_Treatment._—The patient should be put to bed, hot fomentations applied
to the seat of pain, and the bowels well relieved. Emetine should be at
once administered as for dysentery, or ten grains of ipecacuanha should
be given three times a day. Ammonium chloride in full doses (twenty
grains three times a day) often does good, and can be retained when
ipecacuanha cannot, but it is unpleasant to take, so the dose should
be given in one or two ounces of water. The wisest course for one who
has had a severe inflammation of the liver is to get away to a healthy
climate.
_Liver Abscess._
It is extremely difficult for the traveller to decide if abscess of
the liver is present; it may be suspected if a patient, convalescent
from dysentery, still remains feeble and ill, or if he has an irregular
temperature, a muddy complexion, night sweats, wasting, and pain or
uneasiness in the right shoulder. Sometimes a definite swelling can be
made out. A dry cough is not uncommon.
_Treatment._—Emetine is the specific treatment for the prevention of
liver abscess, and it would seem in some cases actually able to bring
about a cure even when the abscess has formed. It should be given as
for amœbic dysentery (p. 187), and it is essential that a patient with
liver abscess should as soon as possible come under medical control, as
it may be necessary to give emetine by the needle subcutaneously or even
to inject it into the abscess cavity. Ammonium chloride may be given;
the patient’s strength must be supported, and he should be as quickly as
possible placed under the care of a surgeon, who will probably decide
to operate. If this cannot be done, then the patient should not be
interfered with surgically, for he will have a better chance of recovery
if the abscess is allowed to burst naturally than he would if the
traveller attempted to operate.
_Malaria._
Of all diseases in the tropics malaria is the one which is most likely
to trouble the traveller. Hence it is essential that he should be well
posted regarding it. In addition to the books which have already been
indicated he will find the recently published ‘Malaria at Home and
Abroad,’ by Colonel S. P. James, a work of much value and interest.
It is true it is more especially intended for the medical man, but
any intelligent layman can study it with interest and profit, and the
chapters dealing with prophylaxis and treatment are specially valuable
and well up to date. Here it is possible to give only a mere outline of
the chief facts concerning the disease.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account