Femina, A Work for Every Woman — John Stuart Mill — John Shaqi
Femina, A Work for Every Woman
John Stuart Mill · en
The patient must confine herself to a bland liquid diet, principally of
milk, raw eggs beaten up in bouillon or broth. Vegetables may be eaten,
but they are not to be seasoned with anything but salt; and alcoholic
liquors, wine or beer must also be suspended for the time being.
NEURALGIA OF THE URETHRA.
The female urethra is sometimes the seat of simple neuralgia, by which
is meant a painful condition in which there is no apparent disease or
inflammation of the tissues.
This pain assumes often a spasmodic character; that there is a cause
for this is certain, but it is as a rule remote from the sensation
which attracts attention. It is often found to be the symptom of
some of the diseases to which I have already referred. These are
ulcerations, displacements, or inflammation and congestion of the
neighboring organs. Abnormal growths or tissues will often be painfully
reflected on the nerves of the urethra. I remember a case of internal
hemorrhoids, which was never suspected by the patient because there
were no painful symptoms pointing to the rectum, but in which the
urethra was very painful in its entire extent. The suffering from this
urethral neuralgia had lasted for years, but disappeared at once,
on the removal of the piles. I have called attention to a catarrhal
inflammation of the urethra, from stretching occasioned by the
ascending womb after the third month of pregnancy; there is a similar
pathological process after the seventh month of gestation, when the
pregnant womb begins to descend again into the pelvic cavity, and this
is particularly marked in the pregnancy with the first child, when the
pain is often very severe.
If in a first pregnancy there is no abnormal disproportion between the
dimensions of the child’s head and the maternal pelvis, or if there
be no abnormal position of the child, then there is an obstetric rule
that the womb, or rather the child’s head, begins to descend into the
pelvis after the seventh month of gestation, so that it can accommodate
or conform itself to the maternal parts. This occasions a drag on the
urethra downwards and backwards, which is painfully annoying, and there
is a constant inclination to pass water.
There are two mechanical methods of relieving this distressing symptom;
one is to obtain as much rest as possible in the recumbent position,
and the other is to wear an abdominal supporter or bandage around the
lower abdominal region, so as to take the weight off the urethra. The
internal medication consists of an occasional dose of a mild laxative
medicine.
In the newly married, the urethra becomes sometimes the seat of a
painful spasmodic contraction; this is due to a tense hymen, which
should be slightly nicked with a pair of scissors. Exposures to colds
will also cause neuralgia. Fresh beer and sour wine make the urine
irritating, and also occasion painful symptoms.