=Ulcer of the Stomach.= Where this condition is severe, accompanied
with severe pains and vomiting of blood, the dietetic treatment is to
give the nourishment through the rectum for from five to ten days. Then
follows a period of ten days milk diet, with bouillon, barley water, a
beaten egg, and once a day, after the third day, strained oatmeal gruel.
Limewater is added to the milk to avoid the formation of leathery curds
and to neutralize the acids of the stomach. The patient is given half
a cup of milk every hour for three days, from 7 A. M. to 9 P. M. From
the third to the tenth day increase the quantity to one cupful, then
to a cup and a half and lengthen the periods between feedings to two
hours. If the milk is brought to a boil before the limewater is added,
it digests more readily.
After ten days, for the succeeding ten days the nourishment should be
given every two hours and the diet varied by semi-liquid foods, such
as gruels, toast water, soft boiled egg (once a day) beef juice, two
softened crackers (once a day) gelatin, buttermilk and strained soups.
After twenty days the patient, if all is well, may very gradually
resume a normal diet, beginning with baked potatoes, softened toast,
lamb chops, a small piece of steak or white meat of chicken. It is
imperative that all food, liquid or solid, be thoroughly mixed with
saliva and that solids be chewed to a pulp.
Liquids must not be swallowed either hot or cold, but about body
temperature. Cold water may be taken into the mouth when more palatable
than warm and held there until about body temperature before it is
swallowed. All liquid should be sipped, not swallowed in gulps.
* * * * *
=Cancer of the Stomach.= Since the growth most often obstructs the
pylorus, the stomach is usually dilated and the general directions
for dilation of the stomach should be followed. If the food will not
digest in the stomach, one must resort to rectal feeding. Where gastric
digestion is near normal, the general principles of diet for ulceration
of the stomach should be followed.
* * * * *
[Sidenote: Intestinal Disorders]
Most cases of intestinal difficulties may traced to a clogged
condition, either due to a weakness of the nerves and of the intestinal
muscles, and a resultant weak peristalsis, which does not strongly move
the mass along its course, or to a failure of the liver to discharge
sufficient bile to lubricate the mass. If the waste is not promptly
moved through the intestines, irritation may result and the poisons
from bacterial fermentations will be absorbed by the system.
Deranged stomach digestion also interferes with the digestion in the
intestines.
* * * * *
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