Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood PressureOsborne, Oliver T. (Oliver Thomas)
Science
Disturbances of the Heart: Discussion of the Treatment of the Heart in Its Various Disorders, With a Chapter on Blood Pressure
Osborne, Oliver T. (Oliver Thomas)
Blood pressure; Heart -- Diseases
The ordinary diet for a convalescing heart patient should be small
in bulk, of good nutritive value, and should represent all the
different elements for nutrition. This means a small amount of meat,
once a day to older patients, twice a day to those who work hard or
for young patients; such vegetables as do not cause indigestion with
the particular patient, and these must be individualized; such
fruits as are readily digested, especially cooked fruits; generally
plenty of butter, cream, olive oil if the nutrition is low, and
milk, depending on the age of the patient or the ease with which it
is digested. Soups, on account of their bulk and low nutritive
value, should be avoided. Anything that causes indigestion, such as
fried foods, hot bread, oatmeal or any other gummy, sticky,
gelatinous cereal should be avoided; also spices, sauces and strong
condiments. Anything that is recognized as especially loaded with
nuclein and xanthin bodies, such as liver, sweetbreads and kidneys,
should be prohibited, as tending to cause uric acid disturbance; and
the more tendency to gout or uric acid malmetabolism the more
irritated are the arteries and the more disturbed the blood
pressure. Sugars should be used moderately unless the patient is
thin and feels cold, in which case more may be given, provided there
are no signs of gout or disturbed sugar metabolism. Sugar is at
times a good stimulant food. Very cold and very hot drinks or food
should be avoided.
Many times these patients have a diminished hydrochloric acid
secretion, and such patients thrive on 5 drops of dilute
hydrochloric acid in water, three times a day, after meals. When
their nutrition has improved and the digestion becomes perfect,
hydrochloric acid will generally be sufficiently secreted and the
medication may be stopped.
If the patient is overweight, this obesity must be reduced, as
nothing more interferes with the welfare of the heart than
overweight and overfat. In these cases the diet should be that
required for the condition. If there are edemas, or a tendency to
edemas, the decision should be made whether salt (sodium chlorid)
should be removed from the diet. Unless there is kidney defect,
probably it need not be omitted, and a long salt-free diet is
certainly not advisable. This salt-free diet has been recommended
not only in nephritis and heart disease, but also in diabetes
insipidus and in epilepsy. It is of value if there is edema in
nephritis; it is of doubtful value in heart disease; it is rarely of
value in diabetes insipidus; and in epilepsy its value consists
probably in allowing the bromid that may be administered to have
better activity in smaller doses, the bromin salt being substituted
in the metabolism for the chlorin salt.
THE RESORT TREATMENT OF CHRONIC HEART DISEASE
Public-domain text, read in full here on John Shaqi.
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