Acute Croupous Cystitis. 255 



The bowels should be kept open b}^ an occasional saline laxa- 

 tive, pain moderated by codeine, and abundance of pure water 

 and a laxative diet enjoined. Linseed tea, and infusions of slip- 

 pery elm or marsh mallow have long been employed, and by 

 soothing and relaxing the bowels they act favorably on the 

 urinary mucosa. Stimulants of the urinary track like buchu, 

 uva ursi or copaiba in small doses, or antiseptics like creosote, 

 boric acid, salicylic acid, peperazine, are available in .slight ca.ses or 

 when the acute symptoms have subsided somewhat. With prior 

 infection of the kidneys, the latter may be used. Con.stant drain- 

 age ma}'^ be necessary to avoid distension. 



Perfect rest is absolutely essential, a re.stricted laxative diet, 

 and a careful avoidance of cold, and stimulants. 



When urine is retained it should be removed with a thoroughly 

 aseptic catheter. 



In case of blood clots in the bladder, wash out with a boiled 

 normal salt solution. 



ACUTE CROUPOUS CYSTITIS. 



This has been found to follow the use of cautharides and other 

 irritant diuretics, and to follow on certain specific diseases. Its 

 nature is that of catarrhal inflammation, but with a fibrinous 

 product or false membrane formed more or less extensively on the 

 inflamed mucosa. 



Symptoms are essentially those of catarrhal cystitis from which 

 it is distinguished by the presence in the urine of flakes of the 

 fibrinous membrane. 



Treatment is essentially the same as in the catarrhal form, to 

 which may be added the injection of a solution of 4 grains .scale 

 pepsin to the ounce of .sterilized water. The boric acid solution 

 may be of the strength of 20 per cent. Irrigate two or three 

 times a day. 



