Word: ulcer
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Dates: during 1960-1969
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After a briefly encouraging recovery, Kasperak again began to bleed internally, this time from "stress ulceration." In yet another operation, Dr. Harry Oberhelman Jr. closed the bleeding sites in the duodenum and cut the vagus nerve to reduce the stomach's output of digestive acids. But these measures, plus massive transfusions, failed to halt the bleeding, and Kasperak was soon back in surgery. In another 21-hour operation, the surgeons tried to stanch the bleeding from an ulcer high in his stomach, and removed his spleen in the hope of improving the clotting quality of his blood...
...physical relaxation and no mental release at all from the relentless pressure of running an establishment now spending some $76 billion a year and employing 4,500,000 people. This year he has had to bear the added strain of his wife Marge's illness. "She has my ulcer," McNamara has said casually, hinting that his worries have rubbed...
...bowel, commonly associated with nervous conditions, frothing or foaming may occur. A useful remedy: dimethylpolysiloxane with pepsin (trade name: Phazyme), which both improves digestion and combats gas formation. Some patients need enzyme medication to ensure more thorough digestion, while others should have anticholinergic drugs (like those commonly prescribed for ulcer) to slow down muscular activity in the intestines...
Nearly as many gas patients, about 20% of the total, produce either too much or too little gastric acid. Shortage of acid favors establishment of abnormal bacteria that ferment food in the intestines; this condition usually can be corrected by medicine containing dilute hydrochloric acid. Hyperacidity and peptic ulcer may lead to an excess production of carbon dioxide, and hence to flatulence, through the interaction of gastric acid on bicarbonates from the digestive juices. Standard ulcer medicines -antacids in liquid or tablet form-and diet should relieve this type of gaseousness...
...often occur. Less than 50% of all cases of pulmonary embolism (in which a massive blood clot travels to the lungs) is correctly diagnosed before death. In 200 cases of bleeding from the gastrointestinal tract, the diagnosis was wrong 33% of the time, and 37 cases of bleeding peptic ulcer were missed. Among 85 cases of liver abscess, 53 were unsuspected until the autopsy...