=Treatment.=--The treatment is very simple, and recovery rapidly takes
place as soon as it is carried out. The feeding of all patent baby
foods--condensed or sterilized milk--must be instantly stopped. A diet
of fresh milk, beef juice, and orange juice, as directed under the
care of infants, will bring about a speedy cure.
=GOUT.=--Notwithstanding the frequency with which one encounters
allusions to gout in English literature, it is unquestionably a rare
disease in the United States. In the Massachusetts General Hospital
there were, among 28,000 patients admitted in the last ten years, but
four cases of gout. This is not an altogether fair criterion, as
patients with gout are not generally of the class who seek hospitals,
nor is the disease one of those which would be most likely to lead one
into a hospital. Still, the experience of physicians in private
practice substantiates the view of the rarity of gout in this country.
We are still ignorant of the exact changes in the bodily condition
which lead to gout, but may say in a general way that in this disease
certain products, derived from our food and from the wear and tear of
tissues, are not properly used up or eliminated, and are retained in
the body. One of these products is known as sodium biurate, and is
deposited in the joints, giving rise to the inflammation and changes
to be described. Gout occurs chiefly in men past forty. The tendency
to the disease is usually inherited. Overeating, together with
insufficient exercise and indulgence in alcohol, are conducive to its
development in susceptible persons. Injuries, violent emotion, and
exposure to cold are also thought to favor attacks.
The heavier beers and ales of England, together with their stronger
wines, as port, Madeira, sherries, and champagne, are more prone to
induce gout than the lighter beers drunk in the United States and
Germany. Distilled liquors, as brandy and whisky, are not so likely to
occasion gout. "Poor man's gout" may arise in individuals who lead the
most temperate lives, if they have a strong inherited tendency to the
disease, or when digestion and assimilative disorders are present, as
well as in the case of the poor who drink much beer and live in bad
surroundings, and have improper and insufficient food. Workers in
lead, as typesetters and house painters, are more liable to gout than
others.
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