Friday, October 10, 2014

Jaw Dropping Oral Emergencies



 
                        The Golden Retriever is a popular and favorite dog breed with external beauty that is a reflection of its inner beauty. The Golden Retriever’s “happy-to-be-alive” personality and “golden heart” fits well into many families.  Just when I thought I had seen it all, along comes “Waylon,” a Golden Retriever, of course, and the story of his missing Gumabone.

                        At a year of age and 76 pounds, Waylon was growing into a true Golden Retriever---happy-go-lucky, and playful.  In an effort to keep the much younger Waylon entertained, his human grandmother had given him a six inch Gumabone, made of rubber, to chew.  As a young pup, the Gumabone was an appropriate and thoughtful chew toy.  As a young adult, this Gumabone was definitely no longer “Waylon-sized.”

                        Waylon had stopped playing with his Gumabone as he grew older, although it was still available to him.  Interestingly, he never actually chewed on this toy.  Then, one day at Grandma’s house, the toy that was ignored for so long, suddenly became the center of Waylon’s attention, as he tossed it around repeatedly.  And, then it happened.  The Gumabone no longer “thudded” to the floor, alarming Grandma, who, after searching high and low, could not find the object of Waylon’s affection.

                        Grandma could not find the Gumabone because it was hidden…in Waylon’s stomach!  Waylon had swallowed the Gumabone whole. One would expect that this would be a terrible ordeal for Waylon. With uncertainty about whether Waylon had actually swallowed the toy, his family elected to give him a 24-48 hour observation period during which Waylon acted perfectly normal. 

                        The next step was to take x-rays to try to identify the Gumabone inside Waylon, but the x-rays were inconclusive.  Waylon appeared to have a lot of food in his stomach and intestines so a follow-up barium study was postponed a day.  In the meantime, Waylon continued to act fit as a fiddle---not vomiting, and eliminating normal stools that all family members were directed to inspect in detail.

                        Lo and behold, the phone call came afterhours on a Saturday, the day after the x-rays were taken.  Waylon had vomited up the Gumabone---five days after ingestion---not a tooth mark on it, in its entirety.  I couldn’t believe my ears as his grandma shared the incredible news with me.  Waylon continues to act very normally to this day, just as he had up until the moment he vomited up his “prize.”

                        Feeling thankful to not have to do exploratory surgery on Waylon, I answered an emergency phone call the next evening from Madeline’s mom. “Madeline” the cat, was playing with two feet of string which she proceeded to swallow right before her owners’ eyes.  Panicking and distressed, Madeline soon bit the string, breaking it, with one foot of the string inside her, and one foot outside her.

                        When animals swallow strings, these linear foreign bodies tend to exit the stomach to begin a journey through the intestines.  As they travel through the intestines, strings cause a “bunching” effect for the many intestinal loops, until they bunch so much that they cause an obstruction. When the loops can bunch no more, linear foreign bodies “saw” through the intestinal lining, resulting in potentially life-threatening holes in the intestinal tract.

                        The decision was made to explore Madeline’s abdomen the next day to retrieve the string before it could begin its accordion effect on her intestines. As I opened Madeline’s abdomen, I remember asking myself, “What if I can’t find the string?”  I began my search with Madeline’s stomach…no string there.  Next I ran my fingers back and forth over the entire length of Madeline’s large and small intestines…no string or “bunching” to be found. 

                        Considering less than 24 hours had passed since Madeline had swallowed the string, I told myself it had to be in her somewhere.  Her owners were certain Madeline had not vomited it up and there was no evidence that she had passed it rectally.  So where was the string?

                        I again reviewed the only area in Madeline’s intestines that had any contents, the colon.  I thought I could see a length of wadded up string along side some feces through the colon wall.  Gratefully, I realized the string had made a very rapid trek through the small intestines to the safety of the larger colon where it would soon be eliminated by Madeline. And it was…a few days later another happy phone call was made to an even more delighted veterinarian.

                        The moral of these stories is to make your pet’s environment as safe as possible. Just as kids will be kids, dogs will be dogs, and cats will be cats. If it’s small enough to be swallowed, it will be by that happy-go-lucky puppy or that curious cat. 

                        Now, if you will excuse me…I have to take away the Kong toy that my puppy, “Jimmy,” is eating.
 
Author:  Dr. Bonnie Jones
Image courtesy of savit keawtavee at FreeDigitalPhotos.net

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