In chronic cases in which there is little or no fever, the fats are
generally well assimilated and are beneficial.
The disease causes great wasting, and fats are especially important in
counteracting this tendency. They may be given in alternation or be
omitted from the diet for a day or two to avoid turning the patient
against them.
If diarrhea exists fats must be given guardedly and if fats produce
diarrhea they must be lessened or omitted until the diarrhea is
controlled.
If one gains in flesh the chances are very strong that the case has
been wrongly diagnosed, or that the disease, if present, is being
overcome.
Milk, when it agrees, should form a large part of the diet. A glass may
be taken with meals and two glasses between meals. The milk should be
sipped slowly; lime water or carbonated water may be added to aid milk
digestion.
Buttermilk, made by means of buttermilk tablets, from milk from which
the cream has not been removed, or buttermilk mixed with one-fourth
cream, kumyss, or cream and water, if relished, may take the place of
milk.
Eggs are also important aids in the diet, especially the yolk, because
of the fat and iron it contains. If they disagree they may be taken
with a few drops of lemon juice, orange juice, or grape juice, as these
partially digest the egg.
The beaten and strained whites are very easily digested, and in that
form may be taken in quantity of from six to twelve a day.
Tender, juicy meats, especially beef and mutton, may be taken, also
meat juices and beef soups.
Highly seasoned foods should be avoided.
Fresh fish, clams, and oysters are permissible. Cereals, especially
the coarse ones, that stimulate the bowel movements, if constipation
exists, are valuable; oatmeal, rice, and corn-meal mush are especially
good; also Graham or bran bread, and zwieback made with bran. If there
is diarrhea bran should not be used.
Easily digested vegetables are of value, especially if cooked in little
water so that most of the salts and other nutrients, which are so
frequently boiled out of the vegetable, are retained. Baked apples or
raw fruits, especially oranges, may be taken the first thing in the
morning, or used as a dessert. Grapes, peaches, and other fruits in
season may be taken in moderation.
Tea and coffee are best omitted.
The following constitutes a typical menu in ordinary cases. It must be
varied to suit the individual case.
_Breakfast_: Fruit, cereal, two eggs (poached or boiled) with or
without a few slices of bacon; two slices of toast or
bread, one-half ounce of butter, and a glass of milk.
_10 a.m._: Two or three eggs beaten in a glass of milk.
Public-domain text, read in full here on John Shaqi.
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