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 cases where there is reason to apprehend consumptive disease, the
skill and resources of the doctor will often be heavily taxed to meet
each difficulty as it arises. A good wet-nurse, or, in default of her,
asses' milk, with the addition of cream to supply the butter in which
the asses' milk is deficient, a couple of teaspoonfuls of raw meat juice
in the course of every twenty-four hours, much care in the introduction
of farinaceous substances into the diet, and cod-liver oil twice a day,
beginning with ten drops and gradually increasing the dose to a
teaspoonful, are all that the mother herself can do. When the cod-liver
oil is not borne by the stomach, or when--which, however, is not often
the case--the child refuses to take it, glycerine may be substituted for
it, though it must be owned that it is a very poor and inefficient
substitute. The inunction of cod-liver oil is in any case not to be had
recourse to; it makes the child unpleasant to itself and loathsome to
others, while the power of the skin to absorb oily matters is far too
limited to be worth taking into account.
Vomiting, though by no means a prominent symptom of either of the two
very grave conditions of which I have been speaking just now, is yet a
very common attendant on all disorders of digestion in early life. It is
indeed much more frequent in the infant than in the adult, and the
greater irritability of the stomach continues even after the first few
months of existence are past, and does not completely cease during the
early years of childhood. In every case of vomiting in childhood,
therefore, the first question to set at rest is whether it depends on
disorder of the digestive system, or whether it heralds the onset of one
of the eruptive fevers, or of inflammation of the chest, or of affection
of the brain; and in determining this all the directions given when I
was speaking of the general symptoms of disease are to be carefully
studied. Vomiting often accompanies infantile diarrh[oe]a, even when the
food taken cannot be regarded as its occasion; and now and then the
stomach, with no obvious exciting cause, suddenly becomes too irritable
to retain any food, and this indeed may be the case even though attended
by few or no other indications of intestinal disorder. The child in such
cases seems still anxious for the breast; but so great is the
irritability of the stomach that the milk is either thrown up unchanged
immediately after it has been swallowed, or it is retained only for a
few minutes, and is then rejected in a curdled state; while each
application of the child to the breast is followed by the same result.
It will generally be found, when this accident takes place in the
previously healthy child of a healthy mother, that it has been
occasioned by some act of indiscretion on the part of its mother or
nurse. She perhaps has been absent from her nursling longer than usual,
and returning tired from a long walk or from some fatiguing occupation,
Public-domain text, read in full here on John Shaqi.
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