The practice of surgery . leeches,seton, or other compensating treatment, should troublesome conse-quences threaten. Polypus of the Rectum. Simple polypi are occasionally, yet seldom, found in the rectum :most commonly in children ; and then may lie mistaken for the adult, the fundus may become hard, rough, and ulcerated, andprove troublesome by bleeding. There is frequent desire to go to stool,with discharge, uneasiness, and occasionally pain and swelling. Ateach evacuation, the growth is apt to be protruded, and usually requiresreplacement. Treatment is removal, by knife or liga
The practice of surgery . leeches,seton, or other compensating treatment, should troublesome conse-quences threaten. Polypus of the Rectum. Simple polypi are occasionally, yet seldom, found in the rectum :most commonly in children ; and then may lie mistaken for the adult, the fundus may become hard, rough, and ulcerated, andprove troublesome by bleeding. There is frequent desire to go to stool,with discharge, uneasiness, and occasionally pain and swelling. Ateach evacuation, the growth is apt to be protruded, and usually requiresreplacement. Treatment is removal, by knife or ligature. Obviously,the preferable method is by deligation ; but, after the ligature has beensecured on the neck of attachment, the main body may be safely cutaway, in order to prevent tension and expedite the cure. Prolapsus Ani. In consequence of relaxation, the rectum may become everted, onstraining, and protrude beyond the anus; and the protrusion may beeither constant or occasional. Also, it may be either partial or com-. Prolapsus Ani. plete; that is, the protrusion may consist of the entire bowel—or, as isby some supposed, of rather the sigmoid flexure of the colon; or itmay be merely a descent of the mucous coat alone—a frequent con-comitant, as has already been observed, of internal hemorrhoids. Thispartial prolapsus may occur at any age ; and is probably most common in 424 PROLAPSUS ANI. the middle-aged; but the complete form is an affection almost peculiarto the two extremes of life ; old age and childhood. The child is liableto irritation of the bowel, by ascarides, or by a perverted secretion fromthe general mucous coat; and the habitual straining, which results,tends to the change in question. In the old man, too, there is much strain-ing ; by reason of enlarged prostate, or debility of the muscular coatof the bladder. In the child there is much crying ; in the old manmuch coughing. Stone and stricture may induce prolapsus at any age. The tumor varies in size, fro
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