Dietetic Treatment

During acute attacks the diet must be restricted, but the extent of restriction will depend upon age, habits and conditions of the patient.

Meat and alcohol as a rule are excluded. As a rule it is best to exclude meat, more especially red meat, and, unless especially necessary, forbid alcohol. In old people, with feeble circulation, accustomed to the regular and free use of alcohol, it may be necessary to allow a small amount. If the kidneys be seriously at fault it may be best not even to give small amount of alcohol.

For the young and strong the diet should consist mainly of farinaceous substances and broths, made not too strong, such as bread and milk, a cup of weak tea with milk, dry toast with a little butter, vegetable broths, two ounces of milk with Vichy water; rice, sago, semolina or an farinaceous pudding made without eggs.

He should sip half a pint of hot water twice or thrice daily between meals, and barley water and toast water may be allowed. After acute symptoms have subsided, boiled fish and a little chicken may be given once a day, and nourishment carefully and gradually increased.

For old or feeble persons the diet, although kept in same lines, must be more supporting; have broths, etc., stronger, and beef juice, chicken broth and an egg beaten up in a glass of milk once a day. Alcohol may also be necessary.

In protracted cases it may be necessary to allow more nutritious diet, including fish, soup and white meats, as well as an allowance of brandy or whiskey.