Dietetic treatment can have no influence on the position of the stomach, and any attempt at a cure can only be made by exercises, mechanical support, and surgical treatment. But something can be done to relieve the symptoms. As a rule the actual complaint of the patient arises from stagnation of the contents of the stomach. A sensation of weight, fullness and oppression, and eructation, nausea and vomiting are the usual clinical features. These troubles result in the discarding of one food-article after another, until malnutrition becomes obvious. The aim of dietetic treatment here is the same as in dilatation of the stomach, and we have to provide an adequate supply of food which shall be most easily digested and shall leave the stomach in the shortest time. Efficient mastication and slow eating are of the utmost importance. All meat should be finely minced and rubbed through a sieve. Vegetables such as cauliflower, spinach and asparagus may be allowed. Butter, cream and honey may be taken freely. Meals should be small and frequent, and, as in dilatation, only such an amount of fluid should be taken as is necessary to produce the requisite consistence of the contents of the stomach. In all cases it is important that the patient should He down for an hour after meals with the thorax at any rate on the same plane as the abdomen, and occasionally further benefit is obtained if the body is slightly inclined to the right side.
In some severe cases when the lesser curvature of the stomach is near the umbilicus, if surgical treatment cannot be obtained or has failed to give relief, the condition is hopeless. One sees women occasionally who have gravitated to a diet of milk, Benger's food and Brand's essence, by taking which at frequent intervals they preserve life without pleasure.
In a few cases, only I think with a moderate degree of descent of the stomach, the actual symptoms depend on hyperacidity, and in these fortunate patients the line of treatment suggested in that condition will commonly give some relief.