Special Report on Diseases of Cattle Part 4

[See Gastroenteritis, p. 33.]

CROUPOUS ENTERITIS.

Under certain conditions, severe irritation of the digestive ca.n.a.l 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 appet.i.te, diarrhea, and in the fecal ma.s.ses 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.

ENTERITIS (OBSTRUCTION RESULTING FROM INv.a.g.i.n.aTION, OR INTUSSUSCEPTION, TWISTING, AND KNOTTING OF THE BOWELS).

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 inv.a.g.i.n.ation.

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 in coming 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 sc.r.a.pes 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 pa.s.ses thin dung, and also urinates frequently, but pa.s.ses 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 pa.s.s any dung, though sometimes a small quant.i.ty of b.l.o.o.d.y mucus may be pa.s.sed. The animal pa.s.ses 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 inv.a.g.i.n.ated, 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.

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 acc.u.mulates in the bowels before birth is not pa.s.sed. 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 a large 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.

INTESTINAL WORMS.

[See chapter on "The animal parasites of cattle," p. 502.]

RUPTURES (VENTRAL HERNIA).

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 pa.s.s into the hernial sac. Hernias have been cla.s.sified 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 appet.i.te, 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, const.i.tuting 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 pa.s.sed 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:

First prepare a bandage (must be of strong material), about 10 yards long and between 3 and 4 inches broad, and a flexible and solid piece of pasteboard adapted in size to the surface of the hernia. The protruding organ must then be replaced in the abdomen and maintained in that position during the application of the bandage. This being done, a layer of melted pitch and turpentine is quickly spread on the skin covering the seat of the hernia, so as to extend somewhat beyond that s.p.a.ce. This adhesive layer is then covered with a layer of fine tow, then a new layer of pitch and turpentine is spread on the tow, and the piece of pasteboard is applied on the layer of pitch, its outer surface being covered with the same preparation. Lastly, the bandage, adhering to the piece of pasteboard, to the skin, and to the different turns which it makes around the body, is carefully applied so as to form an immovable, rigid, and solid bandage, which will retain the hernia long enough for the wound in the abdominal walls to heal permanently.

If the hernia is old and small it may be treated by injecting a strong solution of common salt about the edges of the tear. This causes swelling and inflammation, which, respectively, forces the protruded organ back and closes the opening. There is some risk attached to this method of treatment.

In small, old, ventral hernias the method of compressing and sloughing off the skin has been used successfully. If the hernia is large a radical operation will be necessary, and this is also true when the symptoms indicate that a hernia is strangulated. This operation is performed by cutting down on the hernia, restoring the organ to the abdominal cavity, and then closing the wound with two sets of st.i.tches; the inner st.i.tches, in the muscular wall, should be made with catgut and the outer st.i.tches, in the skin, may be made with silk or silver wire. The strictest surgical cleanliness must be observed. Bleeding vessels should be tied. Then a compress composed of ten or twelve folds of cloth must be placed smoothly over the seat of injury and a bandage applied around the body, the two ends being fastened at the back. In the smaller kinds of hernia, nitric acid may sometimes be applied with success. This treatment should not be applied until the swelling and inflammation attending the appearance of the hernia have subsided; then, the contents of the hernia having been returned, the surface of skin corresponding to it is sponged over with a solution composed of 1 part of nitric acid to 2 of water. This treatment acts by exciting considerable inflammation, which has the effect of causing swelling, and thus frequently closing the hernial opening and preventing the contents of the sac from returning. A second application should not be made until the inflammation excited by the first has subsided. In what is termed spontaneous hernia it is useless to apply any kind of treatment.

UMBILICAL HERNIA.--The umbilicus, or navel, is the aperture through which the blood vessels pa.s.s from the mother to the fetus, and naturally the sides of this aperture ought to adhere or unite after birth. In very young animals, and sometimes in newborn calves, this aperture in the abdominal muscles remains open and a part of the bowel or a portion of the mesentery may slip through the opening, const.i.tuting what is called umbilical hernia.

The wall of the sac is formed by the skin, which is covered on the inner surface by a layer of cellular tissue, and within this there is sometimes, but not always, a layer of peritoneum. The contents of the hernia may be formed by a part of the bowel, by a portion of the peritoneum, or may contain portions of both peritoneum and bowel. When the sac contains only the peritoneum it has a doughy feel, but when it is formed by a portion of the bowel it is more elastic on pressure.

_Causes._--In the new-born animal the opening of the navel is generally large, and may sometimes give way to the pressure of the bowel on account of the weak and relaxed condition of the abdominal muscles. This defective and abnormal condition of the umbilicus is frequently hereditary. It may be occasioned by roughly pulling away the umbilical cord; through kicks or blows on the belly; through any severe straining by which the sides of the navel are stretched apart. We may mention in this connection that it is best in new-born calves to tie the umbilical cord tightly about 2 inches from the navel, and then to leave it alone, when in most cases it will drop off in a few days, leaving the navel closed.

_Treatment._--It is well to bear in mind that many, and especially the smaller, umbilical hernias heal spontaneously; that is, nature effects a cure. As the animal gets older the abdominal muscles get stronger and possess more power of resistance to pressure, the bowels become larger and do not pa.s.s so readily through a small opening, so that from a combination of causes there is a gradual growing together or adhesion of the sides of the navel. In cases of umbilical hernia in which there are no indications that a spontaneous cure will take place, the calf should be laid on its back; immediately on this being done the hernia will often disappear into the abdomen. If it does not, its reduction may be brought about by gentle handling, endeavoring, if need be, to empty the organs forming the hernia before returning them into the abdomen. After the hernia has been returned, the hair should be clipped from the skin covering it and a compress composed of 10 or 12 folds of linen or cotton should be applied, first smearing the skin with pitch and then a bandage about 3 inches wide should be pa.s.sed round the body so as to retain the compress in position. The lower part of the compress should be smeared with pitch, and also those portions of the bandage which pa.s.s over it, so as to keep it solid and prevent it from shifting. In some cases it will be found that the contents of the sac can not be returned into the abdomen, and this generally arises from the fact that some part of the contents of the sac has grown to or become adherent to the edges of the umbilical opening. In such a case the skin must be carefully laid open in the long direction, the adhesions of the protruding organs carefully separated from the umbilicus, and after the protruding parts have been returned into the abdomen, the sides of the umbilicus must be freshened if necessary by paring, and then the edges of the opening brought together by catgut st.i.tches; the wound in the skin must then also be brought together by st.i.tches. The wound must be carefully dressed every day and a bandage pa.s.sed round the body so as to cover and protect the part operated on.

In small hernias nitric acid has been used successfully in the same manner as has been described in the treatment of ventral hernia. Sulphuric acid has also been used for a similar purpose, diluting it to the extent of 1 part of acid to 3 or 5 of water. In thin-skinned animals the weaker preparations ought to be preferred, and caution must be exercised in using such preparations so as not to destroy the tissues on which they are applied.

Another method of treatment is, after the contents of the sac have been returned into the abdomen, to tie a piece of strong waxed cord round the pendulous portion which formed the outer covering of the hernia. The string is apt to slacken after two or three days, when a new piece of cord should be applied above the first one. The constriction of the skin sets up inflammation, which generally extends to the umbilicus and causes the edges to adhere together, and by the time the portion of skin below the ligature has lost its vitality and dropped off, the umbilicus is closed and there is no danger of the abdominal organs protruding through it. This is what takes place when this method has a favorable result, though if the umbilicus does not become adherent and the skin sloughs, the bowels will protrude through the opening.

GUT-TIE (PERITONEAL HERNIA).--In peritoneal hernia of the ox a loop or knuckle of intestine enters from the abdomen into a rent in that part of the peritoneum which is situated at the margin of the hip bone or it pa.s.ses under the remains of the spermatic cord, the end of which may be grown fast to the inner inguinal ring. The onward pressure of the bowel, as well as the occasional turning of the latter round the spermatic cord, is the cause of the cord exercising considerable pressure on the bowel, which occasions irritation, obstructs the pa.s.sage of excrement, and excites inflammation, which terminates in gangrene and death.

The rent in the peritoneum is situated at the upper and front part of the pelvis, nearer to the sacrum than the p.u.b.es.

_Causes._--Among the causes of peritoneal hernia considerable importance is attached to a method of castration which is practiced in certain districts, viz, the tearing or rupturing of the spermatic cord by main force instead of dividing it at a proper distance above the t.e.s.t.i.c.l.e in a surgical manner. After this violent and rough method of operating, the cord retracts into the abdomen and its stump becomes adherent to some part of the peritoneum, or it may wind around the bowel and then the stump becomes adherent, so that strangulation of the bowel results. The rough dragging on the cord may also cause a tear in the peritoneum, the result of which need not be described. The severe exertion of ascending hills and mountains, drawing heavy loads, or the straining which oxen undergo while fighting each other may also give rise to peritoneal hernia.

_Symptoms._--The ox suddenly becomes very restless, stamps with his feet, moves backward and forward, hurriedly lies down, rises, moves his tail uneasily, and kicks at his belly with the foot of the affected side. The pain evinced may diminish but soon returns again. In the early stage there are frequent pa.s.sages of dung, but after the lapse of 18 or 24 hours this ceases, the bowel apparently being emptied to the point of strangulation, and the pa.s.sages now consist only of a little mucus mixed with blood. When injections are given at this time the water pa.s.ses out of the bowel without even being colored. The animal lies down on the side where the hernia exists and stretches out his hind feet in a backward direction. These two particular symptoms serve to distinguish this affection from enteritis and inv.a.g.i.n.ation of the bowel. As time pa.s.ses the animal becomes quieter, but this cessation of pain may indicate that gangrene of the bowel has set in, and may, therefore, under certain circ.u.mstances, be considered a precursor of death. Gangrene may take place in from four to six days, when perforation of the bowel may occur and death result in a short time.

_Treatment._--In the first place the ox should be examined by pa.s.sing the oiled hand and arm into the r.e.c.t.u.m; the hand should be pa.s.sed along the margin of the pelvis, beginning at the sacrum and continuing downward toward the inguinal ring, when a soft, painful swelling will be felt, which may vary from the size of an apple to that of the two fists. This swelling will be felt to be tightly compressed by the spermatic cord. It very rarely happens that there is any similar swelling on the left side, though in such cases it is best to make a thorough examination. The bowel has sometimes been released from its position by driving the ox down a hill; by causing him to jump from a height of 2 feet to the ground; the expedient of trotting him also has been resorted to with the hope that the jolting movement might bring about a release of the bowel. If the simple expedients mentioned have been tried and failed, then the hand being pa.s.sed into the r.e.c.t.u.m should be pressed gently on the swelling in an upward and forward direction, so as to endeavor to push the imprisoned portion of the bowel back into the abdomen. While this is being done the ox's hind feet should stand on higher ground than the front, so as to favor the slipping out of the bowel by its own weight, and at the same time an a.s.sistant should squeeze the animal's loins, so as to cause it to bend downward and so relax the band formed by the spermatic cord. If the imprisoned portion of gut is freed, which may be ascertained by the disappearance of the swelling, the usual sounds produced by the bowels moving in the abdomen will be heard, and in a few hours the feces and urine will be pa.s.sed as usual. If the means mentioned fail to release the imprisoned portion of the gut, then an incision about 4 inches long must be made in the right flank in a downward direction, the hand introduced into the abdomen, the situation and condition of swelling exactly ascertained, and then a probe-pointed knife inserted between the imprisoned bowel and band compressing it, and turned outward against the band, the latter being then cautiously divided and the imprisoned gut allowed to escape, or, if necessary, the bowel should be drawn gently from its position into the abdomen. The wound in the flank must be brought together in the same way as in the case of the wound made in operating for impaction of the rumen.

WOUNDS OF THE ABDOMEN.

A wound of the abdomen may merely penetrate the skin; but as such cases are not attended with much danger, nor their treatment with much difficulty, we will consider here merely those wounds which penetrate the entire thickness of the abdominal walls and expose to a greater or less extent the organs contained in that cavity.

_Causes._--Such accidents may be occasioned by falling on fragments of broken gla.s.s or other sharp objects. A blow from the horn of another animal may penetrate the abdomen. Exposure and protrusion of some of the abdominal organs may also be occasioned by the incautious use of caustics in the treatment of umbilical or ventral hernia. The parts which generally escape through an abdominal wound are the small intestine and floating colon.

_Symptoms._--When the abdominal wound is small, the bowel exposed presents the appearance of a small round tumor, but in a few moments a loop of intestine may emerge from the opening. The animal then shows symptoms of severe pain by pawing with his feet, which has the effect of accelerating the pa.s.sage of new loops of intestine through the wound, so that the ma.s.s which they form may even touch the ground. The pain becomes so great that the ox now not only paws but lies down and rolls, thus tearing and crushing his bowels. In such cases it is best to slaughter the animal at once; but in the case of a valuable animal in which tearing and crushing of the bowels has not taken place the bowels should be washed with freshly boiled water reduced to the temperature of the body and returned and the wounds in the muscle and skin brought together in a manner somewhat similar to that described in speaking of ventral hernia.

DISEASES OF THE LIVER AND SPLEEN.