ANTE PARTUM VAGINAL PROLAPSE 107 



ly it is not far from tlie anus. (In one case we saw a 

 necro-ulcerative area affecting the rectal mucosa the 

 size of a small hand.) This must be thoroughly cleaned 

 and cauterized; laxatives and tonics prescribed and 

 rectal irrigations persisted in until the area is healed. 

 The vaginal prolapse disappears with the healing of 

 the rectal lesion. 



Where neither the rectal trouble nor abnormalities 

 in the sub-urethral fossa are found, good results fre- 

 quently come from aiming treatment at vesical tenes- 

 mus. Stramonium gives the best results in half-dram 

 doses three times daily. A few doses of salol, about 

 a dram each, in the beginning help to hasten results. 



In still other cases the most careful and thorough 

 examination fails to disclose the cause of the pro- 

 lapse and the condition resists all treatment; but in 

 these and in fact in all cases acetanilid, in rather small 

 doses (one to three drams) every three hours is some- 

 times markedly palliative and will hold the straining 

 in abeyance until the normal time for parturition ar- 

 rives; when help must be given the animal to enable 

 her to deliver the fetus. Usually the acetanilid will 

 need to be given only every fourth to seventh day to 

 prevent straining. 



In all cases, no matter what the abnormality pro- 

 ducing the condition, the veterinarian must not neg- 

 lect to treat the lesions in the vagina, such as ulcers 

 or other injuries resulting from contact of the mass 

 with the floor while the cow has been recumbent. 



When eversion of the vagina occurs in a marked de- 

 gree in an aged cow in unthrifty condition it is, as a 

 rule, a good plan to consign the animal to the can- 

 nery. In the event that the owner requests that some- 

 thing be done in such instances the treatment must in- 

 clude measures aimed at the restoration of the general 



