When the walls of the stomach are weak and distended or prolapsed,
light food served in small quantities at regular but more frequent
periods is preferable to a hearty meal, which further distends the
stomach walls. The stomach does not secrete sufficient gastric juices
to digest a meal large enough to supply the needs of the system, if
food is taken only three times a day.
When a loss of weight occurs, it usually indicates a failure to
_assimilate_ rather than the failure to eat a sufficient amount of
food. A good circulation, particularly through the vital organs, must
be established; deep full breathing of fresh air, and regular and
complete rest periods, should be observed.
Usually, in chronic cases, a dietitian, or a physician, is not called
until the condition has prevailed for so long that other complications
have set in and the patient has lost much flesh. It takes months to
pull the system down and it takes months of following of proper hygiene
to build it up.
[Sidenote: Gastritis or Catarrh of the Stomach]
This involves an inflammation of the mucous lining of the stomach and
is a most common phase of indigestion. In acute cases the physician is
called at once. He can then treat the case in its initial stage and
cause a much more rapid recovery.
_Acute Gastritis_ is accompanied by nausea and vomiting and the patient
should refrain from taking food for at least two days. To allay thirst
a tablespoonful of water may be held in the mouth for a few moments
without swallowing it. A slice of lemon may be sucked if water excites
vomiting, or cold carbonated or acidulated waters may be sipped, a
teaspoonful at a time, every ten or fifteen minutes. Rest of both body
and mind must be obtained.
After two days begin the nourishment with water and a small portion
of liquid food (not over two ounces) every two hours. Toast tea, made
by pouring hot water over toast, oatmeal, or barley gruel (thoroughly
strained so that no coarse matter may irritate the stomach), limewater
and milk, and egg lemonade are easily digested. Increase the quantity
on the fourth day and lengthen the time between feedings to three
hours. Gradually increase the diet, adding semiliquid food, noted on
pages 237-238, soft-boiled eggs, moistened toast, raw oysters, etc.,
slowly returning to the regular bill of fare.
Avoid any food difficult of digestion and any vegetable containing
coarse fiber. Care in the diet must be observed for several weeks or a
relapse may occur.
_Chronic Gastritis_ is accompanied by a thickening of the mucous lining
of the stomach. It is usually caused by prolonged use of irritating
foods and the regulation of the diet is of utmost importance. Alcohol
is a common cause. The difficulty begins gradually and the relief will
be gradual.
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