All liquid or semiliquid food should be subject to the chewing
movements until it, also, is mixed with saliva. The stomach should not
be overloaded with either food or water and for this reason six or more
light meals a day, at regular intervals, is best.
A dilated stomach does not necessarily indicate that the digestive
juices are not secreted in normal proportions, and easily digested
proteins need not be avoided. It is desirable to furnish the proteins
in concentrated form, as in meats, so as to get the most nutrition with
the least bulk. They should be thoroughly masticated.
Milk may be used, with limewater, if sipped slowly and mixed with
saliva.
Sugar should be used very sparingly, because it ferments readily and
aggravates the distention. If it is evident that fermented products are
in the stomach, it should be washed out with a stomach pump.
A tumor near the pylorus, or constriction of the pyloric orifice by
prolapsus, will also cause dilatation of the stomach.
Beef juice, any of the better grades of meats, well masticated and
containing no gristle, limewater and milk, soft-cooked eggs, and
well-cooked cereals and vegetables should constitute the diet.
Avoid vegetables containing coarse fiber, fried foods, and freshly
baked bread.
Liquid with the meal should be avoided, on account of the tendency to
overload the stomach.
Cold water, taken a swallow at a time at intervals during the day, has
a tonic effect on the relaxed muscles. It also incites the flow of
gastric juice.
The best and quickest means of correcting a prolapsed and dilated
stomach is by rest in bed for several weeks, with special exercises
to raise the viscera and to strengthen all abdominal muscles, as well
as the muscular coat of the stomach itself. The food must be given in
small quantities every hour.
[Sidenote: Ulcer of the Stomach]
When this condition is severe, accompanied with severe pains and
vomiting of blood, the nourishment is given through the rectum for from
five to ten days. Then, for ten days, a milk diet with bouillon, barley
water, a beaten egg, and once a day, after the third day, strained
oatmeal gruel is taken.
Limewater is added to the milk to avoid the formation of large curds
and to neutralize the acids of the stomach. The patient is given half
a cup of milk every hour for three days, from 7 A.M. to 9 P.M. From
the third to the tenth day the quantity may be increased to one cupful,
then to a cup and a half, and the periods between feedings lengthened
to two hours. If the milk is thoroughly heated, but not boiled, before
the limewater is added, it digests more readily.
After ten days, for the succeeding ten days the nourishment should be
given every two hours and the diet varied by semiliquid foods, such
as gruels, toast water, soft-boiled egg (once a day), beef juice, two
softened crackers (once a day), gelatin, buttermilk, and strained
soups. (See page 313, Semisolid Foods.)
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account