BASIC APPLICATIONS—Hot vaginal irrigation; short Hot Hip Pack; Hot Footbath, followed by Cold Compress over stomach and inner surfaces of thighs. In obstinate cases, cold vaginal irrigation. Moderately prolonged, very cold, Shallow Sitz Bath at 50-65 F. for 5-15 minutes, accompanied by Hot Footbath when other measures fail; hot Douche to lower spine area over stomach and inner surfaces of thighs, twice daily during intervals.
CAUTIONS—Avoid prolonged Hot Sitz Bath, Hot Douche, Hot Leg Bath, Hot Footbath, or Hot Sitz Bath, and in some cases even Fomentations and hot vaginal irrigation. It is equally necessary to avoid short cold applications to the lower spine, abdomen, thighs, and feet, as the reflex effects of such applications increase pelvic and uterine congestion.
GENERAL METHOD—It is always highly important to inquire closely for all possible causes of the profuse flow. The cause may be simple anemia from defective nutrition, constipation, sexual excess, enteroptosis, uterine displacement, ovarian or tubal disease, uterine inflammation, or congestion. The most common cause is vegetation of the endometrium, which must be removed by surgical measures. The operation must be followed by treatment for chronic metritis. In many instances, several of these conditions may be combined. Good results generally follow water treatments.
NOTE—The following two paragraphs were typed as part of the "how to stop bleeding" section, but they have been placed here instead because they are lengthy, cover the subject of uterine bleeding well, and are not effectively duplicated in this present section of Kellogg formulas.
For hemorrhage from the uterus, apply short, very hot fomentations (or the hot douche) to the thighs and spine while an ice bag is placed over the lower abdomen and a hot vaginal douche is given. Another very useful procedure for uterine hemorrhage is this: a very short hot douche to the lower back, the inner surfaces of the thighs, and the soles of the feet. Prolonged cold applications to the same surfaces produce like effects. These applications may be made either with or without a simultaneous use of the hot uterine or vaginal douche, according to the severity of the case.
Caution: Cold applications must not be used in cases of menorrhagia (excessive bleeding during menstruation, either in amount of loss or number of days), except with the utmost care and discretion, on account of the danger of producing hematoma or hematosalpinx, through the sudden checking of the outflow of blood. Therefore, use only less strong measures during the first 24 or 36 hours of the period. Reserve the cold applications to a later time. During the first day: The hot vaginal douche is better and safer. "The danger of producing hematoma is, in the author's opinion, very small after the first day." Kellogg then tells of a girl who had suffered for nearly a year without relief, although she had gone to many physicians. When brought to him, she was "placed at once in a sitz bath of about 50 F. for 15 minutes, the feet being placed in cold water at the same time, with the result that the hemorrhage ceased at once; and, by continued and repeated application of the cool sitz bath for a few weeks, the difficulty was relieved. The above measures will not solve the problem when the hemorrhage is due to vegetations, a uterine fibroid, or a malignant disease. In cases where the hemorrhage is accompanied by severe nerve pain or acute pelvic inflammation, use very hot rather than very cold applications to the inside of the thighs and lower back region. This should be brief and the temperature sufficiently high to be somewhat painful, and is best done by sponging the parts with water at 140 F. or by applying, for 1-2 minutes, cloths wrung from 140o F. water