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Cause of Death Decoder
Part 2
We translate the medical terms your ancestors' doctors used💡
Note: Historical medical terms were used inconsistently. The same symptoms might be called different things by different doctors in different decades. Causes of death on early records were often symptoms rather than diagnoses — "fever" or "convulsions" tell you what the person experienced, not necessarily the underlying disease. Use these translations as starting points, not definitive diagnoses.
Digestive
3 terms found
Bilious FeverDigestive
→ Liver-related fever, possibly malaria, typhoid, or hepatitis
A fever accompanied by vomiting bile. Could indicate malaria, typhoid, hepatitis, or other liver-related conditions. 'Bilious' referred to any condition involving the bile.
Common 1700s–1880sCholera MorbusDigestive
→ Acute gastroenteritis
Severe vomiting and diarrhea in adults. Not the same as Asiatic cholera. Could be caused by food poisoning, viral infection, or other gastrointestinal conditions.
Common 1700s–1900FluxDigestive
→ Dysentery or severe diarrhea
'Bloody flux' was dysentery. Plain 'flux' was any severe, prolonged diarrhea. One of the most common causes of death in colonial and frontier America.
Common 1600s–1880sBrain & Nerves
6 terms found
ApoplexyBrain & Nerves
→ Stroke (cerebrovascular accident)
Sudden loss of consciousness, often with paralysis. Almost always refers to what we now call a stroke. 'Died of apoplexy' was one of the most common death certificate entries for elderly people.
Common 1700s–1920sBrain FeverBrain & Nerves
→ Meningitis or encephalitis
High fever with delirium and altered consciousness. Usually refers to meningitis or encephalitis, though it could describe any severe infection affecting the brain.
Common 1700s–1900Congestion of the BrainBrain & Nerves
→ Stroke or cerebral hemorrhage
Essentially the same as apoplexy — a stroke or bleeding in the brain. Used when the doctor believed blood had accumulated in the brain.
Common 1800s–1920sFitsBrain & Nerves
→ Seizures / epilepsy
Any type of seizure or convulsion. In children, often caused by high fever ('febrile seizures'). In adults, could indicate epilepsy, stroke, or other neurological conditions.
Common 1700s–1920sNostalgiaBrain & Nerves
→ Depression / severe homesickness (military term)
A clinical diagnosis used in Civil War military records. Soldiers who became severely depressed, stopped eating, and wasted away were diagnosed with 'nostalgia.' Some died from it.
Civil War eraSoftening of the BrainBrain & Nerves
→ Stroke, dementia, or cerebral atrophy
A vague term used when a person experienced progressive mental decline. Could indicate stroke, Alzheimer's disease, syphilitic dementia, or other neurological conditions.
Common 1800s–1920sMaternal & Infant
8 terms found
Childbed FeverMaternal & Infant
→ Puerperal sepsis (postpartum infection)
A bacterial infection contracted during or after childbirth. One of the leading causes of death for young women before antiseptic practices became standard. Also called 'puerperal fever'.
Common 1700s–1940sCholera InfantumMaternal & Infant
→ Severe infant gastroenteritis
A deadly diarrheal disease of infants and young children, caused by contaminated milk or water. Killed vast numbers of children in summer months. Not the same as Asiatic cholera.
Common 1800s–1920sMarasmusMaternal & Infant
→ Severe malnutrition / wasting in infants
Progressive wasting in infants and young children from severe malnutrition or chronic disease. The child became skeletal. Often caused by contaminated or inadequate milk.
Common 1800s–1930sPuerperal FeverMaternal & Infant
→ Postpartum sepsis
Same as childbed fever. A bacterial infection following childbirth, caused by unclean hands and instruments. The leading cause of maternal death until Semmelweis and later Lister introduced antiseptic practices.
Common 1700s–1940sRising of the LightsMaternal & Infant
→ Croup or severe respiratory distress in children
A folk term for any severe breathing difficulty in a child, where the 'lights' (lungs) seemed to rise up in the chest. Usually croup or another upper respiratory obstruction.
Common 1700s–1880sSummer ComplaintMaternal & Infant
→ Infant gastroenteritis / cholera infantum
A catch-all term for the diarrheal diseases that killed enormous numbers of infants every summer. Caused by contaminated milk and water in hot weather before refrigeration.
Common 1800s–1920sTeethingMaternal & Infant
→ Various childhood illnesses coinciding with teething
Doctors attributed many infant deaths to teething. In reality, the timing of teething (6–24 months) overlapped with the age when maternal antibodies waned and children were exposed to infections. Deaths blamed on teething were actually from infections, diarrheal diseases, and fevers.
Common 1700s–1920sWorm FitMaternal & Infant
→ Seizure caused by intestinal parasites
Convulsions in children attributed to intestinal worms. Heavy parasite loads could indeed cause seizures, malnutrition, and death in children.
Common 1700s–1900Other
7 terms found
Bright's DiseaseOther
→ Chronic kidney disease (nephritis)
Named after Dr. Richard Bright. Refers to kidney inflammation and failure. Symptoms included swelling, high blood pressure, and protein in the urine.
Common 1830s–1920sCankerOther
→ Oral ulcers or gangrene
Could refer to mouth ulcers, gangrenous sores, or sometimes cancerous growths. The term was used loosely for any spreading ulceration.
Common 1700s–1880sDebilityOther
→ General weakness / failure to thrive
A vague term meaning progressive weakness. Often used for elderly people who gradually declined without a specific identifiable disease. Also used for infants who failed to thrive.
Common 1700s–1920sInanitionOther
→ Starvation / severe malnutrition
Death from lack of food or the inability to absorb nutrition. In infants, often indicated failure to thrive or inability to nurse. In adults, could indicate cancer, poverty, or mental illness.
Common 1800s–1920sMortificationOther
→ Gangrene
Death of body tissue, usually from infection or loss of blood supply. Could follow wounds, surgery, frostbite, or vascular disease.
Common 1700s–1880sScrewsOther
→ Rheumatism
Joint pain and stiffness, used colloquially for what we now call rheumatoid arthritis or other inflammatory joint conditions.
Common 1700s–1880sVisitation of GodOther
→ Unexplained sudden death
Used when the cause of death was unknown or when death was attributed to divine will. On coroner's records, it sometimes indicated that no foul play was suspected.
Common 1600s–1800s
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