Chihuahua, Male, 6 years.
Vomiting and not eating. What is the problem? The dog was warded
A soft mass in the stomach. No pain on palpation. The intestines
were firm as if they were "sausage" rolls.
The stomach was impacted with some foreign body. The white
arrows showed a fullness of the stomach pressing against the
diaphragm (which separates the chest cavity from the abdominal
cavity). The white foreign body inside the stomach and
intestines (black arrows) would be fibers from the chew rope.
The dog had been swallowing chew ropes for many months based on
the owner's report. Chew ropes are commonly sold at Singapore's
pet shops. This dog prefers to eat the pieces and they
accumulate and fill the stomach. This medical condition is
called impaction of the stomach.
Laxatives given showed fibers and hairs inside the stools. The
owner told me the dog farted. He did not pass stools for the
first 4 days as the fibers obstructed the intestines as well as
the stomach. I/V drips and antibiotics prevent dehydration and
The full stomach is not so easily seen by the layman.
There is no solid foreign body such as a bone or stone and so
interpretation of this view is difficult without the clinical
examination and history.
The outline of the stomach is shown by the black arrows. White
foreign body of fibers impact the stomach. There is a dark area
in the lower half of the stomach. This will be the gas.
"Sausage-like" rolls of the intestines can be seen below the
stomach. I have not marked the rolls.
The bladder shows a opaque urine which is not normal. Urine
tests confirmed a moderate amount of struvite crystals which
cause this whiteness of the bladder. On discharge of the dog,
the dog peed with difficulty on the grass. This was seen
by the owner.
Dietary management to dissolve the struvite crystals is
an alternative to surgery. However the owner must know that it
may take 2-4 months to see results and there must be
strict compliance with veterinary instructions including
diet and urine tests and X-rays of the bladder till no struvite
crystals are present.
Two blood tests were taken. The second blood test showed liver
disorder. In conclusion, the dog recovered after 4 days and went
home. Dietary management to dissolve the stones had been
discussed with the owner. A follow-up by the owner must be done
in the next few days.