Practical observations on some of the diseases of the rectum, anus, and contiguous textures : giving their nature, seat, causes, symptoms, consequences, and prevention, especially addressed to the non-medical reader . patient, as well as the surgeon, as to the real nature of thecase. Dr. Bushes description of the symptoms is so perfect,that I will transcribe it. Thereis a sense of weight andobstruction in the lower bowels,—uneasiness, distention, andoccasional spasmodic pain in the abdomen,—eructations,—precordial oppression, pain in the site of the stricture, loinsand sacral region, occasiona
Practical observations on some of the diseases of the rectum, anus, and contiguous textures : giving their nature, seat, causes, symptoms, consequences, and prevention, especially addressed to the non-medical reader . patient, as well as the surgeon, as to the real nature of thecase. Dr. Bushes description of the symptoms is so perfect,that I will transcribe it. Thereis a sense of weight andobstruction in the lower bowels,—uneasiness, distention, andoccasional spasmodic pain in the abdomen,—eructations,—precordial oppression, pain in the site of the stricture, loinsand sacral region, occasionally extending down the extremi-ties,—vesical irritation.—bearing down in females,—itchingand heat about the anus, head-ache, nervous irritability, anddejection of spirits. The left colon is loaded with gas andfasces, as may be ascertained by an examination of the cor-responding iliac fossa. The urine is generally scanty, highcolored and foetid, though I have seen a few cases, in whichit was unusually abundant and limpid. The bile is alsogenerally vitiated and scanty. When the disease has con-tinued for some time, the hemorrhoidal vessels become PLATE Till .Portion of the cotori and rectum laid open. a. Internal, surface of the colon. b . Internal surface of 41e rectum. c . SIzic birred n ortion of fhe rec turn d . Tne jnoroidlj contracted anrlthickened state of the ,_b(rwelconstituting the stricture . STRICTURE OF THE RECTUM. 231 engorged, and very commonly tumors form, which for themost part are produced by extravisated blood, and hence itis, that in old cases the skin about the anus becomes thick-ened and elongated. In consequence of irritation, arisingfrom the stricture, an increased quantity of blood is determi-ned to this region, and its return is so much impeded by thecondensation of the walls of the bowel, and the accumula-tion of indurated faeces, that abscesses form in the cellulartissue, near the anus, and degenerate into fistulae. The callsto stool are su
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Keywords: ., bookcentury1800, bookdecade1850, booksub, booksubjectanusdiseases
