Surgery; its theory and practice . -ductive of anaemia and all its attendant constitutional amount of haemorrhage may vary from a few drops—a merestreaking of the motions with blood—to several ounces. When first noticed, the protrusion of the piles occurs onlyduring defecation ; and although they may at first go back spon-taneously, they often require replacement by the finger, as other-wise they are apt to become strangulated by the sphincter andirritated or inflamed from the chafing of the clothes. Later thesphincter becomes dilated, and they may protrude at times otherthan duri
Surgery; its theory and practice . -ductive of anaemia and all its attendant constitutional amount of haemorrhage may vary from a few drops—a merestreaking of the motions with blood—to several ounces. When first noticed, the protrusion of the piles occurs onlyduring defecation ; and although they may at first go back spon-taneously, they often require replacement by the finger, as other-wise they are apt to become strangulated by the sphincter andirritated or inflamed from the chafing of the clothes. Later thesphincter becomes dilated, and they may protrude at times otherthan during defaecation, and in long-standing cases the mucousmembrane becomes permanently prolapsed, and the pile remainsconstantly protruded. External piles then generally form in ad-dition to the internal, whilst the mucus exuded from the parts isa constant source of annoyance. The constitutional symptoms towhich the loss of blood and the pain and irritation may give riseare pallor, palpitation brealhlessness, fainting and Internal piles. (St. Bartholomews Hos-pital Museum.) 6s 8 DISEASES OF REGIONS. From the reflex character of the pam the patient may refer thesymptoms to other organs, as the testicle, bladder, kidneys oruterus. Diag?wsis.—Exiernai piles may be readily diagnosed fromcondylomata, polypi, and carcinoma, by the characters alreadygiven. Internal piles may be suspected from the above-mentionedsymptoms, and if not protruded they may generally be broughtinto view by asking the patient to bear down, as if to defecate,whilst the Surgeon makes gentle traction on the margin of theanus. If this does not succeed and the bowel is loaded, an enemashould first be given. Examination with the finger, unless theSurgeon has had some experience, fails to detect the pile, aswhen neither irritated, inflamed, nor protruded, it is soft andflaccid, like the rest of the mucous membrane. The treatment of piles may be divided into the palliative andthe radical. The palliative t
Size: 1944px × 1285px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
