At first there is only indefinite and occasional soreness in the legs
so that the child cries out when handled. As this soreness becomes
more severe the child is often thought to have rheumatism. The gums
swell and are of a deep purple colour. There may be bleeding from the
gums, nose, bowels, or black-and-blue spots may be seen upon the legs.
The ankles and knees may swell. The child grows very pale, loses
appetite and weight, and sleeps badly.

_What should be done when an infant shows signs of scurvy?_

The diet should at once be changed to fresh milk, properly modified
according to the child's digestion, but not sterilized or pasteurized.
The juice of a sweet orange should be given, best about an hour before
the feeding. At first one or two teaspoonfuls, four or five times a
day; later, more may be given if the symptoms are not improved.

Properly treated an infant with scurvy generally recovers promptly and
completely. If not recognised, or untreated, it may cause death.


CONSTIPATION

_When it is necessary to move the bowels immediately, what are some of
the easiest methods?_

An injection of one tablespoonful of sweet oil may be given, or half a
teaspoonful of glycerine in one tablespoonful of water, or a teacupful
of tepid soap and water, or a glycerine suppository. None of these
should be continued excepting under the physician's directions.