er roots will bring on the
affection in some subjects. Among conditions which act by the direct
destruction of the globules in the circulating blood may be named an excess
of water in that fluid; the use of water from soils rich in decomposing
vegetable matter and containing alkaline salts, particularly nitrites; and
the presence in the water and feed of the ptomaines of bacteria growth;
hence the prevalence of "red water" in marshy districts and on clayey and
other impervious soils, and the occurrence of bloody urine in the advanced
stages of several contagious diseases. Some mineral poisons--such as iodin,
arsenic, and phosphorus taken to excess--may cause hematuria, and finally
the symptoms may be merely the result of a constitutional predisposition of
the individual or family to bleeding. In some predisposed subjects,
exposure of the body to cold or wet will cause the affection.
The specific symptom of bloody or smoky water is a very patent one. It may
or may not be associated with fever, with the presence or absence of
abdominal tenderness on pressure, with a very frothy state of the milk or
even a reddish tinge, with or without marked paleness of the mucous
membranes, and general weakness. When direct injury to the kidneys is the
immediate cause of the disease the urine will be passed often, in small
quantity at a time, and with much straining. When there is bloodlessness (a
watery blood) from insufficient nourishment, fever is absent and the red
water is at first the only symptom. When the active cause has been irritant
plants, abdominal tenderness, colics, and other signs of bowel inflammation
are marked features.
_Treatment._--Treatment varies according as the cause has been a direct
irritant operating on a subject in vigorous health or a microbian poison
acting on an animal deficient in blood and vigor. In the first form of red
water a smart purgative (1 pound to 1-1/2 pounds Glauber's salt) will clear
away the irritants from the bowels and allay the coexistent high fever. It
will also serve to divert to the bowels much of the irritant products
already absorbed into the blood and will thus protect the kidneys. In many
such cases a liberal supply of wholesome, easily digestible feed will be
all the additional treatment required. In this connection demulcent feed
(boiled flaxseed, wheat bran) is especially good. If much blood has been
lost, bitters (gentian, one-half ounce) and iron (sulphate of iron, 2
drams)
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