Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . quantity of hydrochloric acid, alkaline food interferes withdigestion. The prominent manifestations of senile degeneration of thestomach arise from atony and waste of the muscular fibers,diminution in the quantity of gastric juice and hydrochloric acidand atrophy of the mucous membrane. As a result of these senilechanges we have atonicity and dilatation of the stomach,weakenedpropulsive power, prolonged retention of food, slow digestionof proteids


Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations . quantity of hydrochloric acid, alkaline food interferes withdigestion. The prominent manifestations of senile degeneration of thestomach arise from atony and waste of the muscular fibers,diminution in the quantity of gastric juice and hydrochloric acidand atrophy of the mucous membrane. As a result of these senilechanges we have atonicity and dilatation of the stomach,weakenedpropulsive power, prolonged retention of food, slow digestionof proteids and occasionally also insufficiency of the indiscretions will produce acute indigestion and gas-tric asthma and if prolonged, a chronic senile catarrh will resultwhich may predispose to cancer. Gastric Atonicity Etiology.—Owing to the loss of tone of the muscular fibers theperistaltic waves are slower, the wave ring of circular fibersdoes not contract as powerfully, contractions of the cardiacportion are also slower and less powerful and food is not propelledas rapidly toward the pylorus nor is the food mixed as thoroughly. Myofibrosis (Chronic Myocarditis). (Schmaus.) X 150diameters, m. Cardiac muscle-fibers, b, b. Newly formedfibrous connective tissue. This can often be demonstratedto be of different ages, and in the older parts calcareouschange may have occurred. SENILE DEGENERATION OF THE STOMACH 107 with gastric juice. If food has been bolted without propermastication, it may be retained in the stomach for many hoursor it may pass into the duodenum unchanged. While there is a natural loss of tone of muscular fiber in oldage, this atonicity is increased by overfeeding, by ingestion oflarge quantities of liquids, by swallowing food in lumps, especiallymeats, and by a constant state of mental excitement such asworry, rage, etc. Symptoms.—The symptoms of atonic dyspepsia are, afeeling of distress or bloating lasting for several hours after ameal; occasion


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Keywords: ., bookcentury1900, bookdecade1910, bookidger, booksubjectgeriatrics