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meals. One teaspoonful of cream in a little hot water given before nursing is often beneficial, or one or two teaspoonfuls of beef juice may be given night and morning, After six months a little orange or prune juice may be added. BOTTLE-FED BABIES.

Add a little more top-milk or cream to each bottle than the formula gives; do not pasteurize the food unless it is necessary; do not use lime-water, but bicarbonate of soda in proper strength in its place, as lime-water is often very constipating. Malted food may be added to each bottle for some time. If necessary, stimulate the rectum mildly; this can be done by holding the baby over a small chamber at exactly the same time after a meal each day and insert into the bowel a small cone of oiled paper, or use a small castile soap suppository. This may form a habit in a few days. Suppositories of gluten are very beneficial if used in the morning. The child should not be allowed to go longer than twenty-four hours without a passage. A enema made up of one or two tablespoonfuls of sweet oil may be given with a bulb syringe, or an ounce of warm water to which has been added one-half teaspoonful of glycerin, or one-half pint of warm soap-suds. Do not give it every day; massage the baby's abdomen. Your hand should be warm. Begin at the right side groin and make a series of circular movements with your fingers, lightly at first, and then press down harder as the baby becomes accustomed to it; work your way up gradually to the ribs, then across to the ribs on the left side, and down to the left groin. This can be done twice daily for eight or ten minutes at a time, and always at the same time of day, but never soon after a meal. Olive oil may safely be given for constipation to a baby,—from twenty drops to one teaspoonful one or two times daily, but castor oil should not be given for constipation, as after a time it leaves the baby more constipated than ever. Sometimes inserting your finger, well oiled, into the rectum, will produce a passage. For older children, decrease the amount of white bread, toast, potatoes, and give green vegetables, oatmeal, and graham bread instead, with plenty of proper fruit twice daily; raw, scraped apples are sometimes the best fruit to use.

[ALL ABOUT BABY 613]

DIARRHEA. (For Older Children).

What shall I do for this trouble? Rid the system of the irritating matter by giving the baby one teaspoonful of castor oil. Then stop all solid food and give boiled water if there is only a moderate looseness. Keep the child perfectly quiet. If the attack is more severe and attended by fever and vomiting all food and milk should be stopped at once in children of all ages, and only broth, barley water or some thin gruel given. Castor oil is required for a severe attack. If the patient is an infant the milk should be diluted or stopped. In severe attacks with vomiting or frequent foul stools, stop all food for at least twelve hours and all milk for a longer time, and the bowels should be freely moved by a cathartic. Give plenty of water to drink.

Food.—Albumin water is often better than plain water or anything else. To make it stir the white of an egg into a pint of cold water. See that they are well mixed, add a pinch of salt and strain. Give baby one teaspoonful every one-half hour, and if he vomits all other food, give two ounces every two hours; barley gruel, wheat flour gruel, mutton broth may be given also.

MOTHERS' REMEDIES.—1. Inflammation of the Bowels, Poultice of Hot Mush for.—"Wrap the child in a poultice of hot mush. Place the poultice over the abdomen." A poultice of this kind retains the heat, and is very good for inflammation of the abdominal cavity, and would help to take away the soreness and bloating in the bowels that is always present in this disease.

2. Bowel Trouble, a Good Tonic for.—

    Powdered rhubarb 1 heaping teaspoonful
    Soda 1/4 teaspoonful
    Sugar 1 teaspoonful
    Peppermint essence 1/2 teaspoonful
    Hot water 1/2 cup (scant)

Dose:—One-half teaspoonful every hour until bowels show signs of right color.

The soda and the peppermint will tone up the stomach and relieve any trouble present there, while the rhubarb will act on the bowels and carry off all impurities.

3. Bowel Trouble, Rhubarb and Licorice for.—"Compound tincture of rhubarb one ounce bicarbonate of soda 1 dram, fluid extract of licorice 1 dram, pure water 6 ounces. Give from one to two teaspoonfuls according to the age of the child." This will be found a very good treatment for this trouble, and one that has been thoroughly tried.

[614 MOTHERS' REMEDIES] RICKETS.

You should always be suspicious if your baby has no teeth at the end of the first year. A hearty baby should have six or eight, and if the soft spot in the head just above the forehead is as much open as it was for months previously you should be doubly suspicious. This soft spot should be closed in a well-nourished infant between the fifteenth and twentieth months. If in addition to this the child sweats about the head whenever it sleeps, cries whenever it is handled (unless it has scurvy or rheumatism) and does not like to play, the indications of rickets are very nearly conclusive. Rickets is a constitutional disease showing itself in different ways.

At what age does it usually occur? Between six months and two and one-half years.

What are the causes of rickets? Improper food, or inability to absorb the food, unhygienic conditions. Nursing babies who have a healthy mother are not troubled with this disease unless she nurses too long into the second year. Starchy foods, too little milk or other animal food, taking the infant to the family table and allowing it to eat whatever it wants, these are the most common errors in baby feeding which very often result in rickets. Babies who are brought up on condensed milk, or other foods that contain little fat are likely to have rickets. Insufficient clothing, damp and badly ventilated buildings, a lack of out-door air and sunshine, and inherited constitutional weakness, are other causes.

When do the most marked symptoms usually occur? Between the sixth or fifteenth months.

What are the symptoms? Such children are likely to be nervous and irritable; child's head sweats profusely at night, so much so that the pillows are very wet. The chest is poorly shaped and frequently has depressions at the sides, and little nodules or "beads" in the ribs where the ribs and breast-bone join. The child's head is also peculiar. It is often very flat on the top and measures more around than a normal child at the same age. The forehead stands out and the sides and top are flattened. The soft spot in the skull is large and late in closing. He is late in cutting his teeth. His abdomen is generally large and prominent, pot belly; his muscles are soft and flabby, and his wrists and ankles are enlarged a little later. He takes cold easily. He is pale and anemic, although he may be plump and fat, and when he begins to walk his legs bend easily, and he will have bow-legs. When he sits, his back will look as if curved and this alarms his parents, who may think his spine is diseased.

Is such a disease curable? Yes, if taken in time; you can arrest its progress.

Do they ever die of rickets? Very seldom, but they do not stand other diseases very well.

[ALL ABOUT BABY 615]

When and what shall I do for it? If you recognize the condition, have the baby attended to immediately by a physician. The food should be changed—such children require fats; very little starchy or sweet foods allowed. A baby ten to twelve months old can suck a piece of boiled bacon for a few minutes every day. Fruit juices can be given early, raw meat juice once a day. Give him his tub bath daily, and if he is apt to take cold easily he should have a little cold water dashed over his chest and spine, followed by a gentle brisk rubbing to start up the circulation. Sun baths are beneficial. Place the baby directly in the sun with his back to it, for an hour every day. Give him plenty of air and sunshine, both indoors and outdoors.

Medicine.—Cod liver oil is an excellent remedy with the hypophosphites. Cod liver oil alone with calcarea phosphoricum 3X (homeopathic) is splendid treatment also. The whole treatment must be continued for months—calcarea phos. four times daily.

SCURVY.—This disease is sometimes seen in infants. It attacks infants who have been fed for a long time on a proprietary food or else on milk that has been over sterilized. Nursing children seldom have it, or those who have been properly fed on modified cows' milk. Babies who are delicate and poorly nourished are more subject to it. The first symptoms a mother notices is that it seems to hurt very much when his legs are touched; sometimes both hurt, and then again only one is painful; at other times the arms will be most painful and again both arms and legs seem to pain alike. So it goes on; the joints enlarge somewhat and sometimes little red spots appear just under the skin and very often the gums will become red and spongy; this is especially noticeable around the incisor teeth of the upper gums, if they have already appeared. Rheumatism is very rarely seen so early and with that, there is generally fever.

Treatment.—A cure is soon affected. Stop the patent food at once, or if the milk has been sterilized, it must be discontinued and the baby put on unsterilized milk diluted to the proper strength for his special age. Strained juice of an orange should be given him every day; if under six months he can have the juice of one-half an orange; over that the juice of one orange. This is given in intervals during the day. Beef juice is good, about two ounces in twenty-four hours. Smaller amount if necessary. Improvement is noticed twenty-four to forty-eight hours after treatment.

MALNUTRITION. (Marasmus).—Marasmus is a term applied to infants who grow thinner and thinner. No matter how much or little they eat there is a constant wasting or fading away of the body.

What are the causes? Syphilis, tuberculosis, chronic vomiting, persistent loose bowels, poor assimilation of the food. Marasmus is really a later and more severe form of malnutrition.

Symptoms.—He looks shriveled, the skin is dry, eyes are sunken, anemia is marked, the belly is much distended, while the other parts of the body seem to be all bones and no flesh; he is constantly whining and fretful, has a tired and anxious expression most of the time; under six months it is hard to cure.

Treatment.—A physician is needed to watch over and prescribe, no set rule can be given. Sometimes cod-liver oil or iron is needed. It needs constant care and watching to cure this trouble.

[616 MOTHERS' REMEDIES]

CONVULSIONS.—Young children are more subject to convulsions than older people. Convulsions may be due to brain trouble, but an overloaded stomach is the first thing a doctor thinks of, and so the mother should remember what was eaten that might be unusual.

First Thing for the Mother to do? Undress the baby and put him to bed in a quiet room, and place an ice bag on his head, or wring cloths out of ice water or very cold water and place them on baby's head, and change often to keep them cold. Warm the feet with a hot water bag. If the doctor can not be present soon, give baby a mustard foot bath in bed; use two tablespoonfuls to a gallon of water, some advise stronger. If the convulsions are severe wring towels out of mustard water and place a rubber sheet on the bed and wrap the child's body and feet in the hot wet towels until the parts are quite red, and afterward cover the body with warm flannels. Have plenty of hot water ready, so the

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