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1033 compelled to cease work. The desire to evacuate a stool was almost incessant, but the attempt to do so was ineffectual and caused much pain. He had no difficulty in micturition ; never-had any hæmaturia. On admission, the patient's aspect was that of a healthy man worn by constant pain, but fairly well nourished. He was unable to sit, owing to the pain caused thereby. He complained of constant pain, referred to the region of the rectum, with an incessant desire for the bowels to act. Overdoi:10.1016/s0140-6736(02)23341-3 fatcat:mpr7wymabbfrhc6rabbtk3vobi