When bran or chaff causes the trouble it is best to give a small quantity of oil to lubricate the walls of the gullet, and then by gentle and persevering pressure, to endeavor to separate and divide the mass and to work it downward toward the stomach. This will be assisted by pouring small quantities of oil and water down the animal's throat. It is not advisable to use the probang to push down any soft material, such as oats or chaff, as this generally condenses and renders firmer the obstructing substance by pressing its particles or elements together, so that it forms a solid, resisting mass which can not be moved.
In some cases the foreign body, either because it is in the chest portion of the esophagus, and so beyond reach, or because too firmly seated, can not be dislodged from the neck by pressing and manipulating that part externally. In such event we must resort to the use of the probang. (Pl. III, figs. 2 and 3.) A probang is a flexible instrument and adapts itself to the natural curvature of the gullet, and if used cautiously there is not much risk of injury. Before passing the probang, a gag which has an aperture at each end, from which straps pass to be buckled at the back of the head below the horns, is introduced into the mouth. (Pl. III, fig. 4.) The probang should then be oiled, and, the head and neck being held in a straight line by two assistants, the tongue must be partly drawn out of the mouth, the probang cautiously passed along the roof of the mouth into the pharynx and thence into the gullet, through which it is passed down. If resistance is met, gentle and continuous pressure must be used, under the influence of which the object will generally in a short time pass into the stomach. One must be careful not to pass the probang into the larynx and thence into the windpipe, as an animal may readily be killed in this way. This accident is indicated by efforts to cough and by violently disturbed breathing. If such symptoms arise the probang must be withdrawn at once. Toavoid a wrong passage, the end of the tube should be pressed very slowly through the throat until its presence in the esophagus is assured. After it is once in the esophagus care is still necessary, because the walls of this tube may easily be torn.
Some writers have advised that when the obstruction is lodged in the cervical (neck) portion of the gullet it should be struck with a mallet, to crush it and thus alter its shape, so that it may easily slip down into the stomach. If the obstructing substance is hard, this will be a dangerous operation, but if soft—as in the case of a ripe pear, for example—this procedure may be safely adopted.
In all cases, if pressure applied on the neck fails to move the obstruction and the probang also fails to move it, it may be divided by a subcutaneous operation, or the gullet may be opened and the obstructing substance removed through the wound. In such cases the assistance of a veterinarian or a surgeon must be obtained.
Sometimes the walls of the gullet may be more or less lacerated or abraded by the rash and too forcible use of the probang, and the animal consequently swallows with pain and difficulty. In such cases dry feed must be withheld for five or six days, so as to allow the injured parts to heal, and the diet must be limited to linseed tea, hay tea, and thin oatmeal gruel and molasses. The same kind of diet must be fed after the operation of cutting into the gullet has been performed.
Sometimes the gullet is ruptured and lacerated to such an extent that treatment of any kind is hopeless. This has been known to occur when the handle of a pitchfork or buggy whip has been pushed down a cow's throat to remove an obstruction. When such treatment has been applied it is best to slaughter the animal without delay, as the flesh may be utilized so long as there is no fever or general disease, and remedial treatment would be hopeless. In this connection it may be mentioned that whatever substitute may be used for a probang, which sometimes is not at hand, it should be flexible and should possess a smooth surface. A piece of new rope, with the end closely wrapped and waxed and then oiled, or a piece of thin garden hose, or a well-wrapped twisted wire may be used in emergencies.
Tympanites is a distention of the rumen or paunch with gases of fermentation, and is manifested outwardly by swelling in the region of the left flank.
Causes.—Tympanites may be caused by any kind of feed which produces indigestion. When cattle are first turned into young cloverthey eat so greedily of it that tympanites frequently results. Turnips, potatoes, cabbage, or the discarded pulp from sugar-beet factories may also cause it. Middlings and corn meal also frequently give rise to it.
Care is necessary in turning animals into fields of clover or stubble fields in which there is a strong growth of volunteer grain. It is always better to keep them from such pasturage while it is wet with dew, and they should be taken out when they have eaten a moderate quantity. When cattle are fed upon pulp from sugar beets, germinated malt, etc., they should be fed in moderate amounts until they have become accustomed to it, as any of these feeds may give rise to severe bloating.
An excessive quantity of any of the before-mentioned feeds may bring on this disorder, or it may not be caused by excess, but to eating too hastily. Sometimes the quality of the feed is at fault. Grass or clover when wet by dew or rain frequently disorders digestion and brings on tympanites; frozen roots or pastures covered with hoar frost should also be regarded as dangerous. When feed has been eaten too hastily, or when it is cold and wet, the digestive process is imperfectly performed, and the feed contained in the paunch ferments, during which process large quantities of gas are formed. The same result may follow when a cow is choked, as the obstruction in the gullet prevents the eructation or passing up of gas from the stomach, so that the gas continues to accumulate until tympanites results.
Symptoms.—The swelling of the left flank is very characteristic, as in well-marked cases the flank at its upper part rises above the level of the backbone, and when struck with the tips of the fingers emits a drum-like sound. The animal has an anxious expression, moves uneasily, and is evidently distressed. If relief is not obtained in time, it breathes with difficulty, reels in walking or in standing, and in a short time falls and dies from suffocation. The distention of the stomach may become so great as to prevent the animal from breathing, and in some instances the case may be complicated by rupture of the stomach.
Treatment.—If the case is not extreme, it may be sufficient to drive the animal at a walk for a quarter or half an hour; or cold water by the bucketful may be thrown against the cow's sides. In some cases the following simple treatment is successful: A rope or a twisted straw band is coated with pine tar, wagon grease, or other unsavory substance and is placed in the cow's mouth as a bit, being secured by tying behind the horns. The efforts of the animal to dislodge this object result in movements of the tongue, jaws, and throat that stimulate the secretion of saliva and swallowing, thus openingthe esophagus, which permits the exit of gas and at the same time peristalsis is stimulated reflexly.
In urgent cases the gas must be allowed to escape without delay, and this is best accomplished by the use of the trocar. The trocar is a sharp-pointed instrument incased in a cannula or sheath, which leaves the sharp point of the trocar free. (SeePl. III, figs.5aand5b.) In selecting the point for using the trocar a spot on the left side equally distant from the last rib, the hip bone, and the transverse processes of the lumbar vertebræ must be chosen. Here an incision about three-fourths of an inch long should be made with a knife through the skin, and then the sharp point of the trocar, being directed downward, inward, and slightly forward, is thrust into the paunch. (Pl. I.) The cannula or sheath of the trocar should be left in the paunch so long as any gas continues to issue from it. If the cannula is removed while gas is still forming in the paunch and the left flank becomes considerably swollen, it may be necessary to insert it again. It is well, accordingly, to observe the cannula closely, and if gas is found to be issuing from it it should not be removed. When gas issues from it in c onsiderable quantities the sound accompanying its escape renders the exact condition obvious. It is occasionally necessary to keep the cannula in the stomach for several hours. When this is necessary a piece of stout cord should be passed round the neck of the cannula immediately below the projecting rim and then be passed round the animal's body and tied in a secure knot, and a careful attendant must remain with the cow during the entire period that the instrument is in place. The rim surrounding the mouth of the cannula should be in contact with the skin. Whenever the person in charge of the cow is convinced that gas has ceased to issue from the cannula the instrument should be removed.
The trocar is to be used only in extreme or urgent cases, though everyone who has had experience in treating indigestion in cattle realizes that he has saved the lives of many animals by its prompt application.
When the tympanitic animal is not distressed and the swelling of the flank is not great, or when the most distressing condition has been removed by the use of the trocar, it is best to use internal medicine. Two ounces of aromatic spirits of ammonia should be given every half hour in a quart of cold water; or half an ounce of chlorid of lime may be dissolved in a pint of tepid water and the dose repeated every half hour until the bloating has subsided; or 1 ounce of creolin in 2 quarts of tepid water may be given at one dose or carefully injected through the cannula directly into the paunch to stop fermentation and the consequent formation of gas. It is generally necessary to give a moderate dose of purgative medicine after bloating has subsided, as animals frequently show symptoms of constipation after attacks of indigestion. For this purpose 1 pound of Glauber's salt may be used.
The animal should be fed carefully upon easily digested food for several days after the bloating has subsided, so that all fermenting matter may pass out of the stomach.
Cattle, especially those that have been kept in the stable all winter, are liable to suffer from chronic tympanites. In this form they bloat up after feeding, but seldom swell so much as to cause any alarm. The chronic form of indigestion may also follow an acute attack like that previously described. This is also a symptom of tuberculosis when the lymphatic glands lying between the lungs are so enlarged as to press upon and partly occlude the esophagus. It may develop in calves as a result of the formation of hair balls in the stomach.
Treatment.—Treatment should be preceded by a moderate dose of purgative medicine: 1 pound of sulphate of magnesia (Epsom salt) or sulphate of soda (Glauber's salt), half an ounce of powdered Barbados aloes, 1 ounce of powdered ginger, 1 pint of molasses. The salts and aloes should be dissolved by stirring for a few minutes in 2 quarts of lukewarm water, then the molasses should be added, and after all the ingredients have been stirred together for about 10 minutes the dose should be administered. After the operation of the purgative it is generally necessary to give some tonic and antacid preparation to promote digestion, which is imperfectly performed in such cases. The following may be used: Powdered gentian, 3 ounces; powdered bicarbonate of potash, 3 ounces; powdered ginger, 3 ounces; powdered capsicum, 1 ounce. Mix and divide into 12 powders, one of which should be given three times a day before feeding, shaken up with a pint and a half of water. It is also advantageous in such cases to give two heaped teaspoonsfuls of wood charcoal, mixed with the animal's feed three times a day. The animal should also go out during the day, as want of exercise favors the continuance of this form of indigestion. If the dung is hard, the constipation should be overcome by feeding a little flaxseed twice daily or by giving a handful of Glauber's salt in the feed once or twice daily, as may be necessary. Roots, silage, and other succulent feeds are useful in this connection. If tuberculosis is suspected as the cause of chronic bloating, a skilled veterinarian should make a diagnosis, using the tuberculin test if necessary. Until it is settled that the cow has not tuberculosis, she should be kept apart from the other members of the herd.
This form of indigestion is caused by the animal gorging itself with feed, and arises more from the animal's voracious appetite than from any defect in the quality of the feed supplied to it. The condition is, however, more severe if the feed consumed is especially concentrated or difficult of digestion. In cases of this kind there is comparatively no great formation of gas, and the gas which is formed is diffused through the stomach instead of accumulating in a layer in its upper part. On pressing the flank with the closed fist the indent of the hand remains for a short time in the flank, as if the rumen were filled with a soft, doughy mass.
This form of indigestion should be treated by stimulants, such as aromatic spirits of ammonia.
If the formation of gas is not great and the distention with solid material is somewhat limited, the animal may be drenched through a piece of ordinary garden hose, one end inserted in the mouth, and the other end fitted with a funnel, giving 1½ pounds of Epsom salt or Glauber's salt dissolved in 2 gallons of water, at a single dose. Immediately after this treatment the left side of the animal, extending below the median line of the abdomen, should be powerfully kneaded with the fist, so that the impacted food mass will be broken, allowing the water to separate it into small portions which can be carried downward for the process of digestion. But if the treatment fails and the impacted or overloaded condition of the rumen continues, it may become necessary to make an incision with a sharp, long-bladed knife in the left flank, commencing at the point where it is usual to puncture the stomach of an ox, and prolong the incision in a downward direction until it is long enough to admit the hand. When the point of the knife is thrust into the flank and the blade cuts downward, the wall of the stomach, the muscle, and the skin should all be cut through at the same time. Two assistants should hold the edges of the wound together so as to prevent any food from slipping between the flank and the wall of the stomach, and then the operator should remove two-third [sic] of the contents of the rumen. This having been done, the edges of the wound should be sponged with a little carbolized warm water, and, the lips of the wound in the rumen being turned inward, they should be brought together with catgut stitches. The wound penetrating the muscle and the skin may then be brought together by silk stitches, which should pass through the entire thickness of the muscle and should be about 1 inch apart. The wound should afterwards be dressed once a day with a lotion and the animal covered with a tight linen sheet, to protect the wound from insects and dirt. The lotion to be used in such case is made up as follows: Sulphate of zinc, 1 dram; carbolic acid, 2 drams; glycerin,2 ounces; water, 14 ounces; mix. It is clear that this operation requires special skill and it should be attempted only by those who are competent.
It would appear quite in place here, in connection with the diseases of the stomach and bowels of cattle, to consider the three old fallacies or superstitions known by the above names, since these names, whenever and wherever used, seem to be invariably applied to some form of digestive derangement or disease having its origin in the stomach and bowels.
Hollow horn.—In the first place it should be noted that the horns of all animals of the ox tribe are hollow. The horn cores are elongations of the frontal bones of the skull, and the frontal sinuses, which are the larger of the air spaces of the head, are prolonged into the horn cores. When a cow is sick, if the horns are hot it is an evidence of fever; if they are cold it indicates impaired circulation of the blood; but these manifestations of sickness are to be regarded as symptoms of some constitutional disorder and do not in themselves require treatment. The treatment should be applied to the disease which causes the abnormal temperature of the horns. The usual treatment for the supposed hollow horn, which consists in boring the horns with a gimlet and pouring turpentine into the openings thus made, is not only useless and cruel, but is liable to set up an acute inflammation and result in an abscess of the sinus.
Loss of cud.—The so-called loss of cud is simply a cessation of rumination, frequently one of the first indications of some form of disease, since ruminants stop chewing the cud when they feel sick. Loss of cud is a symptom of a great many diseases, and when it is detected it should lead the observer to try to discover other symptoms upon which to base a correct opinion as to the nature of the disease from which the animal suffers. No local treatment is required.
Wolf in the tail.—This term also seems to be vaguely applied to various disturbances of the digestive function, or to some disease which is in reality in the stomach or bowels.
Vomiting is not to be confounded with rumination, though some writers have advanced the opinion that it is merely a disordered and irregular rumination. It is not of common occurrence in cattle.
Symptoms.—Animals which vomit are frequently in poor condition. After having eaten tranquilly for some time the animal suddenly becomes uneasy, arches the back, stretches the neck and head, and then suddenly ejects 10 to 12 pounds of the contents of the rumen.After having done this the uneasiness subsides and in a short time the animal resumes eating as if nothing had happened.
Cause.—The cause of this disordered state of the digestive system in cattle is usually obscure, but has in some cases been traced to a partial closure of the opening into the second stomach or to a distention of the esophagus. It has been found to occur when there was cancerous disease of the fourth stomach, and experimentally it has been shown that a suspension of digestion or great derangement of this stomach produces considerable nervous disorder of the rumen and sometimes vomiting or attempts to vomit.
Treatment.—Easily digested feed and plenty of water should be given. Fear and excitement, chasing, or hurrying animals after they have eaten heartily are liable to bring on this result. In order to overcome irritation which may produce vomiting the following draft should be given: Hydrate of chloral, half an ounce; water, 1 pint. The dose must be repeated when the condition of the animal seems to require it. As a rule, treatment is not successful.
Cattle suffering from this disease have a capricious and variable appetite as regards their ordinary feed but evince a strong desire to lick and eat substances for which healthy cattle show no inclination. Alkaline and saline-tasting substances are especially attractive to cattle having a depraved appetite and they frequently lick lime, earth, coal, gravel, and even the dung of other cattle. Cows in calf and young cattle are especially liable to develop these symptoms. Animals affected in this way lose condition, their coat is staring, gait slow, and small vesicles containing yellow liquid form under the tongue; the milk given by such cows is thin and watery. Such animals become restless and uneasy, as is indicated by frequent bellowing. The disease may last for months, the animal ultimately dying emaciated and exhausted. Depraved appetite frequently precedes the condition in which the bones of cattle become brittle and fracture easily, which is known as osteomalacia.
Cause.—From the fact that this disease is largely one of regions, it is generally believed that some condition of the soil and water and of the local vegetation is responsible for it. It is more prevalent some years than others, and is most common in old countries, where the soil is more or less depleted. Cattle pastured on low, swampy land become predisposed to it. It occasionally happens, however, that one individual in a herd suffers though all are fed alike; in such cases the disease must arise from the affected animal's imperfect assimilation of the nutritive elements of the feed which is supplied to it.
Treatment.—The aim in such cases must be to improve the process of digestion and to supply the animal with a sufficiency of sound and wholesome feed. The following should be given to the cow three times a day, a heaping tablespoonful constituting a dose: Carbonate of iron, 4 ounces; finely ground bone or "bone flour," 1 pound; powdered gentian, 4 ounces; common salt, 8 ounces; powdered fenugreek, 4 ounces; mix. In addition to this, 3 tablespoonfuls of powdered charcoal may be mixed with the feed three times a day, and a piece of rock salt should be placed where the animal can lick it at will. German veterinarians have had brilliant results from the treatment of this disease with subcutaneous injections of apomorphin in doses of 1½ to 5 grains for three or four days.
Hair concretions, or hair balls, result from the habit which some cattle have of licking themselves or other animals. As a result the hairs which are swallowed are carried around by the contractions of the stomach and gradually assume the form of a small pellet or ball. This increases in size as fresh quantities of hair are introduced into the stomach and adhere to the surface of the ball. These balls are found most frequently in the reticulum or second stomach (Pl. II, B), though sometimes in the rumen. In calves hair balls are generally found in the fourth stomach. There are no certain symptoms by which we can determine the presence of hair balls in the stomach, and therefore no treatment can be recommended for such cases. In making post-mortem examinations of cattle we have sometimes found the walls of the reticulum transfixed with nails or pieces of wire, and yet the animal had not shown any symptoms of indigestion, but had died from maladies not involving the second stomach.
Tympanites, already described, is a form of indigestion in which the chief symptom and most threatening condition is the collection of gas in the paunch. This symptom does not always accompany indigestion, so it is well here to consider other forms under a separate head. If indigestion is long continued, the irritant abnormal products developed cause catarrh of the stomach and intestines—gastrointestinal catarrh. On the other hand, however, irritant substances ingested may cause gastrointestinal catarrh, which, in turn, will cause indigestion; hence, it results that these several conditions are usually found existing together.
Causes.—Irritant feed, damaged feed, overloading of the stomach, or sudden changes of diet may cause this disease. Want of exercise predisposesto it, or feed which is coarse and indigestible may after a time produce it. Feed which possesses astringent properties and tends to check secretion may also act as an exciting cause. Feed in excessive quantity may lead to disorder of digestion and to this disease. It is very likely to appear toward the end of protracted seasons of drought; therefore a deficiency of water must be regarded as one of the conditions which favor its development.
Symptoms.—Diminished appetite, rumination irregular, tongue coated, mouth slimy, dung passed apparently not well digested and smelling bad, dullness, and fullness of the flanks. The disease may in some cases assume a chronic character, and in addition to the foregoing symptoms slight bloating or tympanites of the left flank may be observed; the animal breathes with effort and each respiration may be accompanied with a grunt, the ears and horns are alternately hot and cold, rumination ceases, the usual rumbling sound in the stomach is not audible, the passage of dung is almost entirely suspended, and the animal passes only a little mucus occasionally. Sometimes there is alternating constipation and diarrhea. There is low fever in many cases.
The disease continues a few days or a week in the mild cases, while the severe cases may last several weeks. In the latter form the emaciation and loss of strength may be very great. There is no appetite, no rumination, nor peristalsis. The mouth is hot and sticky, the eyes have receded in their sockets, and milk secretion has ceased. In such cases the outlook for recovery is unfavorable. The patient falls away in flesh and becomes weaker, as is shown by the fact that one frequently finds it lying down.
On examining animals which have died of this disease it is found that the lining membrane of the fourth stomach and the intestines, particularly the small intestine, is red, swollen, streaked with deeper red or bluish lines, or spotted. The lining of the first three stomachs is more or less softened, and may easily be peeled off. The third stomach (psalter) contains dry feed in hard masses closely adherent to its walls.
In some cases the brain appears to become disordered, probably from the pain and weakness and from the absorption of toxins generated in the digestive canal. In such cases there is weakness and an unsteady gait, the animal does not appear to take notice of and will consequently run against obstacles; after a time it falls and gives up to violent and disordered movements. This delirious condition is succeeded by coma or stupor, and death ensues.
Treatment.—Small quantities of roots, sweet silage, or selected grass or hay should be offered several times daily. Very little feed should be allowed. Aromatic and demulcent drafts may be given to produce a soothing effect on the mucous lining of the stomachs and to promote digestion. Twoounces of camomile flowers should be boiled for 20 minutes in a quart of water and the infusion on cooling should be given to the affected animal. This may be repeated three or four times a day. When constipation is present the following purgative may be administered: One pound of Glauber's salt dissolved in a quart of linseed tea and a pint of molasses. After this purgative has acted, if there is a lack of appetite and the animal does not ruminate regularly, the powder mentioned in remarks on the treatment of chronic tympanites may be given according to directions. The diet must be rather laxative and of an easily digestible character after an attack of this form of indigestion. Feed should be given in moderate quantities, as excess by overtaxing the digestive functions may bring on a relapse. Ice-cold water should be avoided.
This disorder is produced by drinking copiously of cold water, which arrests digestion and produces cramp of the fourth stomach, probably of the other stomachs, and also of the bowels.
Causes.—It is not customary for the ox to drink much water at once. In fact, he usually drinks slowly and as if he were merely tasting the water, letting some fall out at the corners of his mouth at every mouthful. It would therefore seem to be contrary to the habits of the ox to drink copiously; but we find that during hot weather, when he has been working and is consequently very thirsty, if he drinks a large quantity of cold water he may be immediately taken with a very severe colic. Cows which are fed largely on dry hay drink copiously, like the working ox, and become affected in precisely the same manner. In such cases they are seized with a chill or fit of trembling before the cramps come on.
Symptoms.—There is some distension of the abdomen, but no accumulation of gas. As the distension and pain occur immediately after the animal has drunk the water, there can be no doubt as to the exciting cause.
Treatment.—Walk the animal about for 10 minutes before administering medicine, and this allows time for a portion of the contents of the stomach to pass into the bowel, and renders it safer to give medicine. In many cases the walking exercise and the diarrhea bring about a spontaneous cure of this disorder, but as in some instances the cramps and pains of the stomachs persist, one may give 1 ounce of sulphuric ether and 1 ounce of tincture of opium, shaken up with a pint of warm water, and repeat the dose in half an hour if the animal is not relieved. In an emergency when the medicine is not to be had, a tablespoonful of powdered ginger may be administered in a pint of warm water.
Calves are subject to a form of diarrhea to which the foregoing designations have been applied.
Causes.—Calves that suck their dams are not frequently affected with this disease, though it may be occasioned by their sucking at long intervals and thus overloading the stomach and bringing on indigestion, or from improper feeding of the dam on soft, watery, or damaged feeds. Suckling the calf at irregular times may also cause it. Exposure to damp and cold is a potent predisposing cause. Calves separated from their dams and fed considerable quantities of cold milk at long intervals are liable to contract this form of indigestion. Calves fed on artificial feed, used as a substitute for milk, frequently contract it. Damaged feed, sour or rotten milk, milk from dirty cans, skim milk from a dirty creamery skim-milk vat, skim milk hauled warm, exposed to the sun and fed from unclean buckets may all cause this disease.
Symptoms.—The calf is depressed; appetite is poor; sometimes there is fever; the extremities are cold. The dung becomes gradually softer and lighter in color until it is cream colored and little thicker than milk. It has a most offensive odor and may contain clumps of curd. Later it contains mucus and gas bubbles. It sticks to the hair of the tail and buttocks, causing the hair to drop off and the skin to become irritated. There may be pain on passing dung and also abdominal or colicky pain. The calf stands about with the back arched and belly contracted. There may be tympanites. Great weakness ensues in severe cases, and without prompt and successful treatment death soon follows.
Treatment.—Remove the cause. Give appropriate feed of best quality in small quantities. Make sure that the cow furnishing the milk is healthy and is properly fed. Clean all milk vessels. Clean and disinfect the stalls. For the diarrhea give two raw eggs or a cup of strong coffee. If the case is severe, give 1 ounce of castor oil with a teaspoonful of creolin and 20 grains of subnitrate of bismuth. Repeat the bismuth and creolin with flaxseed tea every four hours. Tannopin may be used in doses of 15 to 30 grains.
Calves artificially fed on whole or skim milk should receive only such milk as is sweet and has been handled in a sanitary manner. Milk should always be warmed to the temperature of the body before feeding. When calves artificially milk-fed develop diarrhea, the use of the following treatment has given excellent results in many cases: Immediately after milking, or the separation of the skim milk from the cream, formalin in the proportion of 1 to 4,000 should be added to the milk which is used for feeding; this may be closely approximated by adding four drops of formalin to each quartof milk. This medicated milk should be fed to the calf in the usual quantity. When the diarrhea is not controlled in three or four days by this treatment, the additional use of some of the agents recommended above may assist in a recovery.
This consists of an inflammation of the walls of the stomachs and of the bowel.
Gastroenteritis, or inflammation of the walls of the stomachs and intestines, follows upon irritations more severe or longer continued than those that produce gastrointestinal catarrh.
Causes.—Severe indigestion may be followed by gastroenteritis, or it may be caused by swallowing irritant poisons, such as arsenic or corrosive sublimate or irritant plants. Exposure to cold or inclement weather may produce the disease, especially in debilitated animals or animals fed improperly. It is asserted that if cattle feed on vegetation infested with some kinds of caterpillars this disease may result.
Symptoms.—Dullness; drooping of the ears; dryness of the muzzle; dry skin; staring coat; loins morbidly sensitive to pressure; fullness of the left flank, which is caused by the distention of the fourth stomach by gas. The pulse is small, the gait is feeble and staggering; each step taken is accompanied with a grunt, and this symptom is especially marked if the animal walks in a downward direction. There is loss of appetite, and rumination is suspended. The passages at first are few in number, hard, and are sometimes coated with mucus or with blood. Later a severe diarrhea sets in, when the passages contain mucus and blood and have an offensive odor. There is evidence of colicky pain, and the abdomen is sensitive to pressure. Pain may be continuous. There is fever and acceleration of pulse rate and respirations. Mental depression and even insensibility occur before death. The disease is always severe and often fatal.
Post-mortem appearances.—The mucous membrane of the fourth stomach has a well-marked red color and sometimes presents ulcerations. The wall is thickened and softened, and similar conditions are found in the walls of the intestines. The red discoloration extends in spots or large areas quite through the wall, showing on the outside.
Treatment.—Very small quantities of carefully selected feed must be given and the appetite must not be forced. Protect the animal well from cold and dampness. Internally, give linseed tea, boiled milk, boiled oatmeal gruel, or rice water. These protectives may carry the medicine. Tannopin in doses of 30 to 60 grains is good. Subnitrate of bismuth indoses of 1 to 2 drams may be given. Pulverized opium may be used, if the diarrhea is severe, in 1 to 2 dram doses. If the bowel movements are not free, one may give from a pint to a quart of castor or raw linseed oil.
This disease results from the presence of a foreign body. This condition is not rare in cattle, because these animals have the habit of swallowing their feed without careful chewing, and so nails, screws, hairpins, ends of wire, and other metal objects may be swallowed unconsciously. Such objects gravitate to the second stomach, where they may be caught in the folds of the lining mucous membrane, and in some instances the wall of this organ is perforated. From this accident, chronic indigestion results. The symptoms, more or less characteristic, are pain when getting up or lying down; grunting and pain upon sudden motion, especially downhill; coughing; pain on pressure over the second stomach, which lies immediately above the cartilaginous prolongation of the sternum. If the presence of such a foreign body is recognized, it may be removed by a difficult surgical operation, or, as is usually most economical, the animal may be killed for beef, if there is no fever.
The word "dysentery," as it is commonly used in relation to the diseases of animals, signifies a severe form of diarrhea.
Causes.—Diarrhea is a symptom of irritation of the intestines, resulting in increased secretion or increased muscular contractions, or both. The irritation is sometimes the result of chilling from exposure, improper feeding, irritant feeds, indigestion, organic diseases of the intestines, or parasites.
Symptoms.—Passages from the bowels are frequent, at first consisting of thin dung, but as the disease continues they become watery and offensive smelling, and may be even streaked with blood. At first the animal shows no constitutional disturbance, but later it becomes weak and may exhibit evidence of abdominal pain by looking around to the side, drawing the feet together, lying down, or moving restlessly. Sometimes this malady is accompanied with fever, great depression, loss of strength, rapid loss of flesh, and it may terminate in death.
Treatment.—When the disease depends on irritating properties of the feed which has been supplied to the animal, it is advisable to give a mild purgative, such as a pint of castor or linseed oil. When the secretions ofthe bowels are irritating, an ounce of carbonate of magnesia and half an ounce of tincture of opium should be shaken up in a quart of linseed tea and given to the animal three times a day until the passages present a natural appearance. When there is debility, want of appetite, no fever, but a continuance of the watery discharges from the bowels, then an astringent may be given. For such cases the following is serviceable: Tannic acid, 1 ounce; powdered gentian, 2 ounces; mix and divide into 12 powders, one powder to be given three times a day until the passages present a natural appearance. Each powder may be mixed with a pint and a half of water. Tannopin is a new remedy that is most useful in such cases. The dose is from 30 grains to 2 drams. Useful household remedies are raw eggs, strong coffee, parched rye flour, or decoction of oak bark. In all cases the food must be given sparingly, and it should be carefully selected to insure good quality. Complete rest in a box stall is desirable. When diarrhea is a symptom of a malady characterized by the presence of a blood poison, the treatment appropriate to such disease must be applied.
Under certain conditions, severe irritation of the digestive canal may, in cattle, cause a form of inflammation of the intestines (enteritis) that is characterized by the formation of a false membrane upon the surface of the lining membrane of the intestines, particularly the large ones.
Symptoms.—There is fever, depression, loss of appetite, diarrhea, and in the fecal masses shreds of leathery false membrane may be found. These shreds are sometimes mistaken for parasites or for portions of the wall of the intestine.
Treatment.—Give a pound of Glauber's salt, followed by bicarbonate of soda in doses of 2 ounces four times daily.
Inflammation may arise from a knot forming on some part of the small intestine from the portion of the bowel becoming twisted on itself, or from one part of the bowel slipping into another, which is termed invagination. This form of enteritis occurs occasionally in animals of the bovine species.
Causes.—The small intestine, which in the ox rests on the right side of the rumen, is, from the position which it occupies, predisposed to this accident. It has been ascertained that animals which have shown symptoms of this malady have trotted, galloped, or made other violent exertions incoming from drinking, or that they have been chased by dogs or by animals of their own species while at pasture. The accident is most likely to occur among cattle on very hilly pastures. The danger of jumping or running is greatest when the rumen is distended with food.
Symptoms.—This form of enteritis or obstruction is manifested by severe colicky pains; the ox scrapes and strikes the ground with his front and hind feet alternately; keeps lying down and getting up again; he keeps his tail constantly raised and turns his nose frequently to his right flank; he is frequently bloated, or tympanitic, on that side. He refuses feed and does not ruminate, and for some hours suffers severe pains. At first he frequently passes thin dung, and also urinates frequently, but passes only a little urine at a time. On the second day the pains have become less acute; the animal remains lying down; moans occasionally; his pulse is small and quick; he still refuses feed and does not ruminate. At this stage he does not pass any dung, though sometimes a small quantity of bloody mucus may be passed. The animal passes very little urine. This condition may continue for a considerable time, as cattle so affected may live for 15 or even 20 days.
Post-mortem appearance.—At death the bowels are found to be misplaced or obstructed, as mentioned above, and inflamed, the inflammation always originating at the point where the intestine has been invaginated, twisted, or knotted. Sometimes the part is gangrenous, the compression of the blood vessels preventing circulation, and thus causing the death of the tissues.
Treatment.—Purgatives, anodynes, and other remedies are of no service in such cases, and bleeding also fails to produce any benefit. Indeed, it is usually true that in such cases treatment is useless. Some cases are recorded in which an incision has been made in the flank, so as to enable the operator to restore the intestine to its normal position or to remove the kink.
Constipation is to be regarded rather as a symptom of disease or of faults in feeding than as a disease in itself. It occurs in almost all general fevers unless the bowels are involved in local disease, in obstructions of all kinds, from feeding on dry, bulky feed, etc. In order to remove the constipation the treatment must be applied to remove the causes which give rise to it. Calves sometimes suffer from constipation immediately after birth when the meconium that accumulates in the bowels before birth is not passed. In such cases, give a rectal injection of warm water and an ounce of castor oil shaken up with an ounce of new milk. The mother's milk is the best food to prevent constipation in the new-born calf, as it contains alarge amount of fatty matter which renders it laxative in its effects.
It is usually better to treat habitual constipation by a change of diet than by medicine. Flaxseed is a good feed laxative. If the constipation has lasted long, repeated small doses of purgatives are better than a single large dose.
Ventral hernia, or rupture, is an escape of some one of the abdominal organs through a rupture in the abdominal muscles, the skin remaining intact. The rumen, the small intestine, or part of the large intestine, and the fourth stomach are the parts which usually form a ventral hernia in bovine animals.
Causes.—Hernia is frequently produced by blows of the horns, kicks, and falls. In old cows hernia may sometimes occur without any direct injury.
Hernia of the rumen.—Hernia of the rumen is generally situated on the left side of the abdomen, on account of the situation of the rumen. In exceptional cases it may take place on the right side, and in such cases it also generally happens that some folds of the intestine pass into the hernial sac. Hernias have been classified into simple or complicated, recent or old, traumatic (from mechanical injury) or spontaneous.
In recent traumatic hernia there is swelling on the left side of the lower part of the abdomen. The swelling is greatest in the cases of hernia which are situated on the lower part of the abdomen. Unless an examination is made immediately after the injury has been inflicted it is difficult, and sometimes impossible, to ascertain the exact extent of the rupture, owing to the swelling which subsequently takes place. Frequently there is no loss of appetite, fever, or other general symptoms attending the injury. From the twelfth to the fifteenth day the swelling has generally subsided to such an extent that it is possible by an examination to determine the extent of the rupture.
In old cows what is termed spontaneous hernia may sometimes take place without any direct injury. The occurrence of this form of hernia is explained by the increase in the size of the abdomen, which takes place in an advanced stage of pregnancy, causing a thinning and stretching of the muscular fibers, which at last may rupture, or give way. Such hernias frequently occur about the end of the period of gestation, and in some instances have contained the right sac of the rumen, the omentum, the small and large intestines, a portion of the liver, and the pregnant uterus.
In old hernias the swelling is soft and elastic, and if they have not contracted adhesions to the sides of the laceration, they can be made to disappear by pressure carefully applied. Sometimes this accident is complicated by a rupture of the rumen, constituting a complicated hernia. If a portion of the contents of the rumen escape into the abdomen, the case will be aggravated by the occurrence of peritonitis.
Hernia of the bowel.—When the intestines (Pl. III, fig. 6) form the contents of the hernia, it will be situated at the right side of the abdomen. In an intestinal hernia the swelling is usually not painful, of a doughy consistence or elastic, according as the intestine does or does not contain alimentary matter. This swelling can generally be made to disappear by pressure, and when it has been reduced one can easily recognize the direction and extent of the hernial opening. Hernias of the bowel which are situated at the upper and right side of the abdomen are usually formed by the small intestine. They are less easily reduced than a hernia in a lower situation, but when reduction has been effected they are less readily reproduced than those occurring lower. In hernias of the small intestine, adhesion of the protruding parts to the walls of the opening, or strangulation, are complications which sometimes take place. If adhesion has taken place the hernia can not be reduced by pressure, and when strangulation has occurred the animal shows symptoms of pain—is restless, turns its nose to the painful part, and shows those symptoms which are usually collectively designated under the term colic. If relief is not afforded, the animal will die.
Hernia of the rennet, or fourth stomach.—This disease occasionally occurs in calves and is usually caused by a blow from a cow's horn on the right flank of the calf. After such an accident a swelling forms on the right flank near the last rib. This swelling may be neither hot nor painful, even at first, and is soft to the touch. It can be made to disappear by careful pressure, when the sides of the aperture through which it has passed can be felt. The application of pressure so as to cause the disappearance of the hernia is best made immediately after the occurrence of the accident, or when the edema which accompanies the swelling has disappeared.
Treatment.—When a hernia is reducible—that is, can be pushed back into the abdomen—then, if it is of recent occurrence, it is advisable to maintain the natural position of the parts by bandaging and to allow the walls of the laceration to grow together. The bowels should be kept reasonably empty by avoiding the use of bulky feed, and the animal must be kept quiet.
The following method of bandaging is recommended by Bouley: