. Diseases of the rectum and anus: designed for students and practitioners of medicine. iters experience with suppositories in the treat-ment of inflamed or protruding hemorrhoids has been unsatis-factory. The ordinary suppository is either so soft that thepatient crushes it in his efforts to introduce it or it is so hardthat it acts as a foreign body and excites the sphincter torenewed contractions. Morphine, opium, belladonna, hyos-cyamus, eucaine, and cocaine, alone or in combination withsome astringent or antiseptic, are the remedies which have been TREATMENT OF INTERNAL HEMORRHOIDS 433 mo
. Diseases of the rectum and anus: designed for students and practitioners of medicine. iters experience with suppositories in the treat-ment of inflamed or protruding hemorrhoids has been unsatis-factory. The ordinary suppository is either so soft that thepatient crushes it in his efforts to introduce it or it is so hardthat it acts as a foreign body and excites the sphincter torenewed contractions. Morphine, opium, belladonna, hyos-cyamus, eucaine, and cocaine, alone or in combination withsome astringent or antiseptic, are the remedies which have been TREATMENT OF INTERNAL HEMORRHOIDS 433 most frequently used in the form of suppositories. For hem-orrhoids with tenesmus Andrews recommends:— 165 IJ Pulveris opii, Ext. belladonnse aa gr. x 01. theobrom q. s. M. et ft. suppositoria No. xv. Sig.: Insert one when needed to relieve pain. Engle uses the following suppositories:— IJ Aristol 3j Ext. opii gr. iiss Ext. belladonnse gr. Vs Quininse hydrochlor gr. xxij M. et ft. suppositoria No. vj. Sig.: Insert one, morning and evening, after previous irrigation withcold Fig. 138.—Hemorrhoidal Truss. SURGICAL TREATMENT The aid of surgery—sought in all ages for the cure ofpiles—has brought much benefit to this class of of the operations now in vogue—such as ligation, cau-terization, crushing, etc.—were practiced by the ancients withmore or less success.—but with much pain, for in those daysanesthetics were not known. In many cases the surgeon will not be consulted until thepatient has an acute attack of piles, and then he will not bepermitted to resort to operative procedures until all non-surgicalmeasures have failed to give relief. Such measures at timesafford much relief and, in a few cases, a cure; but a longertime is required and the suffering is much greater than if anoperation had been performed in the beginning. This being thecase, and no other complications existing, the patient should be 434 DISEASES OF THE RECTUM AND ANUS advise
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