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Page 42
The pulp of oranges or grape fruit, also cherries, berries, bananas
and pineapple.
_What precautions should be emphasized regarding the use of fruits?_
That they should be used with greater care in hot weather and with
children who are prone to attacks of intestinal indigestion.
_What symptoms indicate that fruits should be avoided?_
A tendency to looseness of the bowels with the discharge of mucus, or
frequent attacks of abdominal pain or stomach ache.
_Is there any special choice of meals at which fruit should be given?_
The fruit juice given early in the morning, upon an empty stomach,
works more actively upon the bowels than if it is given later in the
day.
It is not, as a rule, wise to give cream or milk with sour fruits.
Usually the fruit is best given at the mid-day meal, as a dessert, at
a time when no milk is taken. It is in all cases important that the
quantity of fruit should be moderate.
_What besides water and milk should a child be allowed to drink and
what should be forbidden?_
Tea, coffee, wine, beer and cider in all quantities and in all forms
should be forbidden to young children below puberty. Cocoa which is
made very weak, i.e., almost all milk, is often useful as a hot drink.
Lemonade, soda-water, etc., should if possible be deferred until the
tenth year. A free indulgence in things of this kind should never be
permitted with children of seven or eight years.
INDIGESTION IN OLDER CHILDREN
_What are the different ways in which indigestion shows itself in
children?_
First, in acute disturbances which last for a few days only; and,
secondly, in chronic disturbances which may continue for weeks or
months.
_Which of the two forms of indigestion is more likely to impair
seriously the health of the child?_
Chronic indigestion; for since the cause is not recognized it often
goes on for months and even years unchecked.
_What are the symptoms of acute indigestion?_
These are familiar and easily recognized. They are vomiting, pain,
undigested movements from the bowels, often fever and considerable
prostration.
Such attacks are usually traceable to their proper cause, the removal
of which is followed by prompt recovery.
_What are the common causes of acute indigestion?_
This is frequently due to overeating, to indulgence in some special
article of improper food, or to eating heartily when overtired. Acute
indigestion often marks the beginning of some acute general illness.
_How should acute indigestion be managed?_
One should bear in mind that for the time being the digestive organs
have stopped work altogether. The important thing, therefore, is to
clear out from the intestines all undigested food by some active
cathartic, such as castor oil. The stomach has usually emptied itself
by vomiting. All food should be stopped for from twelve to thirty-six
hours, according to the severity of the attack, only water being
given.
_At the end of this time is it safe to begin with the former diet?_
No; for such a procedure is almost certain to cause another attack of
indigestion. At first only broth, thin gruel, very greatly diluted
milk, or whey should be given. The diet may be very slowly but
gradually increased as the child's appetite and digestion improve, but
in most cases a week or ten days should elapse before the full diet is
resumed.
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