A practical essay on stricture of the rectum; illustrated by cases, showing the connexion of that disease with affections of the urinary organs and the uterus, with piles, and various constitutional complaints / [Frederick Salmon].
- Salmon, Frederick, 1796-1868.
- Date:
- 1828
Licence: Public Domain Mark
Credit: A practical essay on stricture of the rectum; illustrated by cases, showing the connexion of that disease with affections of the urinary organs and the uterus, with piles, and various constitutional complaints / [Frederick Salmon]. Source: Wellcome Collection.
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![acrid state of undigested matter irritating the inner coat, and, in this manner, causing improper action of the intestine. Some authors have spoken of stricture of the rectum as occasionally consequent upon syphylis. On this point, I confess myself sceptical, nor does the opinion appear to be much entertained by modern writers. I have known instances of méchanical impedi- ment to the passage of the feces, produced by the growth of little bundles of hard excrescences, situated near to the orifice of the rectum. In several of these cases, the patients were females of profligate habits, from which I was led to conclude it was the result of long continued irri- tation, arising from the peculiar mode of life of the parties. | A peculiar constriction of the anus is occasion- ally the cause of stricture. ‘The exceeding thick- ness, and consequent powerful action of the sphincter ani muscles, opposes the natural action of the bowel], which causes patients to strain violently, and the abdominal muscles thus ex- cited press upon the superior part of the gut and sigmoid flexure of the colon, giving rise to contraction in those parts more especially. I have scarcely ever found this constriction unat- tended with obstruction, very high up im the rec-](https://iiif.wellcomecollection.org/image/b33092916_0031.jp2/full/800%2C/0/default.jpg)