Enteritis
Enteritis
, or inflammation of the intestine, is a disease to which dogs are very liable. It may be produced by the action of several causes. The intestines of the dog are peculiarly irritable, and subject to take on inflammatory action, and this tendency is often much increased by the artificial life which they lead. It is a very frequent complaint among those dogs that are much petted. A cold temperature is also a common cause of disease in these dogs.
I was consulted with regard to a dog who was hiding himself in a cold, dark corner, paved with stone. Every now and then he lifted his head and uttered a howl closely resembling that of a rabid dog. He fixed his gaze intently upon me, with a peculiarity of expression which many would have mistaken for rabid. They, however, who have had the opportunity of seeing many of these cases, will readily perceive the difference. The conjunctiva is not so red, the pupil is not so dilated, and the dog appears to implore pity and not to menace evil.
In this state, if the dog is approached, he will not permit himself to be touched until he he convinced that no harm is intended. A peculiar slowness attends each motion; his cries are frequent and piteous; his belly hot and tender; two cords, in many cases, seem to run longitudinally from the chest to the pubis, and on these he cannot bear the slightest pressure. He abhors all food; but his thirst for water, and particularly cold water, is extreme; he frequently looks round at his flanks, and the lingering gaze is terminated by a cry or groan. In the majority of cases there is considerable costiveness; but, in others, the bowels are freely opened from the beginning.
peritoneal inflammation is sometimes pure, but oftener involves the muscular coat of the intestines. Its prevailing cause is exposure to cold, especially after fatigue, of lying on the wet stones or grass. Now and then it is the result of neglected rheumatism, especially in old and petted dogs.
The treatment is simple. Bleed until the pulse falters, put the animal in a warm bath, and let the belly be gently rubbed while the dog is in the water, and well fomented afterwards; the drink should consist of warm broth, or warm milk and water. The bleeding should be repeated, if little or unsatisfactory relief is obtained; and the examination of the rectum with the finger, and the removal of any hardened faeces that may have accumulated there, and the cautious use of enemata, neither too stimulating nor too forcibly injected, should be resorted to. No medicine should be employed until the most urgent symptoms are abated. Castor oil, the mildest of our purgatives — syrup of buckthorn assisting the purgative property of the oil, and containing in its composition as much stimulating power as is safe — and the spirit of while poppies — the most convenient anodyne to mingle with the other medicines — will generally be successful in allaying the irritation already existing, and preventing the development of more. Even this must not be given in too large quantities, and the effect must be assisted by a repetition of the enemata every fifth or sixth hour. On examination after death the nature of the disease is sufficiently evident: the peritoneum, or portions of it, is highly injected with blood, the veins are turgid, the muscular membrane corrugated and hardened, while often the mucous membrane displays not a trace of disease. In violent cases, however, the whole of the intestines exhibit evidence of inflammation.
was much gratified a few years ago in witnessing the decided manner in which Professor Spooner expressed himself with regard to the treatment of enteritis in the dog.
"I should deem it advisable," said he, "to administer a purgative; but of what would that consist? Calomel? Certainly not. I was surprised to hear one gentleman assert that he should administer it to the extent of from five to ten grains, and another to say that he should not hesitate to exhibit a scruple of calomel to a dog, and to all carnivorous animals. I should never think of exhibiting it as a cathartic. I should only administer it in small doses, and for the purpose of producing its specific effect on the liver, which is the peculiar property of this drug. Given in larger doses it would not be retained, and if it got into the intestines it would act as a powerful drastic purgative."[3]
In our treatment of the horse we have got rid of a great proportion of the destructive urine-balls and drastic purgatives of the farrier. The cow is no longer drenched with half-a-dozen deleterious stimulants. A most desirable change has been effected in the medical treatment of these animals. Let us not, with regard to the dog, continue to pursue the destructive course of the keeper or the huntsman.
following case of enteritis, with rupture of the colon, may be useful:
On
March 15, 1840
, I was requested to attend a large dog of the bull breed, three years old, who had not appeared to be well during the last four or five days.
I had scarcely arrived ere I recognised it to be a case of enteritis. He had a dreadful shivering fit, to which succeeded heat of the skin and restlessness. The muzzle was dry and hot, as also was the tongue. The eyes were sunken and redder than usual; the breathing was accelerated, but not very laborious; the extremities were cold, while the surface of the body was hot and painful to the touch. The bowels were constipated, and had been so during the last week; some dung however was evacuated, but it was hard and dry, and in small quantities. The pulse was quick, but full; and there was a slight pain and considerable irritation in the rectum. I took from him [Symbol: ounce] x. of blood before the desired effect was produced, and then gave him
tinct. opii gr. xiv., et spt. ether, nit. gutt. viij., cum ol. ricini
[Symbol: ounce]
iij
., and an opiate enema to allay the irritation of the rectum. This was about
8 o'clock, A.M
.
11 A.M
. — The bowels have not been moved, and the pain is more intense; his countenance expresses great anxiety; he frequently lies on his stomach, and the pulse is small but quick. I gave him a little broth, and ordered the abdomen to be fomented with hot flannels.
2 P.M.
— He has had distressing sickness, and is extremely anxious for water. I introduced my finger into the rectum, but could not discover any hardened fæces. Enemata, composed of
mag. sulphas
and warm water, were frequently thrown into the intestines; as soon as one came away another was thrown up.
4 P.M
. — No better: gave him
pulv. aloes
[Symbol: ounce] j.;
calomel, gr. vj. et pulv. opii gr. viij.
The fomentations to be continued, and the abdomen rubbed with a
lin. terebinthinæ
.
5 P.M
. — A great change has taken place within the last hour; the hind extremities are paralysed; the mouth and ears are cold; the pulse is more hurried and irregular, and almost imperceptible; the respiration is laborious and irregular, as is the pulse; and the dog is frequently sick. To be kept quiet.
6 P.M.
— Another change: he lies panting and groaning piteously; his limbs are bathed in sweat, with convulsive struggles. At twenty minutes past six he died.
A post-mortem examination presented general marks of inflammation; the small intestines were extremely red, while the large ones were in a gangrenous state and most offensive, with a rupture of the colon. I did not expect to meet with the rupture, and am at a loss to account for it. The liver was of a pale ashen colour, and very light. I put a piece of it into some water, and it floated on the surface. The other contents of the abdomen did not show the slightest appearance of disease.
September 2d, 1843
. — A black pug-bitch, 18 months old, was yesterday taken violently sick; the vomiting continued at intervals the greater part of the day, and she had not eaten during the last 24 hours. I could not possibly get at her, on account of her ferocity: as she had not had the distemper, and as I was misled by her age and the watery discharge from her eyes, and as she had had several motions yesterday, I imagined that the attack might be the beginning of that disease. Learning that she was fond of sweet things, I prepared an emetic containing a grain of calomel and a grain of tartar emetic: she took it readily, and I promised to call on the following day.
Sept. 3
. — The weakness at the eyes had disappeared, but there had been no motion. On getting at her by main force I found her belly very tense and rather hot: she had again been sick, was very eager for water, and still refused to eat. The disease was now evident. As she appeared too unmanageable for anything else, I produced a physic-ball, in giving which I was bitten.
Six hours afterwards I again went: no fæces had passed: I administered two enemas, the second of which was returned with a small quantity of hardened fæces and an intolerable smell. I ordered the water to be removed, and broth to be substituted.
Sept. 4.
— The dog is in good spirits, has eaten heartily, and had no motion, probably because it was habitually cleanly, and had not been taken out of doors. Her owner considered her as quite well, and dismissed me. Three days afterwards a servant came to say that all was going on very well.
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