The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886 — John Shaqi
The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
It is also good to give a dose of Carlsbad salts in the morning every
two or three days, in order to correct the constipation usually
attendant upon such a course of diet. These salts also aid in rendering
the contents of the stomach more alkaline, and in this way aid the plan
spoken of before.
I do not think it advisable to send patients with gastric ulcers to
_health resorts_ or watering places. They can only regain their health
by a strict enforcement of dietetic measures, and these can be carried
out just as well at the patient's home as at the health resort. For
the treatment of such cases _after the ulcer_ has healed, these health
resorts can be of great benefit, but the patient must be cautioned not
to commit excesses in eating or drinking, especially to the latter must
their attention be called, as it is customary in most resorts adapted
to such cases, to drink large quantities of the medicated waters in the
morning. It is also well to caution the patients with regard to their
diet before sending them away. This should be unirritating, bland and
easily digestible. Among the European health resorts, Carlsbad is the
most suitable for such cases.
There are unfortunately some patients who are not benefited by any
method of treatment hitherto thought of, but luckily they are few, and
if you will follow the rules I have laid down you will in a great many
cases meet with splendid results.
One important question still remains to be answered, namely: "What
should be done in case of hemorrhage of the stomach?" Here the patient
must be left quiet just where he happens to be--placed in a horizontal
position on his back if possible. Ice bags should be applied to the
region of the stomach, small pieces of ice swallowed, and hypodermic
injections of ergotin given. This is all that can be done with benefit
in such cases. The patient should not be transported for several hours.
Monsel's solution can be of no service, as it cannot be introduced into
the stomach in a sufficient concentration to be of benefit.
In cases of perforation of an ulcer all that can be done is to
give anodynes to ease the pain and make the patient's condition as
comfortable as possible. Schlipp recommends that when perforation is
threatened on account of gaseous distention of the stomach, the stomach
tube should be used to evacuate the organ.
The mechanical treatment, washing out the stomach with the stomach tube
or stomach pump is contraindicated in cases of ulcer, as more damage
can be done by such procedure than good.
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ORIGINAL ARTICLES
THE RECOGNITION OF MORTIFIED BOWEL IN
OPERATIONS FOR THE RELIEF OF
STRANGULATED HERNIA.
By REUBEN A. VANCE, M. D., CLEVELAND, OHIO.
Public-domain text, read in full here on John Shaqi.
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