Well, then, is the sick child at the breast? If so, ascertain whether
the breast-milk is healthy and wholesome, or whether any circumstances
exist which have rendered it otherwise? If nothing faulty is found
here, the next question would naturally be, whether the rules and
regulations laid down for suckling have been strictly adhered to? Or,
whether the infant is sufficiently old to render it at all probable
that a tooth may be irritating the gum?
Perhaps the child is being weaned; well, is there any error here? Is
the change being attempted too early? or too suddenly and abruptly? If
this is not the case, then, has the child been overfed, or is the food
given of the proper description?
Is the child being brought up by hand? Then, there is every reason to
suspect, either that the quality of the food given is not the most
suitable, or, that the quantity exhibited is too great; in fact, that
the rules laid down for "artificial feeding" have not been strictly
acted upon.
By a mode of investigation like this, any defect or error in the
dietetic management of the infant producing the disorder will be easily
detected by a careful mother; and its correction alone will, in very
many instances, be all that is necessary to remove the symptoms.
For example, if flatulence and griping, followed by diarrhoea, occur
to an infant at the breast; if at the same time it becomes pale, its
flesh flabby, its disposition fretful, always crying until it is put to
the breast, the nipple of which it grasps eagerly, sucking eagerly, yet
never satisfied, for its hunger continues, it is not nourished; if,
too, the more it sucks, the more the stomach and bowels are deranged,
the more it vomits and is purged; depend upon it the cause of all the
evil will be found to be unwholesome milk.
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