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Foreign Bodies Cesophagus

eye, water and warm

CESOPHAGUS, FOREIGN BODIES IN.—The fact that foreign bodies, as teeth, bones, coins, pins, needles, etc., find their way into the cesophagus may be due to accident or to holding of such articles in the mouth.

Treatment.—When the foreign body in the cesophagus has not accidentally fallen into the stomach, or has not been ejected by vomiting, it is best to induce vomiting by tickling the pharynx either with the finger or a feather. If this plan is ineffective and the patient is suffocating, place him with his chest toward the wall and strike his back with short, strong strokes between the shoulder-blades. The air which is forced from the lungs in this way may carry the foreign body with it if it is lodged at the junction of the cesophagus and the windpipe.

Should the object have been swallowed—which can be seen from the fact that the patient can cat and drink without hindrance—he should be allowed to eat plentifully of cooked potatoes or porridge, so as to envelop the possibly pointed or sharp object, and thus avoid injury. Swallowed coins generally pass with the stool.

EYE.—The eye is often subject to disease, and should be treated with great and skilled care. For a comprehensive presentation of the diseases affecting it, see THE STANDARD PilysiciAN, pages 415-427. To soothe inflam mation it is best to bathe the eye with an eye-wash. Of these, a solution of teaspoonful of boric acid to a pint of warm water will be found very effective ; or in a solution of 3 grains of alum to an ounce of warm water. In some cases, such as purulent ophthalmia, with mattery discharge, which forms thick crusts on the eyelashes, mercury bichloride, i part in 2,000 parts of warm water. may be used. The best way to bathe the eye is to use an eve-cup, which can be bought at any druggist's. The cup, with the liquid, should be placed lightly over the eye, which should be opened and shut so as to wash it thoroughly. If such a cup is not at hand, the hollow of the clean hand may be used, or a piece of linen should be dipped into the solution, partially wrung out and held against the eye, which should not be bound up.