Principles and practice of infant feeding . hem a secondary relative acidosis due to salt lossesthrough vomiting and diarrhea is a serious , it may be quite impossible to decide in many caseswhether the products of intermediary metabolism, thesecondary relative acidosis, or the toxic products of bac-teriological fermentation are the most important factor inthe causation of the clinical manifestations on the partof the nervous system. Symptoms. 1. Fever. A rise in temperature is thefirst symptom of an alimentary intoxication. It may beslight, or it may go up to 104° or even 10
Principles and practice of infant feeding . hem a secondary relative acidosis due to salt lossesthrough vomiting and diarrhea is a serious , it may be quite impossible to decide in many caseswhether the products of intermediary metabolism, thesecondary relative acidosis, or the toxic products of bac-teriological fermentation are the most important factor inthe causation of the clinical manifestations on the partof the nervous system. Symptoms. 1. Fever. A rise in temperature is thefirst symptom of an alimentary intoxication. It may beslight, or it may go up to 104° or even 106° F. Theheight of the temperature is not always a direct indica-tion of the severity; in fact the several types associatedwith decomposition may have a low temperature. If thecase be one of true intoxication, prompt withdrawal ofthe food is usually as quickly followed by a lower tem-perature. However, if the offending food is continued,we soon have other symptoms suddenly and to an alarm-ing degree. STAGE OF ALIMENTARY INTOXICATION. 231. 232 INFANT FEEDING. 2. Rapid loss in weight, even 1 to 2 pounds in a fewdays. This is mainly due to loss of water. The skin be-comes dry and inelastic. 3. Vomiting is frequent, and may contain blood. 4. The stools are liquid, usually numerous, and con-tain mucus, and occasionally blood. In the severest cases?—cholera infantum—the stools assume a rice-water ap-pearance, move almost continuously, and are often asso-ciated with tenesmus, and not infrequently prolapse ofthe rectum. Exceptionally, an obstipation is seen inplace of the diarrhea, and when this is associated withvomiting and abdominal distension one cannot help butthink of intestinal obstruction. 5. Collapse. The skin is gray in hue, and becomeswrinkled. The eyes are sunken, with distant stare, andthe nose assumes a pinched appearance. 6. Nervous symptoms and psychic disturbances areusually pronounced, and often lead to a confusion withmeningitis. The infant is restless; the sen
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