In acute inflammation of the stomach, nothing should be given by mouth. Small quantities of water may be given by rectum every two or three hours. In appendicitis only very small quantities of water are to be given by mouth at first, until the acute symptoms have subsided. Large quantities of fluid may excite violent peristalsis with resulting pain. In all eases of nausea, give nothing by mouth, not even water, until the nausea is gone. Symptoms are nature's sign language, and when properly interpreted they tell us what to do and what not to do.
Even though there be no thirst or desire for water, some should be taken. If it can be taken by mouth give at least a glassful every two hours, not necessarily all at once. Some are so sensitive that one-half of a glass of water is all they can tolerate. If the stomach objects to water, give it by rectum. Always do this in cases of much nausea. After a few days the water intake may be reduced.
Take a quick sponge bath every day and if there is any inclination toward chilliness, the water should be tepid or warm. Follow with a few minutes of dry towel friction. People who are overweight, with good heart and kidney action, can take prolonged hot baths, if they wish. An olive oil rub immediately after the bath, about twice a week, is grateful. However, this is not necessary.
The colon is to be washed out every day. No definite amount of water can be prescribed. Occasionally enemas are taken under difficulties, for some cramp when water is introduced into the bowel. Those who are not accustomed to enemas should use water about 100 degrees Fahrenheit. One quart is a small enema. Two quarts make a fairly large one. Introduce the water, lie still for a few minutes and then allow it to pass out. If the bowels are very foul, use two or three washings. If there is much fermentation, use some soda in the water. Salt, about a tablespoonful to two quarts of water, stimulates the bowels, but its disadvantage is that it draws water from the intestinal walls, thus robbing the blood of a part of its fluid. The same is true of glycerin. Perhaps the least harmful ingredient that can be put into the water to stimulate action is enough pure castile soap to render the water opaque. The soap, however, has a tendency to wash away too much of the mucus which lubricates the bowel. On the whole, nothing is better than plain water. If it gives good results use nothing else.
Those who are very sensitive and weak often find that the expulsion of water from the bowel not only further weakens them, but causes pain. In such cases Dr. Hazzard recommends a rectal tube (not a colon tube), which is very good, for it allows the emptying of the bowel without any cramping. The tube is to be inserted about six inches.
To take the enema, assume either the knee-chest position (kneeling with the shoulders close to the floor) or lie on the right side with the hips elevated. These positions allow water to flow into colon by aid of gravity.
When it is necessary to supply liquid to the body by rectum, simply introduce a pint or less of plain water, moderately warm. Repeat as often as necessary to keep away thirst, which will rarely be more than every three hours.
Keep the body warm at all times. If it is difficult to keep warm, go to bed and use enough covers, having the windows open enough to supply fresh air. At night use artificial heat in the foot of the bed. If hot-water bottles, warm bricks or stones are used, they should be quite large; otherwise they become cold by two or three o'clock in the morning, when heat is most needed. If a large receptacle, such as a jug, is used to keep the water in, the bed clothes are lifted off the patient's feet, and this is often a great relief.
No special food is suited to break all fasts on. It is necessary to begin with plain food in moderation. Overeating or eating of indigestible food at this time may result in sickness and even in death. If the faster lacks self-control, the food should be brought to him in proper quantities by the attendant.
If the fast has lasted but two or three days, no special precautions are necessary, except that the first few meals should be smaller than usual.