sleep upon its side or face, as lying upon the back is sure to increase
the trouble. Indeed, it is frequently observed that the child always
remains clean when it is prevented from turning upon its back during
sleep. The difficulty lies in the prevention. The plan of tying a cloth
or towel around the child with a knot over the spinal column, to awaken
it by the pain when it rolls over upon the back, so often proposed,
seems good advice easily followed. But practically it fails, as it is
impossible, without making the bandage too tight, to keep it in place.
The benefit which, in some instances, has followed the employment of a
succession of small blisters directly over the lower part of the spinal
column, is doubtless due to their forcing the child to sleep upon the
face or side. The remedy is somewhat a painful one, but should be tried
in obstinate cases.
The child's general health, if enfeebled, should be improved by cold
baths, bitter tonics, and if possible a change of air. In no case should
any mechanical means be employed to arrest the infirmity. Serious and
even fatal results have followed such attempts.
If the precautions and simple remedies we have mentioned fail, recourse
must be had to the family physician. The drugs which are of benefit are
too powerful to be entrusted to any other hands. The hygienic method of
cure we have pointed out will, if instituted early, be effectual in all
excepting very obstinate cases, which latter indeed sometimes resist for
a long time the best efforts of medical skill.
LOOSENESS OF THE BOWELS.
Children under one year of age should have two movements of the bowels
in the twenty-four hours, and those from one to three years at least
one stool a day.
A slight attack of looseness is often beneficial if it passes away
within a day or two. It is easy, however, for such an attack to become
hurtful, especially if the food be improper, or the weather warm. A
looseness which is of no consequence in the winter may well excite
uneasiness during the summer months.
Diarrhoea in a healthy child is ordinarily preceded by vomiting. If the
diarrhoea persist long, the little patient is much prostrated by it, and
rapidly reduced in flesh. Such an attack should never, therefore, be
neglected.
In the case of an infant not weaned, it should be removed from the
breast for half a day or more, that the stomach may have little or
nothing to do. Barley or rice water, or ordinary water, m
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