They likewise advise whey and whey mixtures under these circumstances.
~Fermentation.~--Fermentation is often the cause of infantile
indigestion. At times it is acute and may cause a decided elevation of
temperature owing to the absorption of the toxic substances formed as
a result of the bacterial action. In almost every case of indigestion
brought on by fermentation there will be an accompanying diarrhea. As
a rule the carbohydrates are more liable to the attacks of bacteria in
the stomach than the other food constituents.
~Treatment.~--The treatment consists first of starvation, no food
being given for at least twenty-four hours. Then water or weak tea,
sweetened with saccharin, may be given, but nothing else. The medical
treatment must be left to the discretion of the physician. When the
condition warrants a return to food the formula must be made weaker
than that which has caused the disturbance. Malt soup mixtures,
buttermilk mixtures, whey and albumen water may be added as the
condition of the baby improves. In older children the period of
starvation may have to exceed that of infants, but a gradual return to
normal diet is made. Weak tea and toast may be given after the first
twenty-four hours and well skimmed meat broths, soft-cooked eggs,
liquid peptonoids, and malted milk added to the diet as the condition
of the child improves.
ENTEROCOLITIS
The dietetic treatment for enterocolitis must be adjusted according to
the principal symptom. In some of these cases diarrhea is most
prominent, while in others constipation is the most marked symptom.
Hence the diet must be such as not only to do no harm to the child,
but one that will aid in his ultimate recovery.
DIARRHEA
The treatment for diarrhea, whether it is from fermentation or
putrefaction of food, has already been explained. The grave danger in
the putrefactive diarrhea is the absorption of the toxic substances
which result from bacterial action upon the unabsorbed food material
in the small and large intestine. In these cases auto-intoxication
may develop and the baby may die before the condition yields to
treatment. The entire intestine must be cleansed as a rule. The
stomach of the baby may be reached with little trouble by using a
small rubber catheter attached to a glass funnel and a solution of
bicarbonate of soda. The bowels may be emptied by means of a soapsuds
enema. Older children may be given oil, but this of course comes under
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