. Diseases of the rectum and anus: designed for students and practitioners of medicine. cording to the ex-tent of the prolapse, the condition of the mucous membrane,and the patients ability to endure them. It is always best to 393 DISEASES OF THE RECTUM AND ANUS dilute them when they produce nausea or colicky pains in theabdomen. When these remedies have been given a fair trial andfail, Allingham recommends the application of nitric , on the other hand, deprecates its use becaiise of theuncertain amount of sloughing- which follows. The author has successfully applied nitric acid fo
. Diseases of the rectum and anus: designed for students and practitioners of medicine. cording to the ex-tent of the prolapse, the condition of the mucous membrane,and the patients ability to endure them. It is always best to 393 DISEASES OF THE RECTUM AND ANUS dilute them when they produce nausea or colicky pains in theabdomen. When these remedies have been given a fair trial andfail, Allingham recommends the application of nitric , on the other hand, deprecates its use becaiise of theuncertain amount of sloughing- which follows. The author has successfully applied nitric acid for the reliefof prolapse in children. The surrounding parts are first pro-tected by vaselin, and linear cauterization made with the acid,applied by means of a glass rod. The length of the cauterizedlines and distance apart will depend upon the extent of theprotrusion. The cauterization being completed, a piece ofgauze or cotton should be inserted into the rectum to keep therectal walls separated and to absorb any excess of acid. The treatment of procidentia by hypodermic injection of. Fig. 127.—Prolapsus-Ani Truss. various remedies into the coats of the bowel and into the peri-rectal tissues has been tried with varying success. The ob-jects in view in this method are to increase tonicity, set upinflammatory adhesion between the coats, and to produceshrinking of the bowel such as follows the injection of hemor-rhoids. Carbolic acid, ergotine, and nux vomica are the drugsordinarily used for this purpose. My colleague. Dr. Leonard Weber, of New York, hasseveral times observed marked improvement following the in-jection of strychnine. He maintains that the good results arenot due to its inflammatory or astringent qualities, but to thetonic effect upon the musculature of this region. The injec-tion treatment of procidentia is undesirable, for the reason thatit is frequently followed by severe pain, abscess, and fistula,and furthermore because it rarely produces a permanent cure. Pe
Size: 2082px × 1200px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
