(_a_) INDIGESTION in very young children is generally accompanied
with diarrhœa, because that portion of the child’s food which is not
thrown up or digested passes along the intestinal canal and acting as
an irritant causes diarrhœa. An indigestion of only a short period of
duration excites a catarrhal inflammation of the mucous membrane of the
stomach, and this may be so slight that even a change or correction in
the diet may be all that is required to relieve it. Children who are
suffering from indigestion have stomach ache; this may be continuous
or come on half an hour or an hour after nursing. The pain is due to
the irritation caused by the nutriment or to the fermentation of the
food and the consequent accumulation of gas within the stomach. The
stomach becomes distended and sensitive to pressure. When the catarrh
is severe the nutriment that the child takes into the stomach is
immediately rejected or it may vomit glairy or greenish mucus from an
empty stomach. At first the nutrition of the child may not be greatly
interfered with, for some of the food is retained and digested in the
small intestines, but in the course of time these too become irritated
and then diarrhœa complicates the case and the child falls off and
becomes rapidly emaciated. Children who are nourished from their
mother’s breasts rarely suffer from indigestion, but those who are
fed on artificial foods become victims of stomach and bowel troubles.
And for this reason it is natural to suppose that the chief reliance
for a successful treatment is to regulate and study the diet of the
sufferer; the chapter that is especially devoted to this subject should
be consulted for further information.
(_b_) Diarrhœa is a derangement of the stools in which they loose their
semi-solid, pap-like consistence and become watery liquid alone, or
watery liquid in which indigested particles of food and fecal matter
remain suspended. The quantity of alvine matter that is evacuated
greatly exceeds that which passes in the normal state. The stools have
an alkaline or acrid nature which irritates and often inflames the anus
and the surrounding integument. “The normal form of the infantile feces
in the first year of life is the pappy; the color is yellow like that
of the yolk of egg; the smell is feebly acid, never putrid, and only in
children who are fed upon a meat diet as repulsively pungent as in the
adult; in later years they are no longer distinguished from the adult.”