DEP/DUA/1/41/39 (Normalised version)

Alision Denham

1787

---

No36. March 2d 1787.

Alision Denham at 40 & of a pale sallow complexion is much distressed with tenesmus which obliges her to go to stool 50 or 60 times a day. During that time she has violent pain in her abdomen & in the small of her back & these pains extend to her legs & thighs.

At times she complains of Dyspnoea & headache. She has frequent eructations & is affected with great prostration of strength

Pulse about 70 & very small

Appetite much impaired, with great thirst & she is prevented from sleeping by the tenesmus. Urine in small quantity & she is affected with a sense of heat in the discharge of it.

About six weeks ago she had her menstrual discharge which appeared she says, three weeks later than the usual period. It continued to flow for three weeks, it was much increased in quantity & of a considerable part of the blood discharged was in a coagulated state. During the discharge she was remarkably costive. Upon the discharge easing she was first attacked with the Tenesmus.

She ascribes the affection of the menstrual discharge to cold to which she was exposed, & attributes her other complaint to the excessive evacuation

Cap. om. m. Pulv. Crem Tart coch [pav] [iii] & om. n. Pil Theb. gr X.

March 10^th. She has had no return of the Tenesmus since the use of the pills. She has at present one or two stools a day. But her belly is bound. Urine nearly natural.

Interm Pil Theb. Cont. Pulv. Crem Tart. u. a.