Papillated growths and mucous polypoids that were so small that they
were hidden from external sight, but readily detected by scientific
methods of examination of the urethra, by means of the urethral
specula, were the exciting causes of some cases that came under my
treatment. The unfortunate victims were under the impression that their
kidneys or their bladders were diseased. The numerous quack medicines
advertised for the cure of these maladies were copiously consumed,
doing, of course, more mischief than good. The removal of the growths
in each instance at once put a stop to any further inconvenience.
In pregnancy, after the third month, the womb rises out of the pelvis,
so as to accommodate its increasing size. This naturally drags the
bladder upwards, and so stretches the urethra that it becomes sore and
extremely irritable. To relieve this distress until the parts have
accommodated themselves to their new relations, the Femina vaginal
capsules are of the greatest value, and without the slightest ill
effect arising from their use. Vaginal irrigations of hot water are
also of decided benefit, especially before using a capsule.
Mix. A teaspoonful to be given to an adult every four hours till
relieved.
The symptoms of inflammation of the urethra are always very pronounced,
because the mucous membrane of the urethra is the most sensitive
part of the bladder. In the healthy state the coloring of the lining
membrane is of a pale red; when inflamed or catarrhal, it assumes a
dark red, or a cherry color. The membrane is also considerably swelled
and puffed, and feels hot to the touch, and imparts a burning sensation
to the patient. The muco-purulent secretion excoriates or chafes the
skin, so that the parts look angry and red in the neighborhood; this is
oftener observed in children. The characteristic symptom of frequently
urinating is never absent, while very little is passed at a time, yet
the straining to pass water continues, after the last drop is voided.
The treatment is cleanliness to begin with. In grown people, the
entire vulva and vagina must be rinsed out with a warm borax solution,
in the proportion of one teaspoonful of the powdered borax dissolved
in a quart of water. In little children the same object, that of
cleanliness, is to be accomplished with a small ear syringe.
After the external parts and the vagina are thoroughly cleansed, then,
by means of a hard rubber syringe, No. 1, three or four syringefuls
of clean borax water are injected into the urethra for the purpose of
cleaning that too. To relieve the straining and frequent desire to
micturate, which is accompanied with more or less pain, I give:—
NO. V.
Take: Fluid ex. of gelseminum 1 dram
Sweet spirits of nitre 7 drams
Mix. A teaspoonful in a wineglassful of water three or four times a day
for an adult; children in proportion.