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Appendicitis by John Henry Tilden
page 37 of 107 (34%)
rigidity, and _vice versa. _This being true, the harm that must come
from keeping the stomach and bowels irritated by giving drugs and
food should be plain to any mind capable of reasoning and willing to
think.

The more food given the more gas, pain and rigidity, and the more
rigidity the more complete the obstruction, and the more complete
the obstruction the more retention of gas. I need not enumerate the
evils due to gas distention, for they should be apparent.

If the obstruction caused by the swelling incidental to the
hyperemia and inflammation is not already complete, the fixing or
muscular rigidity completes it. After the obstruction is complete,
if there is diarrhea, which is frequently one of the first symptoms,
it comes from below the cut-off.

The inflammation of the cecum and appendix is similar to
inflammations elsewhere; the capillary blood vessels become
engorged, the circulation becomes sluggish, and this causes
swelling; the tissues then grow dark from the congestion. This
condition is similar to tumefaction in general. which is favorable
to abscess formation.

When the local irritation and inflammation start with enough impetus
to evolve an abscess the parts become fixed, as stated above, and
the environing structures assume an attitude of alligated defense.
There is a drawing together of neighboring tissue; the momentum,
which should be recognized as the brood mother and care-taker of
everything vital in the abdominal cavity, joins with contiguous
structures and all become welded together by a friendly adhesive
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