All irritating foods as coarse vegetables, pickles, acid fruits and
fruits with coarse seeds, candies, beer, wines and salads should be
omitted.
_Chronic Enteritis_ has the same general cause as Acute Enteritis,
though its onset is slow and it takes a correspondingly longer time to
correct.
* * * * *
=Dysentery=, if acute, demands complete rest in bed. The diet in both
Acute and Chronic cases must be confined to easily digested foods, such
as peptonized milk (see page 244), boiled milk, pressed meat juice, and
the white of egg, beaten and served with milk. Blackberry brandy, and
tea made from wild cherry bark, tend to check the inflammation.
During convalescence, care must be taken not to over-feed. Begin a more
liberal diet with a more liberal allowance of beef juice, gradually
adding tender beef steak, roast beef, fish, white meat of chicken,
eggs, custards, wine jelly, dry toast, blancmange, well boiled rice and
other easily digested food. The beef and egg are particularly valuable,
because of the anaemia occasioned by the loss of blood.
* * * * *
[Sidenote: Rectal Feeding]
is sometimes necessary in cases of ulcer, cancer, or tumor, along the
digestive tract. Since food is not absorbed in the large as readily as
in the small intestine, the strength cannot be fully maintained through
rectal feeding. In cases where the stomach is not able to digest the
food, it is the best expedient, however, until the functioning of the
stomach is re-established.
The rectum should be prepared about an hour before the feeding by a
full injection of water, to thoroughly cleanse the intestine. Place the
patient on his side with the hips elevated. If for any reason he cannot
lie on his side, let him lie on his back and elevate the foot of his
bed. After the water cleansing, inject two or three ounces of water in
which a small pinch of salt (6%) has been added and let it go high up
into the rectum.
Two to three ounces four to five hours apart is the desirable quantity
of rectal nutrition for an adult. The white of egg, beef juice, and
milk, all peptonized, are the best foods. The pancreatic trypsin, sold
in preparations of “pancreatin” is best. Unless milk is peptonized the
casein will be difficult to absorb. The food should always be salted,
as salt aids the absorption.
The white of egg should be diluted with four or five times its volume
of water; to beef juice add an equal volume of water. The yolk of egg
contains too much oil to absorb readily. Fats are not absorbed through
the rectum. If egg and beef juice are used without milk, a little sugar
may be added. Milk contains sugar in proportion.
It is not advisable to inject wine as it interferes with absorption of
other foods.
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