gh which the tube may be quickly slipped. In certain abnormal
conditions the gastric organ is so badly impaired as to render it
impossible for the patient to retain food taken in by way of the
mouth. It is often found that food introduced into the stomach by
means of the "stomach tube" will be retained and utilized which
otherwise would be rejected. It is disagreeable, however, and should
only be used when it is impossible to feed otherwise.

~Rectal feeding~ is used when the other organs of digestion are
impaired to such an extent as to render the need of more food
obligatory. Many investigators believe that rectal feeding is
absolutely useless, while others have firm faith in its efficacy.

~Technique of Rectal Feeding.~--The rectum should be cleansed by
flushing with a soapsuds enema one hour before the nutrient enema is
given. This should be done once a day, in the morning. The cleansing
enema may be either soapsuds, a solution of bicarbonate of soda, or
boric acid (1 teaspoonful to the pint), or a saline solution. When
there is much mucus, or if the rectum is inflamed, the soda or boric
acid solution may be more soothing than the saline or soapsuds enema.
After one hour's rest the patient should be given a nutrient enema.

The method of administering nourishment through the rectum is
important. A nutrient enema injected only into the lower bowel not
only does no good, but may actually cause a good deal of unnecessary
discomfort to the patient.

~Temperature of Enema.~--Care must be taken not to have the
temperature of the nutrient enema too hot or too cold or it will be
promptly rejected. The patient is placed on the side with one knee
flexed; the solution is poured into a fountain syringe bag or an
enamel container (heat the container before pouring the solution into
it or the latter will be chilled). The bag or container has attached
to it a rubber tube with a cock adjusted so that only a small stream
will flow in at a time. To the end of this tube a rubber rectal tube
or catheter--1 cm. (about 1/2 inch)--is attached. This should be well
greased (do not use glycerin as this substance is irritating to the
mucous lining of the rectum). The liquid should be allowed to fill the
tube before it is inserted into the rectum, to prevent any air passing
in with it. The tube should be inserted with a gentle twisting
movement, using very little force or the tender mucous membranes will
be injured. Insert the tube twelve