On villous growths and the common affections of the rectum / by Thomas Bryant.

  • Thomas Bryant
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: On villous growths and the common affections of the rectum / by Thomas Bryant. Source: Wellcome Collection.

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    chronic affection. Should the ulcer be associated with piles or rectal prolapse, the patient will often tell you that since he lias had the sevei-e local pains neither the piles nor prolapsed boAvel have come down so much as they did formerly, and that lie has been able, therefore, to sit down with greater comfort, having been led by these apparent improvements to think that his piles or prolapse had taken a favourable turn ; whereas the intelligent surgeon should, in this report of his patient, be led to a different conclusion, and find an explanation of the facts which he may accept from his patient, that the protrusion of the rectal trouble has lessened because the anus has become less patulous from the Fi&. 6. A typical anal ulcer as displayed by the speculum. spasmodic contraction of its sphincter muscle, which is always associated with this anal ulcer, and as a consequence lessens or forbids the prolapse which formerly occurred. Indeed, whenevei a patient complains of sudden accession of anal pain in the act of defecation, and the persistence of a burning, cutting pain for a few or many minutes, or even for hoars after the act; whenever a patient who has been known to have piles or prolapse suddenly becomes the victim of this intense local pain and, as a consequence, seeks for relief, the presence of this trouble should be suspected, and no treatment ought to be suggested before such a careful local examination as I have described has been carried out.