HORSE MANAGEMENT, ETC. 391 



recommendable, especially when there appears any pain or diffi- 

 cnlty iu giving exit to the feces." 



Hemokrhoids, or Piles in the Horse. 



The following case of piles, occurring in the practice of Mr 

 P, "Wals, Y. S., is here introduced from the " Veternarian : " 



"On the evening of March 13, 1851, I was summoned hastily 

 to attend a brown carriage-mare, belonging to an employer about 

 a mile distant from Norwich, which was reported to have some- 

 thing * bloody ' hanging out of her rectum. The coachman who 

 came said it had made its appearance two or three times during 

 the day after dunging, but had always returned again, until just 

 before he left home, when a portion of it was left out, and the 

 mare became very uneasy. On my arrival, I found, as reported, 

 the mare in pain, indicated by a peculiar switching or lashing of 

 the tail, and stamping of the hind feet; but she had not lain 

 down, although she made several attempts to do so. It first struck 

 me as a case of prolapsus ani, but, on examination, it proved to be 

 a true case of piles. The tumor protruding was about the size of 

 a duck's egg, presenting pieci»eiy the appearance of a pilous graj)e 

 in the human subject, only, of course, much larger. I had some 

 difficulty in returning it, in consequence of the powerful action 

 of the sj^iinoier ani, which, no doubt, accounted for the pain; but,, 

 having accomplished it, the mare became easy, and continued bo 

 for some little time. I thought it right, however, to have her 

 removea to my infirmary, as I anticipated a return of the tumor 

 when she again dunged, in which I was not deceived, since, on her 

 arrival at my stable, I found it out again. On making a more 

 minute examination, I discovered smaller tumors round and about 

 the larger one, the latter, however, being the only one that ])ro- 

 truded. The mare being naturally of an irritable temperament, 

 ind consequently dunging more frequently than one less so would 

 have done, induced me to have a careful assistant remain up with 

 hir during the night, for the purpose of returning the tumor 

 wl mever it made its reappearance, whicii it invariably was said 

 to do after each evacuation, pain being constantly present at such 

 time. 



Reflecting on the case next morning, and o')Scr\'ing consider- 

 able mischief was being done by the necessary manipulation. 1 



