The Therapy of Obstruction of the Omasum

The Therapy of Obstruction of the Omasum

The Veten·nary 7ournal. After the operation the animal wa s rai sed behind and dieted for fourteen days . The fir st four days the mare was dull but a...

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The Veten·nary 7ournal. After the operation the animal wa s rai sed behind and dieted for fourteen days . The fir st four days the mare was dull but ate the food g iven quite well. The temperature at fir st 39° C. gradua lly declined to 38 .2° on the fourth day. After four weeks the saddle wa s put on and the mare ridden a ga in . On mountin g she was at fir st rather tickli sh, but sh owed no ob stinacy and went quietly. She wa s sub sequently ridden every day, and there was no diffi culty in sittin g or riding her. In three months she wa s so quiet that she could be ridden by a lady. Deg eneration of the o va rie s wa s evid entl y th e cau se of the defect in thi s mare.-Zeits chrijt fiir Ve terilla1'kulld e.

THE THERAPY OF OBST RUCTI ON OF THE O M A SUM. By R. B1 SS AUGE . I XDIGESTION, or ob st ru ctio n o f t he o masum, is seldo m a pri ma ry but often a seconda ry ailment, whi ch is al way s accompanied by an inflamm a tory condi tion o f the muco u s m embr ane of thi s o r gan an d w hich f requ ent ly comes und e r notice in practice; it is a n obstinate di sease, hard to ove rco m e. The author con sider s the cau se to be a gastro-intesti nal a ut o-int oxication cau sing interrn ption of th e m ot ile power o f the oma um , on which account it is freq uen tly co nn ected w it h a lack of activity o f the rum en . The q uality o f the food ca nn ot be bl a med . Spo ntaneo us cure only occu rs except io nall y; cure ca n onl y be attained by a r ati onal. m eth odical, an d suffic iently lon g co ntin ued t reatment. Th e auth o r di sting ui shes severa l indi cat ion s in t he t reatment : (1) Th e diluti on of th e im pacted food bet ween the leaves of th e omasum ; (2) t he in citing o f th e cont ract ile power of the or gan ; a nd (3) th e co mbating o f sym pt om s o f a uto-in toxication. T he dilu tion of th e im pacted foo d is best accompli shed by wa rm , mu cil ag in ou s fluid s in la rge qu a nt ity (20. 25, 30 litre s in a day), g ive n as dren ches if th e a nim al will not drink. When drenchi ng it is importa nt to g ive slowly an d in u ni so n with th e g ul ps o f t he an ima l, so t hat a specifie d pa rt of t he flui d gai n s th e oma sum. D ecocti o ns of lin seed, ma ll ow, or barley, made as a r ather thick mn cil age, but not pasty, are suita bl e fo r admini stra ti on . T he intro du ction o f la rge qu ant itie s o f wate r in to the rumen by means of a can ul a, as r eco mm end ed by H ohn e, is not

The Therapy

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Obstruction

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Omasum.

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<:ountenanced by Bissauge, because paresis of the organ is favoured thereby. After two to three day s of dilution one begins to try and ,e stablish contractility of the omasum by means of warm aromatic medicament s, such as infu sions of peppermint root, green tea, sa ge, wormwood, and cam{)mile, which act chiefly on the atony of the rumen and by continuation on the omasum. These infu sio n s are g iven cautiously with a small quantity of alcohol , or better with hydrochloric acid, in order to overcome dyspeptic symptoms. The author has used the following with succe ss for so me years : (I) Herb. menth. pip ., herb. absinthi, herb. trifol. fibr. , flor. cammom, vulg, aa 25. M.D.S .-Boil with I! litres of water and strain. (2) Spirit frument. carv. 250, acid hydrochlor. dil. 40, tinct. nux vom. 30. Give three times daily with half a litre of the above infusion. The medicine is used up in twenty-four hours and may be repeated without injury. Copious clyst ers of cold salty water or diluted creolin aid in the evacuation of the bowels and combat absorption of toxin. After diluting the contents of the omasum the author has frequently been successful with barium chloride, 15 to 20 grm. given three time s daily, as an electuary. Rumination ceasing, 5 to 10 grm. of ipecacuanha may be g iven in a warm aromatic infusion. The best excitants of contractility of the omasum are eserine, veratrine, pilocarpin, or arecolin. It is advisable to inject weak do ses, I to 2 or 3 cg. at the most. Veratrine is especially to be used with caution in cattle practice. The author considers arecolin effective and little dan g·erou s. Massage of the rumen and the giving of hay tea, grain concoction, or whole milk helps. Drinks and aromatic infu sions should be given until the excrement is norma1.-Revue Generale de M edecine Veterinaire. [The translator has had mo st success in the treatment of this complaint during the last three years by u sin g "Arecovetrol" capsules (a combination of arecolin, veratrine, and strychnine) dis so lved in lin see d tea , and nothin g but these for four days at lea st. "Obstruction" of the omasum is a better word to use than "impaction." A certain amount of "impaction" would always seem to exi st.-G. M.]