A Book of Medical Discourses, in Two PartsCrumpler, Rebecca Lee
Science
A Book of Medical Discourses, in Two Parts
Crumpler, Rebecca Lee
Child care; Children -- Health and hygiene; Infants -- Care; Infants -- Health and hygiene; Women -- Health and hygiene
The most marked of the signs that may end in cholera are vomiting,
dulness of the eyes, rolling the head, as if to rock, spitefully crying
when taken up to be changed, and begging for everything, as they say;
also crying, if old enough, for the very things no one thinks it should
have. If a child could have some of what it smells and craves, at such
times, no doubt but that recovery would commence. But a general
languidness of the whole system, and a loathing of the sight of a bottle
or its accustomed food, shows signs of certain destruction. In the last
stage the child screams faintly, starts at the sound of almost anything;
sometimes the breathing is scarcely perceptible. The discharges from the
bowels are seldom white and frothy, as in the last stage of acute
cholera; owing, perhaps, to the fact that the diet has been continued in
the former, whereas in the latter all food is generally suspended during
treatment, except it be fluids of the mildest nature; unlike in the last
stage of consumption, when the little sufferer seems to watch every
movement of its nearest friend, sometimes rising half way up to look
about, then falling back exhausted, it now lies quiet.
It may be remarked just here that infants affected with inanition or
starvation, consumption and cholera, most invariably retain to the last
hour their instinct to suck, whether it be of the bottle or of the
breast. It is a well-known fact that infants who were nearly destroyed
by starvation from being fed on poor milk by hand, have been
successfully raised by being put on breast-milk.
SECTION III.
CHOLERA INFANTUM.—INFANTILE CHOLERA.
We will now consider that much-dreaded disease termed “cholera
infantum.” I have seen babes attacked with it from two weeks old and
upwards. A child may be nursing at the breast or feeding from a bottle,
when all of a sudden it leaves off, and looks languidly about in a
comparatively stupid and pitiful manner; the eyes lose their lustre, are
rolled about as if not noticing any particular object. Fluids are thrown
up as soon as swallowed; passages from the bowels are frequent, though
many times but a speck in the centre of a wet napkin, most of the report
being wind. The matter discharged at first is likely to show in some
measure the cause of the irritation.
After the acidity has been corrected by medicines, unlike a simple
looseness, the purging and vomiting of infantile cholera still continue,
showing conclusively the inactivity of the internal organs of digestion.
In some cases the remedies that are scientifically administered pass out
into the napkin unchanged; in others, they seem to lodge somewhere and
dry up. The chances are always considered favorable to recovery if the
remedies have a desirable action.
Public-domain text, read in full here on John Shaqi.
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