Children of a weak habit of body, or who have been much afflicted with severe purgings, are very liable to this complaint. It is also a frequent consequence of irritation of the lower part of the bowel from the presence of worms.

In order to return the bowel to its proper position the child should be laid on its back, and, after the parts have been washed with a decoction of Poppy Heads, or with warm water containing a few drops of Laudanum, the gut may be replaced. In children it is often difficult to replace the last folds if the finger is pushed through the opening, for when the finger is withdrawn the gut slips down. We may, therefore, twist a piece of stiff paper into a cone, soften the point by wetting it, and oil the surface; having done this, place it upon the point of the finger, and so push the last portion of the gut within the anus; the cone will slip out easily, without bringing down the gut along with it.

Another way is to use a piece of distended gut (sheep's or pig's) to push it up, and this distended gut may be pushed up altogether within the rectum, so as to replace it effectually. On letting the air out of the distended gut, it will come out readily without bringing the bowel down with it.

Care should be taken that the child does not strain at stool. And an astringent injection may be used. It must be given very gently, and not more than one or two ounces (according to the age of the child) given at once. It may be given twice or three times a day, and should be just warm; not hot.

Tannic Acid....................................Half a Dram.

Laudanum.....................................Half a Dram.

Warm Water..................................Half a Pint. Mix.

The child should have plenty of nourishing food; and, if old enough to take it, might have small doses of the Mixture of Iron; or Citrate of Iron and Quinine.