A flatulent distension of the bowel, with accompanying unpleasant noises (borborygmi), is met with occasionally in young subjects, especially women, and in the later years of life. There may be no other symptoms of indigestion.

Treatment should be directed to improving the general health in every way by the administration of general tonics. Those patients are usually of a nervous temperament, and the condition is aggravated by the attention devoted to it. The diet should be simple and nutritious, farinaceous foods and sweets should be restricted to a great extent, and the bowels must be carefully regulated. The daily administration of some buttermilk or some physiologically active preparation of lactic acid bacilli will be found of value in treatment.

In elderly subjects similar rules of treatment apply. Benefit is also obtained by largely restricting the amount of fluids and soups given at meals. A dry diet is therefore useful, fluid being given on an empty stomach an hour before food. Such articles of food as new bread, scones, potatoes, cabbage, sprouts, uncooked fruit or cooked fruit eaten with much sugar, aerated waters, and beer should be avoided. The dry diet recommended on p. 407 will be found helpful.