The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's Nurses — John Shaqi
The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's NursesHolt, L. Emmett (Luther Emmett)
Science
The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's Nurses
Holt, L. Emmett (Luther Emmett)
Child care; Children -- Nutrition
This is generally due to an accumulation of gas in the intestines
which forms there because the proteids (curd) of the milk are not
digested. They should be reduced by using in the early months a weaker
formula--i.e., instead of Formula V of the First or Second Series, IV
might be used, or, for a short time, even III. The proteids may be
reduced in the middle period by using weaker formulas If we desire to
reduce the proteids without reducing the fat, we may change from the
Second to the First Series.
Another means of relieving habitual colic is the use of partially
peptonized milk (page 115); still another the dilution with
barley-water instead of plain water.
_What change should be made if curds appear in the stools regularly or
frequently?_
This is usually associated with habitual colic, and has to be managed
exactly like that condition, by the means just described.
_How should the milk be modified for chronic constipation?_
The constipation of the first weeks of life has been already referred
to (page 82); it usually disappears as the food is gradually
strengthened in all its proportions.
Habitual constipation at a later period is difficult to overcome by
diet alone. It sometimes depends upon the fact that the proteids are
too high, and sometimes that the fat is too low. Hence it is more
frequent when infants are fed upon plain milk variously diluted (page
90), then when 7-per-cent or 10-per-cent milk is used, and diluted to
a greater degree. But it is not desirable to use a top-milk containing
more than ten per cent fat for this purpose, nor is it wise to carry
the fat in the food above 4 per cent (i.e., 8 ounces of 10-per-cent
milk, or 12 ounces of 7-per-cent milk, in a 20-ounce mixture) or other
disturbances of digestion may be produced.
In some cases the use, in place of milk sugar, of ordinary brown
sugar, in half the quantity, is of assistance; or of some of the
malted foods (Mellin's food, malted milk, cereal milk) also in the
place of milk sugar.
The substitution of the milk of magnesia for the lime-water as
recommended on page 60 will often be found useful.
To infants over nine months old, orange juice may be given.
_What special modifications are required during very hot weather?_
During the warm season it is well to make the proportion of fat less
than during cold weather. During short periods of excessive heat it
should be much less. The fat is reduced by using 7-per-cent milk in
place of 10-per-cent (i.e., the Second instead of the First Series of
formulas, page 71), or plain milk in place of the 7-per-cent milk in
the Second and Third Series (page 90). At such times also the usual
food should be diluted, and water should be given freely between the
feedings.
_What changes should be made in the food of a child who, with all the
signs of good digestion, gains very little or not at all in weight?_
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