ering (as already pointed out), a
draught of cold air even may excite sneezing and a nasal discharge;
hence we have:

Acute Nasal Catarrh (Acute Coryza, Acute Rhinitis, "Cold in the Head",
"Snuffles").--Acute nasal catarrh may accompany measles, diphtheria,
influenza, and whooping cough.

Symptoms.--The onset is sudden with sneezing, and difficulty in
breathing through the nose. In a few hours, or it may be not for a day
or two, a mucous, watery, nasal discharge appears. There are redness and
slight swelling of the nose and upper lip, caused by the discharge.
There is no fever as a general rule except in very young infants, in
whom the fever may be very high. The discharge interferes with the
nursing and the child suffers from lack of nourishment. The inflammation
may extend to the eyes and ears, causing painful complications, or to
the throat and bronchi, causing hoarseness and cough. Less frequently we
have disturbances of the digestive tract with vomiting, or diarrhea.

The mild form of the disease lasts for two or three days, the severe
form from one to two weeks.

Repeated attacks are said to contribute to the production of adenoid
growths.

An acute attack of this disease is seldom a serious affliction in older
children; it may be, however, very serious and even dangerous in very
young infants. The tendency of the disease to extend downward, causing
bronchitis or pneumonia, explains in part the possible danger to a baby.
Another reason is because it may seriously interfere with suckling and
with breathing in these little patients. It may even cause sudden
attacks of strangulation. An infant, therefore, suffering with an acute
attack of rhinitis requires constant attention. It may be necessary to
feed it with a spoon, and if necessary mother's milk should be so fed.
Plenty of fresh air should be provided. It may be essential to keep the
mouth open in order that it may get enough fresh air. Every effort
should be made to keep the nostrils open. The secretions must be
removed from time to time. Causing the child to sneeze by tickling the
nose with a camel's hair brush will clear the nose for the time being.
The physician may be compelled to use a solution of cocaine for this
purpose.

Treatment of Acute Rhinitis ("Taking Cold", Nasal Catarrh, Acute
Coryza, "Snuffles").--A child suffering with an acute attack of "cold
in the head" should be kept indoors in a room with a constant, uniform
temperature; the parti