water and fine
cereal gruels are the best foods from which to formulate the diet
after the necessary period of abstinence and fluid diet.

~After Appendicitis~, as a rule, no food is given for five days in
cases where there has been a pus formation and the appendix
gangrenous. Otherwise the routine treatment diet is given--water, then
albumen water, followed by broth, milk and fruit beverages, fine
cereal gruels, etc.

~After Liver and Gall bladder Operations~ the character of the food
must be considered. The fats are not well handled in such conditions
and must be avoided as far as possible. Broths must be well skimmed
and the milk fat free. Buttermilk and koumiss are probably the most
suitable forms in which to give milk in these cases.

~After Kidney Operations~ the work of elimination through kidney must
be limited as far as possible in such cases. While it is impossible to
rest the organ entirely, the giving of a proper diet under the
circumstances will do much toward relieving the strain placed upon it.
The protein foods, with the exception of milk, must be excluded from
the diet. The regime practiced in acute nephritis gives the most
satisfactory results.

PROBLEMS

(a) Write a diet order for patient operated upon for gastric ulcer.

(b) Formulate diet to be used after a gall bladder operation.

(c) Outline diet used after operation upon the kidney.

FOOTNOTES:

[106] "Some Gastro-intestinal Notes," "The Medical Clinics of North
America," Vol. I, No. 1, pp. 192-193, by Thomas R. Brown, Johns
Hopkins Hospital.

[107] See Formulas for Nutrient Enemas, p. 145.

[108] See Albumen Water with Brandy, p. 141.

[109] "Diet in Health and Disease," p. 555, by Friedenwald and Ruhraeh.

CHAPTER XVII

URINALYSIS

The importance of the kidney functions has been clearly demonstrated.
Urine, which is the fluid secreted by these organs, is one of the most
important sources of information, not only as to the manner in which
the body utilizes food in health, but as an index to certain
pathological conditions, the processes of which are more or less
indicated by the products excreted in the urine.

~Function of the Kidneys.~--The kidneys, as has already been stated,
furnish a means by which the greater part of the waste products of the
body are eliminated and in addition to this function they adjust the
salts in the body. In an early chapter the function of the salts in
food was explained. A certai