Continuous with the stomach are the intestines, which are equally subject to disease, and more exposed to it in an acute form than even the former viscus. The dog will fill its belly with almost anything, but there is little that positively agrees with it. Boiled rice or lean meat, &c., and coarse biscuit, are the best general food; but without exercise, even these will not support health. The dog requires constant care if it is deprived of liberty: and those who keep these animals as pets, must submit to trouble, for though art may do much, it cannot conquer Nature. The intestines of the dog are peculiar. In the first place, it has no colon, and all the guts are nearly of one Writers do not notice the tendency of the cÆcum to be diseased, or remark upon its disposition to exhibit signs of alteration; but the fact being so obvious, I wonder it should have escaped observation. Costiveness is, in some measure, natural to the dog, and in that animal is hardly to be viewed as a disease. In health, the fÆces are not expelled without considerable straining, and the matter voided ought to be of a solid character. It nevertheless should not be absolutely hard, or positively dry, for in that case the want of moisture shows the natural secretion of the rectum is deficient; the Both Blaine and Youatt were educated in the old school of medicine, which taught them to regard purgatives as the surgeon's best friends, and the sheet-anchors of his practice. They prescribe them in almost every case, and almost on every occasion; but I rarely give these agents. In the dog I am convinced they are not safe, and their constant use is by no means imperative. Should an animal be supposed not to have been relieved for a week, this fact is no proof that a purgative is required. The animal may have eluded observation, and it cannot inform us if such has been the case. The intestines may be slow, or the digestion may be more than usually active. It is foolish to lay down rules for Nature, and punish her creatures if these laws are not obeyed. There are, however, means of ascertaining when a purgative is needed; and these, if employed, will very rarely deceive. The muscles covering the abdomen of the dog are very thin, and through them the contents of the cavity may be plainly felt. By squeezing these together, the fingers will detect whether the rectum, which lies near to the spine, and of course backward or towards the tail, contains any substance. Should the presence of any solid body be ascertained, its character ought to be noted. If round and comparatively soft, a little exercise will cause it to be expelled; but if hard-pointed in places, and uneven, assistance should be afforded. An enema, of the solution Either of these will relieve the bowel; but the condition of one part justifies an inference as to the state of another, and the enema probably will not unload the cÆcum, which there is reason to suppose is also clogged. A gentle dose of castor-oil, or of the pills directed on page 116, will accomplish this intention; and, afterwards, measures must be adopted to regulate the digestion, either by tonics or such medicines as the symptoms suggest, but not by the constant repetition of laxatives. Costiveness will sometimes produce such violent pain that alarm is created, and dogs have been destroyed under the idea that they were rabid. To guard against so fatal a mistake, I shall only here say, that rabies does not come on suddenly, or, save in the latest stage, appear to influence the consciousness, which it never entirely overpowers. The agony caused by costiveness is greater than in any other affection to which the dog is liable. Apparently well, and perhaps at play, a cry breaks forth, which is the next instant a shriek, expressive of the acutest torture. The animal takes to running, and is not aware of surrounding objects; it can recognise nothing, but will bite its master if he attempts to catch In such cases, the first examination should be directed to the rectum; the finger, moistened or oiled, ought to be inserted, and the intestine explored as thoroughly as possible. This operation is, however, not of further use than to confirm the opinion of the practitioner; and I, knowing the cause, therefore dispense with it. A copious enema should be immediately exhibited. One containing turpentine is the most effective; but, on account of its activity, it is only safe in the beginning of the attack. A warm bath is of service, but it takes up time which may be better employed, and does not do sufficient good to recompense for the delay. A full dose of sulphuric ether and laudanum should be given to allay the pain, and it may with this intention be repeated every ten or When the obstruction has been overcome, let a few ethereal enemas be administered to allay any local irritability; and a dose of the purgative pills—followed, six hours afterwards, should they not have operated, by one of castor-oil mixture, blended with half a scruple of chloroform—being Colic.—This is an affection to which dogs are very subject. The human infant is not more liable to be griped than are the young of the canine species. The idea of a cur with a belly-ache may, to some persons, seem to be suggestive of fun; but to the creature that suffers, it is indeed a serious business. A duchess with the spasms does not endure so much, and is not in half the danger, that a dog is exposed to during a fit of gripes. The animal must be relieved, or inflammation will speedily ensue, and death will follow. In some cases, the appearance of colic is almost a certain indication that the poor beast will die. When it comes on a week or two prior to pupping, we may cure it; but during, or soon after parturition, the bitch generally perishes. When it starts up in the later or more virulent stage of distemper, especially at the time The symptoms of colic have been much confused by Blaine, who, when describing them, evidently alludes to many forms of disease with which abdominal spasm has no connexion. Youatt is far more clear; but he is too concise, and omits so much that the reader does not properly appreciate the importance of that affection which is thus slightly mentioned. Neither of the two authors seems to have carefully studied the subject; for in their writings is not to be found any account of those early symptoms which most readily yield to treatment. Prior to evincing any sign of colic, the dog appears well; healthy in its body and easy in its mind. The appetite is good, or may be better than usual. The food has been eaten and relished; then the animal instinctively lies down to sleep and aid digestion. A moan is heard; the sound is half suppressed, and the dog that utters it appears to sleep. Another cry, as feeble, but of greater length, is noticed; and now the animal that made it During the continuance of colic, the general appearance of the animal may be but little affected. The eye is not injected, but the pupil may be slightly enlarged. The nose is cool and moist, but towards the end, irritation may render the part hot or dry. The appetite is generally slight—sometimes lost; and fluids are more readily accepted than solids. The cry, however, should be remarked; because, with the pulse, it gives the earliest notice when inflammation is commencing. While colic alone exists, the pulse may, from pain, be accelerated, and rendered more full, as well as strong, though not always to any marked extent. In inflammation, the pulse is greatly quickened, the artery becomes smaller, and its beat more jerking or For the treatment, in the first instance, a turpentine enema will frequently cut short the attack. Should it fail to so, injections of ether and laudanum should succeed, and doses of the mixture should also be given every half hour; the first three being exhibited at intervals only of a quarter of an hour each. The cathartic pills should be administered; and in three hours, if the bowels have not been acted upon, a dose of castor-oil should be resorted to; but where the cathartic has been responded to, the castor-oil should be delayed for eight or twelve hours. When the pain ceases, the ether and laudanum should not be immediately discontinued; but they may be employed at longer intervals, and gradually reduced in quantity, until the bowels are thoroughly opened, when they may be withheld. Under this treatment, the affection is rarely fatal, and never so if taken in time. An injection of ether and laudanum should always be given to any pup that exhibits even the slightest symptom of uneasiness. I have never known it to do harm, but I am convinced it has often prevented danger. In those cases where purging and other indications denote the coats of the bowels to be already involved, and spasm co-exists with enteritis, ether and laudanum As to the causes which induce colic, I can of my own knowledge offer no information. It has to me seemed to be regulated by none of those circumstances to which it is generally attributed; at all events, I think I have witnessed it in animals which have not been exposed to any of the causes that teachers and writers assert induce it. Dogs are, however, brought to us only when the cause has ceased; for we are sought for only to treat the effect. The declarations of authors may therefore be correct, although I am unable to corroborate them; and these gentlemen say colic is produced by cold, acrid food, chills, worms, hard water, &c. In cases of this kind, therefore, it may be well to inquire if the dog has been exposed, or badly fed, or is in any way unhealthy; and, so far as possible, to rectify these matters; for, even though they may not have provoked the spasm, nevertheless we shall do good by attending to the health, diet, and comfort of the animal. Enteritis.—The doom of the dog which is really afflicted with this disease, is generally sealed. It is a painful and a fatal disorder—equally rapid and stubborn. I fear it more than any other affection to which the animal is subject, and more frequently than any other has it set my best endeavors at defiance. In the dog, however, enteritis is rarely seen in a pure form. The mucous membrane of the intestines is mostly inflamed, but the serous covering, as a general rule, is in no degree involved. The stomach, however, is almost in every instance more or less implicated; its inner surface being inflamed, and its muscular coat so contracted, that the lining membrane is corrugated, and remains in that condition after death. The incentives are, unwholesome food, which is the most frequent of the causes; exposure, especially after a dog has been in winter fantastically deprived of its long hair over the loins; and over-exertion, to which the dog is often exposed, no attention being paid to its condition. Anything which disorders the digestion, or violently shakes the constitution, will induce it; for in the dog every species of revulsion has a tendency to attack the bowels. Mange improperly treated has produced it; and this may be said of almost any skin disease; so that it has been caused not by true mange or itch alone but by a skin disease having been, under the pretence of working an immediate cure, driven into the system. Neglected impactments, or colic, are among its most frequent immediate causes; for at least three parts of those Of the symptoms of enteritis, colic and constipation, with a hard thin pulse, are the most prominent. Sickness is not present, or rather I have not witnessed it, at the commencement of the disorder. The extremities are cold—the eye has a stupid expression, the pupil being much dilated—the breath is hot, and the nose dry. The tail is drawn firmly downward, and pressed upon the anus; the urine is sometimes scanty, always high-colored; the tongue is rough and clammy, the thirst strong, and the appetite lost. The dog seeks darkness and privacy, and does not ramble during the early stage; it will stretch itself out either upon its belly or on its side, and I have not seen it sit upon its haunches. The abdomen is only of the heat of the body, which is generally of an increased temperature. Pressure appears to cause no pain, and the animal rather seems grateful for friction than to resist it. As the disease proceeds, diarrhoea ensues, and with it the signs of exhaustion and death generally are exhibited. Throughout the attack there is a marked disinclination to take any remedy; which is not always displayed by these creatures, and in no other disease is so violently exhibited. Dogs often become attached to those who minister to their complaints; many of them will appear to understand and appreciate the motives of him who attempts their relief. The poor things will frequently submit to operations, and lick the hand which The treatment must be energetic. The sharp, short cries, characteristic of enteritis, as pointed out in the preceding description of colic, will be sufficient warning of the danger, and ample intimation that there is no time to be lost. A turpentine enema should be injected. The treatment ought always to begin with this, for to unload the rectum is of all importance. Afterwards, from one to four grains of calomel, with from half a grain to two grains of opium, should be shaken upon the tongue; and when ten minutes have elapsed, a draught of ether and laudanum and water, with an injection of the same composition, ought to be exhibited. While the cries last, the ether may be continued, and when the strength appears
Bleeding is of some service, but the dog so quickly sinks, that it must be practised with caution. On this account, as well as for other reasons, leeches are to be preferred. If the patient be a male, they may be applied to the belly; but if a female, the side of the abdomen must be shaven, and that part selected. From four to twenty-four leeches will be sufficient; and half that number may be again used if no change for the better is observed, and the strength does not fail. Stimulating applications are likewise beneficial. A large mustard poultice has appeared to be more operative than more violent agents. After it has been removed, warm fomentations of water, with occasional ones of hot turpentine, may be employed. In the early stage, a warm bath of 90 degrees, for half an hour, has been used with advantage; but the animal, On the second day from two to ten drops of the tincture of arnica, with half a drachm of the solution of the chloride of zinc, may be added to the ethereal drinks and injections, if the disorder has not been checked; and beef-tea, thickened with rice, may also be frequently administered, using it instead of water, both in the draughts and injections. No other food is admissible, and the return to solids must, if the animal survives, be very gradual. Dysentery and Diarrhoea.—These diseases, which in works on human pathology are advantageously separated, I cannot here treat of as distinct disorders. In the dog they are so connected and blended that the line which divides them cannot be discovered; and for every practical purpose, they may be here considered as one and the same affection. The young and the old are most liable to these complaints. Puppies are very subject, as also are aged gross favorites; things so fat that it becomes hard work to live are very generally attacked with diarrhoea. The pup, however, usually exhibits it in the acute form, whereas in the other description of animal it mostly appears in the chronic type. When acute, colic may accompany or precede it. In proportion to the spasm will be the violence and the danger of the disorder. Sickness is mostly witnessed a little In the chronic form, the membrane of the eye is pallid; the nose often moist; the breath offensive; the appetite ravenous; the pulse quick and weak; the anus inflamed; mostly protruding, and usually disfigured by piles; the fÆces liquid, and of various hues; sometimes black, occasionally lighter than usual, very generally mixed with much mucus and a small quantity of blood, so that the leading symptoms are those of weakness, accompanied with purgation. SUPERPURGATION. Acute diarrhoea may terminate in twenty-four hours; the chronic may continue as many days. The first sometimes closes with hemorrhage, blood in large quantities being ejected, either from the mouth or from the anus; but more generally death ensues from apparent exhaustion, which is announced by coldness of the belly and mouth, attended with a peculiar faint and sickly fetor and perfect insensibility. The chronic more rarely, ends with excessive bleeding, but almost always gradually wears out the animal, which for days previous may be paralysed in the hind extremities, lying with its back arched and its feet approximated, though consciousness is retained almost to the last moment. In either case, however, the characteristic stench prevails, and the lower surface of the abdomen, as a general rule, feels hard, presenting to the touch two distinct lines, which run in the course of the spine. These lines, which Youatt mentions as cords, are the recti muscles, which in the dog are composed of continuous fibre, and consequently, On examination after death, the stomach, especially towards the pyloric orifice, is inflamed, as are the intestines, which, however, towards the middle of the track, are less violently affected than at other parts. The cÆcum is enlarged, and may even, while all the other guts are empty, contain hard solid fÆces. The rectum is generally black with inflammation, and seems most to suffer in these disorders. Occasionally its interior is ulcerated, and such is nearly always its condition towards the anus. Signs of colic are distributed along the entire length of the alimentary tubes. In the acute disease, the case in the first instance should be treated as directed for colic, with turpentine enema and ether, laudanum and water, followed by mild doses of grey powder and ipecacuanha, or chalk, catechu and aromatics, in the proportions directed below:—
This may be given every second hour. The carbonate of ammonia, from two to eight grains, is also deserving of a trial, as are the chlorides and chlorates when the odor is perceived. Applications, as before directed, to the abdomen are also beneficial; but frequent use of the warm bath should be forbidden, for its action is far too debilitating. The ether, laudanum, and water should be persisted with throughout the treatment, and hope may be indulged so long as the injections are retained; but when these are cast back, or flow out as soon as the pipe is removed, the case may be pronounced a desperate one. In the chronic form of diarrhoea there is always greater prospect of success. Ether, laudanum, and water will often master it, without the addition of any other medicine; but the liquor potassÆ and the chalk preparation are valuable adjuncts. To the anus an ointment will be useful; and it should not only be smeared well over the part, but, by means of a penholder or the little finger, a small quantity should thrice in the course of the day be introduced up the rectum. For this purpose the following will be found to answer much better than any of those which Blaine orders to be employed on similar occasions:—
Cleanliness is of the utmost importance. Thrice daily, or oftener if necessary, the anus and root of the tail should be thoroughly cleansed, with a wash consisting of an ounce of the solution of chloride of zinc to a pint of distilled water. The food should be generous; but fluid A little gravy and rice with scraped meat may be gradually introduced; but the dog must be drenched with the liquid rather than indulged with solids at too early a period. All the other measures necessary have been indicated when treating of previous abdominal diseases, and such rules as are therein laid down must, according to the circumstances, be applied. Peritonitis.—In the acute form this disease is rarely witnessed, save as accompanying or following parturition. Its symptoms are, panting; restlessness; occasional cries; a desire for cold; constant stretching forth at full length upon the side; dry mouth and nose; thirst; constipation; hard quick pulse; catching breathing, and—contrary as it may be to all reasonable expectation—seldom any pain on pressure to the abdomen, toward which, however, the animal constantly inclines the head. The treatment consists in bleeding from the jugular, from three to twelve ounces being taken; but a pup, not having all its permanent teeth, supposing such an animal could be affected, should not lose more than from half-an-ounce to two ounces. Stimulating applications to the abdomen should be employed, an ammoniacal blister, from its speedy action, being to be preferred. Ether, laudanum, and water ought to be given, to allay the pain, with calomel in small but repeated doses, combined with one-fourth its weight of opium, in order to subdue the inflammation. A turpentine enema to unload During peritonitis, the chief aim of all the measures adopted is to reduce the inflammation; but while this is kept in view, it must not be forgotten that of equal, or perhaps of even more, importance, is it to subdue the pain and lessen the constitutional irritation which adds to the energy of the disorder, thus rendering nature the less capable of sustaining it. With this object I have often carried ether, laudanum, and water, so far as to narcotise the animal; and I have kept the dog under the action of these medicines for twelve hours, and then have not entirely relinquished them. The consequence has not always been success, but I have not seen any reason to imagine that the life has not been lengthened by the practice; and sometimes when the narcotism has ceased, the disease has exhibited so marked an improvement, that I have dated the recovery from that period. Strangulation.—This consists in the intestines being twisted or tied together, and it is caused by sudden emotion or violent exertion. From it the dog is almost exempt, though to it some other animals are much exposed. The symptoms are sudden pain, resembling acute enteritis, accompanied with sickness and constipation, and No treatment can save the life, and all the measures justifiable are such as would alleviate the sufferings of the animal; but as, in the majority of these cases, the fact is only ascertained after death, the practitioner must in a great measure be guided by the symptoms. Introsusception.—This is when a portion of intestine slips into another part of the alimentary tube, and there becomes fixed. Colic always precedes this, for the accident could not occur unless the bowel was in places spasmodically contracted. The symptoms are—colic, in the first instance, speedily followed by enteritis, accompanied by a seeming constipation, that resists all purgatives, and prevails up to the moment of death. The measures would be the same as were alluded to when writing of strangulation. Stoppage.—To this the dog is much exposed. These animals are taught to run after sticks or stones, and to bring them to their masters. When this trick has been learnt, the creatures are very fond of displaying their accomplishment. They engage in the game with more than pleasure; and as no living being is half so enthusiastic as dogs, they throw their souls into the simple sport. Delighted to please their lords, the animals are in a fever of excitement; they back and run about—their eyes on fire, and every muscle of their frames in motion. The stone is flung, and away goes the dog at its topmost speed, so happy that it has lost its self-command. If a dog should swallow a stone, let the animal be immediately fed largely; half-an-hour afterwards let thrice the ordinary dose of antimonial wine be administered, and the animal directly afterwards be exercised. Probably the pebble may be returned with the food when the emetic acts. Should such not be the case, as the dog will not eat again, all the thick gruel it can be made to Stoppage may be caused by other things besides stones. Corks, pins, nails, skewers, sharp pieces of bone, particularly portions of game and poultry bones, have produced death; and this fact will serve to enforce the warning which was given in the earlier portion of this work. |