The Waterbury Democrat., 1940-08-20
RELIEVING THE ATTACK OF
 PILES

Hemorrhoids (piles) being in fact dilated, enlarged or varicose viens, may be present for years or indeed for a lifetime and never cause more than vague discomfort. More often the subject becomes aware of the | trouble when an attack" occurs when the pile or piles become in- | famed
 In most cases piles are internal" normally, though an internal pile, when inflamed, may prolapse or protrude externally after straining, and require replacement following prolapse. In some cases piles are "external," that is, in the mucous membrane-skin are surrounding the external orifice, and when external piles become inflamed they are much more painful than internal piles.
 Internal piles are readily obliter- ated by injection treatment and the skilled physician can treat most patients successfully in this way without even local anestheSia and without giving the patient enough discomfort to complain about. Ex- ternal piles cannot be so treated. Local anesthesia is necessary as a preliminary step, and instead Of ln- lection the hemorrhoidal lesion is then either ngated or if thrombosed (clotted) the clot must be turned out and the incision carefully closed by suture.
 Short of medical treatment one suffering from an attack of piles should CD keep off the feet, pre- ferably lie with hips or legs higher than shoulders; CD avoid physic except a brisk saline laxative, (3) apply externally 5 per cent bella donna ointment and cover this with large soft compress or pad wrung out of glycerine and hot water, equal parts, changing the pad often enough to keep it hot for an hour or until the pain is alleviated. Smearing the protruding or pro- lapsed internal pile mass with this 5 per cent belladonna ointment fac- ilitates replacing the piles after de- location.
 Reflex irritation or pain is a misleading symptom of piles in many instances = especially when the patient is not aware of the presence of piles or has forgotten the last attack" "Lumbago," "scia- tica" and bladder trouble may be of this nature. Moreover good deal of functional disturbance of the re- productive organs in women and in men is actually reflex manifesto ton of piles or other rectal irriat- ton which could be readily correct ed if only a proper examination and the right treatment were given. One physician outstanding in the field has recently reported a large series of cases of peptic ulcer in which diagnosis and treatment of blind" piles has proved curative. so far as the stomach symptoms were con- cerned.
 Among the conditions which vic- tims of limited intelligence too often assume to be piles" and which even quacks (doctors who | fail to make a proper examination) SO maltreat are Assure. fistula, structure, benign tumor, foreign body lodged In rectun, pinworm infestation, pruritus and even can. cer. The possibility of cancer oi the rectum, while remote. never. theless must be recognized. and so 1t behooves any one past gorty to have c proper medical exam. nation if troubled with repeated slight bleeding or other vague rectal symptoms purporting to be due to plies"
 QUESTIONS AND ANSWERS
 vitamin D For AFthFitls The benefit to my husband from the vitamin D treatment you re- commented has been almost iiii- ! beIievabln. Ha had arthFltls for ten