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The Year-book of treatment for 1884-1899 v.3, 1886

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Pages: 286

Book format: An electronic version of a printed book that can be read on a computer or handheld device designed specifically for this purpose.

Publisher: Date:8/5/2009 - General Books LLC

By: Unknown Author

Excerpt from book: 2. Dilatation Op Stomach.—Treatment.—Dry, solid food: underdone meats: no milk. Carbolic acid to allay fermentation. Wash out stomach occasionally. Strychnine, hypoderinically or by mouth. 3. Chronic Gastritis.—Treatment.—Cause to be removed. A scanty supply of food. Pepsine (5 gr.) at each meal. Milk, with a little meat, may be taken as food. Oxide of silver (dose, £ gr.) will be found of value. Bismuth is useful. Avoid tonics, but use the mineral waters to keep the portal system drained. 4. Gastraloia.—Treatment.—Diet of little importance. Stimulant at meals in small amount. Morphine relieves at once, but use it carefully. (a) Bismuth with a little opium. (6) Nitro-muriatic acid, gtt. ij.—iij. diluted. Or, (c) Jt Morph. sulph. gr. y Acid. carbol. gtt. j. Aq. month. pip. ad. Jj. ter die. (d) Fowler's solution, beginning with one drop and increasing to five drops ter die. 5. Chronic gastric catarrh. Delafield, of New York (T/ierap. Gazette, July, 1886, and Practitioner, vol. xxxvii., p. 285), considers the treatment of this affection under four headings : (1) climate and mode of life : (2) diet: (3) drugs: and (4) the use of local applications to the inflamed mucous membrane. The climate and mode of life can seldom be regulated : drugs may be of benefit in the early stages, but must be combined with other methods of treatment . To find the best food, Delafield agrees with Riegel that it is desirable to experiment with various articles of food, and wash out the stomach after a certain time, so as to ascertain how far digestion has progressed. He concludes that a starvation diet never benefits the patient: it is not desirable to "rest" the stomach: the patient's own ideas with regard to food are usually erroneous : it is not necessary to use artificiall...  

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