internal laxatives are to be used, only the mildest and
non-griping preparations should be employed The best are: a good
mineral oil--one or two tablespoonfuls on going to bed, or fluid
extract of cascara sagrada, one-half to one teaspoonful on going to
bed. It is very important, whatever we use, _not_ to use the same
thing for a long time. If the same drug or measure is used without any
change, the bowels get used to it and cease to respond and we have to
use larger and larger doses. In fighting constipation we must
therefore constantly change our weapons: one night we use mineral oil,
the next night cascara sagrada, the third night an enema, the fourth
night a glycerin injection or suppository, the fifth night perhaps
nothing at all, the sixth night a blue mass pill, the seventh morning
a Seidlitz powder, then a rest for a day or two, then a repetition of
the same measures. But always remember: first try to get along without
any drugs at all. Many cases can get relieved of their constipation by
a proper change in diet alone. And where this is impossible, then use
mild laxatives and use them interchangeably.
=Toothache= is not uncommon in pregnancy, and a pregnant woman should
have her teeth put in first-class condition.
=Difficulty in Urination.= Pregnant women often suffer with frequency
and urgency of urination. Some have to urinate, while they are on
their feet, every few minutes. This is due to the fact that during
the first two or three months of pregnancy the uterus is not only
enlarged but is also _anteverted_, that is _turned forward_ and
_presses down_ upon the bladder. When the woman is lying down the
pressure on the bladder is relieved, and she does not have to urinate
frequently. This pressure lasts only the first two or three months,
because after that the growing womb lifts itself out of the pelvis,
rising into the abdominal cavity; it is no longer anteverted and the
pressure on the bladder is relieved. During the last months of the
pregnancy there is again frequent urination, because then the heavy
uterus sinks again into the pelvic cavity and presses upon the
bladder. The treatment for this frequent urination consists in wearing
a well fitting abdominal belt or corset, which raises the uterus and
prevents pressure on the bladder. Sometimes a pessary which prevents
the anteversion is efficient. In all cases lying down and resting is
useful. In short, keeping off one's feet is the most efficient reme
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