e given to add variety to the diet.

~Anemia.~--When anemia is severe, as is often the case in gastric
ulceration, the diet must be reenforced to overcome it. Some of the
concentrated milk foods such as plasmon, encasin, sanatogen, etc., as
well as the predigested meat foods, such as panopepton, liquid beef
peptonoids, and like preparations, may be used to reenforce the diet.

~Bland Diet.~--In certain cases of gastric ulceration it has been
found more advisable to use what is known as a bland diet. This
consists of farinaceous foods such as farina, arrowroot, cream of
wheat, corn meal, wheatena, malted breakfast foods cooked thoroughly
and given in the form of gruels, and some of the proprietary infant
foods, such as Mellin's Food, Eskay's Food, Racahout. These foods may
require the addition of Taka diastase to make them more readily
digested. They leave the stomach more rapidly than any of the others,
and for this reason will be found to give less discomfort than the
foods containing a high percentage of protein and fat. This diet,
however, cannot be prolonged on account of its lack of balance. If the
gruels are made with milk instead of with all water they become more
evenly balanced. Samples of the stomach contents may be taken for
analyses from time to time.

~Lavage.~--When lavage is necessary the patient must be allowed to
rest after the process before being given food, otherwise it is apt to
be vomited.

~Instructions to Nurse.~--The treatment for gastric ulceration is thus
seen to be strenuous. In the beginning the patient is placed on a
liquid or semi-solid diet, or is not fed at all for a time. This is
done that the diseased organ may have a chance to adjust itself as far
as possible and to give the physician an opportunity of studying the
changes taking place in that organ. During the course of the disease
the general symptoms which develop from time to time, causing more or
less pain and discomfort to the patient, are nervousness, which in
some individuals amounts to melancholia, extreme anemia and an utter
distaste for food, all of which require patience on the part of the
physician, the nurse, and the patient herself to overcome. The nurse
must see that the patient is not disturbed or made unhappy by having
business or home cares talked over in her presence; she must be kept
as cheerful and as comfortable as her condition permits and urged to
use care in her diet. After the ulcer is healed, to prevent