and keeping the patient on light food.

CATARRHAL JAUNDICE. (Acute catarrhal angiocholitis).--Jaundice caused by
obstruction of the terminal portion of the common duct, by swelling of the
mucous membrane.

Causes.--This occurs mostly in young people. It follows inflammation of
the stomach or bowels, also from emotion, exposure, chronic heart disease.
It may be epidemic.

[DIGESTIVE ORGANS 129]

Symptoms.--Slight jaundice preceded by stomach and bowel trouble. Epidemic
cases may begin with chill, headache and vomiting. There may be slight
pain in the abdomen, the skin is light or bright yellow, whites of the
eyes are yellowish, pain in the back and legs, tired feeling, nausea, clay
colored stools. Pulse is rather slow, liver may be a little enlarged. It
may last from one week to one to three months.

PHYSICIANS' TREATMENT for Catarrhal Jaundice.--1. Restrict the diet if the
stomach and bowels are diseased. Sodium phosphate may be given one
teaspoonful every three hours to keep the bowels open. Drink large
quantities of water and with it some baking soda one-half to one
teaspoonful in the water.

2. If you have calomel you may take one-tenth of a grain every hour for
four hours, and then follow with the sodium phosphate in one-half
teaspoonful doses every two to three hours, until the bowels have fully
moved, or epsom salts, two to four teaspoonfuls. Keep in bed if there is a
fever or a very slow pulse say of forty to fifty.

GALL STONES. (Biliary Calculi, Cholelithiasis).--Cases of gall stones are
rare under the age of twenty-five years. They are very common after
forty-five, and three-fourths of the cases occur in women. Many people
never know they have them. Sedentary habits of life, excessive eating and
constipation tend to cause them. They may number a few, several, or a
thousand, or only one.

Symptoms.--There are usually none while the stones are in the gall
bladder, but when they pass from the gall bladder down through the
(channel) duct into the bowel they often cause terrific pain, especially
when the stone is large. Chill, fever, profuse sweating and vomiting,
which comes in paroxysms or is continuous. The pain may be constant or
only come on at intervals. The region of the liver may be tender, the gall
bladder may be enlarged, especially in chronic cases and very tender. In
some cases the pain comes every few weeks and then may be scattered,
sometimes seeming to be in the stomach, and then in the