Foods and dietaries : a manual of clinical dietetics / by R.W. Burnet.

  • Burnet, R. W.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Foods and dietaries : a manual of clinical dietetics / by R.W. Burnet. Source: Wellcome Collection.

    28/256 page 12
    Gradual Return to Ordinary Diet.—By degrees, allow the patient to return to ordinary but very simple food in the solid form. A slice of roast mutton, or the thick part of a mutton-chop, or the breast of a chicken, with bread, some well-boiled spinach, or other tender green vegetable, will come in first at the midday meal—giving boiled sole or whiting at the evening meal. It should be kept in mind that no cases are more liable to relapse than these, and that upon what may seem a very trifling irregularity of diet. The process of change, therefore, must be gradual, and it is well not to run the risk of a relapse for the sake of getting back to ordinary food a little sooner. If such patients are to keep well they must for a considerable time at least, and sometimes altogether, abstain from eating salted and cured meats, preserved or tinned fish, pastry, made-dishes, raw vegetables, cheese, nuts, sweets, and especially from any form of stimulant upon an empty stomach. Constipation.—Constipation is often troublesome, espe- cially in earlier stages of treatment, and the irritability of the mucous membrane of the digestive tract prevents its being obviated by the use of brown bread, fruit, and vege- tables. Some simple aperient or an occasional enema will be required, but these should not be too soon resorted to nor too often repeated, lest the habit of depending upon artificial means become established. Atonic Conditions of Stomach: Atonic Dyspepsia. Symptoms.—Forming a marked contrast to the foregoing cases in many ways, yet not far removed from them, and in some features presenting a family resemblance, are those patients who come before us complaining of a sense of weight and fulness in the epigastrium with distension coming on a short time after eating. Occasionally there is slight pain, sometimes spasms, but as a rule discomfort and a sense of
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