The Dog Part 13

STOMACH.--ST. VITUS'S DANCE.

This disease generally is a.s.sumed to be a nervous disorder, and so the symptoms declare it to be; but on _post mortem_ examinations no lesion is found either upon the brain, spinal marrow, or the nerves themselves. This last circ.u.mstance, however, proves nothing; for the same thing may be said of teta.n.u.s in the human being, and of stringhalt in the horse; both of them being well-marked nervous affections. I append St. Vitus's Dance to the stomach, not because of that which I have not beheld, but because of that which I have positively seen.

It follows upon distemper. I do not know it as a distinct disorder, though it is a.s.serted to exist as such when the greater or leading disease is un.o.bserved. It then follows up the affection which primarily involves the stomach and intestines, and to which indications all other symptoms are secondary. On every _post mortem_ which I have made of this disorder, I have discovered the stomach inflamed; and, therefore, not because the nerves or their centres are blank, but because on one important viscus I have found well marked signs to impress my reason, I propose to treat of this disorder as connected with the stomach.

[Ill.u.s.tration: THE POINTER.]

The signs to which I allude, consists of patches of well-defined inflammation; and hence, knowing how distemper has the power to involve other organs, I conclude it has caused the spinal marrow to be sympathetically affected.

The symptoms of the disease are well marked. The poor beast, whether he be standing up or lying down, is constantly worried with a catching of the limb or limbs--for only one may be affected, or all four may be attacked.

Sleeping or waking, the annoyance continues. The dog cannot obtain a moment's rest from its tormentor. Day and night the movement remains; no act, no position the poor brute is capable of, can bring to the animal an instant's downright repose. Its sleep is troubled and broken; its waking moments are rendered miserable by this terrible infliction. The worst of the matter is, that the dog in every other respect appears to be well. Its spirits are good, and it is alive for happiness. If it were released from its constant affliction, it is eager to enjoy its brief lease of life as in the time of perfect health. Plaintive and piteous are its looks as, lying asleep before the fire, it is aroused by a sudden pain; wakes, turns round, and mutely appeals to its master for an explanation or a removal of the nuisance. When stricken down at last, as, unable to stand, it lies upon its straw, most sad is it to see the poor head raised, and to hear the tail in motion welcoming any one who may enter the place in which it is a helpless but a necessary prisoner.

In this disorder the best thing is to pay every attention to the food. The wretched animal generally has an enormous appet.i.te, and, when it is unable to stand, will continue feeding to the last. This morbid hunger must not be indulged. One pound of good rice may be boiled or cooked in a sufficiency of carefully made beef-tea, every particle of meat or bone being removed. This will const.i.tute the provender for one day necessary to sustain the largest dog, and a quarter the amount will be sufficient for one of the average size. Where good rice is not to be obtained, oatmeal or bread, allowing for the moisture which the last contains, may be subst.i.tuted. No bones, nor substances likely, when swallowed, to irritate the stomach, must on any account be allowed. The quant.i.ty given at one time must ever be small; and every sort of provender offered should be soft and soothing to the internal parts; though the poor dog will be eager to eat that which will be injurious. Water should be placed within its reach, and offered during the day, the head being held while the incapacitated animal drinks.

When a dog is prostrated by this affliction, it must on no account be suffered to remain on the floor, where its limbs would speedily become excoriated, being forcibly moved upon the boards; anything placed beneath the animal to save the limbs, would be saturated with the urine and faeces the poor beast is necessitated to pa.s.s. The best bed in such cases is made of a slanting piece of woodwork, of sufficient size to allow the animal to lie with ease at full length. The planks composing the wooden stage must be placed apart, be pierced with numerous holes, have the edges rounded, and be elevated at one end so as to allow all moisture readily to run off. The wood must be covered with a quant.i.ty of straw; which sort of bedding is convenient, not only because it allows the water to speedily percolate through it, but because it is warm, and being cheap, permits of repeated change.

Physic is not of much avail in this disorder; kind nursing and mild food will do more towards recovery. Still, medicine, as an accessory, may be of considerable service, and in a secondary view deserves honorable mention.

Alkalies, sedatives, and vegetable bitters, may be combined in various forms. The author's favorite sedative in stomach diseases is hyoscyamus, and alkali potash. For a bitter, qua.s.sia is a very good one; better than gentian, a small amount of the extract of which, however, may be used to make up the pill. When speaking of the pill, the most important ingredient must not be forgotten--I mean nux vomica. Some people employ strychnia, but such persons more often kill than cure their patients. Strychnia in any doses, however minute, is a violent poison to the dog. While at college I beheld animals killed with it; and there does not live the person who knows how to render this agent safe to the dog. Nux vomica, even, must be used in very minute doses, to be entirely safe--from a quarter of a grain to a small pup, to two grains to the largest animal.

That quant.i.ty must be continued for a week, four pills being given daily; then add a quarter of a grain daily to the four larger pills, and a quarter of a grain every four days to all the smaller ones; keep on increasing the amount, till the physiological effects of the drug, as they are called, become developed. These consist in the beast having that which uninformed people term "a fit." He lies upon the ground, uttering rather loud cries, whilst every muscle of his body is in motion. Thus he continues scratching, as if it was his desire to be up and off at a hundred miles an hour. No sooner is he rid of one attack than he has another. He retains his consciousness, but is unable to give any sign of recognition. It is useless to crowd round the animal in this state; the drug must perform its office, and will do so, in spite of human effort.

The very best thing that can be done, is to let the animal alone until the attack is over, when writers on Materia Medica tell us improvement is perceptible. I wish it was so in dogs. I have beheld the physiological effect of nux vomica repeatedly, but cannot recollect many instances in which I could date amendment from its appearance.

The following is the formula for the pill recently alluded to:--

Potash Two to seven grains.

Extract of hyoscyamus Half a grain to four grains.

Qua.s.sia powder Three to sixteen grains.

Nux vomica A quarter of a grain to two grains.

Extract of gentian A sufficiency.

The above quant.i.ties are sufficient for one pill, four of which are to be given daily for a week, at the expiration of which period the increase may begin. If the above, after a fair test has been made of it, does not succeed, trial may be inst.i.tuted of the nitrate of silver, the trisnitrate of bis.m.u.th, or any of the various drugs said to be beneficial in the disease, or of service in stomach complaints. In this disorder the same drug never appears to act twice alike, therefore a change is warranted and desirable.

Hopes of restoration may be entertained if the animal can only be kept alive to recover strength; then confident expectation can be expressed that the dog will outgrow the disease. The first signs perceptible which denote recovery are these:--The provender the beast consumes is evidently not thrown away. Instead of eating much, and ungratefully becoming thinner and thinner upon that which it consumes, the animal displays a disposition to thrive upon its victuals. It does not get fat on what it eats, but it evidently loses no flesh. It grows no thinner; and if the strength be not recruited, it obviously is not diminished. The animal does not gorge much wholesome diet daily, to exhibit more and more the signs of debility and starvation. If only a suspicion can be felt that the poor dog does not sink, then hope of ultimate success may warm the heart of a kind master; but when the reverse is obvious, though killing a dog is next to killing a child--and he who for pleasure can do the one, is not far off from doing the other--yet it is mercy then to destroy that existence which must else be miserably worn away. When there is no chance left for expectation to cling to, it becomes real charity to do violence to our feelings, in order that we may spare a suffering creature pain; but when there is a prospect, however remote, of recovery, I hope there is no veterinary surgeon who would touch the life. When the animal can stand, we may antic.i.p.ate good; and whatever is left of the complaint, we may a.s.sure our employers will vanish as the age increases; for St. Vitus's Dance is essentially the disease of young dogs. But as recovery progresses, we must be cautious to do nothing to fling the animal back. No walks must be enforced, under the pretence of administering exercise. The animal has enough of that in its ever-jerking limbs; and however well it may grow to be while the disease lasts, we may rest a.s.sured the dog suffering its attack stands in need of repose.

BOWEL DISEASES.

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 coa.r.s.e 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 size from the commencement to the termination; the duodenum and the most posterior portion of the r.e.c.t.u.m being the largest, though not so much so as materially to destroy the appearance of uniformity. The caec.u.m is no more than a small appendage--a little sac attached to the main tube; it has but one opening, and that is very diminutive. I think all the food, as in other animals, pa.s.ses into and out of this intestine; which, because of its peculiar formation, is therefore particularly liable to be disordered. In the dog which has died of intestinal disease, the caec.u.m is almost invariably found enlarged and inflamed. In it, I imagine, the majority of bowel affections have their origin. The gut is first loaded, and the consequence of this is, it loses its natural function. The contents become irritants from being retained, and the whole process of digestion is deranged; other parts are involved, and inflammation is induced.

Writers do not notice the tendency of the caec.u.m 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 faeces 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 r.e.c.t.u.m is deficient; the hardness proving prolonged detention, denoting the intestines have lost their activity.

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 r.e.c.t.u.m, 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, a.s.sistance should be afforded. An enema, of the solution of soap--or of Epsom salts, from half an ounce to a quarter of a pound, in a quarter of a pint to a quart of water--may be administered. A more active injection will be, from half a drachm to four drachms of turpentine, beaten up with the yolks of so many eggs as there are drachms of the oil, and mixed with the quant.i.ty of water just named.

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 caec.u.m, 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 repet.i.tion 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 it, and hit itself against anything that may be in its way; it scampers from room to room, or hurries from place to place; it is unable to be still or silent; and perhaps getting into a corner, it makes continuous efforts as though it wished to scramble up the wall, remaining there jumping with all its strength, and at the same time yelling at the top of its voice. This excitement may last for an hour or more, and then cease only to be renewed: till at length the powers fail, and in half a day the animal may be dead. Just prior to death, a ma.s.s of compact faeces is usually pa.s.sed; and blood, with dysentery, is generally witnessed for the short period the animal survives. After death, general inflammation of the intestines is discovered, and the dog is reported to have perished from an attack of enteritis which no medicine could subdue.

In such cases, the first examination should be directed to the r.e.c.t.u.m; 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 pract.i.tioner; 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 twenty minutes. If, from the enema, nothing follows, the finger should then certainly be introduced, and perhaps a compact ma.s.s may be felt firmly grasped by the intestine. Slowly, and with great caution, this must be broken up, and brought away bit by bit. The handle of a spoon has been recommended for this purpose, but I entreat my readers not to use it.

Where pain is present, and life or death hang on the issue, there is no right to be any delicacy. An instrument of any kind introduced into such a part, and employed while the body is writhing about in agony, cannot be free from danger, and scarcely can be so used as to be effective. The finger is the quickest, the most safe, and the most effectual instrument; for we have it under our command, can guide it at our will, and with it take cognisance of all the circ.u.mstances presented. Even that must be employed gently, and this will be best done by the avoidance of haste. The surgeon is bound to be skilful, but he ought never to be in a hurry. Let all the time that can be occupied on such a matter be freely taken, and during the process, let the cries of the animal be attended to; any change of note will contain a warning which must not be disregarded. Without attending to that, the intestine might be ruptured, and death would then be certain.

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 given to unload the caec.u.m. The medicine having acted freely, the food must be amended, the treatment altered, and such other measures taken as the digestion may require for its restoration.

[Ill.u.s.tration]

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 d.u.c.h.ess 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 b.i.t.c.h generally perishes. When it starts up in the later or more virulent stage of distemper, especially at the time when the champing of the jaw denotes the approach of fits, the chance of a favorable termination to the disease is materially diminished. When in a violent form it attacks a litter of puppies, either simultaneously or consecutively, it is always attended with danger. At no season, and under no circ.u.mstances, is it trivial, and never ought it to be neglected. The cries and distress of the suffering animal will, when it is fully established, enforce attention; but too often it has then proceeded so far that much medicine will not check what in the first instance a single dose might have entirely banished.

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 appet.i.te 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 changes its position. The next time it may rise, look round, and seek another place; which having found, it appears to settle itself and to go to sleep. The rest once more is broken, the voice grows more full and loud; the dog jumps up and runs about for a little while, then selects a spot where it curls its body tightly up, as if resolved to have out its nap. The interruption, however, constantly recurs; and at each return the exclamation is more emphatic--the starting more energetic--the movement more abrupt--and, contrasting these, the determination or desire to repose becomes more strong. Thus endeavoring to sleep, and being constantly disturbed by some sharp and shooting pain, the dog may continue for a day, or two, or three, its cries, during the whole period, offending a neighborhood.

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 appet.i.te 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 wiry. During simple spasm the voice is natural, rich, sonorous, and almost musical; but in inflammation it is short, harsh, high, and broken, the exclamations not being continuous, but consisting of a series of disconnected "_yaps_."

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 quant.i.ty, 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 must enter into all the remedies employed. On the dog their action is, in my opinion, always beneficial; and were they not directly so, the influence they possess in deadening pain would be sufficient reason to justify their adoption. The other measures consist of such as will be found mentioned under the head of enteritis; but it is essential to observe any faeces which may be ejected by the animal that has suffered colic; for by these we may sometimes guess the cause of the attack, and more often learn the means through which a return may be prevented.

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 circ.u.mstances 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 a.s.sert 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 const.i.tution, 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 cases of enteritis submitted to my notice, have been clearly traced to have commenced with something of that kind.

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 a.n.u.s; the urine is sometimes scanty, always high-colored; the tongue is rough and clammy, the thirst strong, and the appet.i.te 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 has performed them. Eloquent are the appeals which they sometimes make to the feelings of one in whom they have placed their confidence; often staggering to meet him when he enters; looking upward into his face, and uttering low cries, which are more expressive than words could possibly be rendered. He who has had much to do with dogs must, if he be not insensible, grow to like them, and gradually learn to think these creatures possess both knowledge and reason. They will sometimes, without a struggle, swallow the most pungent and nauseous drinks; but such is not the case during enteritis. The brain in that disease is always sympathetically affected, the state of the eye, its peculiar expression and dilated pupil, denote the fact; and the manner of the dog would, without these indications, lead us to surmise the circ.u.mstance.

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 r.e.c.t.u.m 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 to fail, it may also be employed. Two hours subsequent to the calomel being given, from half an ounce to three ounces of castor-oil, diluted with half the quant.i.ty of olive-oil, should be used as a drench; and thrice during the day the following may be administered either as a pill or draught, in thick gruel, soup, or mucilage, at the option of the pract.i.tioner; who will, of course, be guided by the disposition of the patient, which in every particular must be considered:--

Grey powder Five grains to a scruple.

Powdered ipecacuanha Half a grain to four grains.

Extract of hyoscyamus One to eight grains.

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.