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 popular notion that when the deposit of thrush appears not only in
the mouth, but also at the edge of the bowel, it has passed through the
child is altogether erroneous. The lining membrane of the bowel indeed
is red, inflamed, and presents those conditions to which I have already
referred when speaking of the atrophy of hand-fed children, but the
actual deposit of thrush can take place only where there exists an
appropriate structure for its formation, and that is to be found, not in
the bowels, but only at the inlets and outlets of the digestive canal.
The actual deposit at the outlet of the bowel is indeed exceptional,
though the edges are often red and sore from the irritation produced by
the acrid motions, and this irritation sometimes extends to the skin
over the lower part of the baby's person, which becomes rough, and
covered with a blush of redness.
Thrush in the child is of far less serious import than in the grown
person. In the latter it indicates the existence of some very serious,
almost hopeless disease, and hence it is that we meet with it in the
last stages of dysentery, cancer, and consumption. In the child a slight
attack of thrush may occur from causes which are by no means serious,
and may disappear under the use of simple means, such as I have already
described when speaking of the troubles of digestion in early infancy.
While in any case it must rest with the doctor to regulate as he best
knows how the constitutional treatment of the condition on which the
thrush depends, it must be for the mother to see that appropriate local
measures are adopted. One point of considerable moment, and to which
less care than it deserves is usually paid, is the removing from the
mouth, each time after the infant has been fed, of all remains of the
milk or other food. For this purpose whenever the least sign of thrush
appears, the mouth should be carefully wiped out with a piece of soft
rag dipped in a little warm water every time after food has been given.
Supposing the attack to be but slight this precaution will of itself
suffice in many instances to remove all traces of the affection in two
or three days. If, however, there is much redness of the mouth, or if
the specks of thrush are numerous, some medicated application is
desirable.
The once popular honey and borax is not the best application, and this
for a reason which I will at once explain. The secretion of the mouth in
infants is acid, disease increases this acidity; and it has been found
that this acid state is not merely favourable to the increase of thrush,
but also to the development between the specks of thrush of a sort of
membrane formed by a peculiar microscopic growth, of whose existence,
just as of that of the phylloxera which destroys the vine, or the
muscardine which kills the silkworm, we were ignorant till brought to
light by recent scientific research.
Public-domain text, read in full here on John Shaqi.
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