The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
=Peritonitis=, or inflammation of the membrane covering the bowels and
lining the cavity of the belly, is of excessive rarity in its acute
form; and is attended by such general illness and such severe local
suffering, that it is impossible to overlook it or to misapprehend its
gravity. Severe pain in the belly is sometimes complained of by
children, and is due to what is termed colic, a spasm of the bowels
which is generally associated with constipation. The great test of the
cause of the pain is furnished by the presence or absence of tenderness
on pressure. The pain of colic is relieved by gentle pressure and gentle
rubbing. The pain of inflammation in any degree and of any kind is
aggravated by them. This applies also to cases, not indeed very common,
in which inflammation is set up by some small body, such as a
cherry-stone getting fixed in a little offshoot or appendage of about
the size and length of the little finger, connected with the
commencement of the large bowel, and producing ulceration. In these
circumstances the bowels are confined, there are nausea and sickness,
together with pain and tenderness of the belly, especially on the right
side. The disease is a very dangerous one, and often proves fatal in the
course of a few days. I refer to it because I have often seen it
overlooked both by parents and doctors at its outset, since the pain
then is often not severe nor the tenderness intense, and because I have
seen the patient's condition rendered hopeless by strong aperients being
given to overcome the constipation which was supposed to be all that
ailed the child. I repeat then the caution, never to overlook the
existence of tenderness, never to attempt to treat a case in which it is
present; but always to call in medical advice, and above all always to
abstain, unless ordered by a medical man, in every such case from the
use of aperients.
=Large Abdomen.=--I must not leave the subject of disorder of the
digestive organs without some reference to a condition which often
excites much needless anxiety among mothers, namely, the large size of a
child's belly. This is sometimes supposed to be a certain evidence of
the presence of worms, at other times to be a positive proof of the
existence of grave disease, especially of disease of the mesenteric
glands, or glands of the bowels as they are popularly termed. It is
evidence of neither the one nor the other.
If you go into a gallery of the old masters, and look at any of the
pictures of angels which are generally to be seen there in such
abundance, you will probably be struck in the case of all the child
angels by what will seem to you the undue size of their abdomen. You
will notice this even in the works of painters who, like Raphael, most
idealise their subjects, while in those of others who, like Rubens,
interpret nature more literally, the apparent disproportion becomes
grotesque; or, in the coarser hands of Jordaens, even repulsive.
Public-domain text, read in full here on John Shaqi.
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