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Page 43
_What are the symptoms of chronic indigestion?_
These, although familiar, are not so easily distinguished and are very
often attributed to the wrong cause. There are usually general
symptoms such as indisposition, disturbed sleep, grinding of the
teeth, fretfulness, languor, loss of weight and an�mia. There are
besides local symptoms: flatulence, abdominal pain, abdominal
distention, constipation, or looseness of the bowels with mucus in the
stools, foul breath, coated tongue, loss of appetite, or an abnormal
capricious appetite. Such symptoms are often wrongly ascribed to
intestinal worms.
_What are the common causes of chronic indigestion?_
This is generally the result of a bad system of feeding, either the
prolonged use of improper food or of improper methods of feeding.
Examples of bad methods of feeding are, coaxing or forcing to eat,
rapid eating with insufficient mastication eating between meals,
allowing a child to have his own way in selecting his food, as when he
lives largely upon a single article of diet. Things to be considered
under the head of improper food are, indulgence in sweets, desserts,
etc., the use of imperfectly cooked foods, especially cereals and
vegetables, and of raw or stale fruits.
_Is it not true that a diet or a special article of food which does
not make a child ill is proof that such a diet or such a food is
proper for a child?_
By no means; with many people the only guide In feeding children is
that the article in question did not make the children sick, therefore
it is allowable. This is a very bad principle. A better one is to
adopt such a diet as will nourish the child's body with the least
possible tax upon his digestive organs; in other words, to exclude
articles which experience has shown to be injurious to most children.
_How should chronic indigestion be managed?_
This is a much more difficult matter than the treatment of acute
indigestion, for, as it is usually the result of the prolonged use of
improper food or of an improper method of feeding, a cure can be
accomplished only by a discovery and removal of the cause.
_Is chronic indigestion curable?_
In the vast majority of cases it is so, but only by faithfully
observing for a long period the rules for simple feeding laid down
elsewhere. One of the greatest' difficulties in the way of recovery is
that parents and nurses are unwilling to follow a restricted diet long
enough to secure a complete cure, or to change radically their methods
of feeding, but expect the child to recover by simply taking medicine.
_For how long a period is it necessary to continue very careful
feeding?_
In any case it must be done for several months; with most children for
two or three years; with some, throughout childhood, for with them the
slightest deviation from established rules is sure to provoke a
relapse.
_Is not medicine useful?_
It is undoubtedly of assistance for the relief of some symptoms, but
the essential thing is proper feeding, without which nothing permanent
can be accomplished.
GENERAL RULES TO BE OBSERVED IN FEEDING
Bad habits of eating are readily acquired but difficult to break.
Young children should not be allowed to play with their food, nor
should the habit be formed of amusing or diverting them while eating,
because by these means more food is taken.
Older children should not be permitted to make an entire meal of one
thing, no matter how proper this may be.
Children, who are allowed to have their own way in matters of eating
are very likely to be badly trained in other respects; while those who
have been properly trained in matters of eating can usually be easily
trained to do anything else that is important.
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