202 DISEASES DUE TO BACTERIA 



Laudanum fomentations to abdomen for pain. 



Suppositories of morphia or cocaine for tenesmus. 



Or hypodermic injection of morphia gr. i. 



Reduce prolapse and apply hazeline or gall and opium ointment. 



Rectal tubes will permit gas to escape and allow of lavage, but pain 

 often contra-indicates this. 



After acute stage bismuth subnitrate gr. 10-20, two-hourly. 



Rectal enemata of boric or tannic acid. 



Milk and fruit good. 



Calomel, ^ gr., hourly, has been tried. 



Yellow santonin in olive oil and sour milk have their advocates. 



Appendioostomy will permit the washing out of the bowel from 

 above in gangrenous cases. 



(2) Chronic attacks. 



Treatment as for mild cases sometimes suffices. 

 Diet. — The bowel must have rest. 



Albumin water and whey only at first. Then diluted milk and 

 barley water with sodium bicarbonate. 

 Thin arrowroot, malted milk. 

 Chicken broth and milk puddings later. 

 Lightly boiled eggs and chicken. 

 In severe cases give small quantities two-hourly. 

 Food must be well masticated later. 

 Avoid much brandy, strong meat essences, and fruit. 

 High bowel irrigation of silver nitrate with buttocks raised. 

 Solution, l^-i gr. to the ounce. This gives the best results of all 

 astringents. Precede with two pints of i per cent, sodium bicarbonate 

 to remove mucus. Sera should be tried. 



Tannigen, gr. v, three to six times daily, or 



Tannalbin, gr. xv, three to six times daily have given good results. 

 Liquid paraffin is always good, soothing- the bowel, breaking up 

 the scybalous masses, and is mildly antiseptic. 

 Pilula plumbi cum opii, gr. iv, four-hourlv. 

 Autogenous vaccines can be tried. 

 Appendicostomy is preferred bv some. 

 (3) lufaniilc diarrhoea. 



Castor oil 5i-5ii, followed by calomel gr. 1, or grey powder gr. ^ 

 each hour until six doses have been given in a child of two vears. 

 Later tannigen gr. iii oi- tannabin gr. v, ihree-hourh'. 

 Sera are good when bacilli are diagnosed, 5-10 c.c. twice daily. 

 Treat convulsions by bromides, gr. xv in enemata. General prin- 

 ciples hold good. 



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