Profuse menstruation is also a relative term, as there is no definite
standard as to amount of menstrual flow, nor the length of time it
should continue. The profuseness must be measured by the condition of
the individual. Where health seems fully maintained there would appear
no cause for anxiety. But if there is a marked increase over the
amount usual for the individual, if great weakness and prostration is
produced, either at the time or afterward, it may be called profuse,
and the cause may be either debility, that is weakness, or plethora,
which means fullness. If from the latter, there will be throbbing
headache, pain in the back, and general signs of fever. If from
debility, there will be pallor, weakness, and perhaps an almost
continuous flow.
As may be imagined, the treatment in the two cases will differ. The
full-blooded girl should be put on a plain, unstimulating diet, with
plenty of out-door exercise during the month, but about twenty-four
hours before the flow is expected she should have complete mental and
physical rest. She should remain in bed, and apply cold wet cloths
over the abdomen and between the thighs for an hour at a time, with
intervals of at least one-half hour between the applications. The
bowels should be freed from all fecal matter, and cool, small enemas
be given two or three times a day. If these simple measures do not
avail, the doctor should be consulted.
The pale and debilitated girl needs to rest. Sometimes, if hemorrhage
continues almost from one period to the next, she should remain in bed
even after the flow seems checked. The great desideratum is to build
up the general health, not by tonics, which are usually only
stimulants, but by the judicious observance of the laws of health.
This will, in many cases, call for the advice of the physician, who
can see and study the patient and her special conditions. It is not
safe to trust to book-doctoring.
CHAPTER XVIII.
CARE DURING MENSTRUATION.
I have said that I do not want you to think yourself a semi-invalid
and so be "fussy" about yourself, but I have also said that I want you
to take care of yourself at all times, and especially during your
menstrual periods. How can you make these ideas agree with each other?
I know that many writers say that a girl should spend one day each
month in bed, or at least lying down; that there are some things that
should always be forbidden to girls, simply because they are girls,
such as running up and down stairs. These wholesale restrictions make
girls rebellious at their womanhood. I simply want you to use good
sense at all times in your care of yourself.
Public-domain text, read in full here on John Shaqi.
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