CYSTITIS.—Inflammation of the bladder is not an uncommon disease of horses. It is commonly caused by retention of the urine, calculi in the bladder and chilling of the body. Irritating drugs that are eliminated from the body in the urine, and infection of the bladder by germs may cause it.
The symptoms are usually marked. The inflammation is characterized by more or less pain, depending on the degree of the inflammation, and frequent passing of urine. Only a small amount of urine is passed at each attempt, and in severe inflammation it may contain pus or blood. Colicky pains sometimes occur. The pain is usually manifested by a stiff, straddling gait and tenderness when pressure on the bladder is made by introducing the hand into the rectum or vagina, and pressing over the region of the bladder. General symptoms, such as elevation in body temperature and irregular appetite, may be manifested.
The treatment should be first directed at removing the cause. If a cystic calculus is present in the bladder it should be removed. If the retention of the urine is caused by some local condition, and this is very often the case in nervous, well-bred animals, this must first be corrected. It is best to feed green and soft feeds, such as bran mash and chopped hay, and, if the animal will take them, gruels. A physic of castor or linseed oil should be given occasionally. It is very necessary that the animal be kept quiet. Comfortable, clean quarters and a good bed should be provided. Whenever necessary the animal should be blanketed. The medicinal treatment consists in irrigating the bladder with antiseptic solutions, and administering drugs that when eliminated by way of the urine may change its composition and render it less irritating. The following mixture may be given: potassium chlorate two ounces, salol one-half ounce, and powdered nux vomica one ounce. This mixture may be divided into sixteen powders. One of the powders should be given with each feed.
RETENTION OF THE URINE.—This may be due to a variety of causes. In the ox and ram, small calculi collect in the S-shaped curvature of the urethra, or at its terminal extremity. In the horse, cystic calculi are more common than urethral. In cattle and hogs, fatty secretions from the inflamed lining membrane of the sheath of the male may accumulate, and obstruct the flow of urine from the anterior opening. The giving of feed rich in salts, concentrated urine resulting from feeding of too dry a ration, insufficient exercise and inflammation of the bladder are the direct causes of calculi.
Compression of the urethra by growths or tumors, strictures of the urethra, distended bladder, spasm of the neck of the bladder in nervous animals, paralysis of the bladder and injuries to the penis are common causes of retention of the urine.
The early symptoms in ruminants are not usually recognized until a day or two after retention of the urine has occurred. The symptoms are then quite marked. The animal acts dull, refuses to eat, rumination is stopped, and there is a constant effort to urinate, as indicated by the raising of the tail and rhythmical contractions of the urinary muscles just below the anus. Urine may dribble from the sheath or the flow may be completely suppressed. The odor of urine may be marked.
Horses show symptoms of abdominal pain. The animal may move about the stall, lie down and get up again, or make unsuccessful attempts to urinate. On examination the bladder is found to be greatly distended with urine. In the horse the retention is recognized at an earlier period than in ruminants, because of the prompt, decided symptom of pain.
Retention of the urine commonly terminates in rupture of the bladder in ruminants. When this occurs, the symptoms of pain are less evident. Death occurs from uraemic poisoning and peritonitis. The outcome is less favorable in ruminants than in solipeds.
Inflammation of the sheath can be readily recognized because of the local swelling.
The following lines of treatment are recommended: A ration or feed that favors the formation of calculi should not be fed to animals; inflammation of the sheath should receive prompt treatment—this consists in irrigating the part with warm, soapy or alkaline water, followed by an antiseptic wash; we may attempt to work the urethral calculi forward and out of the S-curve in the urethra; if this is unsuccessful, urethrotomy for their removal may be attempted.