His thirst was intense, but he secreted urine
natural in quantity and quality. Nothing seemed to benefit him,
and purgatives only augmented his trouble. His feces came in
small, hard balls. His tongue was always in good condition, the
abdomen not enlarged, the pulse and temperature normal.
Emily Plumley was born on June 11,1850, with an imperforate anus,
and lived one hundred and two days without an evacuation. During
the whole period there was little nausea and occasional
regurgitation of the mother's milk, due to over-feeding. Cripps
mentions a man of forty-two with stricture of the rectum, who
suffered complete intestinal obstruction for two months, during
which time he vomited only once or twice. His appetite was good,
but he avoided solid food. He recovered after the performance of
proctotomy.
Fleck reports the case of a Dutchman who, during the last two
years, by some peculiar innervation of the intestine, had only
five or six bowel movements a year. In the intervals the patient
passed small quantities of hard feces once in eight or ten days,
but the amount was so small that they constituted no more than
the feces of one meal. Two or three days before the principal
evacuation began the patient became ill and felt uncomfortable in
the back; after sharp attacks of colic he would pass hard and
large quantities of offensive feces.
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