small quantities
of beef broth, or chicken, or veal broth. Later kumyss or matzoon can be
tried, and finally thin gruels made with milk.
If vomiting persists the stomach must be washed out; this can be done by
giving the infant or child a large drink of cool boiled water. This will
be immediately vomited and it will clean the stomach at the same time.
The stomach-pump may be used to better advantage. One washing is usually
sufficient. The vomiting will stop after the stomach has been washed out
and the patient may then be given, frequently, small quantities of cold
albumen water or barley water.
The bowel should be thoroughly cleaned out at the beginning of every
summer diarrhea. Castor oil or calomel are the two best cathartics for
this purpose. If the stomach is not upset use castor oil. If the stomach
is upset use calomel; one-fourth of a grain every hour for eight doses
will be sufficient. Give enough, however,--there is no danger at the
beginning of the attack of too free movements of the bowel. Whatever
cathartic is given, it should produce green, watery stools.
Irrigation of the bowel is an exceedingly effective way of cleaning out
the poison-laden large intestine. It should be done in every instance
unless the movements are watery and of such frequency as to render
irrigation unnecessary. Once or twice daily will be sufficient in even
the worst cases. The irrigation should be given at the temperature of
100 deg. F, and should be the normal saline solution; a long rectal tube is
used to give the irrigation.
SUMMARY:--
1st. Cholera infantum is one of the most dangerous, one of the most
treacherous, and one of the quickest acting diseases of childhood.
2nd. Don't temporize, don't delay, don't regard lightly any diarrhea
during the summer time.
3rd. Give a large dose of castor oil and withhold all nourishment until
the doctor sees the little patient in every case of diarrhea during the
warm weather.
4th. Keep the child in a cool, quiet place and don't handle or annoy it.
5th. Follow, your doctor's directions implicitly. The fight may be
short, sharp, and decisive. Don't pave the way for regrets afterward. Do
everything while you have the chance.
COLIC
Colic is a common condition in infancy. Very few children escape more or
less colic during the first few months of life. It does not seem to
injure permanently some infants; they go on growing according to
standard, eat and sleep, and seem
|