d taken, and the bowels are irregular in their
action, as well as unhealthy in their secretion. Loss of appetite, too,
though a frequent is by no means a constant attendant on infantile
indigestion, but is replaced sometimes by an unnatural craving, in which
the child never seems so comfortable as when sucking. It sucks much, but
the milk evidently does not sit well upon the stomach; for soon after
sucking, the child begins to cry and appears to be in much pain until it
has vomited. The rejection of the milk is followed by immediate relief;
but at the same time by the desire for more food, and the child often
can be pacified only by allowing it to suck again. In other cases
vomiting is of much less frequent occurrence, and there is neither
craving desire for food, nor much pain after sucking; but the infant is
distressed by frequent acid or offensive eructations; its breath has a
sour or nauseous smell, and its evacuations have a most f[oe]tid odour.
The condition of the bowels that exists in connection with these
different forms of indigestion is variable. In cases of simple loss of
appetite, the debility of the stomach is participated in by the
intestines, and constipation is of frequent occurrence, though the
evacuations do not always appear unhealthy. In other instances in which
the desire for food still continues, the bowels may act with due
regularity, but the motions may have a very unnatural appearance. If the
child is brought up entirely at the breast, the motions are usually
liquid, of a very pale yellow colour, often extremely offensive, and
contain shreds of curdled milk, which not having been digested within
the stomach, pass unchanged through the whole track of the bowels. In
many instances, however, the infant having been observed not to thrive
at the breast, arrowroot or other farinaceous food is given to it, which
the stomach is wholly unable to digest, and which gives to the motions
the appearance of putty or pipe-clay, besmeared more or less abundantly
with slime or mucus. The evacuations are often parti-coloured, and
sometimes one or two unhealthy motions are followed by others which
appear perfectly natural; while attacks of diarrh[oe]a often come on,
and the matters discharged are then watery, of a dark dirty green
colour, and exceedingly offensive.
Children, like grown persons suffering from indigestion, often continue,
as I have already said, to keep up their flesh much better than could be
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