Stomach Affections of the Mouth

child, milk, vomiting, time, intervals, children, diarrhoea and simple

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In the case of a child at the breast, vomiting is commou when the child is permitted to suck too fast and too long, and so to overload its stomach. In such cases the milk is vomited almost unchanged, and the child immediately after appears perfectly well and of good colour. The suckling should, in such cases, be at longer intervals and the mother should endeavour to make the child drink more slowly, should take the breast away every minute or two, and should not press it on the child after it seems to be satisfied. But a constant overloading of the infant's stomach may speedily induce an extreme degree of irritability, the child is fret ful and 'whining, sucking greedily but never satisfied, and probably losing flesh and colour.

In such a case the child must be permitted to take only very small quantities at a time, repeated at shorter intervals, and as the vomit ing ceases the amount is increased and the interval lengthened. If the child is being fed by bottle or spoon, there is no difficulty about regulating the amount with accuracy. The mother or nurse should quickly discover how much can be taken without vomiting being induced, nothing more than a tea-spoonful of the "milk mixture" appropriate to the age being given every 15 minutes. After a few hours, if vomiting has ceased, the quantity may be increased to 3 tea-spoonfuls every half-hour; if this is retained, 2 table-spoonfuls every hour may be given, and so on.

A warm poultice over the stomach will also help.

Vomiting, persistent no matter what or how little is taken, occurs in disorder of the stomach from cold. If the plan already advised, one or two tea-spoonfuls at a time and at brief inter vals, and warm applications over the belly, does not arrest it, then let some ice be obtained. A few pieces should be put into a glass of fresh milk, and the whole allowed to stand till the milk is ice-cold. Of this give the child a tea spoonful, or at the most two every half-hour or so, and apply warmth outside. After the lapse of some hours give the iced milk less frequently, and give one or two tea-spoonfuls of ordinary milk between the doses. The irritability will almost certainly yield to this method, and gradually larger quantities of ordinary milk at longer intervals may be given. It is needful to avoid giving any considerable quantity of the iced milk at a time, for that would be hurtful.

Vomiting accompanied by a white - coated tongue, loss of appetite, and a sickly sweet smell of breath is common in children. It is

usually easily overcome by rest in bed, small quantities of "milk mixture" (p. 565) at regular intervals, and clearing the bowels (p. 591). It? this case bicarbonate of soda frequently proves to be a valuable remedy, as much as can be lifted on a sixpenny-piece, dissolved in half a wine-glassful of water, may be given in tea spoonfuls at a time, and repeated thrice daily. The child usually is plagued with thirst, and enjoys the water, even with the soda.

Persistent Vomiting, yielding to no remedy, in an infant of a few weeks old, should lead to the suspicion of obstruction at the stomach out let (see p. Colic and Flatulence are manifested by the infant suddenly becoming fretful. It draws up its legs towards the belly, and cries for a time, and then returns to its usual state. This is repeated on another attack. The distress may be great and the pain long, shown by the long continued screaming and violent movements of the legs, and it may be relieved by a dis charge of wind or stools. Here, again, look to the food the child is receiving. Get rid of any irritating matter by giving a dose of castor-oil, after which magnesia in doses of 3 to 5 grains, or fluid magnesia, 1 to 2 dessert-spoonfuls, may be given occasionally if required. When the colic is present, rubbing the belly with the warm hand, or applying hot cloths, will relieve ft. The only other remedy that the mother or nurse should use is dill-water, of which half to ' one tea-spoonful is sufficient, or essence of anise, 5 drops on sugar.

Diarrhoea is one of the chief symptoms of disorder of the bowel, as vomiting is one of the chief symptoms of disorder of the stomach. It has been fully considered on p. 242. But in the case of children, and specially of infants, even a simple diarrhoea may in a few hours bring the child into a condition of grave danger, because of the rapid exhaustion it is capable of producing.

Mothers and nurses should note that in in fants and young children there are two forms of diarrhcea.

Simple Diarrhoea, due to some error in diet; Summer Diarrhoea, due to milk-poison ing.

It must not be supposed, however, that the former, because it is called simple, is not seri ous; on the contrary, if not promptly treated, it may become most serious; but the second form is of the gravest possible kind from the very commencement, and is rapidly fatal to young children.

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