English: Identifier: infantfeeding00grul

Title: Infant feeding Year: 1914 (1910s) Authors: Grulee, Clifford G. (Clifford Groselle), 1880-1962 Subjects: Infants Infant Food Feeding Behavior Publisher: Philadelphia, London, W. B. Saunders Contributing Library: Columbia University Libraries Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image: mirable results maybe obtained by a temporary diet of diluted skimmed milk.This should only be resorted to in severe cases, since prop-erly dosed whole milk dilutions are usually sufficient.Where the case is a severe one, stomach-washing is fre-quently indicated. Often one washing is enough to pro-duce a cure; sometimes it must be repeated once a day forseveral days. In cases accompanied by much gas, a mix-ture of charcoal in milk of bismuth,^ although of unsightlyappearance, may give excellent results. The second type has been so thoroughly discussed underthe various nutritional disturbances previously treated inthis work that no further attention will be given it here.The third type will be taken up in the chapters devoted toinfant feedings in parenteral diseases. One should alwaysbear in mind the vomiting of intussusception. As to projectile vomiting, it is usually associated with 1 About 2 or 3 grains of charcoal to a half-teaspoonful of milk ofbismuth one-half hour after feeding.

Text Appearing After Image: Fig. 27.—Stomach washing. SYMPTOMS AND THEIR CAUSES 239 acute cerebrospinal meningitis, but this disease is for-tunately not very common during infancy, so that thistype is not often seen. In congenital pyloric stenosis,which is seen most often in very young infants, the vomit-ing is very frequently of this type. METEORISM Meteorism may be due to one or both of two factors:accumulation of gas in the intestines from decompositionof the food and paresis of the intestinal wall. The sig-nificance of its presence depends, in large measure, uponthe general condition of the infant. In a child with in-toxication, meteorism is a sign of marked disturbance ofthe intestinal blood-supply (paresis of the intestinal wall),and hence is a serious condition. On the other hand, a moderate distention of the abdomenin a dyspeptic breast-fed infant is an aggravating, but nota serious, symptom. The condition occurs rather frequently in cases of dys-pepsia and intoxication, and occasionally in weight dis-

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