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She is still continuing in excellent health, gaining in weight and strength and she considers herself perfectly cured. Case II. — Miss J., price imitrex without insurance twenty-seven years of age, re- ferred to me by Dr. Shulman with a diagnosis of chron- ic peptic ulcer of eighteen months' duration. She com- plained of being bloated after meals, of pressure in the epigastrium and of severe pain half an hour after the ingestion of even the lightest food, as milk or water. She hadn't eaten solid food for a long time, because of the severe pain it caused imitrex cost per pill her. She was always nauseated and vomited very sour material occasionally. In addition she imitrex generic no prescription suffered from heartburn, sour eructations, retail price imitrex severe headaches, and ob- stinate constipation. She had been steadily losing weight and strength, having been reduced from 140 to 105 pounds. The stomach was found within normal limits in extent and an anterior and posterior pain point was elicited. The large intestine was in a state of spastic imitrex cost canada contraction. I did not consider it safe to sound her stomach and have therefore not tested its functions. The usual ulcer treatment and diet had no effect on the pain, so I was compelled to have recourse to rectal alimentation, which I continued for a week. For two months she was buy imitrex injection online kept on a carefully regulated diet with the result that she made, apparently, a complete re- covery. The pain after meals disappeared entirely, as did also the anterior and posterior pain points. The headache, nausea, pyrosis, distention of the stomach, constipation, and all the is there a generic form of imitrex other unpleasant symptoms did not recur since. Eight months after the beginning of treatment her weight reached 130 pounds and she at- tended her work without discomfort. I had full control over her diet for six months, and I ascribe her continued well being to this fact, as many recurrences arc caused by indi-scretions in diet which are sure to occur if the patients are left to themselves. As far as can be judged from objective and subjective signs she made a complete recovery. Chronic ulcer of long duration is considered preeminently a surgical disease. I doubt, however, if surgery could have imitrex available generic form ac- complished more, if as much. Case HI. — Mr. H., sixty-six years of age, carpenter, suffered for two and a half years with intense pain in the epigastrium, which was intensified after a meal. No nausea or vomiting at any time, best price imitrex but he suffered from heartburn and the belching of ill smelling gas. During that long period he was never entirely free from pam ; he would not touch solid food, restricting his diet to milk and cereals. As a result of this starvation diet he was reduced to almost a skeleton, had become ex- tremely anasmic and had to abandon his work. The patient consulted me on the 24th of October, 1905, regarding the advisability of an operation for the relief of his suffering. He was convinced that he had a cancer of the stomach, having been told buy imitrex nasal spray online so by several physicians. The last physician he consulted pro- nounced it carcinoma after a cursory examination, and told him frankly that he could do nothing for him in the way of treatment, but that he might imitrex generic form try x ray treat- ment or undergo an operation as imitrex cost us a last resort. His general appearance suggested a cachectic state and my first impression rather favored a diagnosis of malig- nancy. A moderate price imitrex dilatation of the stomach was found on examination, and a small imitrex generic release date sized, rather hard, but smooth tumor, tender on moderate pressure, and evidently belonging to the anterior gastric wall. All the other abdominal organs, with the exception of a spastic contraction of the colon, were apparently nor- mal. No enlarged glands could be made out anywhere. The price imitrex nasal spray rectum was free as far as the finger could reach. buy imitrex online uk The buy cheap imitrex online stomach contents, after a test breakfast, showed a normal acidity, sarcina;, no blood or mucus. The history, supported by the result of the examination of the stomach contents, and the absence of enlarged glands, was sufficient evidence to refute the diagnosis of a malignant growth. The tumor on the anterior wall of the stomach impressed me as being due to the indurated edges and scarring of an old imperfectly healed ulcer. At the end of three months he was so far improved that he was in condition to resume his work. The greatest difficulty in his treatment was encountered in overcoming his prejudice, or rather fear, of food. I carefully regulated his diet from week to week, depend- ing to a great extent on sweet butter, cream, and olive oil, which last served me wonderfully well in this case. It is now fifteen months since I last treated him and he still keeps well. He has how much does imitrex cost not missed a day from his buy imitrex online canada work, and his general appearance is that of a perfectly well man. On several occasions he has had an attack of gastralgia which he ascribed to overindulgence in forbidden food. The few cases, which I have cited, were selected for their chronicity with a view to illustrating that chronic cases, notwithstanding their prolonged dura- tion, can be benefited medically. I fully recognize the value of surgery in chronic digestive disorders,

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