Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/99

 I.—Of the Symptoms of the Irritant Poisons, compared with those of natural diseases.

The symptoms caused by the irritating poisons, taken internally, are chiefly those of violent irritation and inflammation of one or more divisions of the alimentary canal.

The mouth is frequently affected, especially when the poison is easily soluble, and possesses a corrosive as well as irritating power. The symptoms referrible to the mouth are pricking or burning of the tongue, and redness, swelling and ulceration of the tongue, palate, and inside of the cheeks.

The throat and gullet are still more frequently affected; and the affection is commonly burning pain, sometimes accompanied with constriction and difficulty in swallowing, and always with redness of the visible part of the throat and gullet.

The affection of the throat and mouth precedes every other symptom when the poison is an active corrosive, and more particularly when it is either a fluid poison or is easily dissolved. Nay, sometimes burning pain of the mouth, throat, and gullet occurs during the very act of swallowing.—On the contrary if the poison is soluble with difficulty, and is only an irritant, not a corrosive, and still more if it is only one of the feebler irritants, the throat is frequently not affected sooner than the stomach, occasionally not at all.

The stomach is the organ which suffers most invariably from the operation of irritant poisons. The symptoms referrible to their operation on it are acute and general burning pain, sometimes lancinating or pricking pain,—sickness, vomiting, tenderness on pressure, tension in the upper part of the belly, and occasionally swelling. Of these symptoms the sickness is generally the first to develope itself. In the instance of corrosive irritants pain commonly commences along with it. The matter vomited is at first the contents of the stomach, afterwards tough mucus, streaked often with blood and mingled with bile, frequently clots of purer blood. The powerful corrosives affect the stomach the moment they are swallowed; irritants which are either liquid or very soluble also affect it very soon; but the more insoluble irritants, such as arsenic, generally do not begin to act till half an hour or even more than a whole hour has elapsed.—The stomach may be affected without any other part of the alimentary canal participating in the injury; but much more frequently other parts suffer also, and in particular the intestines.

The action of irritant poisons on the intestines is marked by pain extending over the whole belly, sometimes even to the anus. This pain, like that of the stomach, is often a sense of burning; but it is also frequently a pricking or tearing pain, and still more frequently a twisting, intermitting pain like that of colic. It is seldom attended with much swelling, but often with tension, and tenderness of the whole belly; and at times the inflammatory state of the mucous coat of the intestines is clearly indicated by excoriation of the anus and prolapsus of the rectum, which is of a bright red colour. The pain