Detroit evening times. (Detroit, Mich) 1921-1958, 1942-06-17
Gall Bladder
Treatment
Is Varied
40 Per Cent Of Adult,
Have This Disease
BY DIR. LOGAN CLENDENING

WE HAVE spoken In the last
w two articles this week Of
the causes and the nature OF
gall bladder disease.
Most of this we have found to
be infection due to the constant
stream of bacteria and toxins
which come through the portal
stream through the intestine
into the liver.
Gall bladder disease Is nat
urally very common and about
40 per cent of all adults have
some degree of 1t, ranging from
a mild catarrhal inflammation
of the gall bladder to actual gall
stones.
AS we said, also, the manifes-
tations of gallbladder disease
are mostly dyspepsia. such as
lack of appetite, discomfort after
meals, especially formation OF
gas and belching.
The average case.
The severe cases of gladstone
collie with pain and jaundice are
greatly in the minority.
WHAT to do about a given
w case depends on the judg-
ment OF the physician.
II is always possible to oper-
ate on these cases when the at
tacks become Gripping or inter-
fere with daily comfort and
daily health, but It is also true
that many of them 60 on for
many years causing very little
trouble.
For instance, In a series Of
cases reported to the American
Medical Association, 81 per cent
Of chronic cases had satisfac-
tory relief over an average OF
more than eight years without
an operation.
In the management Of these
cases the diet should receive the
utmost consideration.
In the first place. we know
as pointed out In an earlier
article this week-that a fat
diet will empty the gall bladder
and since most OF its trouble Is
due to the retention of infec-
tive material. the use of the yolk
of an egg or toast heavily coated
with butter once or twice a day
will drain q mildly infected
gall bladder as well as anything
else.
INCIDENTALLY, it also is
l. known that many of the ca
thartic salts will drain the gall
bladder and a small dose of
phosphate of soda in half-glass
of water in the morning before
breakfast has a very beneficial
effect.
Bile salts are often given 20
modify the thickness of the bile.
Most important OF all. how
ever, is to keep the amount of
any meal down.
A study of a large series of
cases indicates that most of the
attacks of gladstone collie or
from an infected gall bladder
come on at 10 or IL o'clock at
night after the patient has gone
TO bed after a heavy evening
meal
nor a person over the age of
Il 40, cutting down on the
amount Of any meal by at least
one-third would not only reduce
attacks, but be good for the
general health.
Suggested articles for such
diet are:
Breakfast: Melba toast with
butter: cooked cereal with
cream; one egg.
Luncheon: Custard; a small
serving of fish or meat.
Dinner: Baked potato with
butter; small serving of meat:
toast with butter; stewed or
fresh fruit.
QUESTIONS, ANSWERS
K. F.: II one tablet of thia-
min chloride is taken after each
meal by an adult. is that too
many? What are the symptoms,
If any, that the body is getting
too much thiamin chloride
Answer: The dosage you men,
ton is moderate. There is no
great agreement abou the toxi-
city of thiamin chloride. The
only harm IL does is to impair
the vitamin intake OF the body
and some people think when
too much of II is taken 1t pre-