6. Nosebleed, Puff-Ball for.—"Find an old brown puff-ball from the ground, pick out the soft inside part and put it in nose and let remain for some time."
7. Nosebleed, Vinegar and Water for.—"Wet a cloth in very cold water or strong cold water and vinegar and apply to back of neck, renewing as it gets warm. Have seen this tried and know it to be good."
PHYSICIANS' TREATMENT for Nosebleed.—Place the patient on his side half lying, head and shoulders raised and apply a cold compress to the forehead, nose, and to the back of the neck. Press the end of the nose firmly against the partition between the nostrils, for some minutes. This presses directly upon the bleeding point, as a rule. Also, when lying in this position, the blood does not flow into the throat so readily. Raise the arms above the head, apply cold to the spine or to the scrotum of men and breasts of women. Mustard foot baths are good, injection of cold water, or the injection of hot water, 120 F., into the nostril will often help: Cold water, Or salt water, can be gently snuffed. Alum solution on a cloth put in the nostril often helps. A piece of bacon cut to bits and placed in the nostril often stops it. Vinegar injected into the nostril is good, or you can use a cloth saturated with vinegar and placed in the nostril. White oak bark tea, strong, is effective; juice of lemon applied same way or injected is helpful.
How to plug the nostrils; (front or anterior nares).—Do this with narrow strips of sterilized gauze, by placing the first piece as far back as possible, then with a narrow pair of forceps pushing in a little at a time until the nostril is filled. The gauze should be only one-half inch wide. If the bleeding still continues the posterior opening (nares) should be plugged. This can be known by seeing the blood flowing down the throat (pharynx).
[RESPIRATORY DISEASES 21]
How this is done? Pass a soft rubber catheter, along the floor (bottom) of the nose until its end is seen passing down behind the soft palate into the throat. Grasp this with a pair of forceps and pull it forward into the mouth. Tie a stout string to the end of the catheter (about 1-1/2 feet long) and tie the other end of the string around the centre of a plug of lint or gauze, 1-1/2 inches long and three-quarters of an inch wide. Then pull the catheter back through the nostril, very gently. This will pull the plug into the posterior opening of the nose, and plug it. . Hold this same end firmly and with a pair of forceps fill the anterior nostril with strips (1/2 inch wide) of gauze, pushing them back to the posterior plug. The end of the string in the mouth may be fastened to a tooth or to the side of the cheek (if long enough) with a piece of adhesive plaster. The plug should not be left in position more than forty-eight hours, and it should be thoroughly softened with oil or vaselin before it is removed. Remove the anterior part first, gently and carefully and then with cocaine (if necessary) and more oil, the posterior plug is softened and removed by pulling the end of the string which is in the mouth gently and slowly.
SORE THROAT (Acute Pharyngitis—Acute Pharyngeal Catarrh—- Inflammation of the Pharynx—Simple Angina).—This is a common complaint especially among some adults. A predisposition to it is often due to chronic pharyngitis, chronic enlargement of the tonsils and adenoids of the wall of the pharynx as well as chronic nasal obstruction. Rheumatic persons are especially subject to it and acute articular rheumatism is often observed to be preceded by an attack of pharyngitis. Tonsilitis is said to have the same influence also.
Symptoms.—The throat is dry and feels stiff. There may be tenderness at the angle of the jaw and outside of the neck. Pains some to swallow. In a day or two there is a mucous secretion, making the patient inclined to clear the throat by hawking or coughing. The throat looks red and in the early stage this is more noticeable on the anterior pillars of the fauces, the soft palate and uvula. On the back wall you see bright red spots, the inflamed lymph follicles. It usually gets well in two to seven days. It may become chronic after repeated acute attacks.
Chronic.—This is very common in persons who smoke or drink to excess, also people who use their voice in public speaking as preachers do, or in calling loudly as hucksters, railroad brakemen, stationmen, etc.
Prevention of chronic kind.—Ascertain the cause and remove it. Too hot food or too much spiced food cause the chronic kind. Rest the voice. Remove any existing catarrh.