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linca spina u. dextra, but this is not positive, as when per- cussed there he feels the pain more in the epigastrium, in the median line. Likewise when percussion is made over the left linea. November 9th. Test breakfast, one hour ; tube. 25 c. c. Stomach contents, bread and fluid, ordinary appearance ; bread Cheap Cialis Online Canada well worked up. React, blue litmus 4- React Congo -|- (str. ) React. : Pliloroglucin van + free HCI. 58. Total acidity, 73. Reported he had ver>' much heartburn last night Diagnosis: Angina pectoris. Hyperacidity of the gastric secretion. Trailmcnt : Diet: Milk (all milk warm with pinch of salt). Eggs (poached or medium or cold hard boiled) ; cereals, except oatmeal, white bread and butter. Vichy. Medication : Sodii iodide, six grains thrice daily. November 14th. For the first three days he felt somewhat better, but for two days has felt very bad again, has much pain; short sharp pains in upper third of the thorax (on both sides). Heartburn. Headache. All his bones ache. Restless night ; tongue gets dry in the night, feels stiff like leather ; he must get up several times and rinse his mouth with water. He is constipated. Direc- tions: Leave off the sodium idodide. For the stomach, an alkaline powder with bismuth Cheap Cialis Online Canada and extract of hyoscyamus four times a day. For bis bowels, phenolphthalein tablets as required. For the drying of his tongue (due most likely to his sleeping with his Cheap Cialis Online Canada mouth open), a nasal spray of albolene and menthol to be used at bedtime. For the pains in chest and hones, novaspirin as required ; locallv a sali- cylated unguent. November 25fh. Still has some pressure, especially after eating; still much heartburn, though less than before. When he has the Cheap Cialis Online Canada pressure, he feels as if something were coming ui> into his throat. Sleeps well. Changed the t>owdcr slightly. Continue diet as before. November ^-fb. He telephoned this morning, no more heartburn, but much pressure. To leave off the powders and resume the sodium iodide. December 5th. Some days he has no pain at all. Still feels it when he walks fast Had some heartburn this week ; thinks the drops may have 966 Cheap Cialis Online Canada ILLOWAY: GASTRIC SECRETION AND ANGINA PECTORIS. [New York dical journai cauFcd it. As, possibly, tlie pain may be due in part to atmosplieric changes (rlieumatic), changed the medication to a belladonna pill (Trousseau) Cheap Cialis Online Canada in the morning and sodium salicylate, twelve grains thrice daily. December I2th. Weight 133J4 pounds. Says the Cheap Cialis Online Canada pressure is the same as before. Sometimes so severe that he Cheap Cialis Online Canada feels it in both arms, especially when he walks uphill or upstairs, and more especially if he walks right after eating. He feels more desire Cheap Cialis Online Canada for food ; gets hungry more frequently. Sleeps better. (Had a sore throat a few days ago. Must have had an ulceration on his left tonsil ; some traces of it still to be seen. Use an antiseptic mouth wash and gargle.) Gave him a Faradization (manner of Duchenne). Potas- sium iodide. Admitted that he does not belch as much Cheap Cialis Online Canada as before and the pressure under the heart (gastrothoracic region) is not as strong. December igth. Still complains of the pressure after eating. He has gained in weight (135M pounds). Continue diet as before directed. For the pressure take : Bismuth siibnit gr. v ; Sodii bicarb., gr. iii ; Pancreatin, gr. v ; T. nux vomic, Mss. 3. M. Ft. pulv. one thrice daily, five minutes after meals. If necessary take a powder at bedtime. Continue the potassium iodide. January 4, 1916. He has had two at- tacks of grip; cough. Has a morphia or (codeia) cough mixture prescribed by the family practitioner, but feels very bad; cough racks him; has pains in his back; his nose is stuffed. Complains of pains in his epigastrium. Examined his lungs ; did not discover anything except a slight bronchial irritation. Ordered him a mild expec- torant mixture of ammonia carbonate and syrup of squills, and aspirin, ten grains, to be taken at bedtime. January qtli. His cough is much better. Thinks he has had more press- ure since taking tlie iodide. After the powders he belches very much and loudly (can be heard at a distance), espe- cially morning and noon, not so much at night when he is at home for dinner. The pressure under his heart (noted above) is gone. Continue the cough mixture and resume the powders. January 20th. Telephoned he is feeling much better.i To continue treatment as directed. February 6th. He felt vviell till yesterday, when he ate something which disagreed with him (which was not in his diet list). A hot feeling in bowels. Pressure is gone. On the whole he feels much better and stronger. Complains of pain on left shin. For the bowels infusion of chamomile flowers. If the pain on the shin should continue, take a mixture containing sodium salicylate, leaving off then all other medicines. February 14th. Has been having pains over different parts of his body, which seem to be of a rheu- matic character. They are apparently influenced very much by atmospheric changes ; he feels good in fine weather and gets worse when stormy weather is coming. He has lost somewhat in weight; now 131 54 pounds. He also had a slight return of the pressure in the chest. Prescribed some antirheumatic medication (a vegetable pill). Advised a trip to Mt. Clemens. March 20th. Telephoned he thought the antirheumatic pills did not agree with him any more. He belches more since taking them. Says he slept heavier and felt heavier when he awoke in the morning. To stop the pills for three days and take the powders instead ; then resume the pills for three days and report. April 4th. An examination of his urine shows a faint trace of albumin, a few small uric acid crystals. Urotropin tablets. On April 23CI he came in to Cheap Cialis Online Canada say he is fifty per cent, better. Has no cratiips, though he still belches considerably. Pressure only occasionally and then not marked. He has lost in weight, now 1273/^. This, I believe due to the rheumatic attacks Cheap Cialis Online Canada of vari- ous character which he has had since the early part of February. Examined his Cheap Cialis Online Canada heart. Could not de- tect anything abnormal. Pulse sixty, of fair force; soft. He is tired of his diet, does not eat with pleasure, belches Cheap Cialis Online Canada much after eating. Allowed him a full diet with necessary regard to his hyperacidity. As he complains of his eyes I advised him to consult