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Updated: June 29, 2025


Malaria is transmitted in this way by the anopheles mosquito; typhus fever by lice, and plague by the rat flea. These are all diseases greatly to be dreaded in the army. The third group, including typhoid and paratyphoid fevers, cholera, and dysentery, all of which are intestinal diseases, is largely conveyed from the sick to the well indirectly through contaminated water and food.

The symptoms are as follows: Constipation accompanied by a feverish condition precedes the diarrhoea; colicky pains are sometimes manifested; the diarrhoea is usually accompanied by depression, falling off in appetite and weakness. At first the intestinal discharges are not very foul smelling; later the odor is very disagreeable.

This practitioner having viewed the whole figure, and more particularly the head of Crowe, in silent wonder, proceeded to feel his pulse, and then declared, that as the inflammation was very great, and going on with violence to its acme, it would be necessary to begin with copious phlebotomy, and then to empty the intestinal canal.

Thompson added immediately, ill-concealing by his gaze the glowing intestinal congratulations going on within him, "that is, I think you would say, Sir Austin if I could but prevail upon you a tolerably good character wine!" "There's virtue somewhere, I see, Thompson!" Sir Austin murmured, without disturbing his legal adviser's dimples.

Many years ago scientists analyzed its poisonous alkaloids and found what they called bulbosine. Later it was named muscarin, and now is sometimes known as amanitin, since it is confined to the mushrooms of the Amanita genus. "Amanitin is a wonderful and dangerous alkaloid, which is absorbed in the intestinal canal. It is extremely violent.

The diseases that appendicitis may be confounded with and must be differentiated from are obstruction, renal colic, hepatic colic, gastritis, enteritis, salpingitis, peritonitis due to gastric or intestinal ulcer, enterolith, obstipation, invagination or intussusception, hernia, external or internal, volvulus, stricture and typhoid fever.

Intestinal fistulæ are sometimes met with in the abdominal wall after strangulated hernia, operations for appendicitis, tuberculous peritonitis, and other conditions. In the perineum, fistulæ frequently complicate stricture of the urethra. The treatment of these various forms of fistula will be described in the sections dealing with the regions in which they occur.

Metschnikoff suggests that they can only penetrate the intestinal wall through wounds or abrasions of the mucous membrane, made by intestinal worms or other parasites.

This we accomplish by partially unloading it by the use of the active hypodermic cathartics and stopping absorption by the surest and most harmless of intestinal astringents.

The bacteria thus administered in the milk are antagonistic to the intestinal bacteria that produce gas, and consequently have been recommended for the treatment of flatulence. If this commercial product cannot be conveniently obtained, one may use instead tablets containing the bacteria, which can be supplied by druggists.

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