60 ACUTE GASTRITIS. 



evacuated. The next step is to secure as much as possible rest for the 

 inflamed organ. For this purpose morphine is to he relied upon, one 

 grain of which should be divided into twelve powders. One of these may- 

 be dropped on the tongue and washed down with a teaspoonful of milk, 

 every two or three hours at least; oftener if the pain seems severe and not 

 inclined to subside. 



If the vomiting is persistent and the morphine given in this manner evi- 

 dently has little or no effect, it should be administered subcutaneously. 

 When this method cannot be employed for want of a proper instrument, 

 an anal injection should be resorted to, using a glass syringe, and throw- 

 ing into the bowel two morphine powders or thirty di'ops of laudanum in a 

 little milk. Pressure must be maintained at the anus for some time lest 

 the injection be returned. This treatment can be repeated every two 

 hours if the indications warrant. 



If the symptoms denote a tendency to exhaustion, supportive measures 

 must be employed. The attempt should first be made to feed by the mouth 

 with small quantities of beef tea, raw eggs, and gelatine mixed. Milk with 

 the addition of lime water, arrow root, and flaxseed tea are sometimes 

 well borne. 



It must be remembered that all food should be iced and given in quan- 

 tities of not over a tablespoonful, less if not well retained, and repeated 

 every ten or twenty minutes if necessary. If this treatment does not sus- 

 tain the animal, then eggs, beef extracts, etc., with brandy should be added 

 to the injection of laudanum. 



After the inflammation has disappeared, the stomach will be left in a 

 very debilitated condition, and remedies of a tonic character be indicated. 

 The elixir calisaya iron and bismuth, in teaspoonful doses three or four 

 times daily is advised. 



