The Goulstonian Lectures On the Sensibility of the Alimentary Canal

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The severer attacks of pain are probably due to exactly the same cause as ordinary intestinal coUc, the further progress of the intestinal contents forced forward by a peristaltic wave being prevented by the tonically con- tracted condition of the bowel, so that they distend the intervening portion and give rise to pain ; or the tension on the wall of the contracted colon may be increased by more faeces being forced into it. Consequently the pain is relieved when further distension is prevented... by the removal of the contents of the colon by an enema, although the actual passage of the faeces and water through the contracted bowel may give rise to a sufficient increase in pressure to cause considerable pain. The pain in lead colic is probably due to a similar combination of peristalsis and spasm to that which occurs in severe cases of spastic constipation.
PAIN 71 Uncomplicated intestinal pain is only accompanied by true visceral tenderness when it is a result of enterospasm or of tetanic contraction occurring above a growth.


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