. The practice of pediatrics. rs with each de-fecation. (See Fig. 21.) Such childrenusually show evidence of illness apartfrom the local condition and the con-stipation. They are usually underfedand poorly nourished. Many are ra-chitic, or show the ear-marks of a pre-vious rachitic state. Treatment.—Cases of simple ever-sion are usually relieved by controllingthe diarrhea; or, when due to constipa-tion, by supporting the perineum duringdefecation. This support is best fur-nished by wrapping a considerable quantity of absorbent cotton aroundthe index-finger, which rests against and supports the


. The practice of pediatrics. rs with each de-fecation. (See Fig. 21.) Such childrenusually show evidence of illness apartfrom the local condition and the con-stipation. They are usually underfedand poorly nourished. Many are ra-chitic, or show the ear-marks of a pre-vious rachitic state. Treatment.—Cases of simple ever-sion are usually relieved by controllingthe diarrhea; or, when due to constipa-tion, by supporting the perineum duringdefecation. This support is best fur-nished by wrapping a considerable quantity of absorbent cotton aroundthe index-finger, which rests against and supports the perineum. Thechild should lie on the back during defecation. The troublesome cases arethose due to constipation in runabout children, in whom the prolapsehas been repeated every day for several months. The case representedin Fig. 22 was brought to the New York Polyclinic in the conditionshown in the cut, and was transferred to the service of Dr. Wm. Sea-man Bainbridge. The gut was practically black, and its condition17 257. Prolapse of rectum andanus. 258 THE PRACTICE OF PEDIATRICS raised the question whether there was not sufficient strangulation,even if reduced, to cause death. Hot applications were placed uponthe gut, and it was gradually reduced, but prolapse immediately order to keep the gut in position a long rubber tube of large caliber wasinserted into the rectum and passed into the gut as high as possible. The


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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren