oiled, ought to be inserted, and the intestine
explored as thoroughly as possible. This operation is, however, not of
further use than to confirm the opinion of the practitioner; and I,
knowing the cause, therefore dispense with it. A copious enema should be
immediately exhibited. One containing turpentine is the most effective;
but, on account of its activity, it is only safe in the beginning of the
attack. A warm bath is of service, but it takes up time which may be
better employed, and does not do sufficient good to recompense for the
delay. A full dose of sulphuric ether and laudanum should be given to
allay the pain, and it may with this intention be repeated every ten or
twenty minutes. If, from the enema, nothing follows, the finger should
then certainly be introduced, and perhaps a compact mass may be felt
firmly grasped by the intestine. Slowly, and with great caution, this must
be broken up, and brought away bit by bit. The handle of a spoon has been
recommended for this purpose, but I entreat my readers not to use it.
Where pain is present, and life or death hang on the issue, there is no
right to be any delicacy. An instrument of any kind introduced into such a
part, and employed while the body is writhing about in agony, cannot be
free from danger, and scarcely can be so used as to be effective. The
finger is the quickest, the most safe, and the most effectual instrument;
for we have it under our command, can guide it at our will, and with it
take cognisance of all the circumstances presented. Even that must be
employed gently, and this will be best done by the avoidance of haste. The
surgeon is bound to be skilful, but he ought never to be in a hurry. Let
all the time that can be occupied on such a matter be freely taken, and
during the process, let the cries of the animal be attended to; any change
of note will contain a warning which must not be disregarded. Without
attending to that, the intestine might be ruptured, and death would then
be certain.
When the obstruction has been overcome, let a few ethereal enemas be
administered to allay any local irritability; and a dose of the purgative
pills--followed, six hours afterwards, should they not have operated, by
one of castor-oil mixture, blended with half a scruple of
chloroform--being given to unload the caecum. The medicine having acted
freely, the food must be amended, the treatment altered, and such other
measures taken as the digestion may require f
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