Infant-feeding in its relation to health and disease, by Louis Fischer; containing 54 illustrations, with 24 charts and tables, mostly original . e to flow directly into the colon. The continueduse (daily) of these enemas is not fraught with danger;on the contrary, these rectal injections can be used formonths. In safe hands, if the mother or nurse is intel-ligent, there should be not only no injury, but positivegood, from its continued use. REMOVAL OF SCYBALA. Hardened round balls or fragments of fseces will fre-quently be caused when the stool remains very long inthe colon, or when the sigmo


Infant-feeding in its relation to health and disease, by Louis Fischer; containing 54 illustrations, with 24 charts and tables, mostly original . e to flow directly into the colon. The continueduse (daily) of these enemas is not fraught with danger;on the contrary, these rectal injections can be used formonths. In safe hands, if the mother or nurse is intel-ligent, there should be not only no injury, but positivegood, from its continued use. REMOVAL OF SCYBALA. Hardened round balls or fragments of fseces will fre-quently be caused when the stool remains very long inthe colon, or when the sigmoid flexure has an unusuallength; in such instances the injection of either */2 pintof lukewarm sweet oil or glycerin will soften these scybalaand aid in their expulsion. At times these balls will be ashard as marbles, and may require the aid of a small scoop(a very small teaspoon will do) to aid in their removal. DRUG TREATMENT. A great many drugs are indicated and contra-indi-cated in the treatment of constipation. The intelligentpractitioner does not desire merely one movement of thebowels, brought about by drugs, but seeks rather to use. Fig. 45.—Funnel-shaped Depression of Sternum. Rachitic Ky-phosis. Deformity of Spine. Picture also Illustrates Ra-chitic Square Head. (From Authors Service in ChildrensDepartment of German Poliklinik.) CONSTIPATION. 281 such therapeutic measures as will give a permanent choice of drugs is the following:— I£ Ext. cascara sagrada fl., §, 3j. Mix. Twenty drops of the above mixture in a teaspoonful ofwater three times a day, for children about three months old. Atthe age of six months, double the dose, or 20 drops three times aday. At the age of one year a teaspoonful three times a day. Another valuable preparation is malt-extract with cas-cara, in teaspoonful closes, once or twice a day. My plan is to give the first dose in the morning be-fore the feeding, and note the result. If the bowels moveby noon-time then I discon


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