The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
Before leaving this subject I will add a word or two about the use of
suppositories and lavements in infancy and childhood. A piece of paper
rolled up into a conical form and greased, or a bit of soap, is not
infrequently introduced by nurses just within the bowel, as a means of
overcoming constipation in infants. The irritation of the muscle at its
orifice (the sphincter, as it is termed) excites the bowels to action,
and does away with the necessity for giving an aperient. The drawback
from this, as well as from the use of the lavement, is that if
frequently employed they become habitually necessary, and the bowels
will then never act without their customary stimulus. The lavement, too,
has the additional disadvantage that while the lower part of the bowel
is in proportion more capacious in infancy and childhood than in the
adult, this peculiarity becomes exaggerated by the constant distension
of the intestine, and a larger and still larger quantity of fluid needs
to be thrown up in order to produce the requisite action of the bowels.
Opiates and other soothing medicines should never be given except when
prescribed by the doctor. Thirty-two deaths in England under five years
of age in 1882 represent but a very small part of the evil wrought by
the overdose or injudicious use of these remedies. Above all, soothing
medicines of varying strength, as syrup of poppies, or of unknown
composition, as Dalby's Carminative or Winslow's Soothing Syrup, should
never be employed. The only safe preparation, and this to be given only
by the doctor's orders or with his approval, is the compound tincture of
camphor, or paregoric elixir, as it is called, of which sixty measured
drops contain a quarter of a grain of opium. Ten to fifteen measured
drops of this are a sufficient dose for a child one year old, and this
ought not to be repeated within twelve hours. The repetition every few
hours of small doses of opiates is quite as hazardous as the giving of a
single overdose; and if it does not work serious mischief by stupefying
the child, it renders it impossible to judge of its real condition.
Thus much may suffice with reference to the more important remedies.
Others will necessarily call for notice when the diseases come to be
considered in which they may be of service.
There are two points which still remain to be noticed before I leave the
introductory part of this little book.
Public-domain text, read in full here on John Shaqi.
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