Diseases of cattle, sheep, goats and swineMoussu, G. (Gustave)
Science
Diseases of cattle, sheep, goats and swine
Moussu, G. (Gustave)
Veterinary medicine
In œsophagitis due to scalding the blisters are soon broken by the
passage of food, the corium is exposed, and the animal has equal
difficulty in swallowing either solids or liquids. The reflex action
provoked by the passage of the food over these lesions may be so violent
that the ingesta never arrive at the stomach, but are violently rejected
by a sudden and unexpected antiperistaltic contraction. Even saliva is
returned. Moreover, in these cases the history is generally clear, and
the animal is feverish or greatly depressed. These objective symptoms
are very significant, and when, in addition, an abnormal and exceptional
degree of sensibility is detected at some point by palpation, they
unmistakably indicate the existence of œsophagitis.
The irregularity in deglutition, and therefore also in rumination,
sometimes excites moderate tympanites without any very apparent cause.
Should the condition still appear doubtful the œsophageal sound may be
passed, but with great care. It generally aggravates the pain and
produces intense antiperistaltic movements, which the practitioner
should not attempt to overcome.
=Complications.= If œsophagitis is moderate, recovery is the rule. The
symptoms of pain gradually diminish.
When, on the contrary, inflammation is very intense, as in certain cases
of traumatic œsophagitis, the injured spot may become infected and
suppuration follow. The existing fever then persists or becomes more
marked; the animal is extremely depressed; respiration may be difficult
and accelerated, and appetite is entirely lost.
If the œsophageal abscess remains submucous the diagnosis is difficult,
but it is often problematical, even when the abscess develops in the
cervical region. The jugular furrow (usually on the left side) becomes
the seat of a severe diffuse inflammatory swelling, the course of which
clearly indicates the development of the symptoms. In exceptional cases
fluctuation may be detected.
If from the first the abscess develops around the œsophagus or in the
course of suppuration comes to occupy this position, swelling in the
jugular furrows is more apparent and easier to detect, and in this case
fluctuation may be localised. When the lesions are within the thorax no
tangible symptoms can be detected. Death may occur in a few days, when
an abscess in the lower cervical region breaks into the anterior
mediastinum, or when an abscess in the thoracic region opens into the
pleural cavity. In œsophagitis produced by scalding and from swallowing
hot or caustic liquids the mucous membrane, and sometimes the muscular
tissue, is destroyed, and ulcerations and cicatrices result, or the
œsophagus may even be perforated, with rapidly fatal results; even when
recovery occurs, cicatrices form and cause very grave contraction.
=Diagnosis.= The diagnosis is generally easy, provided that the symptoms
noted are methodically analysed and the history of the case is taken
into consideration.
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