ABDOMINAL PAIN DUE TO HYPOTHYROIDISM

Reference has been made by Crile1to the association of hyperthyroidism with gastric and duodenal ulcers, but having had an opportunity from Jan. 1, 1928, to Oct. 1, 1931, to observe 444 ulcers in the gastroenterologic clinic of the Fourth Medical and Surgical Divisions of Bellevue Hospital, my associates and I were unable to detect any patient with an ulcer and a goiter, or with hyperthyroidism. Of the ulcers seen, there were 318 cases in which operation had not been performed and 126 postoperative cases admitted to the clinic. During the past seven years in the thyroid clinics at the New York Post-Graduate Hospital and St. Mark's Hospital, 1,173 cases of goiter have been seen, and in none of these was there a history of pain referable to the stomach or the duodenum. I myself have seen and am familiar with all the aforementioned stomach and goiter cases, and