The Pathological condition of dysentery is caused by two organisms, protozoa and bacilli. The former is generally known as amoebic dysentery and later as bacillary dysentery. An attack of amoebic dysentery is milder in comparison with bacillary dysentery. But while bacillary dysentery can respond quickly to treatment, amoebic dysentery does not leave the patient easily, unless he is careful.
Dysentery is prevalent all over the world except in very cold countries. Places where insanity conditions prevail are particularly affected. Similarly, no age is immune, though children are more prone.
The treatment of dysentery should aim at removing the offending and toxic matter from the intestines and for alleviating painful symptoms, stopping the virulence of the bacteria and promoting healing of the ulcer.
Fasting is the only correct remedy for dysentery to bring with. The patient should fast as long as acute symptoms are present. During the period of fasting, only orange juice and water should be taken. In the alternative, the patient should subsist on buttermilk till the acute symptoms are over. Butter- milk combats offending bacteria and helps establishment of helpful micro-organisms in the intestines.
The patient may be given small doses of castor oil in the form of emulsion. This acts as mild aperients and facilitates quicker removal of offensive matter, minimizes the strain during motion and also acts as a lubricant to the ulcerated surfaces.
IN addition to administration of castor oil, the mechanical removal of accumulated poisonous matter should be attempted by giving very low pressure enema, admitting as much water as the patient can tolerate.
This can be done twice or thrice daily. The patient should take complete bed rest as movement induces pain and aggravates distressing symptoms. A hot water bag may be applied over the abdomen.
After the acute symptoms are over, the patient may be allowed rice, curd, fresh ripe fruits, especially bale, banana and pomegranate and skimmed milk. Solid Foods should be introduced very carefully and gradually according to the pace of recovery.
Flesh foods of all kinds should be avoided in future as far as possible.
Other foods which should be avoided are tea, coffee, and white sugar and white flour and products made from them as well as alcohol in all forms. Foods which have a detoxifying and cleansing effect upon the intestines on their passage, through, such as fruits and vegetables, are most essential to a future dietary.
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