The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
The one thing which still remains to do, especially in the case of
children in whom teething is not over, is to examine the mouth and
ascertain the state of the gums, since some ailments are caused and
others are aggravated by teething. A wise mother or an intelligent nurse
will teach the child when well the little trick of putting out its
tongue and opening its mouth to show its teeth when told to do so; and
though it may sometimes indulge rather out of place in these
performances when wished to behave especially prettily before strangers,
yet when older it will quickly learn the proprieties of behaviour, and
in the meanwhile you profit much by the lesson when illness really
comes.
Sometimes, however, infants who when well will open their mouth and
allow their gums to be felt without difficulty, refuse to do so when
ill; and it is always desirable that the mother or nurse whose duty it
is to tend the sick child constantly, should not frighten it, or lose
its confidence, by doing forcibly that which the doctor who comes
occasionally may yet be quite right in doing. You will, however,
generally get a good view of the mouth and throat in young infants by
gently touching the lips with your finger: the child opens its mouth
instinctively, and then you can run your finger quickly over its tongue,
and drawing it slightly forward perfectly see the condition of the
throat, feel the gums as you withdraw your finger, and notice the
appearance of the tongue. Sometimes it is important to ascertain whether
a tooth which was near coming through has actually pierced the gum, and
yet the child's fretfulness renders it almost impossible to induce it to
open its mouth. If now, while the nurse holds the child in her arms, you
go behind her, you can, unseen and unawares, introduce your finger into
its mouth and ascertain all you wish to know before the little one has
recovered from its surprise.
Public-domain text, read in full here on John Shaqi.
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