Rectal examination is most important to estimate the condition of the sacro-uterine ligaments, the cervix being pulled down so as to place them on the stretch.
During the first ten days, until the pharyngeal wound is firm, the patient must be fed through the tube and by rectal administration.
That portion of the vesico-rectal ligament which lies between the rectum and the neck of the uterus divides the recto-vaginal fossa into a right and a left half.
When there is abdominal distension, this may be relieved by the passage of a rectal tube at intervals of three hours, and if this fails a turpentine enema should be given.
Experience teaches that bicornate uteri cause more difficulties in diagnosis than in technique, but the presence of the vesico-rectal ligament would probably bar the removal of the uterus by the vaginal route.
It may also be caused by the rupture of a pelvic abscess or by the spread of primary malignant disease of the rectal wall.
When vomiting is very troublesome, it is sometimes necessary to keep a patient on rectal feeding two or three days.
The rectal orifice gapes; there is no sphincteric power present.
Jackson suggested rectal etherization as an alternative, but this has many dangers.
Murchison refers to one case in which collapse supervened, where the rectal temperature was 90.
Lewis states that such outcries were so often excited by slowly introducing the thermometer into the rectum that he was forced to believe that the anal and perhaps the rectal surface was hypersensitive.
Yet he found the fluctuations of rectal temperature remarkable, though less so than the surface temperature, of which he states that sometimes it rose above or fell below the normal standard several times in the course of the same day.
I can bear testimony to the good results which sometimes follow large rectal injections of warm or cold water, the latter being preferable when there is high fever.
Schroeder recommends a permanent stream of cold water in the uterine cavity by means of a large irrigator and a drainage-tube; others advise cold rectal injections maintained for long periods by the aid of a tube with a double current.
In combination with either of the latter medicines it may be given by rectal injection.
After the bowels have been relieved of fecal accumulations it is good practice to exhibit a scruple of quinia in solution with ten to thirty {651} drops of tincture of opium, byrectal injection.
As Wunderlich has pointed out, during the algid stage temperatures taken in the mouth do not give an accurate idea of the general temperature; the rectal and vaginal temperatures are more nearly correct.
It ends in a dilatation orrectal ampulla, which is in contact with the back of the prostate in the male and of the vagina in the female and is in front of the tip of the coccyx.
The anal canal is the termination of the alimentary tract, and runs downward and backward from the lower surface of the rectal ampulla between the levatores ani muscles.
The general opinion of experienced workers is that the rectal method is ineffective, and in this view the Committee concur.
It has been given by mouth, but most especially in high rectal enemas.
The local medicinal treatment of hemorrhoidal and other inflammatory ano-rectal conditions has always been unsatisfactory.
Author of “Improved Method of Treating Rectal Diseases” Formerly associated with Drs.
Harrison stated that arsphenamine (Salvarsan) in the shape of an enema is definitely less effective than intravenously and that “Neisser and the vast majority of workers can see no value in the rectal method.
The fact that Free Iodine in the form of Iodex can now be used in rectal and vaginal treatment, without irritation, speaks volumes for its penetrability and bland action.
Ogden Will Hold a Clinic for The Treatment of Rectal Diseases” and the name of the city and the dates of the “clinic” are inserted with a typewriter.
In addition to this booklet there is a four-page advertising leaflet illustrating and describing the “Ogden Rectal Cabinet” and also the “Ogden Rectal Table and Stool.
With this letter is an eight-page pamphlet entitled “Some Facts Concerning the Ogden Method of Treating Rectal Diseases.
Our conclusions are that the rectal administration of arsphenamine or neoarsphenamine is an extremely feeble method of administering these drugs.
The rectal injection will likely remove the cause.
The temperature of the water for the ordinary rectal injection should be 95° F.
The best and quickest means to effect this is to apply massage or give a rectal injection.
A rectal enema must be given every twenty-four hours if the bowels have not moved.
The best treatment, and in most cases the only treatment that is effective, is the use of rectal injections.
The irrigation should be given at the temperature of 100° F, and should be the normal saline solution; a long rectaltube is used to give the irrigation.
If a day should pass without a movement the child should be given a hot rectal enema as described on page 586.
Rectal feeding will supply water for a limited time, but for nutrient purposes rectal alimentation is dangerously inefficient.
These treatments are enhanced by the application of an ice bag to the throat, enforced rest of the vocal cords and rectal feeding, if necessary.
I would permit of an examination of my genitals by a medical man, without any feeling of discomfort," a correspondent writes, "but I think I would rather die than submit to any rectal examination.
Even physicians have been known to endure painful rectaldisorders for years, rather than undergo examination.
I have frequently seen it result from the presence of anal or rectal irritation, from hæmorrhoids.
He found that an increase in the rectal and abdominal pain followed lying down.
Endeavor to move their bowels by careful feeding of laxative food and rectal injections of soap and water.
One of the most important factors in the treatment of Colt Constipation is rectal injections; they relieve temperature, gases, and pain, promoting the worm-like action of the bowels and liquefying their contents.
If the animal is constipated, give rectal injections of Soap and Warm Water two or three times a day.
Give rectal injections of Soap and Warm Water or Sweet Oil, give about two ounces of Castor Oil internally and feed soft, sloppy food.
Very good results are also obtained from rectal injections of soap and warm water.
In case the animal is constipated, give rectal injections of soap and warm water containing a few drops of Turpentine.
To mares heavy with foal, apply the above liniment and give rectal injections of Glycerine and warm water frequently.
It is advisable to give rectal injection of Warm Water and Glycerine.
It is well to elevate the hind quarters and give rectal injections of Warm Water and Glycerine.
Rectal injections of Soap and Turpentine in small quantities, added to warm water, are very beneficial, and I would recommend their use.
Medicines are inserted into the vagina, and through the vagina into the womb, in a manner similar to that ofrectal administration.
Rectal injections, or enemata, are used in the treatment of constipation.
In giving rectal injections a rectal syringe may be used, or, better, a piece of one-half to three-quarter inch rubber hose 5 feet long with a tin funnel attached to one end.
To bring on evacuations of the bowels it is better to give rectal injections than to administer purges.
In such cases, give a rectal injection of warm water and an ounce of castor oil shaken up with an ounce of new milk.
On either side of the anus, in the ischio-rectal space, D D, Fig.
Aside from the serious inconvenience and pain which are experienced with most forms of piles, there is a tendency to fistula, and to cancer in the rectal region.
To whom it may concern--I was greatly afflicted with Uterine and Rectal disease.
Gentlemen--For more than twelve years I have been a sufferer with a complication of rectal troubles; pile tumors, prolapsus and fistula in Ano.
It should not be given when rectaltenesmus exists.
From the base of the stomach issues the intestine, which leads to the rectum, where the six rectal glands are shown.
This passes down the intestine to the rectum, where it is perhaps further influenced by the secretion of the so-called rectal glands.
Though this operation was supposed to lessen the risk of pelvic infiltration it is not found to do so, and it adds the additional inconvenience of almost inevitable rectal fistula, through which the urine escapes.
This is applicable in the case of adults with rectal obstruction.
Here is another claim made for this nostrum: “Two or three rectal injections of a one or two per cent.
Syringes and rectal tubes must be isolated, and the latter boiled after using.
The posterior wall of the vagina is carried before the advancing anterior rectal wall, and appears at the entrance of the vagina as a bulging tumor which is increased in size with every effort of the rectum to cast out the feces.
It must be introduced high up in the bowel, about ten inches, and therefore they should be given through a rectal tube made of heavy rubber one-quarter inch in diameter and at least eight inches of it should be inserted in the bowel.
He divides rectal fistulæ into penetrating and non-penetrating, and suggests salves for the non-penetrating and the actual cautery for those that penetrate.
It was in these cases that he suggested rectal alimentation, but he went farther than this, and treated the stricture of the esophagus itself.
He divides rectal fistulae into penetrating and non-penetrating, and suggests salves for the non-penetrating and the actual cautery for those that penetrate.
Blown up by shell; wounds, right side, distention and bloody urine: Paresis of right foot and spasticity of hip; later rectal and bladder incontinence.
The rectal disorder did not again occur during January.
Eventually the bladder and rectal functions were re-established, though they remained irregular.
About the middle of December rectal incontinence began, the stool being discharged without the patient’s noticing it while being led to the bath.
I found that I had been doing the thing which was not proper, and bearing the weight almost entirely upon the perineum had caused constant rectal irritation.
Rectal and other local irritations are produced by the pressure of the whole weight resting on the saddle.
In the second stage a bloody discharge will appear with the feces, and in the more advanced cases the rectal mucous membrane will protrude.
Then place the first and the middle fingers, one on each side of the anus, and press gently so as to relieve the strain upon the rectal lining.
In both of these cases the rectal mucous surfaces are torn loose or detached from the supporting walls, and the cells fill with blood, thereby becoming very greatly distended.
The descending colon is situated on the left side, its lower part opening into the rectal cavity.
The first or direct cause of this condition is usually congestion; that is, the feces in the rectal cavity forms into a hard mass.
In order to aid in this process, the head might be lowered, and the feet slightly elevated so as to relieve the strain upon the rectal muscles.
He thinks that the rectal enlargement would fulfil the purpose, and adds that everyone has seen herbivorous animals pass their excretions whilst running.
It is possible, however, to nourish invalids by rectalinjections of certain nutritious substances, the most important of which is milk.
