COLICS OF THE SOLIPED 35 



The pains are sharp and diagnostically intermittent, 

 alternating with periods of what seem to be perfect 

 health ; the abdomen has a tucked-up pleuritic look ; peri- 

 stalsis is augmented, causing abnormal intestinal sounds 

 of a metallic character ; diarrhea often becomes an asso- 

 ciated symptom and though spasmodic colic will not, as 

 a rule, cause great concern, it may lead to ruptures, vol- 

 vulus or intussusception, consequently it should be seri- 

 ously regarded in those instances where pain-free inter- 

 vals become shortened, alternated with lengthening pe- 

 riods of uneasiness of increasing severity. 



Verminous Colic 



This paper, did time permit, could even yet be am- 

 plified to greater completeness were I to include rupture 

 of the stomach, bowel and diaphragm and other espe- 

 cially applicable conditions, but having already carried 

 my remarks beyond all conservatism, I inust close with 

 but the briefest reference to verminous colic resulting 

 from an intestinal invasion of lumbricoids, particularly 

 certain of the ascaridae, oxyuridse and strongylidse. 



The pains in colics from these causes are usually 

 recurrent and mild unless associated with severe disturb- 

 ance of the mucosa. As differentiating symptoms we 

 may mention chronicity, emaciation and the discharge of 

 ova and of mature parasites per rectum. 



