Nutrition And Dietetics a Manual for Students of Medicine for Trained Nurses

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The appetite is lost. Eczemas are brought out in susceptible babies. If the condition is not re- lieved, or even more milk is taken, there occurs finally either an acute intoxication (see Intoxication), or else the baby settles down into a chronic state of marasmus. In exceptional cases we have seen the gain in weight uninterrupted, even excessive, in spite of gross overfeeding, characteristic bowel movements, etc. That the condition is a fat overfeeding is shown by the fact that the bowel move...ments are composed largely of insoluble salts of fatty acids i. E. , soaps (soap-stool) and by the fact that the symptoms are all increased if the milk is increased, and lessened if it is lowered. This disturbance in metabolism is probably an acidosis (Czerny and Keller), due to the withdrawal of alkalies from the body to unite with the fatty acids of the intestines.
The Treatment. The fat must be lessened and the carbo- hydrates increased to take its place, and the feeding interval must be a long one, preferably four hours.


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