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October 28, 1974

The Ten-Day Movement

Author Affiliations

Berkeley, Calif

JAMA. 1974;230(4):540. doi:10.1001/jama.1974.03240040018017

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To the Editor.—  A physician from Tennessee (229:846, 1974) referred to a 21year-old man with a lifetime history of one bowel movement every ten days, otherwise healthy, not concerned about his bowel habits, and not taking laxatives. In this case, there seems to be the possibility of a periodically incarcerated diaphragmatic hernia that releases its contents every week or ten days. If there are no further symptoms and the patient is comfortable, no treatment, surgical or otherwise, is indicated as long as no serious incarceration of the diaphragmatic hernia does occur. Suspenders should be worn instead of a belt.It happened about 15 years ago that I went into shock with abdominal pain while I was busy in a hospital. Abdominal exploration was done; my gallbladder was removed, but appeared to be normal. The incision was extended to the left side of the abdomen. A diaphragmatic hernia was found with the