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CATARRHAL--SIMPLE AND SEPTIC OR DIPHTHERITIC
Catarrhal Croup is very simple, but very
formidable at times, when septic. The simple is quite enough to scare the
family and friends, and give the appearance that the child will surely choke to
death. But if placed in a hot bath--having the water as hot as it is safe for
immersing the baby--and kept there long enough, relief from the difficult
breathing will be secured. It will be well to start the bath at about 90
degrees Fahrenheit; then add hot water, and increase the temperature to 101 or
102 degrees, if it appears to be necessary. While getting the bath ready, hot
applications should be placed on the throat, and heat to the feet. When the
child is relieved, continue the hot applications to the throat and feet. It may
be necessary to empty the stomach, using a stomach-tube and warm water.
Give the child no food for twenty-four to forty-eight
hours, or until fully relieved--until there is no more croupy sound to the
cough. The rule is that catarrhal croup passes away in two or three days. Many
children will be quite croupy for one night, and apparently perfectly well
afterwards. The cause of catarrhal croup is pronounced indigestion from an
excess of starch or carbohydrate foods mixed with milk--breaking the rule I
have recently given parents never to combine starch and protein in the same
meal.
Septic or Diphtheritic Croup is a disease of a
very different nature. It means catarrhal croup intensified by a putrescent
state of the intestinal canal. It is the so-called contagious croup.
Comparatively few who are exposed develop it. The true cause is that the child
has been developing gastro-intestinal indigestion for some time, until the
organism is suffering generally from putrescent intestinal infection. This type
of croup does not always start with such pronounced or formidable symptoms as
ordinary catarrhal croup. The child will have a slight fever and putrescent
breath, and a slight croupy cough. Indeed, such children will often show a
croupy cough for two or three days and nights before dangerous symptoms show
up. On examination, the stethoscope will show a bronchial involvement. When
this is true, the writer has never known a case to recover.
All that can be done is to palliate with quite hot
applications to the throat, hot baths, perfect
quiet--positively no food. The bowels should be washed out thoroughly with an
enema. It is said, by those who believe in the antitoxin, that the injections
of this so-called cure will save such cases; but the writer's experience has
been different; and, inasmuch as he never has seen a case recover, he still is
waiting for such a cure to take place.
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