us neurasthenia, anemia, chronic gastritis, gastro-intestinal catarrh, fermentation in the intestinal tract, fermentative dyspepsia, chronic gastroenteritis of the tropics, descomposiciones del intestino, culminating in such diagnoses as gastro-enteritis tropical phthisis intestinal, and sprue.
Fully one-half of my own personal experience has been with those who suffer from what our patients are pleased to denominate "the stomach," meaning, nine times out of ten, the intestinal tract. The complaint usually is that they cannot eat without bloating; that, from time to time, they have "decomposition of the bowels"; that they are getting pale and losing strength in spite of what they eat—all trying to overfeed in the hope of strengthening themselves. To this add the very large number who have, in addition, vague
ASHFORD BK. RELATION OF THE GENUS "MONILIA" TO CERTAIN FERMENTATIVE CONDITIONS OF THE INTESTINAL TRACT IN PORTO RICO. JAMA. 1915;LXIV(23):1893-1896. doi:10.1001/jama.1915.02570490009004