. The diseases of children : medical and surgical. tly or indirectly toothers. The extreme fertility of these worms makes it certain that any onewho is affected with thread worms and is not of scrupulously cleanly habitswill have ova adhering to the neighbourhood of the anus which may betransferred by the fingers to the individuals own mouth or to others. Thesymptoms are very uncertain, the diagnosis being usually made by thepatients friends detecting the parasites in the chamber vessel used by thechild. The most common symptom to call attention to the presence of threadworms is the irritation
. The diseases of children : medical and surgical. tly or indirectly toothers. The extreme fertility of these worms makes it certain that any onewho is affected with thread worms and is not of scrupulously cleanly habitswill have ova adhering to the neighbourhood of the anus which may betransferred by the fingers to the individuals own mouth or to others. Thesymptoms are very uncertain, the diagnosis being usually made by thepatients friends detecting the parasites in the chamber vessel used by thechild. The most common symptom to call attention to the presence of threadworms is the irritation and itching which they are apt to give rise to at theanus or entrance to the vagina. Girls will suffer from excessive dischargeof mucus from the vagina, sometimes containing blood, from the presence ofoxyurides in the vagina or the result of scratching. In many cases thepresence of thread worms seems to give rise to no symptoms anaemic children with sluggish bowels are most often affected. The Intestinal Worms— Thread Worms 115. treatment consists in expelling the worms, preventing their rc-entrance, andin improving the health of the child so that it is less likely to provide a favour-able cultivation ground for these unwelcome guests. The first indication isbest fulfilled by a sharp purge to expel or else to drive them into the lowerbowel, to be followed by enemata to destroy those present in the colon andrectum, and wash away any excess of mucus present ; a grain to two grains ofcalomel, in combination with two or three grains of resin of scammony, maybe given to children of three to eight years of age overnight ; and the followingevening, if the bowels have been well acted upon, an enema of infusion ofquassia as large as can be given should be used. It will be well to repeat theenemata every other evening for a week or two. Great care should be exercisedto see that the child is washed about the genitals with soap and water aftereach stool to prevent re-inf
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