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March 1, 1902


JAMA. 1902;XXXVIII(9):582-583. doi:10.1001/jama.1902.62480090034002

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Mr. C., aged 38, eighteen years ago began having digestive trouble. It was noticed at that time that solid particles of food in the stomach gave rise to more or less pain. A year or so later, vomiting began as a symptom. This vomiting was usually produced by the presence of food in the stomach. After the stomach was emptied the pain would cease, and the patient would be fairly comfortable until after another meal. On one or two occasions he had quite a perceptible show of fresh blood in the vomited material. This condition of painful digestion continued up to the time of my first examination. In addition to the above history I learned from the patient that large quantities of material would be thrown up that had been retained in the stomach for two or three days. As much as twelve or fourteen pounds of strongly acid, offensive

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