Cholera stools may be disinfected by adding a five per cent. cresol
solution to them and allowing it to remain in contact with the stool for
at least one hour. Quicklime is excellent as a disinfectant. Add together
equal parts of fresh quicklime and water, dilute with three times as much
water as previously used, add a quantity of this slaked lime equal to the
amount of stool to be disinfected and allow it to remain in contact with
the stool for one hour. When the ground has been fouled by dejecta or
vomit, disinfect with cresol, or rake hot ashes over it or pour kerosene
oil upon it and set the latter alight. Cholera-soiled clothing, bed
linen and blankets should be soaked in a two and a half per cent. cresol
solution.
_Treatment._—Isolate the patient, keep him warm, and give ice to suck.
Apply hot bottle to the feet, and mustard leaves to the pit of the
stomach.
It is advisable to clear the bowel of irritating material at the outset
by giving half an ounce of castor oil with a teaspoonful of brandy. Drugs
are of little use in cholera, but some like to give one drop of carbolic
acid, together with twenty drops of spirit of camphor (or peppermint,
or a little brandy), five grains of bismuth, and ten grains of soda,
suspended in one ounce of gum water, every four hours. Chlorodyne may be
given to allay severe pain.
Even in the mildest cases absolute rest in bed is essential, and a warm
bed-pan should be provided.
In the early stages no food at all should be given, but plenty of
fluid should be allowed, though it must be administered only in sips.
Stimulants may be necessary. Later on fluid food such as milk should be
given carefully, and the quantity gradually increased.
The special treatment for cholera can only be carried out by a medical
man, and recourse should be had to his help at the earliest possible
moment, as everything depends upon immediate treatment. If, after the
acute symptoms subside, diarrhœa continues a dose of bismuth is often
useful.
_Colic._
This is the name given to the well-known severe twisting or griping pains
in the belly, usually due to excessive flatulence, and resulting from
constipation, or some error of diet.
_Treatment._—Hot fomentations should be applied to the belly, or better
still, the Instra, which is the best means of applying continuous heat
to any part of the body. A turpentine enema (a tablespoonful to a pint
of warm water) will nearly always cut short the symptoms; in the absence
of turpentine, give warm water alone. A full dose of opium (20 minims)
should also be given if the pain is severe, preferably in a tablespoonful
of castor oil.
Bicarbonate of soda, carbonate of ammonia and ginger should be freely
given in full doses, and the bowels should be well opened as soon as the
severe pain has passed off.
_Concussion of the Brain._
This term is applied to the partial suspension of the functions of the
brain, produced by the severe shaking of its substance by a fall or blow.
Public-domain text, read in full here on John Shaqi.
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