This is the most common parasite, and is found principally in children;
it is also found in cattle and hogs. It is of a yellowish brown color
and in form resembles earth worms. The worm is cylindrical, pointed at
both ends; the female is from seven to twelve inches in length, and
the male from four to eight inches. They are probably introduced into
the stomach by food and drink. They occupy the upper part of the small
intestine, and are usually one or two in number, though they may be
numerous. Occasionally they migrate into the stomach and are ejected
by vomiting, or into the trachea and produce suffocation, or into the
larynx or Eustachian tube, or they may pass downward to the anus, or
into the bile ducts.
=Symptoms.=—Oftentimes symptoms are absent. There may be dyspepsia,
colicky pains, mucous stools, meteorism, vertigo, fretfulness,
voracious appetite, anemia, sallow complexion, headache, chorea and
convulsions. Other symptoms may be present, as grinding of the teeth
and itching of the nose and anus. Obstruction of the bowels has
occurred. If a worm enters the bile duct obstructive jaundice occurs. A
decisive diagnosis can be given only when the worm is seen.
=Treatment.=—Particular attention should be paid the liver, for it is
here that we must seek the natural remedy in the form of bile, in order
to eject and cleanse the system from nematodes.
Modes of improper living should be corrected; cleanliness is essential,
and there should be attention to the general health of the patient.
Thorough correction of all defects of the spinal column in the region
of the splanchnics, and careful direct treatment of the bowels is
indicated. The child may be put to bed and fasted twenty-four hours,
then the liver strongly stimulated to increase flow of bile.
If the above treatment is not successful oil of wormwood may be
employed.
Oxyuris Vermicularis
(Thread-worm; Pin-worm)
This small parasite, commonly seen in children, is from three to five
millimeters long in the male and about twenty millimeters in the
female, is blunt at one end and sharp at the other, and occupies the
colon and rectum. They are probably introduced into the intestines in
the ova, by uncooked fruits and vegetables, or by the dirty hands of
mothers and nurses of the infants. They vary greatly in number; migrate
to the rectum where they deposit their eggs, and are often discharged
in the feces, where they appear like pieces of ordinary white thread.
=Symptoms.=—Loss of appetite, anemia, restlessness and irritability
are marked. The itching becomes intolerable when the worms come down
in the rectum to the anus and within the folds about the anal orifice.
In the female the worms may wander into the vagina where they become
particularly distressing, and thus may produce excessive sexual
excitement and cause nymphomania and masturbation.
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