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"The pulse from the onset was comparatively frequent, regular and somewhat tense. In regard to the dejecta, the two passages at the onset of the disease pointed to increased peristalsis; this was of short duration, soon changing to the opposite condition, and until the rupture of the perityphlitic abscess absolute constipation existed."
This can be done gently or vigorously, according to your condition, and it is an invaluable and effective means of stimulating peristalsis and functional vigor. Mechanical vibration may also be suggested. Cathartics are always to be condemned. The ordinary cathartic or laxative acts by reason of its irritating qualities.
"Among these signs pain, either spontaneous or upon touch, a rise in temperature, increased frequency of the pulse and, in general, the signs of severe illness, are to be looked upon as the local and general symptoms of a severe septic inflammation; vomiting, at least in the first stages of peritonitis, was due to decided reflex irritation of the numerous branches of the peritoneal nerves; the fecal discharges at the onset may be explained, but by no means invariably, as due to peristalsis acting reflexively.
Many patients who oversmoke lose their appetites, have disturbances from inhibition of the gastric digestion, and may have an irregular action of the bowels from overstimulation of the intestines, since nicotin increases peristalsis. Such patients look sallow, grow thin and lose weight.
The objection does not even merit serious consideration. "It operates against peristalsis," we are told. I deny it, for the energy evinced by the intestine in expelling the water is proof of increased peristaltic vigor, if it is proof of anything.
I have not noted constipation following its use nor diarrhea, nor a stopping of peristalsis, nor indigestion, and in any case its action lasts at most only a few hours, and if it did all these, it could not much matter. Quitman says, that it constricts the capillaries.
It is paroxysmal and caused in the main by peristalsis the regular action characteristic of the sewer function of the bowels, which is for the purpose of forcing the contents of the intestines onward to the outlet, and which ordinarily is carried on without pain; but, in bowel obstructions of any kind, the onward flow of the bowel contents is cut off resulting in great pain where there is much irritability, for irritation of any kind always increases this expulsive movement.
Later the intestinal peristalsis increases and a foul-smelling diarrhoea sets in that is often mixed with blood. In the toxic form there may be marked nervous symptoms. Spasms, convulsions, stupefaction and coma may be manifested. In the mild form recovery usually occurs within a few days. The more serious forms of the disease do not terminate so favorably.
As a result of the excitation of nociceptors, with which pain is associated, the routine functions, such as peristalsis, secretion, and absorption are dispossessed from the control of their respective nervous mechanisms, just as they are inhibited by fear.
You will come to know how much of the colon has been filled by feel. You will also become aware of peristalsis as the water is evacuated vigorously and discover that sensations from a colon hard at work, though a bit uncomfortable, are not necessarily pain. Insertion of the nozzle is sometimes eased with a little lubricant. A bit of soap or KY jelly is commonly used.
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