Pain Its Causation And Diagnostic Significance in Internal Diseases

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In this position the heavy organ drops towards the left side and the patient feels a drawing pain which extends from right to left. If DIGESTIVE SYSTEM 239 the capsule of the liver is inflamed this change of position of the liver gives rise to extreme pain, and, in such cases, the patient voluntarily prefers to lie flat upon his back; thus immobilizing the organ.
Very frequently stooping gives rise to great pain in the back.
Attacks of pain of intestinal origin are not rare in carcinoma of the
...liver. These are due, on the one hand, to direct infiltration of the colon from the gall-bladder and consequent moderate obstruction.
On the other hand, there frequently exists a tendency to meteorism which leads, by a local collection of flatus, to attacks of a colicky nature. These attacks are easily controlled by emptying the bowels.
Much more marked than in carcinoma of the liver are the pains which accompany liver gummata, and these are so regular that in all cases where pains occur in the liver region it is necessary to think of this possibility.


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