Membranous catarrh of the intestines (Colica Mucosa) / by Carl von Noorden.

Date:
1904
Catalogue details

Licence: In copyright

Credit: Membranous catarrh of the intestines (Colica Mucosa) / by Carl von Noorden. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    turbances usually disappear, in particular all pain- ful sensations. Mucus, however, is passed for some- time longer. This mucus, to judge from its appear- ance (see above) is freshly secreted. This demon- strates that the hyperirritability of the mucus- secreting apparatus is not allayed at once. At the same time the mucus no longer accumulates and the quantities passed are very insignificant. If the cure takes a normal course the secretion of mucus does not continue for longer than a week. In at least one-half of the cases the secretion of mucus ceases at once, as soon as soft motions are evacu- ated, and never returns thereafter. After the first difficulties were overcome the sub- sequent treatment caused no further trouble; as soon as the character of the stools improved and the general nutrition became better, the general well being of the patients was also improved from day to day; we noticed particularly that the patients themselves gained more and more confidence in the ultimate outcome of the treatment, and this is a factor that cannot be underestimated in the treat- ment of neurasthenic subjects. The further treat- ment of these cases, as we have already said, con- sists in accustoming the patients to a different diet than they were in the habit of taking, and this must be done gradually and without injuring the func- tional powers of the bowel; the diet should be adapted as nearly as possible to the diet that is customary in the particular locality where the