THE CHANGES IN THE FOOD REQUIRED BY SPECIAL SYMPTOMS OR CONDITIONS

Infants with weak digestion and those suffering from various forms of indigestion have often especial trouble in digesting the fat of milk.  To meet the needs of such there is required a series of formulas in which the fat is lower than in those already given.

These formulas are obtained from plain milk.

  Fourth Series

  Formulas from Plain Milk (containing 4-per-cent Fat)

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--
I.   II.   III.  IV.   V.    VI.    VII.    VIII.
---------------------------------------------------------
re>
  Plain milk    5oz. 6oz. 7oz. 8oz. 9oz.
 10oz  12oz.  14oz. 

  Milk sugar    1 "  1 "  1 "  1 "  3/4
"  3/4 " 1/2 "  1/2 "

  Lime-water.   1 "  1 "  1 "  1 "  1 "
   1 "   1 "    1 "

  Boiled water 14 " 13 " 12 "  7 "  6 "
   5 "   2 "    0 "

  Barley gruel  0 "  0 "  0 "  4 "  4 "
   4 "   5 "    5 "

    ------------------------------------

---------------------

               20
  20   20   20   20     20    20     20

               oz.
 oz.  oz.  oz.  oz.    oz.   oz.    oz.

    ------------------------------------

---------------------
When larger quantities than 20 ounces are required
they are calculated in the same manner as described
on page 73 in speaking of 10-per-cent milk.
The approximate composition of the formulas of the
Fourth Series expressed in percentages is as follows: 
----------------------------------------
FORMULA.    Fat.      Sugar.      Proteids.
----------------------------------------
I.      1.00     6.00       0.90
II.      1.20     6.00       1.00
III.      1.40     6.50       1.20
IV.      1.60     6.50       1.40
V.      1.80     6.00       1.60
VI.      2.00     6.00       1.80
VII.      2.40     5.50       2.10
VIII.      2.80     5.50       2.50
----------------------------------------
Why is it that an infant so often vomits some of
its food within a few moments after finishing its
bottle?
Usually because the quantity is too large.  Sometimes
it is due to the fact that the food is taken too rapidly,
from too large a hole in the nipple.  It may be
due to too tight clothing, or to moving the child
about in such a way as to press upon the stomach.
What are the principal causes of, and the changes
in the food required by habitual vomiting, regurgitation,
or spitting up of small quantities of food between
feedings, often repeated many times a day?
This is always a symptom of gastric indigestion, and
a most troublesome one.  In such conditions the
fat and often the sugar also should be reduced and
the lime-water increased.
Formulas made from rich top-milk or milk and cream
are to be avoided.  Those made from 7-per-cent
milk are less likely to be the cause of trouble than
those from 10-per-cent milk; but if the symptoms are
at all severe it is better to use instead of these
the formulas of the Fourth Series derived from plain
milk.