* * * * *
=Brights Disease.= This term covers forms of diseases of the kidneys,
associated with albumin in the urine.
Where for any reason the kidneys have difficulty in discharging the
nitrogenous waste of the system, the work of the dietitian must be to
eliminate protein from the diet as closely as may be consistent with
the body necessities. Besides restricting the amount of nitrogenous
foods, the kidneys must be assisted in eliminating the nitrogenous
waste, and the products of the inflammation, by a copious drinking of
water. Hot water and hot diluent drinks are best, such as toast water,
barley water, cream of tartar, lemon and acid drinks. In acute cases
the patient is put on a milk diet of from two to three pints of milk
a day, given one-half pint every three or four hours, diluted with
one-third as much hot water. If the case be a prolonged one, broths may
be included.
Even in cases which are chronic and not acute, it is well to follow a
milk diet for a number of weeks. The quantity of milk, for an exclusive
milk diet, must depend upon the age and size of the patient as well as
upon his ability to exercise. If he is confined to his room, from five
to seven pints of milk a day are sufficient. If he is taking a great
deal of exercise, he may take from eighteen to twenty glasses of milk a
day. If he loses weight on the milk diet, bread and rice may be added.
It is unwise to begin a milk diet at once, by feeding from eighteen
to twenty glasses of milk a day, but this amount may be approximated
within a week’s time and the change in diet should be begun by cutting
down all meats and legumes and gradually eliminating starches. In
changing from a milk diet to a diet including more hearty foods, the
transition should be gradual.
A. F. Pattee gives the following diet for Brights Disease.
=DIET: Soup.=—Vegetable or fish soup, broths with rice or barley.
=Fish.=—Raw oysters or clams, fresh fish broiled or boiled.
=Meats.=—Eat sparingly, chicken, game, fat bacon, fat ham.
=Farinaceous.=—Stale bread, whole wheat bread, toast, milk toast,
biscuits, macaroni, rice, cereals of all kinds.
=Vegetables.=—Onion, cauliflower, mashed potatoes, mushrooms, lettuce,
watercress, spinach, celery, cabbage.
=Desserts.=—Ripe raw fruits, stewed fruits, rice tapioca, bread and
milk puddings, junkets, cocoa.
=Liquids.=—Toast water, weak tea, pure water, peptonized milk, malted
milk, fresh buttermilk, milk with hot water, equal parts, whey,
unfermented grape juice.
=AVOID.=—Fried fish, corned beef, hashes, stews, pork, veal, heavy
bread, batter cakes, lamb, mutton, beef, gravies, beans, peas, malt or
spirituous liquors, tobacco, coffee, ice cream, cake, pastry.
* * * * *
[Sidenote: Nervous Disorders]
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