Telegram-herald., 1890-08-10
DIR. HARTMANS
Lecture On Dysentery-Two Inter
sstlng Cases Described
A Young Physician Who Mace
Himself Famous II the
[rs2rlent
% AGATE Dyssutsry May Years Age
The Secret az EsNe&leS

Dysentery, Ike dlaErhea, e the result
q Inflammation or the Iuing mucous
IleAlolaDe 0f tie CONels, tna difference
beilg ln ths case OF dysentsly thai "a.
inflammation = connned 10 Ine lo.ser
part y ltbe lATge Intestine. while ia dlsr-
rhea LAe inflammation involves the tnu-
cous lnIDg or the bowels above. Ihe
causes Tor each are nearly the same. aud
the cure docs not differ IN any essential
particular. They differ from each other
- tnr cnaracteI ot tue discharges more
iaSn IA any other particular, toe =
cnaFsS ol 0arlhea beng manly tae
.CecAl conteuts OF the towels. while Toe
passages oi dyseutery consist 0t mueus
LAG serum, tne u&tura! contents OF the
bDNeis appearing il small. hard scpa-
tate humps, called ssyuala Ia tne
acute iOrm tnls disease ) attended
with Fever. Il IS one tue pests OF hot
climates, where al certain SEASONS OF
the year lt ls very prevalent and
destructive. Armies and nayles es-
pec.aAy suier from Is ravages.
CAUSES.
Exposure 20 cold and wet. the use OF
unwA1lesome food, aal The agency oil
most common causes. The most vlO-
ient forms of this disease occur IN
warm climates ami IL situations where
tne body : exposed To extreme alterna-
ti0ns ut cold and heat; and hence there
Is every reason 10 believe tnese agen-
Clcs have something 10 DO in rs pro-
ducron. IL Is doubtful whether the
use 0f unwhOlesOme food or malar.al
duCe dy>cntery. and the general
opinion among medical men IS that IL
: not contagious disease.
SYMPTOMS.
one of the earliest symptoms of dys-
Cntcry Is an uneasinesS of the aDlO-
men, soon amounting To pain of Il
grlpug character IN the region of the
navel. There is frequent desire 10 20
10 stool, and au evacuation affords Il
temporary relief Unless the right
treatment is begun promptly the desire
70 cyacuate the bowels increases in IN
tenslty and frequency, and there Is less
I relief experienced 10y the evacuation.
/ The Il discharge is scanty, and consists
/ either entirely of a jelly-llSe mucus OF
/ mucus mixed with blood, films, mem
branous shreds and fragments, resem-
/ bling flesh. Later on each evacuation
I produces extreme pain instead OF
bringing relief, and the patient IS tor
/ mented by a sensation that there is
/ something TO come away, the expulsion
/ of winch would cure hlm, and is ire,
/ sistibly Impelled 10 strain to rid him
self OF the irritation. Ifallowed to rur
/ into an advanced stage OF the disease
/ the stools become greenlsh or black
/ and very fetid. The bladder frequent
/ ly, 10y reflex sympathy with the rectum
becomes irritable, and a constant desire
to- void urine adds to the misery OF the
patient. Nausea and vomiting some
times ensue. The patient passes sleep
less or dreamy and disturbed nights
and is low-spirited and respondent.
Ii not treated properly the pulse be
comes very small and RAPID, the fea
lures sharpen, the surface grows cold
and death at length sets IN.
The duration OF dysentery IS very un
certain. In some cases it proves fata
IN q few days, or even hours, and il
others it may last for months. I've
stages OF this disease are recognized
the infiammatory and the Lucrative. /
Is especially fatal IN very young child
rem and very old people and not ;
moment IS To be lost after the frs
symptoms appear.