Autointoxication in Chronic Constipation

Abstract

and tissues below the anorectal line. In other words, the injections are made only in a practically painless area.Dr. Terrell gets good results because he knows the rectum, its pathology and its anatomy. He knows what tissues to avoid, and what symptoms to expect. The method is valuable in the hands of a man who takes the trouble to find out how to use it, and how to avoid complications. In the hands of an untrained practitioner, it is decidedly dangerous, and not to be recommended for general use. I have tried the solution Dr. Terrell recommends, but have experienced a little more trouble, probably because I did not stretch the sphincter muscles prior to starting treatment, depending on the anes¬ thetic qualities of quinin and urea hydrochlorid to lessen the tendency to sphincter spasm. This year I reported a case of anaphylaxis occurring from the use of quinin and urea hydro¬ chlorid. This does not condemn the solution, but should make us careful in our selection of patients.