CHAPTER XXXI
NERVOUS DISEASES
In this chapter we shall consider a number of the more common diseases which are associated with the nervous system of the child. Some of these so-called nervous diseases are hereditary or congenital, while others are the result of infection and environment.
SLEEPLESSNESS—INSOMNIA
There are many conditions which cause sleeplessness or insomnia in a child aside from disturbance of the mental state or nervous system. For instance, late romping, too hearty and too late a dinner, lack of outdoor life during the day, illy ventilated sleeping rooms, too much bedding, too little bedding which causes cold extremities, too much sleep during the day, too much excitement (movies or receptions), intestinal indigestion which is associated with accumulation of gas, and constipation—any or all of these are causes of sleeplessness. Some peculiarly nervous children—those with an hereditary strain of nervousness—are easily upset or disturbed by any of the conditions above mentioned.
The treatment of insomnia consists, first, in finding the cause and removing it. Children with a nervous tendency should be let alone as nearly as possible, and just allowed to grow up as the little lambs and calves grow up. They should be fed, watered, kept clean and dry, and allowed to live their lives undisturbed and without excitement.
The medicinal remedies on the market for insomnia are all harmful if used too long or in excess, and we most earnestly urge the mother not to seek drug-store information concerning remedies for sleeplessness. The neutral bath is beneficial in ninety per cent of these cases. It is administered as follows: Enough water is allowed to run into the bath tub to cover the child. The temperature should be 99 to 100 F. It should be taken accurately—and should be maintained. Bath tub thermometers may be purchased at any drug store. The restless child, after the bowels have been freely moved, is placed in the water, and, without whispering, talking, or laughing, he remains there for at least twenty minutes, after which he is carefully lifted out, wrapped in a sheet and very gently dried off with soothing strokes and placed at once into his night clothes. As before said, ninety per cent of restless children will go at once to sleep after such a treatment.
Another method of treating sleeplessness is by the wet-sheet pack. Three single woolen blankets are placed on the bed and a sheet large enough to wrap the child in is wrung from warm water, about 100 F. The child is stripped and this sheet is brought in contact with every portion of his body, quickly followed by bringing the flannel blankets about him and he is allowed to remain there for twenty minutes—if he does not fall asleep before the lapse of that time. With witch-hazel or alcohol, the body is sponged off, night clothes are put on and a restful night usually follows. If fresh air is lacking, open the windows. If there is too much bedding, remove some of it. Talcum powder the sweaty back and neck and make the child perfectly comfortable. Give a small drink of water and turn out the light.