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Show CONTRACTION 01' THE RECTUM, "7" 7 4.) 3U W 3:17;». "WM 1M 111 CONTRACIION OF THE EECTUJI. During these operations which remove the contraction and the hardness by pressure, calomel should, I think, be given THL' contraction of the rectum takes place generally about, two inches up. 'i‘he attention is called to the disease by the pain about the anus, and sometimes after burning heat and. pain, especially when at. stool, but especially by the increasing ditficulty of passing the feces, and from the figured stool which is passed. The disease may be long mistaken for haemorra hoids. Sometimes the tubercles present at the anus, but they have a hardness and resistance which distinguishes them from the varicose tumours. The disease is of the nature of a schir- rous hardening, which makes the sides of the gut incapable of their natural degree of dilatation. It presents to the finger occasionally in small doses, and purged ofl" once or twice a week. firm tuberculated and irregular stricture. However, I have often found the stricture like a muscular girding of the gut. .] CONCRETJONS IN THE RECTL'M. It is always to be palliated, and sometimes cured by the fol‘ lowing method: a flat piece of sponge, or, indeed, a piece of sponge of any form, is soaked in strong mucilage, then rolled up into the form of a bougie, and tied firmly with a cord: the cord should be oiled, When the sponge is dry, and the The stricture is sometimes so high in the gut, that bougies or candles must be used to dilate it-sometimes it will resist these means~sometimes the ulceration and tenderness will not allow of this operationwsometimes it is distinctly cancerous. Wherever in obstinate constipation in the bowels there is pain towards the left loins and sacrum, the rectum should be sounded with the soft bougie or taper. In the subjoined plate, a stricture of the rectum is represented, and an ulcer of the gut immediately above the stricture is seen to be the eitect of it, on the same principle that the urethra ulcerates within the stricture. In this instance, the ulcer of the rectum was followed by an extensive abscess by the side. of the gut and anus. LONC RETIONS IN THE RECTL'M} _.2.<~.-a4:'r-§Vn.‘4 ,..-.~ cd in its form, the cord is taken 0H, and it may then be rolled mere concretions in the great intestines, for the more terrible which when introduced into the stricture in the rectum, will imbibe the heat and moisture, and gradually distend the disease of schirrous contraction of the rectum. It has happened repeatedly, that after a patient has been teased with contracted portion of the gut. medicines to check a diarrhcea, or has suffered under the con- \Yhen prepared for use, it is to be oiled, or imbued with IllilCllngC-‘Xs. Having prepared these tents of various sizes, the surgeon will find that his chief viction of a fatal disease, a well informed surgeon or apothee vary has discovered the compia'nts to arise from mere hard~ difliculty is in the first introduction of the lesser one ; and that med feces, or from balls of alvine concretionas. even the first will smooth the tubercles and make a passage, and each succeeding one will make way for one of greater di- When such concretions have formed in the caput coli, or‘ in the arch, or (or as happens perhaps more frequently) in the sigmoid tlexure of the colon, they sometimes, after painful amettr to follow. Very often the first tent both considerably 1 q x . _ . .inaiges tnc passage, and acting as a supposito ry, procures a . .. .1." -:"hx.' . 7- . Let. us beware, however, of mistaking the symptoms of betwixt plates. and polished, and made smooth, and a little conical: a string is tied to the greater end. This is a tent ‘,_. 1'. , v motions of the bowels, are moved from their original situation, consrderaleie discharge of cces, or allows the pipe of the ins footing syringe to be passed. and present just above the sphincter ani, being discovered em. . (S.«W :9 rosesq,Al". . .. ",1 "' ' wax in pmpaic l 3‘». tnppuig them in " Because, in the ball stool, the feces collected in the lower part ofthe coion or in the rectum, allow only the liquid contents of the bowels to pass. The rectum is sounded with a wax taper or a large boogie. |
