If not convenient to use the stomach pump the washing may be
accomplished by drinking two glasses of water at least an hour before
breakfast, followed by stomach exercises, to cause a regurgitation of
the water through the stomach. This will be uncomfortable at first,
with a very full feeling and one may begin by drinking one glass,
followed by stomach exercises, gradually taking another glass within
a half hour of the first. This, with the exercises, will wash out the
mucus. In many cases as much as a pint of slimy mucus collects in the
stomach during the night. Where the stomach cleansing is impossible, in
above manner, the stomach tube should be used.
Chronic gastritis, in any of its phases, is frequently accompanied by
constipation, and the diet should be so selected as to be as laxative
as possible, without irritating the lining of the stomach. The liquid
diet assists the intestines, to a certain extent, particularly if the
stomach be cleansed by the water in the morning, as indicated under
Mucous Gastritis below.
Fruit in the morning and just before retiring aid the intestines. Two
prunes chopped up with one fig or a bunch of grapes or an apple just
before retiring assist the action of the intestines and the kidneys.
Almost all fruits contain acid, which increases peristalsis, and the
resultant flow of gastric juice. Cooked pears, stewed or baked apples,
prunes and dates are mild fruits which may be used if they agree with
the patient. The juice of an orange upon first arising may be used,
except in case of a diminution, or absence, of hydrochloric acid.
Peptonized milk is an excellent food both for chronic and acute cases
especially in severe cases. This is prepared by putting “pancreatin,”
a pancreatic ferment, (trypsin), into fresh milk. Preparations of
“pancreatin” are sold in the drug stores. The peptonized milk does not
form curds and readily passes through the stomach for digestion in
the intestine. This may be given for a few days, followed by milk and
limewater, barley and toast water, kumyss, oatmeal gruel, meat juices,
scraped meat (raw, boiled or roasted), broths thickened with thoroughly
cooked cereals, ice cream, egg lemonade, gelatins and whipped cream,
custards, raw oysters.
After one week gradually assume the regular diet of easily digested
foods. All cereals should be thoroughly cooked. The white meat of
chicken is readily digested. As the solid food diet is assumed,
regularity of food, in small amounts, and thorough mastication are
important. If the patient imagines he is chewing it will help him to
keep chewing until the food is reduced to a pulp.
Avoid meat with tough fibre, too fat meat (pork), sausage, lobster,
salmon, chicken salads, mayonnaise, cucumbers, pickles, cabbage, tea,
coffee and alcohol.
Four or five light meals a day are preferable to three heavy meals.
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