Breath foetid, dryness of mouth, ulceration, aphthae. The stomach has no ability to digest food. Assimilation is also destroyed. Pains in the abdomen, tearing, like colic, doubling the patient up. At times the abdomen does become concave, as if the abdomen and back were too close together.
Constipation is a common and well known feature.
The constipation, colic, and abdominal symptoms are commonly associated. No matter how much straining he cannot expel the stool. Rumbling and flatulence. Impaction of faeces. Vaginismus in keeping with the spasmodic action.