Inactivity of the bowels is often one of the most troublesome difficulties with which the dyspeptic has to contend. Two of its most potent causes we have not before mentioned, but call attention to them here as they have an important bearing on treatment; viz., the use of purgatives, and carelessness respecting the observance of the calls of nature. The latter cause is especially common with women, particularly those who reside in the country, where accommodations for the purpose are by no means so convenient as in the larger cities, where indoor conveniences are almost universal. With most people, the bowels naturally move in the morning, before or just after breakfast. If the duty is neglected when it should be performed, the bowels become in some degree tolerant of their contents, so that the call is less vigorous; and the neglected organs may become so dormant that they may cease to demand relief. The most obstinate cases of constipation are produced in this way.

Other symptoms which are present in dyspepsia in common with other diseases of the digestive organs, as pain, hiccough, foul breath, unnatural appetite, etc., are considered in the section devoted to symptoms at the close of the section on the diseases of the digestive organs. Symptoms dependent upon derangement of the nervous system, the circulation, etc., are dwelt upon in their proper connections.

We will now point out with greater definiteness than heretofore the distinguishing features of the several forms of the disease, and the general line of regimen and treatment necessary to effect a cure in each class of cases.