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Stricture of the Gullet.The symptoms first noticed are difficulty of swallowing, which has usually lasted for years and has gradually grown worse. In addition to this there occur spasms during the act of swallowing which sometimes compel the patient to reject the food taken into the mouth. Swallowing frequently produces pain in the chest which shoots upward toward the head and backward between the shoulders. The causes of this difficulty are various ; in many cases it results from the accidental or intentional swallowing of corrosive liquids, such as nitric acid or carbolic acid ; in other instances it results from a constitutional taint, such as syphilis ; in a great many cases there is no apparent cause for the difficulty. Treatment.-The treatment of the affection consists almost entirely in the introduction of flexible instruments, made for the purpose and called bougiesy into the oesophagus. If the surgeon can introduce an instrument through the narrow part of the oesophagus, he can usually succeed by gradually increasing the size of the bougie, in rendering the opening sufficiently large to relieve the patient from the most distressing symptoms. Sometimes a stricture of the oesophagus is caused by the growth of a cancer at some point in the tube. In this case the patient is apt to vomit frequently, the matter ejected being streaked with blood Sometimes severe hemorrhage occurs from the cancer, the blood escaping into the stomach or rising into the mouth. When the stricture is dependent upon such a growth, there usually remains but one mode of relieving the patient-an operation must be performed whereby a tube can be introduced into the stomach, and food administered in this way. If the growth be a cancer, such an operation can, at most, prolong the patient's life some time, and relieve his suffering; he will, of course, ultimately die of the disease. But first, if you want to come back to this web site again, just add it to your bookmarks or favorites now! Then you'll find it easy! Also, please consider sharing our helpful website with your online friends.
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