16.8 
HINTS TO TRAVELLERS. 
every evening till it eventually reaches 108° or 104° F. There may be 
some cough, and often this symptom is a very troublesome one. 
The belly is usually distended and slightly tender, and there may or 
may not be the characteristic typhoid rash, consisting of rose-pink 
circular, slightly raised spots, about the size of a large pin’s head. 
These spots are frequently absent, and then one must be guided by the 
presence of other symptoms. 
The 'possibility of typhvid fever should always be remembered in cases 
where there is constant fever , unaccompanied by any definite symptoms, such 
as the recurrent shiverings of malaria , or the spitting of blood in pneumonia . 
Treatment .—Absolute quiet in bed. If constipated, bowels should be 
kept open by soap and water enema only. If there is much diarrhoea it 
should be controlled by the injection of a large warm-water enema, 
followed, after its evacuation, by an opium enema. 
Milk only (three to four pints daily) should be given during the whole 
course of the illness and till ten days after the temperature has des¬ 
cended to, and remained, normal. Stimulants, if pulse is feeble and 
rapid; opium if there is much pain. If bleeding occurs from the bowel, 
an ice poultice or co^-water cloths should be applied to the belly; ice 
may be given to suck; opium and an astringent, such as tannin, ad¬ 
ministered by the mouth, or an opium enema be given. Milk should 
be given in small quantities only, and to each half pint five grains of 
bicarbonate of soda should be added. 
Urotropin, ten grains, twice a day, may be given to disinfect the 
urine. 
The motions must be burned, or carefully disinfected. 
Coryza , or cold in the head . 
When a cold is confined to the head it can usually be cut short by 
retiring to bed early, taking a ten-grain dose of Dover’s powder, followed 
by hot drinks to encourage the perspiration which the action of this 
drug produces, together with the use of as many additional bed-clothes 
as can be borne. Care must be taken to avoid chill on the following 
morning. In tropical regions five grains of quinine should be added to 
the dose of Dover’s powder. 
