For some time it was so persistent that the suspicion
of intestinal tuberculosis was entertained; but it finally disappeared,
and after that the case progressed more favorably and she was out of bed
with a tight belt and kidney-pad in a little more than twelve weeks. The
kidney was then, and has remained since, in its normal position. The
patient gained twelve pounds in weight, and should have gained more, but
she found the hot weather during the latter weeks of her treatment very
trying. The intestinal indigestion was only partially relieved, but the
gastric symptoms, the general pains, and weakness all disappeared, and
with precaution she will continue to improve. It is best to advise the
constant use of the belt in such a case. In a patient who has made a
large gain in flesh, as this one did not, and who has been found after
some months to maintain the increased weight, the belt might gradually
and experimentally be left off; but repeated examinations should be made
for a year or two to be sure that no displacement results.
I could relate cases of gain in flesh without manifest relief.
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