GASTRITIS. 99 
throat, and washed down with a little cold water. One powder should be admin- 
istered every hour until relief is secured. 
Instead of allowing the patient to drink, when ice can be obtained it were 
far better to have a large piece in a pan near him, for him to lap as inclined. 
As for nourishment, the chances are that for several days at least, no matter 
how bland the food, none will be retained. But still, if the victim appears weak, 
he should have some from the first. The “whites” of raw eggs, mixed with a 
little milk or water, also milk and lime-water, act kindly in such cases; but the 
quantities of them at each dose must be small, not exceeding a tablespoonful of 
either, until the vomiting has nearly ceased. So carefully restricted, they can 
be given every five minutes in extreme cases; but the intervals should be longer 
if the need of support is not very urgent. 
When the condition of the stomach has improved and these simple liquids 
are well borne, a little well-cooked rice or tapioca may be tried; and when they 
are kept down, broths and meat jellies and meat extracts will be in order. But 
for many days the foods must all be soft and very easily digestible. 
If the vomiting be so persistent that it is impossible to nourish by the 
stomach, half a cupful of strong beef-tea, beef extract, or milk in which a raw 
egg has been beaten, should be injected into the bowels every four or five hours. 
And if the extremities are cold and collapse is threatened, from a teaspoonful to 
a tablespoonful of brandy must be added to each enema, according to the size 
of the patient. ‘ 
For diarrhoea no special treatment will be required, because the morphia and 
bismuth will control that if it becomes urgent. 
Chronic gastritis is liable to follow the acute form, and persist for many 
weeks, unless the treatment applied in the first instance is prompt and judicious. 
That affection requires the same treatment as chronic indigestion, from which 
it differs but little, excepting that there is tenderness on pressure over the 
stomach. 
