FREE BOOKS

Author's List




PREV.   NEXT  
|<   164   165   166   167   168   169   170   171   172   173   174   175   176   177   178   179   180   181   182   183   184   185   186   187   188  
189   190   191   192   193   194   195   196   197   198   199   200   201   202   203   204   205   206   207   208   209   210   211   212   213   >>   >|  
f the body of the bladder with spasm of the neck has been described under the last heading, and may occur in the same way from overdistention in tetanus, acute rheumatism, paraplegia, and hemiplegia, in which the animal can not stretch himself to urinate, and in cystitis, affecting the body of the bladder but not the neck. In all these cases the urine is suppressed. It also occurs as a result of disease of the posterior end of the spinal marrow and with broken back, and is then associated with palsy of the tail, and, it may be, of the hind limbs. _Symptoms._--The symptoms are a constant dribbling of urine when the neck is involved, the liquid running down the inside of the thighs and irritating the skin. When the neck is unaffected the urine is retained until the bladder is greatly overdistended, when it may be expelled in a gush by the active contraction of the muscular walls of the abdomen; this never empties the bladder, however, and the oiled hand introduced through the rectum may feel the soft, flabby organ still half full of urine. This retained urine is liable to decompose and give off ammonia, which dissolves the epithelial cells, exposing the raw, mucous membrane and causing the worst type of cystitis. Suppression and incontinence of urine are common also to obstruction of the urethra by stone or otherwise; hence this source of fallacy should be excluded by manual examination along the whole course of that duct. _Treatment._--Treatment is only applicable in cases in which the determining cause can be abated. In remedial sprains of the back or disease of the spinal cord these must have appropriate treatment, and the urine must be drawn off frequently with a catheter to prevent overdistention and injury to the bladder. If the paralysis persists after recovery of the spinal cord, or if it continues after relief of spasm of the neck of the bladder, apply a pulp of mustard and water over the back part of the belly in front of the udder, and cover with a rug until the hair stands erect. In the male the mustard may be applied between the thighs from near the anus downward. Daily doses of 2 drams extract of belladonna or of 2 grains powdered Spanish fly may serve to rouse the lost tone. These failing, a mild current of electricity daily may succeed. INFLAMMATION OF THE BLADDER (CYSTITIS, OR UROCYSTITIS). Cystitis may be slight or severe, acute or chronic, partial or general. It may be caused by abuse of diuret
PREV.   NEXT  
|<   164   165   166   167   168   169   170   171   172   173   174   175   176   177   178   179   180   181   182   183   184   185   186   187   188  
189   190   191   192   193   194   195   196   197   198   199   200   201   202   203   204   205   206   207   208   209   210   211   212   213   >>   >|  



Top keywords:

bladder

 

spinal

 

disease

 

Treatment

 
thighs
 
retained
 

mustard

 

overdistention

 

cystitis

 

injury


paralysis

 
prevent
 

diuret

 

source

 
frequently
 

catheter

 
persists
 
general
 
chronic
 

relief


partial

 

recovery

 
continues
 

treatment

 

fallacy

 
excluded
 

examination

 

applicable

 
severe
 
caused

manual
 

sprains

 
remedial
 
determining
 

abated

 

BLADDER

 

Spanish

 

CYSTITIS

 
extract
 

belladonna


grains

 
powdered
 

succeed

 

electricity

 

INFLAMMATION

 

failing

 

UROCYSTITIS

 

Cystitis

 

current

 

slight