The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
So long as a child seems pretty well in the intervals between the fits
of coughing, as the hurried breathing subsides after each to a natural
frequency, as a long loud hoop follows each cough, as vomiting takes
place only after a fit of coughing and never in the intervals, as the
child becomes flushed only and not livid during a cough, and recovers
itself perfectly afterwards, as it does not complain of constant
headache, nor spits blood, nor has nose-bleeding, nor is feverish, nor
depressed, nor drowsy, you may feel happy about it. When any of the
symptoms just enumerated show themselves you have reason for grave
solicitude, and the child requires daily medical watching.
One word in conclusion. A child who has recently had hooping-cough is
more liable than another to be attacked by chicken-pox or measles; and,
moreover, imperfect recovery from hooping-cough is apt, especially if
there is any tendency to consumption in the family, to be followed by
consumptive disease.
=Asthma.=--_Asthma_, attended by distress of breathing quite as
considerable as in the grown person, is by no means unusual in the
child. Recovery from it is far more likely to take place in the latter,
since it is almost always independent of those diseases of the heart or
lungs, which in the former occasion or aggravate it. It belongs to the
class of what has been termed nervous asthma and is observed with
special frequency in children who, when younger, had been liable to
catarrhal croup; spasm of the air-tubes having taken the place of the
previous spasm of the windpipe. Independently of that antecedent it
comes on sometimes about the time of the second teething in nervous and
impressionable children, in whom an attack may be produced by
indigestion, constipation, or over-fatigue. It is also by no means rare
in children in whom that skin affection, eczema, of which I have already
spoken, outlasts the time of infancy, and becomes general and severe.
The improper performance of the functions of the skin seems to cause a
peculiar sensitiveness of the air-tubes, and to render them liable to
the occasional occurrence of that spasm which produces asthma. These
cases are less hopeful than others, and the liability to the attacks
ceases only when the skin-affection has been completely cured; a reason
this for not neglecting eczema in infancy and early childhood.
Sometimes, too, it follows frequently-recurring attacks of bronchitis,
and, though less often than might be expected, it succeeds severe
hooping-cough, and in these two conditions the prospects of recovery are
less hopeful than in the others.
Public-domain text, read in full here on John Shaqi.
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