One of the first things to attend to when patients are in this stage is
the bladder, as the retention is the only condition likely to produce
serious disorder. Cystitis is or may be present, and with the retention
is a constant threat to the kidneys. Catheterization and washing out
with an antiseptic must be regularly practised while treatment is used
to improve the condition.
For these patients rest in bed is a prime necessity in order to remove
all excuse for exertion. The method of application of massage has
already been suggested. Care must be taken that the patient eats well
and of the best food. Except for occasional gastric or intestinal crises
of pain, sometimes with vomiting, sometimes with diarrhoea, the
digestive functions are usually well performed, unless the stomach has
been greatly upset by over-use of iodide. The most liberal feeding
consistent with good digestion is indicated, for it must be remembered
that we are dealing with a disease in which degenerative changes play
an important part. The usefulness of electricity in ataxia has been
denied by some authors, while others praise it indiscriminately.
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