Pierre weekly free press. (Pierre, S.D.) 1889-19??, 1916-10-26

TIE mildest of all nutritional dis
turnance in Il baby is known as weight
disturbance. In this condition there is
no digestive disturbance. The mother
notes that the Lady does not vomit and
never has d1arrhoea. He seems 1eason-
ably comfortable and happy. does mo-
cry unduiy and sleeps very well. The
Observing mother notes tiat her baby
is not growing just as he should. The
weekly Weighing shows that he is not
gaining III weight. She also notices that
ehe is conslipated and That mis-, stools
are grayish in color. They fall from the
diaper. His digestion is all right.
III he is a breast fed baby, there is a
possibility that he is net getting enough
DOC. that he is hungrr and III nour-
ished. If this is the cause Of his trou-
BILE, he will be hungry all the time. will
hy to eat his fists and cly a great deal.
1t he is bottle fed and, in some in
stances, breast fed, the reason for his
trouble is that he is getting more fat
h he car assimilate. Examination
OF lis stool shows an excess Of fat. The
treatment is to give him q milk mixture
that contains less fat.
III, IN addition to q stationary weight,
the baby has diarrhoea, the condition
has passed from weight disturbance to
the next step in nutritional disturbance.
namely, dyspepsia. Probably this term
40 iiot Mcll CiIuSeu, SlI1Cc III IuOSl minus
IT is associated with stomach indiSes-
tion. In dyspepsia there is impaired
tolerance of fats and also impaired toll
GRANGE of sugars. The sugars and fats
which are not utilized are split into
low, fatty acids, n these irritate the
mucous membrane and bring on diar-
rhoea.
The baby with a d~yspeptic diaIrhoea
Is restless and has colicky pains. 1t
may vomit. Fever is sometimes pres
ent; more frequently 1t is absent. While
the child does not seem to be thriving,
he is not definitely sick. The bowel
movements may be green from unox-
and soaps, or foamy and brown from
~fermenting sugar, especially If malt
sugar is given. They a " a o u dor.
Treatment-The baby with dys-
reptic diarrhoea should take "a lose Of
oil and go without food for II hours.
water in small quantities should be
frequently given. Then give very light
diet for a few days.
one suggestion Is that 10 ounces Of
albumin milk (Hoos or some other good
preparatory containing 2 per cent deX
tri maltose be given In six feelings ~
the "a hours. This is a little less than
w ounces at a feeding. This is in
day for three days. At the end of this
time. If the Giarrhoea is mild, the child
will be ready to go back on milk.
The fault with the original diet was
that 1t contained more fat and more
sugar thar the child could assimilate.
Therefore, in changing the child back
to 4 diet of modified milk there should
be a decrease In the amount of fat and
sugar or cereal as compared with the
diet in use when the sickness occurred.
The services of a physician should
be had in all severe cases of ~dyspeptic
diarrhoea, but the mother n nurse
should know the basic cause Of the
trouble il they are to i~ntelligently carry
out directions.
The third type of nutritional dis
turbance In a baby the Germans term
alilnentary decomposition. III this dis
ease there Is marked loss of weight
In fact, the older name for this trouble
was marasmus, which indicated that
he children wasted away. Fever Is
Alimentary decomposition is a later and
Il more serious stage Of the condition
which, when milder, Is called dyspepsia.
In fact. If the baby has a mild fever,
and while not gaining in weight, is los
ing but little, we say to case is one of
wasting, we say that the ease is one
of ~alinientary decomposition.
The basic trouble in alimentary de-
composition Is intolerance Of fats and
carbohydrates or starches and sugars.
The treatment, therefore. consists in
careful feeding, with a view to sus-.
tanning weight and strength and at the
same time keeping the fats and sugars
down to quantities and percentages
which the child can digest.
A physician or a trained nurse, or
both, should maj the ship. These cases
do not get well when left to the care of
persons unskilled in feeding babies.
v1o1,tn, CO.. p ,.i 80 P-~~ l.
composition, or marasmus, are very
much affected by the heat. They are
very subject to infections Of different
kinds. Among the infections likely to
occur-in fact. the one that is most
likely to occur-is infection with the
dysentery bacillus.
The fourthadivision Of this classified
ton Is alimentary i~ntoxication, sum-
mer complaint, OF cholera infantum.
The baby with weight disturbance
scarcely seems to be sick, but i'm
presses one merely as not thriving.
With dyspepsia the impression given
is that the child is a little out Of sorts,
though not much sick. With marasmus
the impression given is that the child
is wasting away-some acutely sick
All cause the mother uneasiness and
fear. and rightly SO. The child with
cholera infantum is sick; there is never
a doubt on that point. There are vomit-
lnS, dlarrhoea, fever, rapid. breathing,
and %cieosis There may be convul-
sions. The eyes are sunken.
The first indication Is to give he
child water. A warm bath or a hot
bath is excellent. Tea or water sweet
ened with saccharin can be given by
the mouth. Water can be given by
enema. No food Of any sort should be
given for IL or "a hours.
The feeding of babies suffering from
summon Cnnonlninf jc a ,ootho, e., a..
physician's skill. AT first there must be
no food at all-only water. Then there
must be small quantities Of food. AL
bumin milk is good. Later there must
1.-THE cRickETERs OF FRANCE"
The Criclleters. of Flanders" is the
title of a new poem much esteemed in
England. 1t is by the author of "Kitch-
ener's Mob"-a brilliant American in