vomiting and with little fever. Their appetite is poor, their
digestion is feeble, their prostration is pronounced. They lose flesh
rapidly and may be emaciated to a remarkable degree. Very few of these
cases recover completely. Serious and sometimes fatal relapses may take
place. The feeding of these children is a difficult task and the
greatest care must be constantly taken; a very little mistake may cost
the life of the child.

Treatment.--All diseases of the intestine in childhood should be
promptly and efficiently treated. If any form of diarrhea is neglected,
it may result in the development of ileo-colitis with all its risks and
uncertainty. When a child is seized with sudden bowel trouble, no matter
what variety it is, it should be treated with the greatest care because
"sudden" bowel trouble usually means plenty of trouble if it is
neglected.

Fresh air is essential in all these cases. A change of air is of decided
value as soon as the immediate symptoms have abated. The diet is the
same as for children who have gastro-enteric intoxication. Later, much
difficulty will be met because these patients have absolutely no
appetite,--peptonized skimmed milk is always good, beef broths are often
well borne, liquid beef peptonoids may be tried. The food should be
given every three hours. Boiled water and stimulants may be given
between the feedings. Later in older children, raw beef, eggs, boiled
milk, kumyss, or matzoon and gruels may be given. Great care has to be
taken for months after an attack; relapses may be caused by changes of
temperature, by fatigue, and, of course, by improper feeding. These
children should avoid potatoes, tomatoes, fruits, corn, oatmeal, and a
great many other things which an intelligent mother would not give any
sick child, as candy, cakes, pastries, etc.

Cases which begin with free vomiting, thin stools; and fever should be
treated at once. The bowels must be thoroughly cleaned out, the colon
should be thoroughly irrigated, and all food should be stopped. When
there are bloody stools with mucus and pain we must depend upon castor
oil, irrigations of the colon, and opium and bismuth by the mouth. A
good big dose of oil at the beginning is always necessary. If, however,
the stomach is irritable and will not tolerate castor oil, we may
substitute calomel in one-fourth-grain doses every hour for six doses,
to be followed by citrate of magnesium. Irrigation of the colon in these
cases is on