Calories
8 A.M.100 grams of milk with tea100.0
30 grams of milk toast130.0
10 A.M.100 grams of baked trout106.0
100 grams of milk or 30 grams panopepton (57.5)67.0
10 grams of butter81.0
50 grams of toast130.0
50 grams of sherry60.0
12 M.Bouillon with 5 grams somatose16.0
100 grams of chicken106.0
or 100 grams squab (100)
or 100 grams of calves’ sweetbreads (90)
or 100 grams of calves’ brains (140)
60 grams of macaroni212.0
or 100 grams of mashed potatoes (127)
or 100 grams of spinach (166)
or 100 grams of asparagus (18)
25 grams of stale wheat bread65.0
4 P.M. 20 grams of toast130.0
20 grams of butter162.0
40 grams of caviar52.0
7 P.M.130 grams of milk (100) with 5 grams somatose (16)116.0
100 grams of rice cooked in milk177.0
50 grams of wheat bread130.0
9 P.M. 30 grams of panopepton57.5
2024.5

SUMMARY
FACTORS INDUCING GASTRIC DISTURBANCES

1. Errors in Diet.—Over-feeding, under-feeding, improper food, unbalanced diet.

2. Disturbed Secretory Processes.

(a) Over- or under-secretion of gastric juice.
(b) An excess or deficiency of hydrochloric acid in the juices.

3. Impaired Motility and Tone of the Gastric Organ.—The peristaltic waves and muscular contraction of the stomach walls becoming sluggish prevent the food mass from passing into the intestines at a normal rate of speed, thus giving rise to a fermentation of the food and a consequent dilatation of the organ from the gas thus produced.

Other Factors.—Lack of fresh air and exercise, indoor occupation, bad hygiene, unsanitary surroundings, heredity, certain diseases which are accompanied by gastric disorders.

Diseases of Gastric Organ.—Acute and Chronic Gastritis, Gastric-Ulceration, Gastric Cancer.

Treatment.—Tests—Test meals, X-Ray examinations (pictures and Fluoroscope). Patient is given no breakfast on day of test. In X-Ray laboratory a bismuth or barium meal is given, this meal consists of a pint of fluid, either buttermilk or malted milk, into which a certain amount of bismuth or barium chloride is mixed.

Starvation Period.—A period of abstinence from food is instituted in most of the gastric disorders, (a) to determine the extent and character of the disease, (b) to rest the digestive tract.