Gulp: Adventures on the Alimentary Canal

by Mary Roach

Here’s how badly people want to chew. Recall that dysphagia may knock out the reflex that repositions the larynx (voice box) to allow food into the esophagus. Jennifer Long told me these patients have on occasion asked to have their voice box surgically removed so they can swallow again. In other words, they would rather be mute than tube-fed.

The authors concluded their work with a word of advice for constipates (to use the exotic and rarely employed noun form): “Follow each call to the stool.” Or, in the words of a British physician quoted in Inner Hygiene, James Whorton’s excellent and scholarly* history of constipation, “Allow nothing short of fire or endangered life to induce you to resist . . . nature’s alvine† call.”