0 to 80
calories per kilogram per day, or from 4000 to 5500 calories.
~Fluid Diet.~--It is clearly seen that it would be practically
impossible to obtain a sufficient number of calories by using milk
alone or even a mixed fluid diet to supply the above requirements.
Since milk alone in such a diet would probably cause such discomfort
as to make it unwise to continue it, the ideal diet would seem to be
one in which the fats, proteins and carbohydrates are furnished in a
semi-solid or solid form, together with a sufficient amount of liquids
to prevent too great concentration in the food, to relieve thirst, and
to act as a carrier of reenforcing substances, such as lactose, eggs,
casein products, etc.
~Absorption Food.~--The question as to whether the food is absorbed
when given to typhoid fever patients has often been asked. That it is
has been proved in the series of calorimeter experiments conducted in
the Metabolism Ward, Bellevue Hospital.[99] Here it was demonstrated
that under the high calorie diet the patient consumed large amounts of
food with relish and that which was not utilized by the organism
immediately was stored for future needs.
~Diarrhea and Tympanites.~--Constant attention and study of various
typhoid patients taking a maximum amount of food a day has proved that
the diarrhea and tympanites which at times occur in these as well as
other cases are due to too much of one or another of the food
constituents rather than to the general amount of the diet. Diarrhea
may then be traced to an excess of cream, and the tympanites to an
excess of lactose, and a reconstruction of the dietary will often
obviate the trouble.
~Increasing the Diet.~--It is always advisable to "go slow" in adding
new foods to the diet; milk, cream, eggs and lactose are the principal
articles constituting the diet. To this are added fine cereal gruels,
well-cooked rice, rice custard, tapioca custard, junket, ice cream,
wine or fruit jellies, toast, eggs (soft-cooked, poached, creamed, or
raw, in milk), or fruit beverages, cocoa, buttermilk, koumiss, certain
proprietary infant foods such as Mellin's Food, Eskay's Food, Racahout
and malted milk, with a well-baked potato, milk, cream or buttered
toast added as the condition and appetite warrant.
~Milk Diet.~--The following milk diets[100] were devised by Dr.
Coleman to be given in certain cases of typhoid fever during the acute
stage. These formulas consist of milk, cream and lact
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