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Updated: June 5, 2025
In typhoid fever there is a tendency to irritation of the mucous membrane of the small intestines; and, as I have already stated, I am satisfied from observation that when cathartics are given during this disease this irritation is often most seriously aggravated, and death not unfrequently follows as a result.
My feminine prejudices did not, however, in this instance, deceive me. After the usual questions, the patient was declared in a fever, and condemned to cathartics, bleeding, and "bon bouillons;" that is to say, greasy beef soup, in which there is never an oeconomy of onions. They tell me we have now more than five hundred detenus in this single house.
It will be seen that what the surgeon wanted consisted chiefly of opiates, stimulants, cathartics, plasters, and materials for bandages.
"In conclusion I will say that the most important lesson my experience has taught me is the fact that more harm is done to the patient suffering from acute appendicitis by the administration of any kind of nourishment or cathartics by mouth than in any other way, and that more lives can be saved by prohibiting this and by removing any food which may be in the stomach at the beginning of the attack by gastric ravage than by all the other methods of medical and surgical treatment combined."
A regimen that is nutritive and at the same time laxative is essential and in some cases cathartics and enemata are necessary. Also, during the first few days, if there is retention of urine, catheterization is imperative. In a word, the handling of such cases consists largely in keeping the subject inactive, as comfortable as possible, and giving attention to suitable diet.
And, as to the use of cathartics, from my observation I soon became satisfied that a vast number of lives have been lost by their use in cases of remittent and typhoid fevers, the tendency to irritation of the mucous membrane, which exists especially in the latter disease, being often fatally aggravated by cathartic remedies.
Emetics and cathartics I shall not administer, because I am sure you do not want them; but for alteratives you must expect a great many; and I can tell you that I have a number of NOSTRUMS, which I shall communicate to nobody but yourself. To speak without a metaphor, I shall endeavor to assist your youth with all the experience that I have purchased, at the price of seven and fifty years.
Cathartics with their harsh action on the delicate membranes are contraindicated. The mother's first milk is cathartic enough to stimulate the bowels to act, but it is nature's cathartic and does no harm. As a rule the baby is fed too often and too much from the time of birth.
"Josette," she said gently, "such a thing must never happen again." Mademoiselle Cormon was, without being aware of it, made happier by such little quarrels, which served as cathartics to relieve her bitterness. The soul has its needs, and, like the body, its gymnastics. These uncertainties of temper were accepted by Josette and Jacquelin as changes in the weather are accepted by husbandmen.
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