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To the Editor:—
I should like to comment on the article "Current Status of Therapy of Infectious Hepatitis" which appeared in the Nov. 30, 1957, issue of The Journal, page 1696. It is not uncommon these days to see parallel articles on the treatment of infectious hepatitis where experts disagree on some fundamentals. This article presents one statement that probably would not be supported by most modern physicians. I refer to the following statement: "Bowel regulation is maintained by saline cathartics in the morning before breakfast and by cleansing enemas." There is no good evidence to support the need for daily or near daily stools in this or any other patient, with the possible exception of those having organic intestinal disease that tends toward fecal impaction or those undergoing medication that will do the same. The average patient with infectious hepatitis falls in neither of these categories.
Fisher P. ROUTINE USE OF CATHARTICS. JAMA. 1958;166(9):1081. doi:10.1001/jama.1958.02990090089022