ot easily removed. There are also
symptoms of indigestion, as vomiting, diarrhea, and colic. The disease
is contagious, and is due to some uncleanliness, often of the bottles,
nipples, or milk. Sometimes ulcers or sore depressions are left in the
mouth, and in weak children, in which the disease is apt to occur, the
result may be serious, and a physician's services are demanded. The
treatment consists in applying saleratus and water (one teaspoonful in
a cup of water) to the whole inside of the mouth, between feedings,
with a camel's-hair brush or with a soft cloth. A dose of castor oil
is also desirable, and great care as regards cleanliness of the
bottles and nipples should be exercised.
=Ulcerous Form.=--This does not occur in children under five, but may
attack persons of all greater ages. It is often seen following measles
and scarlet fever, and in the poor and ill nourished, and after the
unwise use of calomel. There are redness and swelling of the gum about
the base of the lower front teeth, and the gums bleed easily. Matter,
or pus, forms between the teeth and the gum, and the mouth has a foul
odor. The gum on the whole lower jaw may become inflamed, and a yellow
band of ulceration may appear along the gums. The glands under the jaw
and in the neck are enlarged, feeling like tender lumps, and saliva
flows freely. In severe cases the gums may become destroyed and eaten
away by the ulceration, and the bone of the jaw be diseased and
exposed. As in the graver cases it may become necessary to remove dead
bone and teeth, and the very dangerous form next described may
sometimes follow it, it will be seen that it is a disease requiring
skilled medical attention. The treatment consists in using, as a mouth
wash and gargle, a solution of chlorate of potash (fifteen grains to
the ounce) every two hours. Cases usually last at least a week.
=Gangrenous Form.=--This is a rare and fatal form of inflammation of
the mouth and occurs in children weak and debilitated from other
diseases, as from the contagious eruptive fevers, chronic diarrhea,
and scurvy. It is seen more often in hospitals and is contagious. A
foul odor is noticed about the mouth, in which will be seen an ulcer
on the gum or inside of the cheek. The cheek swells tremendously, with
or without pain, and becomes variously discolored--red, purple, black.
The larger proportion of patients die of exhaustion and blood
poisoning within one to three weeks, and the onl
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