This section is from the book "Practical Dietetics: With Reference To Diet In Disease", by Alida Frances Pattee. Also available from Amazon: Practical Dietetics: With Reference to Diet in Disease.
In dieting a patient suffering from acute Bright's disease, one fact to be kept prominently in mind is the difficulty that the system has in getting rid of its waste material ■- especially of its nitrogenous waste. Another point is that the diet should be such as to assist in carrying off those inflammatory products by which we know that the tubules of the kidneys are to a greater or less extent blocked. The amount of nitrogenous elements in foods must be kept down, and aid must be given for washing out the products of inflammation from the uriniferous tubules.
Water is the best diuretic. -- Hot water and hot diluent drinks.
Diluted milk is the food that answers best, and skimmed milk has a high reputation as a diuretic. Buttermilk, whey and kumyss are useful.
From two to three pints of milk, well diluted, given in the twenty-four hours, will in most cases be sufficient at first, but if the disease be protracted and tends to become chronic, a more liberal allowance of liquid food must be ordered, and broths may be added to the dietary. When milk alone is given it should be given in divided quantities at stated intervals - half a pint every three or four hours, diluted with half as much hot water or effervescing water.
Between supplies of milk drink freely of diluent drinks.
Plain water, toast water, barley water, cream of tartar and lemon drinks, and the acid drinks are all useful diluents.
Give between meals and drink slowly.
Convulsions in Bright's Disease. In the course of Bright's disease convulsions and unconsciousness may occur. The course to adopt is to encourage the action of the skin, therefore place the patient in bed between warm blankets, pack hot water bottles around him, and send for medical assistance.- During this period the patient should live upon the exclusive milk diet.
 
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