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 ulcerated state of the mouth is usually connected with special
disorder of the digestive organs, and that condition of acidity for
which I have already recommended soda, magnesia, and similar remedies,
while locally the mouth needs just that local care which is applicable
in cases of thrush. Now and then, severe inflammation of the gums
occurs, in which they become extremely swollen; and ulceration takes
place of the gum just above where the tooth should come through, and
even around some of those which have already appeared. These are cases
in which lancing the gums would do nothing but mischief. They require
the local care already insisted on, a mild plan of diet, and treatment
to reduce any feverishness; and above all one medicine, the chlorate of
potass, which in doses of four grains every four hours for a child a
year old, is almost a specific.
AFFECTIONS OF THE SKIN.--There are a few affections of the skin to which
children in early infancy are especially liable, concerning which a few
words must be said.
The Latin word _intertrigo_ is used for that _chafing_ of the skin of
the lower part of the body of an infant which is by no means unusual,
and is often very distressing. It is almost invariably due to want of
care. Either wetted napkins are dried, and put on again without previous
rinsing in water, or they have been washed in water containing soda, and
not passed through pure water afterwards, or attention is not paid to
change the infant's napkin immediately that it requires; or a fresh
napkin is put on without previous careful ablution of the child; or
lastly it occurs almost unavoidably in cases of diarrh[oe]a from the
extension of irritation beginning at the edge of the bowel.
Care is usually all that is needed to remove, as it is to prevent this
condition. The precautions which I have referred to with regard to
cleanliness must be carefully observed, and moreover, each time even
after passing water, the child should be carefully washed with thin
gruel, or barley water, then dusted abundantly with starch powder, while
the napkin must be thickly greased with zinc ointment. After the first
six or seven months of life the napkin can be almost always dispensed
with, if the child has been brought up in good habits, and in all cases
of chafing, it is much the better way to put no napkin on the child when
in bed, but to lay under it a folded towel, which can be removed, and a
clean one substituted for it as soon as it becomes soiled.
There is a very obstinate form of chafing, with great redness of the
skin, and disposition to crack about the edge of the bowel which depends
on constitutional causes, and calls at once for the interference of the
doctor.
Public-domain text, read in full here on John Shaqi.
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