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MEDICAL. CONl/VCTJ.'B BY A PHYSICIAN A" ID S»R6E0tf OF Iq Twenty Experience._1 SUMMER DIARRHOEA. It is very frequently observed that duriijg hot weather there is an increased prevalence of diarrhoea, both in town and country popula- tions. This seems to be due partly to the heat itself, partly to the changes made in diet on account of the hot weather, and partly also from chills caught when perspiring freely on account of exercise in the hot atmosphere. The changes of diet induced by heat are gene- rally from a full meat diet to a diet of fruit and vegetables. No doubt, at all times fruit and vegetables tend to relax, while meat has a ten- dency toward constipation. On the whole, it is better to be relaxed than constipated, but in hot summer weather it is wise to keep a strict watch over any tendency to diarrhoea. Such an attack may be quite harmless, but, on the other In nd, it may, in a few hours, become very diffi- cult to check, and may pass into English cholera. This disease must, however, not be confused with true Asiatic cholera, which seems to require a definite source of contagion. It is generally spread by means of water used for drinking purposes, or it may be actually caught directly by a nurse or relative in attendance upon a patient. Our English summer acute diarrhoea is not, properly speaking, contagious, although in all cases it is wise to use sanitary precautions. When diarrhoea is set up by change in food or errors of diet, it is wise to begin the treat- ment at once with a purgative to clean any irritant remains from the intestines. This 1". especially important if the diarrhoea his laser, set up by unripe or over-ripe or unwholesome fruit. Castor oil answers this purpose very well, because its action is prompt and thorough, and does not tendlto a long continuance. When its effect has passed off, come form of mixture, both pain relieving-mid of all astringent action, is desirable. For example, the aromatic powder of chemists with pa,regoric-a teaspoonful of the powder to 20 or 30 drops of the latter rubbed up with water in a cup—forms a very suitable draught. A. more astringent powder is mamed compound catechu. In severe cases or two grains of acetate of lead in a pill may soon arrest the disease, but if simple remedies do not stop the frequency of the trouble go to a doctor, by all means. "Chipperifeld."—Try the ointment of boranic acid to the irritable patch of skin on the leg, and do not ecratch the place or it will never heal. Anxious."—It is a iuie never to recommend any particular specialist by name. Your own doctor ill the proper person to assist you in that way, pain descried as under the shoulder-blade i§ probably the result of a slight attack of pleurisy. You had better put a mustard plaister over the place several times on alternate nights. '• Old Subscriber."—'Die girl requires a course of coel liver oil, with a mixture containing: iron and arsenic; a lead lotion for use by day and diluted nitrate of mercury ointment to apply, to the eyelids at night. W. Hithley.—You would do very wisely to make efforts to obtain an order for a month's resident In the Bath Mineral Water Hospital. The clergjax-tn of your parish would be very likely to be able to procure an order for you. No medicines will do much good to your chronic rheumatism. One in a Balance."—The medical adviser feels sure that if you consider the matter you will see that it would be impossible to give any answer In a public journal upon such an indelicate and private subject. The ordinary family medical man is quite competent to (jive you the necessary advise and opinion. dUJt." -She must stop the foolish habit at once, or she will get her blood into all uiipure state, ay> will become weak and ill. Baking-powder ccVMif carbonate of soda and a vegetable acid, and fVrfh moistened it gives off carbonic acid gas. This serves to inflate and blew up the dough, and to make it Jght. Kins Cclc."—Your statement is not definite enough for me to decide what disease there is in your knee. Chronic rheumatism it might be, or waat is called syno\ltas, that is, inflammation of the interior of the "joint, leading to excess of fluid in the knee joint. The case is one for attendance at a hospital. Epileptic."—The fits which show this disease fjeijeiaUy begin to occur In chiklhood or youth, a1-4 may continue at intervals all through a long But, of course, the epileptic runs special risks &3m the occurrence of the tlte when in dangerous places, as in the street, when on a ladder, or near a lIre, and so the insurance companies naturally refuse to jr.sure an epileptic at ordinary rates. "Wrexham."—Yes, there has been a case in London, recently in which a baby of four months old ilei from having its ears pierced for ear-rin^s as orna- ments. A jeweller's assistant pierccd the ears, ana the coroner's jury said that, in their opinion only meclical men should be trusted to do this little opera- tion at any rate, sanitary precautions are necessa > and the Instrument should be disinfected before fete- G. 0. F."—There is no use in attempting to cos<-pal from you that you are seriously affected: generally the throat is fi2st attacked, and then the skin. Yo-u require the care and treatment of the most clever physician you can find; to put yourself tnto the hands of a druggist only or a quack doctor means death, and, probably, in the near future. Skilful treatment may stop the course of the disease, but it is very doubtful whether there is any actual complete cure-. Ching Ching."—There seems to be a radical fault In your digestive system. This cheeks the complete transformation of food, and especially of animal food, into nutriment. The residue, fail Li*; to be converted into healthy blood, becomes uric wfid; the kidneys remove this, which tends to crysmlise in the urine and to become deposited in the kidneys end bladd r; hence all the symptoms. Avoid animal food, drink potass and lithia water, and take purga- tives -frequently. •• Sick Child.Whoop:n¡;o cough is the same as the J1,);f' I'er(.L<fs, which you have seen. It is a very infeci.iors and sometimes epidemic malady. Almost- every child catches it before puberty is reached, and it very seldom occurs twice in the same person, and that is why adults so seldom suffer. Its couras is rarely under three weeks, and it may extend £ o six weeks. When the di,1rac.e it fully declared it is shown by the cough coming on in fits, whic\ often lead to vomiting1, and sometimes to nose bleeding. Between the fit., of coughing there is generally com- fort and freedom from pain. If there is any fever or inflammation these are the results of pome bron- chitis. pleurisv, or pneumonia, which has come on in addition. These complications need careful watch- ing and skilful medical treatment; drugs do not seem to have much effect on uncomplicated whooping cough.





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