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Meaning of the bottom split out of...

Hi
Do you know the meaning of "the bottom split out of his stomach..." In this extract of O'connor's novel?
"...The boy sensed that this was the heart of his great-uncle's madness, this hunger, and what he was secretly afraid of was that it might be passed down, might be hidden
in the blood and might strike some day in him and then he would be tornby hunger like the old man, the bottom split out of his stomach so that nothing would heal or fill it but the bread of life.
He tried when possible to pass over these thoughts, to keep his vision located on an even level, to see no more than what was in front of his face and to let his eyes stop at the surface of that.”
Thank you

For learning: English
Base language: English
Category: Language

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    It just means that the boy is scared in case his great-uncle's madness was passed down to him, and that someday it might strike inside him. And that the bottom of stomach will give out and that his stomach will resemble a bottomless pit and he will therefore feel internally empty. Only the bread of life will then satisfy his hunger.

    It is not a common phrase. I don't think I have ever seen it, but it would mean that there would be some type of hunger that could never be satisfied.

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