Gastrointestinal symptoms may arise from sources outside the digestive tract. They may arise from disease within the brain.
The interpretation of abdominal pain is a perennially interesting subject. The topic never grows old; nor can it be said that the subject has ever been fully analyzed and filed away in medical archives. Every new or improved diagnostic agent that is developed renders finer methods available for the interpretation of abdominal pain. Thus the electrocardiograph has helped to establish the fact that certain types of so-called acute indigestion, both fatal and otherwise, are actually coronary disease with referred abdominal pain. In a recent paper I1 discussed the mechanism by which coronary disease causes acute abdominal pain.
The abdomen has been properly called the barometer or spokesman of the body. The abdomen calls attention to trouble but it does not locate it. The task remains for the physician, who must bear
GAUSS H. GASTROINTESTINAL SYMPTOMS IN DISEASE OF THE BRAIN. JAMA. 1939;112(8):701–705. doi:10.1001/jama.1939.02800080021005
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