Symptoms. There are symptoms of intense sore throat with stertor continuous or intermittent, increasing to dyspnœa at intervals or on exertion. In case of pediculated tumors these attacks correspond to the displacement of the tumor into the glottis. Deglutition is difficult or impossible, liquids or even solids returning through the nose, mixed with mucus and at times tinged with blood. Nasal discharge and ptyalism are present.
In cattle pharyngeal tumors may be of the same nature as mentioned for the horse, but they are far more frequently lymphadenoma, and above all tubercle or actinomycosis. Zimmer found that of seventy-three such tumors fifty-four were actinomycosis.
The symptoms are wheezing breathing, cough, nasal discharge, ptyalism, bleeding from the nose, fœtid breath, difficult deglutition attended by cough and rejection of the ingesta through the nose, and the presence of a solid body in or on the pharynx which may be manipulated from without or within and tends to increase in size.
In dogs there are the same general symptoms with vomiting. The vomited material is usually remasticated and swallowed. The swelling in the pharynx can be felt from without, or seen through the open mouth. The tonsils are usually enlarged. Pressure on the pharynx or gullet produces instant regurgitation.
Treatment consists in the removal of the tumor when possible. Malignant growths and multiple tumors are not favorable for treatment. Actinomycosis can be treated throughout by iodides, or these may supplement the surgical measures. In the short-faced animals an ecraseur, or a wire-snare passed through a tube may be employed. (See pharyngeal polypi).
ESOPHAGITIS. INFLAMMATION OF THE GULLET.
Causes: Alimentary and therapeutic; parasitic and accidental traumatisms; mechanical irritants; acrids; caustics; parasites—gongylonema, coccidia, spiroptera. Extension inflammations. Lesions: hyperæmia; epithelial degeneration and desquamation; erosion; petechiæ; suppuration; fibroid contraction; sacculation; polypi. Symptoms: dysphagia, difficult deglutition; eructation; cough; upward wave motion in jugular furrow; colicy pains; probang arrested; fever. Treatment: liquid or semi-liquid food; for caustics, antidotes; cold water; ice; antiseptics; derivatives; open abscess; potassium iodide.
Causes. This usually arises from injury to the mucous membrane and in the milder forms remains confined to this structure. In the more severe, it extends to the muscular coat and even to the periœsophagean tissues. The causes may be divided into alimentary and therapeutic irritants; parasitic or accidental traumatisms; and extension of inflammation from the pharynx or other adjacent part.
Among irritants taken as food, may be named hot mashes, bolted by a hungry and gluttonous horse, and temporarily arrested in the gullet by reason of the resulting irritation of the mucous membrane. In other cases, coarse fibrous fodder is bolted without previous mastication, and scratches and abrades the œsophagean mucosa leading to transient or progressive inflammation. In other instances diseases of the teeth, jaws, temporo-maxillary joint, or salivary glands prevent the necessary trituration of the food, and it is swallowed in a rough, fibrous, or even a dry condition. Again the impaction of a solid body (turnip, apple, potatoe, egg) or of a quantity of finely divided grain or fodder so as to obstruct the lumen of the gullet, is an occasional cause. The density of the epithelium reduces these dangers to the minimum, yet a too rough morsel, or an undue detention of the less irritating material will determine hyperæmia and even inflammation and infective invasion. Acrid and irritant vegetables in the food are less injurious when thoroughly insalivated, as their contact with the œsophagean walls is then very slight and transient.
Irritant and caustic chemical agents given for therapeutic purposes, attack the mouth, pharynx and stomach, more severely than the gullet through which they are passed with great rapidity. In some cases, however, the agent will adhere by reason of its powdery, gummy or balsamic character and will then act as a direct irritant. Solutions of caustic alkalies (weak lye) given to correct acid gastric indigestion in the horse, and ammonia to remedy tympany in cattle, when insufficiently diluted, will dangerously attack the œsophagean mucosa.