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Thus the little hard-skinned parasitic thread-worms which are often brought in by uncooked food into man's intestine, though by themselves comparatively harmless, scratch the soft lining of the bowel and enable poison-making microbes to enter the deeper tissues, and cause dangerous abscesses and appendicitis. The carriers of disease germs thus become a very important subject of study.
Rickets, mucous disease, lienteric diarrhoea, infantilism, prolapse of the rectum, and infection with thread-worms are common complications. No doubt children with primary dyspepsia are often nervous and restless, and the elements of infection and of neurosis are frequently combined. Yet often we meet with cases in which the gastric or intestinal disturbance comes near to being a pure neurosis.
It is, therefore, desirable before they are administered that the bowels should be emptied by a dose of castor oil. The only other caution which remains for me to give refers to the peculiar effect which salicine, a very valuable medicine, especially in the case of thread-worms, has upon the urine.
This is no question of mere curiosity, but a matter of the gravest moment, since nothing has been really gained so long as the head of the worm remains adherent to the bowel. Precautions such as these are not needed in the case of the other kinds of worms. Thread-worms, however, are best attacked in their habitation; that is to say, in the lower bowel, by means of lavements.
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