The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886 — John Shaqi
The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886Various
History
The Cleveland Medical Gazette, Vol. 1, No. 4, February 1886
Various
Medicine -- Periodicals; Surgery -- Periodicals
Theoretically considered, that form of treatment would seem the best
which gives the stomach absolute rest, entire abstinence from food, a
fast of several weeks. But this can not be carried out in practice.
The patient could be nourished per rectum, you might say, by means of
nutrient enemata. In my opinion this method of nourishment does not
amount to much. I believe that very little water is absorbed by the
rectum, the patient would suffer from thirst and you would then be
compelled to allow him to drink water at least.
Luckily we do not need to resort to such extreme measures in the
majority of cases. With the exclusive use of the proper bland, liquid
food, we usually attain the same results. In the treatment of gastric
ulcer I lay the main stress on the restriction and regulation of the
diet, and put the patient on an exclusive milk diet. Milk contains all
the constituents necessary for the nourishment of the human body.
I begin by giving every half hour to one hour a small quantity of
skimmed, boiled milk, which has been cooled on ice. The patient must
rest in bed or on a lounge, as he is weakened by the treatment, and can
not follow his usual avocation. I forbid all other articles of food.
With this diet a patient with ulcer should have no pain and usually
has none. Should there be pain it is necessary to find out whether the
feeling described as such be not simple oppression, or a feeling of
weight in the stomach. Some patients do not seem to digest milk well.
It ferments, forms gases and then they have this feeling of oppression.
Some drink the milk too fast and take too much at a time, swallowing a
lot of air with the milk, thus distending their stomachs unnecessarily.
The patient must be instructed to drink the milk slowly, and only take
a small quantity at a time (about one or two ounces). Some patients can
not stand iced milk but bear luke warm milk much better. Others seem to
prefer milk which has slightly soured.
The patients should adhere to this strict diet as long as possible,
regulating the length of time according to the duration and intensity
of the disease. They have to observe the above rules one or two weeks
at least, several weeks if possible.
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