Text book of veterinary medicine, Volume 2 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 2 (of 5)
Law, James
Veterinary medicine
Yet in a certain number of cases a moderate dose of aloes or castor oil
supplemented by frequent enemata and other measures, succeeds in safely
overcoming the obstruction. The solid impacted mass is gradually
softened and removed, and finally after perhaps three or four days of
complete obstruction the fæces begin to pass and recovery ensues.
With or without the aloes, the hypodermic use of pilocarpin or eserine
or both will often succeed in obtaining successful peristalsis. Barium
chloride while inducing more active peristalsis is, on that account,
somewhat more dangerous.
Pain may be moderated and fermentation checked by chloral hydrate (½
oz.), or, an anodyne, morphia (2–4 grs.), may be given hypodermically.
In the absence of these, extract of hyoscyamus or belladonna (2 drs.)
may be given by the mouth, and repeated as may be necessary. If tympany
is dangerous use the trochar and cannula. Enemata and other accessory
measures must not be neglected.
W. Williams has resorted to rectal injections of 2 oz. aloes forced into
the rectum by a syringe furnished with a long elastic tube, and repeated
when expelled. Brusasco has used copious liquid injections poured into a
rectal tube the end of which is raised at least ten feet above the
croup, so as to gain the requisite force. Schadrin uses injections of
cold water to stimulate the bowels to contractions. Injections of oils
or mucilaginous matters when they can be carried far enough lubricate
the walls and favor the passage of solid matters. Castor oil which acts
to a large extent locally is especially applicable.
Mechanical applications are often valuable. If the obstruction is lodged
in the rectum or floating colon it can usually be reached by the oiled
hand and carefully extracted. If this is not successful, impactions in
the floating colon or pelvic flexure may still be to a large extent
broken up and loosened by the knuckles of the oiled hand in the rectum.
I have often resorted to this with excellent effect. Impactions in the
cæcum or elsewhere in the double colon are however inaccessible for such
treatment. For these, external measures are available. Wilhelm wraps the
abdomen in cold compresses. Causse and Lafosse recommend the electric
current. Friction to the skin of the abdomen is a common resort.
Rudofsky turns the animal on his side or his back, to remove the weight
of the small intestines from the impacted cæcum or colon, and favor the
exit by gravitation of the contents from the cæcum into the colon.
Kneading of the abdomen with the fists or knee when in this recumbent
position may also be resorted to.
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