_The prevention of infantile scurvy_, especially in its rudimentary
form, is of great practical importance, because of its frequent
occurrence. There is no question but that breast milk and raw cow's milk
furnish sufficient antiscorbutic vitamine, but there is a difference of
opinion as to whether pasteurized milk, or milk that has been brought
just to the boiling-point, or even sterilized milk, is adequate in this
respect. Much of this divergence of opinion is due to the fact that the
various clinicians have not considered or stated the quantity of milk
which they have found sufficient to protect, and also because milk
itself differs in its antiscorbutic value according to its freshness and
probably also according to the fodder of the cows.[52] Without entering
once more into a discussion of this question, it may be stated that
unless the cow's milk is raw, the infant should receive additional
antiscorbutic foodstuff. Moreover, this supplement to the dietary should
be made as soon as possible, so as not to allow the vitamine deficiency
and inadequate diet to exist for even a short period. In our experience
there is no contra-indication to the giving of orange juice or of
strained canned tomato, the two antiscorbutics with which we have had a
large experience, to babies one month of age or even younger. The common
practice, however, is to wait until the infant is five or six months of
age, which certainly must allow a rudimentary scorbutic condition to
develop. At the age of a month one teaspoonful of orange juice may be
given; it should be diluted with water and sugar added if it is tart.
This may be administered notwithstanding the fact that a baby has a
tendency to looseness of the bowels, as orange juice, as recently
pointed out by Gerstenberger, has practically no laxative action.
Occasionally babies regurgitate orange juice, but the reaction usually
ceases after a day or two. If it does not, a small amount of an
alkali--for example, limewater or sodium bicarbonate--may be added just
previous to feeding; in this state the juice will be better
tolerated.[53] The amount of orange juice should be increased so that
when the baby is three months of age it receives one tablespoonful.
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