If the constipation is severe, causing occasional attacks of colic
or straining at stool, it is sometimes advisable to give a little
higher percentage of fat in the mixture, but this should be done very
cautiously and usually on the advice of the physician.
If, however, this does not relieve the trouble, the best plan is to
substitute one of the dextrin-maltose mixtures for milk-sugar or
cane-sugar. The malt itself is not especially laxative but it prevents
the excessive fermentation which usually occurs when the bowels are
very costive.
* * * * *
[Sidenote: Diarrhea]
Two, three, or more green and loose evacuations, even though they
may contain whitish particles of undigested fat, are of no great
significance in the breast-fed infant, but should be regarded as danger
signals in bottle-fed babies.
Even a mild attack of diarrhea is usually a symptom of fat-dyspepsia
which, if taken in time, may usually be promptly checked.
A dose of castor-oil at the beginning of the attack may relieve any
irritation that might have caused the trouble.
It is best to omit all food for at least twenty-four hours. Plain water
should be given very freely and occasionally barley water, if the baby
is hungry. After that it is best to start with a mixture low in fat.
Skimmed milk or boiled milk free from all fat, diluted with cereal
water, may be given at regular intervals.
Should slight diarrheal attacks continue, or should the stools be of a
diarrheal character, the wisest plan is to substitute a dextrin-maltose
mixture for the sugar, as malt decidedly favors fat absorption.
In almost every case of infantile diarrhea it is advisable to consult
the physician, especially if there is considerable restlessness and
rise in temperature.
Diarrhea is more frequent in summer among bottle-fed babies, as the
heat often promotes the growth of germs in the milk. Therefore to
sterilize or pasteurize milk during the heated months is especially
necessary.
A chill, due to insufficient clothing, will sometimes cause diarrhea.
The abdomen, arms, and legs should be kept warm by close-fitting
garments of soft wool.
* * * * *
[Sidenote: Anemia]
In treating anemia in infants, as in adults, the cause should be
removed by correcting any errors in diet and treating any other
physical deficiencies.
The cause of infantile anemia is an insufficient absorption of iron
from the food.
The amount of iron in both human milk and cow’s milk is small and is
insufficient for the needs of the growing infant. However, Nature has
deposited enough iron in the liver of the new-born infant to last until
it can digest foods which contain iron in sufficient amounts. The iron
in human milk is apparently more easily retained than that in the milk
of animals.
The iron content of human milk is dependent on the general condition
of the mother. It is higher in healthy individuals and lower in those
under par.
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