BED-TIME : A tumbler of hot water with quarter tea-spoonful bicarbonate of soda and a pinch of salt.
If dinner is taken about 1 p.m. the meal suggested for 7 p.m. should be taken, and no thing after that till 6.30 or 7, when a meal similar to breakfast may be taken, or a tumbler of hot milk with stale bread and butter may be tried for a change.
It should be noted regarding green vegetables that, though they are commonly avoided for flatulency, it is, in the author's opinion, because of their usual mixture with potato or milk pudding in a much-mixed meal. They will be found, usually, to suit quite well with lean meat of any kind if these mixtures are avoided.
Where the flatulence is the main symptom, and the gases appear to be developed by fer mentation, charcoal is the best remedy. It should be taken either soon before or imme diately after food, according as the wind is developed immediately on eating or some time after. The dose is 5 to 10 grains of wood charcoal. In other cases, where flatulence is only one of other general dyspeptic symptoms, an acid with some vegetable tonic is valuable. (See PRESCRIPTIONS—ACID TONICS.) in women flatulent dyspepsia is often 'accompanied by palpitations, headaches, attacks of giddiness and faintness, &c. In such conditions the aro matic spirit of ammonia with spirit of chloro form is very beneficial. (See PRESCRIPTIONS— AMMONIA MIXTURES.) The popular remedy, pepperment water (2 table-spoonfuls) or 2 drops of oil of pepperment, gives temporary relief. So also does ginger, 5 to 20 grains in warm water, or tincture of cardamoms, a tea spoonful in water.
Indigestion with Excessive Appetite.— There is a persistent feeling of emptiness in the stomach, uneasiness, and craving for food even a short time after food has been taken. These sensations are accompanied by a feeling of weakness, of "goneness" as many express it. This craving for food is termed bulimia, and is common in women. The condition seems often due to the food being too rapidly passed on from the stomach into the bowels, so that diges tion is not properly accomplished. Looseness
of bowels usually is present.
The treatment for this kind of indigestion is opium in some form or another, and in very small doses. Let the person begin with a drop of laudanum before meals, and if this quantity is not sufficient let the number of drops be slowly increased till the proper dose is found. In no case, however, should the dose exceed 10 drops or thereby, and as soon as the symptoms have disappeared its use should be given up, only to be resorted to again if the symptoms return.
Painful is an accompani ment of various kinds of indigestion. Heart burn is one kind of pain, and flatulence usually causes pain also. In these cases treatment for the acidity causing the heartburn, or for the flatulence, ought to remove the pain. Again, a sense of uneasiness may grow to actual pain in slow and weak digestion, for which the remedies mentioned under SLOW DIGESTION ought to be used. The pain may take a spasmodic char acter, and may extend to the back between the shoulders—the kind of pain popularly called "cramp in the stomach ", and more learnedly gastrodynia (garter, the stomach, and odune, pain or anguish). The nitrate of bismuth in 10-grain doses is very useful for this, and if this fails 3 grains of the compound ipecacuanha powder should be added to it. Sometimes the hydrochloric-acid treatment (4 to 8 drops imme diately after a meal) is efficacious for this affec tion also. The water-brash (pyrosis) is another form of painful digestion. Pain at the pit of the stomach is followed by the putting up of mouthfuls of a watery and sour, or sometimes insipid, fluid. The pain is often severe, and the quantity of fluid considerable. Bismuth should be used as prescribed for cramp ill the stomach. If necessary, acids may be tried before food if the fluid put up be sour, after food if it taste insipid.