Much may be done by judicious exercise to relieve chronic constipation,
and help the liver to work (_see_ Appendix; Physical Culture). Deep
breathing will also affect the intestines and urge a motion. Bathing
and massage of the abdomen are also useful (_see_ Massage). Clothing
should be light and loose, tight lacing being a frequent cause of
constipation.
Every effort should be made to keep the bowels regular, as protracted
constipation leads to many painful affections, such as headaches,
piles, and even inflammation of the intestine, the various products of
putrefaction being absorbed and carried through the blood stream. A
daily motion should invariably be solicited at a regular hour. On
rising, before the morning bath, is a good time, though some prefer
just before retiring to bed, and more, probably, go immediately after
breakfast. The great thing is to get into the habit of going daily at a
fixed time; nothing should be allowed to interfere with this, and it is
highly desirable that children should be accustomed to this habit.
Parents should, therefore, see that the schools selected have
sufficient closet accommodation, as schools in private houses often
have but the one closet for a large number. As a result of this
restricted accommodation, the habit of using aperient medicines is
acquired with _very_ injurious results, for if the call of nature is
neglected the desire passes away, and constipation is inevitable. It
soon comes to be a settled condition and will often be the cause of
life-long ill-health. The evils from the formation of such a physical
habit will far outweigh all the so-called accomplishments that may be
acquired.
Hot or cold water taken in sips throughout the day has often proved a
most valuable cure for constipation.
When artificial means are required to move the bowels, an enema is much
to be preferred to drugs. The way to administer it, so as to be most
effective, is as follows: Use a fountain enema holding three quarts.
Put into it two or three quarts of water as warm as can be comfortably
borne. A teaspoonful of salt added to the water will make it more
effective, or soapy water may be used, made from M'Clinton's soap. The
fountain should be hung up as high above the patient as the
india-rubber tube will allow. The patient should lie on the right side,
with knees drawn up. The tube should then be introduced into the
rectum, and should be three or four inches in. The water may then be
turned on with the thumb valve. If the abdomen can be rubbed by an
attendant in an upward direction it will be better. The water should be
retained, if possible, twenty minutes or half-an-hour.
A HOT FOMENTATION (_see_) over the liver, before using the enema, will
make it more effective.
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