The faeces of children and adults : their examination and diagnostic significance with indications for treatment / by P.J. Cammidge.

  • Cammidge, P. J. (Percy John), 1872-
Date:
1914
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Licence: In copyright

Credit: The faeces of children and adults : their examination and diagnostic significance with indications for treatment / by P.J. Cammidge. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    of the former plan is to give time for the clots which form over anv bleedTnc^ vessels to organize, and to facihtate heahng of the Zr bv tep ng the parts'clean and at rest. Lenhartz contends tt sh^c a flol of gastric juice has been shown to take place at e siX or thought of food, and may be excited by nutnen enemata. [us bcLr that^t should occur in a stomacl. that contains W to combine with the acid than m an empty one. Further, the reatment with salme injections and nutrient enema a cannot supply sufficient food to meet the needs o the body or im- prove the anaemia from which most gastric-ulcer patients suffer. If however, food can be introduced into the stomach from the beginning, the strength of the patient is better maintained, the anLiia is more hkely to be rapidly recovered from, and the process of heahng will therefore be quicker. The opponents of Lenhartz s method urge that the presence of food in the stomach necessitates the contraction of the organ, and that such movements of its walls are hkely to dislodge clots in any opened vessels and cause a recurrence of the heemorrhage. To this he rephes, that the danger of a clot being dislodged in this way is no greater than the danger of its being dissolved by gastric juice in an empty stomach, while if small quantities of protein food are supphed, the hydrochlonc acid of any gastric juice that may be poured out combines with the protein and is neutrahzed. To this end teaspoonful doses of beaten-up milk and egg are prescribed. Such a combination is calculated to excite the least possible secretion and to combine most efaciently with the acid of whatever gastric juice is secreted, for the fat of the egg yolk and milk inhibit the secretion, the albumin of the white of egg and the milk combine with the acid, and it is weU known that milk calls forth less secretory activity in the stomach than any other food. As the mixture is given in very small quantities at a time, distention of the stomach is avoided and the necessary movements are reduced to a minimum. The food is easily swallowed and requires no mastication, so that the flow of gastric juice from this cause is avoided. The rest cure with von Leube's diet has been advocated by many physicians of authority, including F. Miiller, Riedel, Boas, Ewald, von Noorden, and Cohnheim, while others have reported good results with Lenhartz's method. The tendency at the present time is to combine the two to a certain extent by commencing feeding by the mouth earlier than in the strict von Leube method, but not so soon as Lenhartz advises. The diet too, is more gradually increased than in the latter method, and solid food is not so speedily or extensively used {see Appendix).