over-exercise of
the child at play. In either case the trouble is usually a trifling
one. Some children, however, are liable to attacks of nose-bleed coming
on without any assignable causes. One of the consequences of scarlet
fever and whooping cough is sometimes a tendency to repeated and serious
spells of bleeding from the nose.

The _treatment_ in these cases consists in quieting the alarm of the
child if it be frightened, and in applying cold water or pounded ice to
the nose and forehead and to the back of the neck. It is because of its
coldness that the key placed down the back, as so commonly advised in
domestic practice, does good.

An exaggerated idea of the amount of blood lost is often a cause of
distress to parents. They forget that the child has been bleeding in a
vessel of water, and that a very little blood darkly colors a large
quantity of water.

Bleeding from the nose is sometimes a favorable symptom, as when it
occurs during a fever, or when in girls approaching womanhood it
precedes the expected signs of puberty. It is an unfavorable symptom,
however, in scrofulous children and in girls affected with
green-sickness, as in these instances it aggravates the existing
disorders.

In those rare cases of protracted bleeding which resist the remedies we
have mentioned, it may be necessary for the surgeon to plug the
nostrils, both in front and at their opening into the throat.

This extreme measure is fortunately scarcely ever called for, and can
only be carried out by the physician.

WORMS.

Children are often thought to have worms when entirely free from them.
There is hardly a symptom of any disease which has not been supposed by
some to be a sign of the presence of worms. A child suffering from some
other complaint is, therefore, not unfrequently dosed with vermifuges to
its injury. We can give the mother one symptom of worms which is
infallible. It is the only one upon which she can rely, namely, the
detection of worms in the stools of the child. Until these expelled
intruders are actually found she should be slow to believe that the
child is thus affected, and still slower to give worm medicine. Before
beginning treatment, let the mother wait until the need of it is made
out by the result of the examination we have mentioned.

The _treatment_ of the ordinary worms to which children are subject is
simple and usually speedily efficacious. Commence with a dose of Epsom
salts, of magnesia, or