ll danger from nephritis has passed.
DIPHTHERIA
~Diphtheria.~--The feeding in diphtheria follows the regime given in
acute fevers. The body must be kept in good condition. At the same
time it is necessary to understand the complications which make the
dietetic treatment of this disease assume a place of importance.
~Complications.~--It may be complicated by broncho-pneumonia,
albuminuria, carditis, endocarditis, and dilatation of the heart.
Anemia must be combated, but care should be used not to push the diet
to such an extent as to impose too great a tax upon the already
weakened heart.
~Dietetic Treatment.~--While the fever lasts the diet must be fluid,
milk, buttermilk, malted milk, and some of the proprietary infant
foods such as Mellin's Food, Eskay's Food, and like preparations. Milk
gruels, made with milk and some cereal such as farina, barley flour,
fine cornmeal, arrowroot, strained oatmeal, etc., are at times more
easily swallowed than the unthickened liquids. Liquid beef peptonoids,
panopeptone, and like predigested beef preparations prove valuable in
many cases.
~Convalescent Diet.~--As convalescence progresses, or in cases where
the patient finds it easier to swallow a semi-solid than a liquid,
soft custards, gelatin, well-cooked cereals, and ice cream may be
given. Eggnog and milk punch are at times given, but only upon the
advice of the physician in charge.
~Rectal Feeding.~--When the condition of the patient makes it
necessary to nourish in other ways than by mouth, nutrient enemas[89]
may be given. In certain cases of diphtheria, young infants can be fed
more successfully through a tube inserted by way of the nose into the
stomach than by feeding in the ordinary way. The formula is prepared
in the same way as for bottle feeding, and is poured into a glass
funnel and through the soft rubber catheter into the stomach. Care
must be observed to prevent the patient struggling on account of the
heart weakness which invariably complicates this disease.
WHOOPING COUGH
In the early months of life it is probable that whooping cough is one
of, if not the most fatal of the diseases to which the infant is
subjected. The period of incubation of this disease is from one to two
weeks, the cough at first not appearing different from those
accompanying colds of all sorts. However, in from ten days to two
weeks the characteristic whoop occurs, differentiating this disease
from all others. The sympto
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