Bleeding from the Kidneys, etc. Hoematuria.
By this I mean a discharge of blood from the urinary passage. It may come from the kidneys, the ureters, the bladder, or the urethra.
Symptoms. The passage of the blood is preceded by pain in the region of the bladder or kidneys, and accompanied by faintness. There is generally heat and distress in the loins, and tenderness upon pressure in the region of the bladder or kidneys, according to the place from which the blood comes. It is sometimes difficult to decide whether the coloring matter in the urine is really blood.
In such cases, the microscope will generally detect the blood corpuscles, if present. They commonly appear as in Fig. 114, having a yellow color, and being pretty uniform in size.
Treatment. This must of course vary according to the nature of the case, and the immediate cause producing it. Where active bleeding exists, the patient must have absolute rest in bed, with applications of cold to the hips, and the bowels must be freely moved with some preparation of salts (14), (18), (20), (25).
Sugar of lead is a valuable remedy; but it should be given in large doses for a short time, rather than in small doses for a long time. It is best taken in form of solution (348), two great spoonfuls every two hours, until five or six doses are taken.
But the best remedy is gallic acid. It seems to have extraordinary power in this complaint. It should be given in five grain doses, mixed with a teaspoonful of mucilage of gum Arabic, and ten drops of tincture of henbane.
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