Treatment of hemorrhoids, and other non-malignant rectal diseasesAgnew, W. P. (William Penn)
Science
Treatment of hemorrhoids, and other non-malignant rectal diseases
Agnew, W. P. (William Penn)
Hemorrhoids; Rectum -- Diseases
The treatment after the operation should be markedly palliative: hot
water sponge compresses, hot water sitz-baths, and hot poultices are
great as long as pain and soreness are complained of, together with opium
suppositories, _pro re nata_. If the extent of the operation requires
constipation of the bowels, enemas should be dispensed with until after
the expiration of four days. Then hot slippery elm water, flaxseed tea,
or corn starch as prepared for stiffening clothes, may be used, as well
as a soothing suppository:
℞ Bism. Subnit.
Iodoformi ā ā ʒ i
Opii Pulv. gr. v-x
Ext. Bellad. gr. v
Ol. Eucalypti gtt. vi
Ol. Theobrom. ʒ iiss
Ol. Olivæ gtt. x
M. et Ft. Sup. No. xii.
The oil of eucalyptus will almost completely disguise the odor of
iodoform.
In old people who lack sufficient vitality to quickly heal a broken
surface, coat with bismuth, bismuth and oxide of zinc ointment, oxide of
zinc powder, reduced resin cerate, eucalyptol, etc.
Eucalyptol is a sovereign remedy to stimulate healthy granulatious,
after a broken surface has lost its freshness or acquired some age, in
the proportion of ½ dr. to 1 oz. oxide of zinc ointment, containing a
small quantity of stramonium or opium and belladonna. Or, ½ dr. to 1 oz.
vaseline with 1 dr. oxide of zinc.
Anything that excites and keeps up pain is hurtful. Severe, continuous
and prolonged pain is an indication that the changes are not going on in
a satisfactory manner. It should always be subdued as much as possible.
Suppositories containing glycerine, castor oil, or anything productive of
much pain, should be wholly discarded.
Temporary sympathetic paralysis of the bladder, or spasmodic stricture of
the urethra may occur, being relieved by hip baths or the catheter; the
latter is very seldom required. Enjoin as little straining as possible.
Many of the worst cases, in otherwise healthy people, will speak of
holding the bowels as being the greatest difficulty encountered during
the entire course of treatment. A little flatus will sometimes produce an
annoying titilation of the muscles. It has been suggested that a small
tube be introduced at such times for relief.
A certain amount of moisture begins to exude the second day after
operation, particularly noticeable from external hemorrhoids, and a
peculiar smell when the coagulum is thrown off. This should not be
interpreted as suppuration.
It would not be reasonable to suppose that all cases will behave alike.
The local and constitutional disturbance will, of course, depend upon the
size or surface of attachment of the tumor or tumors and the nervous and
physical condition of the patient. It is best to require patients to lay
up for a few days after operation on large hemorrhoids, or when more than
one of small size are taken, even though they do not complain.
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