eatment, as a rule. Patients
recover in four to eight days. Strict attention to cleanliness, however,
is imperative. The feeding bottle and nipple, or the mother's nipple, if
breast fed, must be kept scrupulously clean.

The feeding of these children is sometimes a problem for a day or two,
because, as stated above, of the soreness of the mouth. This is best
overcome by feeding the baby with a spoon. If breast fed, it is
necessary to pump the milk and then feed with the spoon. Children will
take the milk better if it is fed cold. Cold boiled water is largely
taken and is good for them at this time.

Treatment for Ulcers in Mouth.--The ulcers should be touched with a
camel's-hair brush which has been dipped into finely powdered burnt
alum. If a stronger caustic is necessary, the solid stick of nitrate of
silver may be used.

A mouth wash may also be used in the ulcerative cases, composed of the
peroxide of hydrogen diluted with two parts of water. If this is used
wash the mouth out afterward with plain, cool, boiled water. The
peroxide mouth wash can be used four or five times daily.

In addition to the mouth washing in the ulcerative cases it is advisable
to use internally chlorate of potash. The druggist should be requested
to make a two-ounce saturated solution, and of this you can give
one-half teaspoonful, largely diluted with cool water, every hour during
the day for the first twenty-four hours, then every two hours until
marked improvement is shown, when it can be further reduced by
lengthening the interval between doses.

SPRUE--THRUSH

Sprue is a form of sore mouth. It is seen only during the first six
months of life, as a rule. It affects the mucous membrane of the mouth;
it appears in the form of small white spots that look like drops of
curdled milk. They are on the inner surface of the cheek and may be all
over the mouth, and on the tongue. The spots are firmly attached, and if
forcibly removed the mucous membrane will bleed.

The disease is caused by infection through lack of cleanliness and it
invariably affects poorly nourished children, especially those who are
bottle-fed.

There are no symptoms other than those of the mouth; the child
frequently refuses to nurse because of evident pain and distress while
nursing. The condition is not contagious. It may be cured in from six to
eight days without difficulty.

Treatment.--Mouth irrigations of boracic acid are all that are
necessary. They are