Part 7

ACTINOMYCOSIS OF THE JAWBONES (BIG JAW OR LUMPY JAW).

INFLAMMATION OF MUCOUS MEMBRANE OF MOUTH (STOMATITIS).

The membrane of the mouth may become inflamed by eating some irritating substance or plant, or little vesicles may form in the mouths of calves when they are affected with indigestion, constituting what is termed aphtha.

Symptoms.--The saliva dribbles from the mouth, and when the mouth is examined the surface of the tongue and other parts appear red and inflamed. When young animals are affected with the form of disease termed aphtha, small red elevations are observed on the tongue and other parts of the mouth, having little white points on their centers, which consist of the epithelium of the mucous membrane raised into vesicles. These white patches are succeeded by ulcerated surfaces, which are caused by the shedding of the white patches of epithelium.

Treatment.--When there is merely a reddened and inflamed condition of the mucous membrane of the mouth, it will suffice to syringe it out several times a day with 4 ounces of the following solution: Alum, 1 ounce; water, 2 pints. When the edges of the tongue and other parts of the mouth are studded with ulcers, they should be painted over once a day with the following solution until the affected surface is healed: Permanganate of potassium, 20 grains; water, 1 ounce. When indigestion is associated with an ulcerated condition of the mouth, separate treatment is required.

ULCERATIVE STOMATITIS (OR ULCERS IN THE MOUTHS OF YOUNG CALVES).

MYCOTIC STOMATITIS (SORE MOUTH).

INDURATION OF THE TONGUE (ACTINOMYCOSIS).

DISEASES OF THE PHARYNX AND GULLET.

PHARYNGITIS (SORE THROAT).

Pharyngitis is an inflammation of the mucous membrane lining the pharynx. It is frequently associated with inflammatory diseases of the respiratory tract, such as laryngitis and bronchitis or pleurisy.

Symptoms.--The muzzle is dry and the saliva dribbles from the corners of the mouth; the animal swallows with difficulty or not at all, and holds its neck in a stiff, straight position, moving it as little as possible. The eyelids are half closed, the white of the eye is bloodshot, and the animal occasionally grinds its teeth. After masticating the feed the animal drops it out of its mouth as if to avoid the pain of swallowing, and also evinces pain when pressure is applied externally on the pharynx and tries to prevent the pressure from being applied.

Causes.--Pharyngitis may be produced by a sudden cooling of the surface of the body, as when cattle are exposed to a cold wind or a cold rain; or by swallowing irritant substances.

Treatment.--The throat should be syringed three times a day with an ounce of the following solution: Nitrate of silver, 1-1/2 drams; distilled water, 1 pint. Bland and soothing drinks, such as linseed tea or oatmeal and water should occasionally be offered. Diet should consist of soft food, such as bran mashes with a little linseed meal mixed in them. Dry hay and fodder should not be given. Fresh, green grass or sound ensilage may be fed in small quantities. The upper part of the throat and the space between the jaws should be well rubbed once a day with the following liniment: Liquor ammonia fortior, 4 ounces; oil of turpentine, 4 ounces; olive oil, 4 ounces; mix. When evidence of blistering appears the application of the liniment should be stopped and the skin anointed with vaseline. Under the treatment described above the inflammation of the throat will gradually subside and the animal will be able to swallow as usual in five or six days. We need hardly say that during its treatment the sick animal should be kept in a comfortable stable.

PAROTITIS.

Inflammation of the parotid gland may arise from the inflammation extending to it when an ox is affected with pharyngitis or laryngitis, or the inflammation may commence in the salivary ducts and may depend on some influence the nature of which is unknown. Parotitis sometimes arises from a blow or contusion severe enough to set up inflammation in the structure of the gland. Tuberculosis and actinomycosis may infrequently be characterized by the lodgment of their parasitic causes in the parotid glands, in which case parotitis may be a symptom of either of these diseases.

Symptoms.--There is an elongated, painful swelling, beginning at the base of the ear and passing downward along the posterior margin of the lower jaw. The swelling is sometimes limited to one side, and when both are swollen it is generally larger on one side than on the other. The secretion of saliva is increased, the appetite is poor, the neck is stiff, so that it is painful to raise the head, and feed is swallowed with difficulty. In many cases the swelling of the glands, when submitted to proper treatment, disappears in a comparatively short time. In other cases, however, they remain enlarged, even after the animal recovers its appetite. In tuberculosis, lymphatic glands beneath the parotid glands are sometimes enlarged, thus causing the appearance of enlarged parotid glands.

Treatment.--A warm bran poultice, made by mixing bran with a hot 2 per cent compound cresol solution in water, should be applied on the swollen gland and kept in place by means of a bandage. Whenever the poultice has cooled it should be replaced by a new one. This treatment should be continued until the pain is less and the swelling is reduced or until there is evidence of pus formation, which may be ascertained by examining the surface of the gland with the fingers; and when, on pressing any part of the surface, it is found to fluctuate or "give," then we may conclude that there is a collection of pus at that place. It is well not to open the abscess until the fluctuation is well marked, as at this stage the pus or matter is near the surface and there is less trouble in healing the wound than if the pus is deep seated. The abscess should be opened with a clean, sharp knife. The poulticing should then be continued for two or three days, but the form of the poultice should be changed, by replacing the bran with absorbent cotton and pouring the compound cresol solution on the cotton. At all times the wound should be kept clean and the cavity injected once or twice daily with a solution of 1 dram of carbolic acid in 8 ounces of water. Under this treatment the pus may cease and the wound heal without complications. Saliva may issue from the orifice and result in the formation of a salivary fistula. This requires operative treatment by a qualified veterinarian. When poulticing fails to reduce the swelling or produce softening, the inflamed area may be rubbed once daily with camphorated oil, compound iodin ointment, or painted twice daily with Lugol's solution of iodin. The diet should be as recommended under Pharyngitis (p. 17).

PHARYNGEAL POLYPI.

Tumors form not infrequently in the pharynx, and may give rise to a train of symptoms varying according to their size and location. The tumor may be so situated that by shifting its position a little it may partially obstruct the posterior nares (nostrils), when, of course, it will render nasal breathing very noisy and labored. In another situation its partial displacement may impede the entrance of air into the larynx. In almost any part of the pharynx, but especially near the entrance of the gullet, tumors interfere with the act of swallowing. As they are frequently attached to the wall of the pharynx by a pedicel or stalk, it will be seen that they may readily be displaced in different directions so as to produce the symptoms before described. Enlarged postpharyngeal lymphatic glands are not rare in tuberculosis, and by pressing upon the wall of the pharynx and restricting the lumen of this organ they cause difficulty in both breathing and swallowing. Such enlarged glands may be differentiated from tumors by passing the hand into the cow's throat after the jaws are separated by a suitable speculum or gag.

Treatment.--The method of treatment in such cases is to separate the animal's jaws with an instrument termed a gag, and then, after drawing the tongue partially forward, to pass the hand into the pharynx and to twist the tumor gently from its attachment. One veterinarian who has had considerable practice in treating this form of disease scrapes through the attachment of the tumor gradually with his thumb nail. When the attachment is too strong to be severed in this way an instrument like a thimble, but possessing a sharp edge at the end, may be used to effect the same purpose, or the base of the tumor may be severed by the use of a crushing instrument known as an Ècraseur.

CHOKING.

Choking usually happens from attempting to swallow too large an object, such as a turnip, potato, beet, apple, or pear, though in rare cases it may occur from bran, chaff, or some other finely divided feed lodging in and filling up a portion of the gullet. This latter form of the accident is most likely to occur in animals that are greedy feeders.

Symptoms.--The symptoms vary somewhat according to the part of the gullet or throat in which the obstruction is. In most cases there is a discharge of saliva from the mouth; the animal coughs frequently, and when it drinks the water is soon ejected. The cow stops eating and stands back from the trough, the expression is troubled, breathing is accelerated, and oftentimes there is bloating as a result of the retention of gas in the paunch. These symptoms, however, are not always present, for if the obstacle does not completely close the throat or gullet, gas and water may pass, thus ameliorating the discomfort. If the obstruction is in the neck portion of the gullet, it may be felt as a lump in the left jugular gutter.

Treatment.--If the object is in the throat, it is advisable to put a gag in the animal's mouth, and, while the head is held in a horizontal direction by two assistants, to pass the hand into the pharynx, grasp the foreign body, and withdraw it gradually and steadily. When the substance is lodged in the upper part of the gullet, pressure should be made by an assistant in an upward direction against the object while the operator passes his hand into the pharynx, and if the assistant can not by pressure dislodge the substance from the gullet, the operator may by passing his middle finger above and partly behind the substance gradually slide it into the pharynx and then withdraw it by the mouth.

The presence of an obstructing substance in the cervical (neck) portion of the gullet may be ascertained by passing the hand along the left side of the neck, when a hard and painless swelling will be found to indicate the presence of the foreign body. In such cases we must endeavor by gentle and persevering pressure with the thumb and next two fingers to slide the obstructing substance gradually upward to the pharynx. To facilitate this it is well to give the animal a half pint of raw linseed or olive oil before the manipulations described are commenced. When the substance has been brought into or nearly into the pharynx, then the mouth gag should be used, the tongue drawn partially forward with the left hand, and the right should be passed backward into the pharynx to withdraw the obstruction.

When bran or chaff causes the trouble it is best to give a small quantity of oil to lubricate the walls of the gullet, and then by gentle and persevering pressure, to endeavor to separate and divide the mass and to work it downward toward the stomach. This will be assisted by pouring small quantities of oil and water down the animal's throat. It is not advisable to use the probang to push down any soft material, such as oats or chaff, as this generally condenses and renders firmer the obstructing substance by pressing its particles or elements together, so that it forms a solid, resisting mass which can not be moved.

In some cases the foreign body, either because it is in the chest portion of the esophagus, and so beyond reach, or because too firmly seated, can not be dislodged from the neck by pressing and manipulating that part externally. In such event we must resort to the use of the probang. (Pl. III, figs. 2 and 3.) A probang is a flexible instrument and adapts itself to the natural curvature of the gullet, and if used cautiously there is not much risk of injury. Before passing the probang, a gag which has an aperture at each end, from which straps pass to be buckled at the back of the head below the horns, is introduced into the mouth. (Pl. III, fig. 4.) The probang should then be oiled, and, the head and neck being held in a straight line by two assistants, the tongue must be partly drawn out of the mouth, the probang cautiously passed along the roof of the mouth into the pharynx and thence into the gullet, through which it is passed down. If resistance is met, gentle and continuous pressure must be used, under the influence of which the object will generally in a short time pass into the stomach. One must be careful not to pass the probang into the larynx and thence into the windpipe, as an animal may readily be killed in this way. This accident is indicated by efforts to cough and by violently disturbed breathing. If such symptoms arise the probang must be withdrawn at once. To avoid a wrong passage, the end of the tube should be pressed very slowly through the throat until its presence in the esophagus is assured. After it is once in the esophagus care is still necessary, because the walls of this tube may easily be torn.