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Chronic Enlargement of the Womb.Causes. - The first in the list of the causes of this affection is, as already indicated, premature rising from the bed after confinement. The woman may have enjoyed good health during her pregnancy ; the labor may have been natural and easy, and yet the failure to observe proper precautions after delivery may be followed by the condition under discussion. Perhaps the next most frequent cause is abortion ; if the natural course of pregnancy be interrupted, the natural process subsequent to pregnancy - that is, involution of the womb - also fails to occur with the same precision and uniformity. Furthermore, after abortion, there is ordinarily no activity of the breasts ; and it is a well-established principle that the involution of the womb is hastened and promoted by a free secretion of milk. One more factor is also to be taken into consideration, namely, that after abortion the woman ordinarily rises and resumes her duties at a much earlier period than after confinement at full term. In addition to these causes connected with pregnancy there are several which may induce a chronic enlargement of the womb in a woman who has never been pregnant ; the long-continued existence of a chronic inflammation of the womb usually results in an increase in the size of this organ ; the same result may follow displacements of the womb ; the growth of tumors in this organ ; and inflammation in some of the tissues near the womb ; the presence of tumors in the abdomen not connected with the womb itself, and in some instances the difficulty seems to be due to excessive sexual indulgence, especially at the time of the menstrual discharge. Symptoms. - The symptoms caused by this complaint are largely identical with those attendant upon a chronic inflam mation of the womb. Among them may be mentioned, pain in the back and loins ; pain in the head (especially at the top) ; languor and debility; derangements of menstruation ; leucorrhcea, and pain during intercourse. This condition - chronic enlargement of the womb - may, like a simple chronic inflammation, give rise to many of the symptoms which commonly occur during pregnancy : the enlargement of the breasts and abdomen. The derangement of the stomach may arouse a suspicion that conception has occurred. Indeed it not uncommonly happens that young married women are completely deceived in this regard, and the physician himself may be unable to decide during the first two months of observation. It may be in general stated that the most decisive though not infallible means for deciding between the two is to be found in the condition of the menstrual function. If conception have occurred, the menses are usually suppressed; if inflammation or enlargement be the cause of the symptoms, the menses may be deranged-increased, diminished or irregular-but are rarely suppressed. Numerous complications often supervene upon this affection, complications affecting the bladder and rectum especially. Sometimes the symptoms arising in these other organs may obscure the original complaint, by directing the attention to the complication. Thus it is not seldom to meet cases in which the most prominent symptoms are frequent and painful evacuation of the bowels or bladder; and leucorrhcea is a by no means constant symptom of this affection. Other complications that may follow, though with less frequency, are hysteria, dyspepsia and disorders of the ovaries. Treatment.-In determining what measures may be best adapted for the relief of this condition, it is extremely important to ascertain as accurately as possible the influences that cause it. In none of the diseases of women is there a greater diversity of causes, and therefore a greater difference in the measures which may secure relief in various cases. In some instances the condition of the womb results from the depraved condition of the general health. In this case the remedies must evidently be addressed to improving the general condition, and must therefore consist of the various measures mentioned in discussing the chronic inflammation of the womb. In such cases a simple change of residence, a vacation at the seashore or among the mountains, will accomplish far more than any amount of drugs. There are, on the other hand, numerous instances in which the difficulty begins in the womb, and the other features of the case are merely subordinate and subsequent to this primary affection in the womb. Not infrequently the entire difficulty seems to originate in a laceration of the neck of the womb which occurred during delivery. A simple operation whereby this laceration is healed is followed by a disappearance of all the symptoms. Hence it is advisable in every case in which the combination of symptoms above mentioned justifies a suspicion of womb disease, to consult the medical adviser, in order to ascertain at least whether the original difficulty is one of the womb primarily or whether the womb disease is a sequence rather than a cause of the constitutional affection. There is one remedy which is in the majority of cases beneficial, though it cannot be relied upon alone to accomplish the desired result. This is the ergot of rye. This medicine may be taken - prepared as the tincture of ergot-to the amount of twenty drops two or three times a day. The liquid may dropped into water and sweetened if necessary. If this remedy be employed without the advice of a physician, it is advisable to begin by the use of smaller doses, not more than ten drops at a time, because the first few doses may be followed by intense pain in the womb and its surroundings, the result of the uterine contraction. The degree of pain which may be thus induced depends largely upon the condition of the womb itself. Another valuable means consists in the vaginal douche, or hip-bath, the latter preferred. If it be impossible to take a hip-bath regularly twice a day, the douche may be employed three or four times a day, and in the horizontal position. By means of the fountain syringe already described a stream of warm water may be introduced high up in the vagina against the mouth of the womb. The douche should be continued for twenty or thirty minutes at each application, At night a tampon of cotton, soaked with glycerine, may be introduced into the vagina and pushed up against the neck of the womb. In every case a string should be tied around the cotton, by which means the tampon can be easily removed in the morning. But first, if you want to come back to this web site again, just add it to your bookmarks or favorites now! Then you'll find it easy! Also, please consider sharing our helpful website with your online friends.
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