The Mother's Manual of Children's Diseases — John Shaqi
The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
In the human subject the process of teething begins late, between the
seventh and the ninth month, and goes on slowly: the first grinding
teeth are seldom cut before the beginning of the second year, and
teething is not finished until after its end. Until teething has begun
the child ought to live exclusively on the food which nature provides;
for until that time the internal organs have not become fitted to digest
other sustenance, and the infant deprived of this too often languishes
and dies. To get from other food the necessary amount of nourishment,
that food has to be taken in larger quantities, and, from the difficulty
in digesting it, needs to remain longer in the stomach than the mother's
milk. One of the results of the indigestibility of the food is that the
child is often sick, the stomach getting rid of a part of that food
which it is unable to turn to any useful purpose; and so far well. But
the innutritious substances do not relieve the sense of hunger. The
child cries in discomfort, and more is given to it, and by degrees the
over-distended stomach becomes permanently dilated, and holds a larger
quantity than it was originally meant to contain. The undigested mass
passes into a state of fermentation, and the infant's breath becomes
sour and offensive, it suffers from wind and acid eructations, and
nurses sometimes express surprise that the child does not thrive since
it is always hungry. While some of the food is got rid of by vomiting,
some passes into the intestines, and there becomes putrid, as the
horribly offensive evacuations prove. They come away, large and solid
and white, for the secretion of the bile is inadequate to complete that
second digestion which should take place in the intestines; or else the
irritation which they excite occasions diarrh[oe]a--a green putty-like
matter comes away mixed with a profuse watery discharge.
What wonder is it that in such circumstances the body should waste most
rapidly; for it is forced from its own tissues to supply those elements
essential to the maintenance of life, which its food contains in far too
scanty a proportion. Every organ of the body contributes to the general
support, and life is thus prolonged, if no kind disease curtail it,
until each member has furnished all that it can spare, and then death
takes place from starvation, its approach having been slower, but the
suffering which preceded it not therefore less, than if all food had
been withheld.
Do not suppose that in this description I have been painting too dark a
picture, or that children who die thus have been exceptionally weak, and
so under the acknowledged difficulties of hand-feeding at length became
consumptive. They do not die of consumption, and in a large number of
instances their bodies show no trace of consumptive disease, but present
appearances characteristic of this condition of starvation, and of this
only.
Public-domain text, read in full here on John Shaqi.
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