aojutbupiid

Related post: special care Detrol Xl should be given to the feeding of the child; thus we may avoid predisposing causes, and should the child be attacked by the disease, the prognosis will naturally be bet- ter. In regard to the food supply, if the child is nursing, and digestion is impaired, the mother's health may demand attention. If the child is bottle-fed, the milk supply should be of the best quality possible. The control and regulation of the sale of milk by the Board of Health has saved many thousands of infants' lives, by giving a fresher and a better milk. .Nevertheless, the distant source of the milk supply and the resulting delay in forwarding it necessitate an elapse of from twelve to twen- ty-four hours before the consumers receive it. With milk at this age, the danger of lactic acid, the multiplication of bacteria, and other fer- mentative changes may be considerably lessened if the mothers are shown â I mean shown by actual demonstration â how to sterilize it and how to keep it sterile. The purchase of bottled milk rather than of milk kept in bulk in grocery stores is most desirable, and I never fail to insist upon this among the poorer families, where it is the rule rather than the exception to patronize the corner grocery. We must show that the food for artificially-fed babies should be prepared with the closest attention to directions; that the bottles and nipples, and all utensils used in preparing the food, should be selected with care and kept scrupulously clean. The only nipple that should be used is one that fits over the neck of the bottle â no connecting rubber tubing IS permissible. After use the nipple and bottle should be put into water to soak, â¢and then boiled in a solution of bicarbonate of soda. An ample supply of both bottles and nipples should be kept on hand, to allow suffi- cient time for this process. The food should be given at regular inter- vals. It is well for the child to be allowed to drink frequently of cool water that has been boiled. Often a child cries when it is thirsty, and the mother believing it to be hungry gives it food and thus overfeeds it. If the child does not vomit the surplus food, it may collect in the intestines, cause irritation, and produce the diarrhea. The potency of unhygienic conditions as a joint factor in producing this summer diarrhea, is also entitled to our careful consideration July 13, 1901] HAZEN: SUMMER DIARRHEA. 45 in the treatment of each patient. Many sug- gestions can be made as to the sanitary en- vironments, which will contribute to the wel- fare of the child. The room should be selected so that at some period during the day, it is exposed to the beneficient effects of the sun, ai^d we must see that it is kept perfectly clean and well aired, and its furnishings as well. Only those who are in attendance on the child should be permitted to remain in the room. Often in visiting among the poorer classes, we will find the sick room filled with neighbors and friends, and it will be close and foul smelling from the overcrowding. Abso- lute quiet is essential. We know how often a loud or startling noise will cause a convulsion in a weakened child. All garbage and refuse should be immedi- ately disposed of, and it should not be allowed to collect in heaps out-of-doors, where it so readily decomposes in hot weather. The ef- fluvia from this alone not infrequently causes diarrhea in young children. Should we notice noxious odors for which we can not account, we should have the plumbing inspected and active search instituted. The little patient should be placed on a comfortable mattress â not, as so often seen, on a hot pillow in its carriage. The clothing should consist only of a light, white, loosely woven, woolen shirt, a loose, light robe, and diaper. Socks are not advisable. The lower extremities Detrol La Cost and feet, in severe cases, may de- mand artificial heat. The napkins must be immediately changed when soiled, and washed, boiled, and thoroughly dried before used again. All superfluous clotfiing must be removed from the vicinity of the child. The sheets and bed coverings should be changed and aired frequently. I believe that the use of water internally and externally is far too often neglected. A bath by tub or sponge, with use of a good soap, given daily, is essential not for cleanliness alone, but to aid diaphoresis. Bathing, by sponge, at intervals during the day refreshes the child and may supply to a slight degree the great loss of water caused by the evacua- tions. The facilities that New York and some other cities oflFer for various long and short trips upon the water aflford great 'assistance to the physician in his treatment. Many cases that have seemed desperate have recovered by re- moval from the city by water. The daily ex- Related links: propecia printable coupons, Intagra 100, Praziquantel 600 Mg, buy renova cream uk, where buy propecia, ventolin inhaler buy canada, Albuterol Sulfate Tablets, Viscous Lidocaine, Cheap Ginseng, Buy Malegra Dxt Online