Diet In Ulcer Of The Stomach. Einhorn
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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.
Diet In Ulcer Of The Stomach. Einhorn
The diet consists of liquids - milk, milk with strained barley, or oatmeal, or rice water; plain water, weak tea and peptone (one teaspoon to a cup of water). Debove and Remond have suggested the addition of lactose and of meat powder to the milk, in order to make the diet richer in nourishment substances.
As a rule, we employ the above-named additions, which fulfill the same purposes, besides varying the monotonous bill of fare.
First Week
During the first week we give the patient half a cup (about 100-150 c.c.) of either, every hour. Everything the patient takes must be neither cold or very warm, and should be taken slowly (sipping, or with a spoon).
Second Week
During the second week we order the same kind of food, with this difference, that he is nourished every two hours, and gets a cupful or a cupful and a half (300 to 300 c.c.) at a time.
Occasionally we now allow the patient one raw egg beaten up in the milk, once or twice a day. In the beginning of the third week we feed the patient every three hours; he is allowed barley, farina, and rice (well cooked) in milk, soft-cooked eggs, crackers softened in milk, in addition to his previous foods; in the third day of the third week we begin to give the patient meat, first raw, well scraped, then broiled.
Thereafter we go over to the ordinary daily diet, excluding heavy salads, pastry, raw fruit and the like.
In the following table I give an outline of diet which I ordinarily prescribe in this affection:
Outline Of Diet In Gastric Ulcer. First Three Days
Number of Calories. | |
7 A.M. : milk, 150 C.C. (five ounces).................... | 101 |
8 " milk, 150 C.C. (five ounces)............... | 101 |
1 Max Einhorn, M.D.: " Disease of the Stomach." New York. William Wood So Go.
9 | A.M.: | milk, 150 C.C. (five ounces).................... | 101 |
10 | " | milk and strained barley water (aa, 150 C.C.) .... | 80 |
11 | " | milk, 150 C.C................................. | 101 |
12 | " | milk, 150 C.C................................. | 101 |
1 | P. M.: | bouillon either alone or with the addition of one to two teaspoonfuls of a peptone preparation, 150 C.C........................................ | 30 |
2 | it | milk................. | 101 |
3 | " | milk................. | 101 |
4 | " | milk................. | 101 |
5 | " | milk with strained barley or oatmeal........... | 80 |
6, 7, 8, 9 p. M.: milk, 150 C.C........................... | 404 | ||
1.402 | |||
FOURTH TO THE TENTH DAY | ||||
Number of Calories. | ||||
7 | A. M.: | milk, 300 C.C. (ten ounces)..................... | 202 | |
9 | " | milk, 300 C.C. (ten ounces)..................... | 202 | |
11 | " | milk with barley, rice, or oatmeal water, 300 C.C. . | 160 | |
1 | P. M.: | one cup of bouillon, 200 C.C, and one egg beaten up in it............................... | 80 | |
3 | " | milk, 300 CC................................. | 202 | |
5 | " | milk, 300 C.C................................. | 202 | |
7 | " | milk with barley water, 300 C.C................ | 160 | |
9 | it | milk, 300 C.C................................. | 202 | |
1.410 | ||||
Eleventh to the Fourteenth Day | ||||
Number of Calories. | ||||
7 | A. M.: | milk, 300 C.C................................. | 202 | |
9 | " | milk, 300 C.C................................. | 202 | |
and two crackers softened (one ounce)...... | 100 | |||
11 | " | milk with barley water, 300 C.C................ | 160 | |
1 | p. M.: | one cup of bouillon, 200 C.C, one egg, and two crackers................... | 180 | |
3 | " | milk, 300 C.C., and one egg................ | 282 | |
5 | " | milk, 300 C.C..................... | 202 | |
and two crackers..................... | 100 | |||
7 | " | milk with barley water.................... | 160 | |
9 | " | milk, 300 C.C.................. | 202 | |
1.790 | ||||
Fourteenth to the Seventeenth Day | ||||
Number of Calories. | ||||
7 | A M.: | milk, 300 C.C................................. | 202 | |
9 | " | milk, 300 C.C................................. | 202 | |
and two crackers (one ounce)............... | 100 | |||
11 | " | milk with barley, 300 C.C...................... | 342 | |
1 | P. M.: | scraped meat, 50 gm.................. | 60 | |
two crackers, one cup of bouillon, 200 C.C.... | 100 | |||
3 | " | milk, 300 C.C................................. | 202 | |
5 | " | milk, 300 C.C................................. | 202 | |
one egg (soft boiled)................... | 80 | |||
two crackers.................... | 100 | |||
7 | " | milk with farina, 300 C.C....................... | 342 | |
9 | it | milk, 300 C.C................................. | 202 | |
2.134 | ||||
Seventeenth to Twenty-Fourth Day | ||||
Number of Calories. | ||||
7 | A. M.. | two eggs (soft boiled)................. | 160 | |
butter, 10 gm................... | 81 | |||
toasted bread, 50 gm...................... | 130 | |||
milk, 300 C.C................................. | 202 | |||
10 | " | milk, 300 C.C................................. | 202 | |
crackers, 50 gm................ | 166 | |||
butter, 20 gm.................. | 162 | |||
1 | P. M : | 60 | ||
mashed potatoes, 50 gm..................... | 44 | |||
toasted bread, 50 gm........................... | 130 | |||
butter, 10 gm.; one cup of bouillon, 200 C.C...... | 81 | |||
4 | " | the same as at 10 A.M..................... | 530 | |
6:30 | " | milk with farina, 300 C.C...................... | 342 | |
crackers, 50 gm.......................... | 166 | |||
butter, 20 gm................................. | 162 | |||
9 | " | milk, 300 C.C................................. | 202 | |
2.820 | ||||
In cases of ulcer of the stomach presenting a more severe type - violent pains, frequent vomiting, inability to take food on account of the pains - or after haematemesis, I usually have the patient abstain from any food whatever, given by the mouth, for a period of five days. The patient is then fed by the rectum. This is done in the following way: early each morning the patient receives a large enema of about a quart of lukewarm water, in which a teaspoonful of common tablesalt has been dissolved as a cleansing enema. About an hour after the patient has emptied the injected water, the first nourishing enema is given; this may consist either of a glassful of milk (about 300 c.c), in which a raw egg has been well beaten and a pinch of salt added, or of a cupful of water in which a tablespoon of a good peptone preparation has been dissolved. The temperature of either must be about 100° F. Such a nourishing enema is given three or four times a day. The quantity of the feeding enema is 200-250 c.c, and it is slowly injected by means of a fountain syringe and a soft-rubber rectal tube. The patient may frequently wash his mouth with cold water, and is allowed from time to time to keep a small piece of chopped ice in his mouth, and to swallow the melted water. The five days being over, the mode of diet is the same as described above for the ordinary form of ulcer.
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