. The practice of pediatrics. nse prostra-tion, and infrequent bowelaction. Occasionally we see na case of this sort in whichthere is no movement what-l ever without assistance. Insuch cases colon irrigation isof inestimable value, and maybe used with advantage asoften as once in six or eighthours. The washing, even ifproperly conducted, is apt tobe strongly objected to by thepatient and should be com-pleted as soon as frequent irrigations, withstrong medicated solutions,may keep up the mucous discharge indefinitely. In a few children theresistance with straining is so marked and
. The practice of pediatrics. nse prostra-tion, and infrequent bowelaction. Occasionally we see na case of this sort in whichthere is no movement what-l ever without assistance. Insuch cases colon irrigation isof inestimable value, and maybe used with advantage asoften as once in six or eighthours. The washing, even ifproperly conducted, is apt tobe strongly objected to by thepatient and should be com-pleted as soon as frequent irrigations, withstrong medicated solutions,may keep up the mucous discharge indefinitely. In a few children theresistance with straining is so marked and so continuous that irrigationis impossible. These are usually children who, on account of the exces-sive peristalsis, do not require irrigation. The irrigation is conducted as follows: Normal salt solution at 95°F. is ordinarily used, and a quart usually suffices. If there is a great dealof mucus and blood, a 1 per cent, tannic acid solution is better. The ir-rigation should be continued until the solution returns clear. The. Fig. 122.—Colon irrigation. COLON FLUSHING 763 temperature of the solution may be varied with advantage, dependingupon the nature of the case; thus, in cases with subnormal temperatureand intense prostration, cases of the so-called algid type, the solutionat 110° F. will act as a decided stimulant. It raises the temperature,improves the pulse and the general condition of the patient. In caseswith high fever—105° F. or 106° F.—a cold solution answers have repeatedly employed a temperature as low as 70° F., and haveoften found that an irrigation with four pints of water at 70° F. wouldreduce the body temperature three degrees. For irrigation, a soft-rubber catheter, No. 18 American, is best,for the reason that its walls are stiff and the tube does not easily bendupon itself, as is apt to be the case when an ordinary catheter is this occur, the water may escape an inch or two within the rec-tum, and obviously be of no service.
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
