The diagnosis and treatment of diseases of the rectum : being a practical treatise on fistula, piles, fissure and painful ulcer, procidentia, polypus, stricture, cancer, etc / by William Allingham and Herbert W. Allingham.

  • Allingham, William, 1829-1908.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and treatment of diseases of the rectum : being a practical treatise on fistula, piles, fissure and painful ulcer, procidentia, polypus, stricture, cancer, etc / by William Allingham and Herbert W. Allingham. Source: Wellcome Collection.

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    patulous, contracted, or nipple-shaped. Look for o.^^'^pnd tumours, ulceration, or fistulous orifices ; feel around outside the anus with the forefinger for induration. If there be any, where is it situated ? Is it tender, hot, or fluctuating ? If there be any opening or openings, does matter exude on gentle pressure ? Can a probe be passed into them ? if so, in what direction ? Next, pressure should be made on the very verge of the anus, for a painful spot may be found, perhaps indicating the position of a fissure. Then, with the hands placed upon the buttocks and the fingers quite close to the anus, firmly separate the former, at the same time telling the patient to bear down; such a procedure everts the anus, and so exposes to view the orifice and the mucous mem- brane for half an inch up the bowel. By this means one may discover a fissure, piles, or polypoid growths. Finally, examine the interior of the bowel with the Internal finger, which should be well anointed, and the tion with patient told to bear down while it is being inserted. By bearing down, the sphincters are relaxed and the entrance of the finger effected without pain. Much information—to the initiated generally all that is needed—is to be obtained by passing the instructed and practised finger into the rectum ; internal fistulous orifices, polypi, minute ulcerations, fissures, etc., can all be easily detected. At first the finger should be passed just into the entrance of the anus, the tightness and breadth of the sphincters observed, and a careful examination made in the space between the internal and external