Inducing emesis dilema

Re: Inducing emesis dilema

Glenn Hodgson — Sat, 22 Dec 2012 14:03:49 GMT

+1 for pre-emptive surgery after rads to get an idea of location.

Generally a fan of operating prior to potential compromise if there is the oppertunity to do so.

Re: Inducing emesis dilema

Bibs — Sat, 22 Dec 2012 09:58:45 GMT

[quote user="Mark Holmes"]

[quote user="Elizabeth Billimore"][quote user="David Mills"]

What do people do with sewing needles and cats?

[/quote] Hmm, wouldn't make it sick and don't think I'd go in surgically if asymptomatic. Think I'd watch and wait and maybe take a few x rays to monitor progress. I've not had one these these before though.

[/quote]

I would probably remove a sewing needle. Sewing needles are often attached to thread. Linear foreign bodies are horrible.

[/quote] Yeah if it was the needle alone that is one thing. I wonder if the cat is asymptomatic and no thread caught around the tongue etc. if there would be an argument for monitoring rather than pre emptive surgery? Is a needle quite tricky to find on ex lap? That is if there is no linear FB and no plication of the guts etc.

Re: Inducing emesis dilema

Thomas Johnson — Sat, 22 Dec 2012 08:42:02 GMT

[quote user="David Mills"]

What do people do with sewing needles and cats?

[/quote]

Suture wounds?

Re: Inducing emesis dilema

Anthony Dennison — Fri, 21 Dec 2012 15:11:45 GMT

[quote user="David Mills"]

What do people do with sewing needles and cats?

[/quote]

Our lecture notes on rectal surgery said (and I remember this because it made me giggle) 'often sewing needles can pass through, but they can sometimes become lodged in the rectum. If there is thread protruding from the anus, DO NOT PULL ON IT'

A sentence or two later was 'rectal FBs are quite rare, as if they have passed that far the probably won't get stuck... ...beware of malicious children inserting foreign bodies however'

Re: Inducing emesis dilema

Mark Holmes — Fri, 21 Dec 2012 10:46:15 GMT

[quote user="Elizabeth Billimore"][quote user="David Mills"]

What do people do with sewing needles and cats?

[/quote]

I would probably remove a sewing needle. Sewing needles are often attached to thread. Linear foreign bodies are horrible.

Re: Inducing emesis dilema

Bibs — Thu, 20 Dec 2012 23:39:03 GMT

[quote user="David Mills"]

What do people do with sewing needles and cats?

Re: Inducing emesis dilema

Bibs — Thu, 20 Dec 2012 23:36:16 GMT

[quote user="Laurence Webb"]

I had a labrador that swallowed a Baoding Chinese exercise ball (about the size of a snooker ball). When I asked the owner why has was so sure it had swallowed it he just put his finger to his lips and said "Shuush"

Sure enough as the dog wagged its tail you could hear a 'dong dong' noise emanating from its abdomen.

[/quote] Out of interest, what did you do with him? I'm assuming he didn't do a musical dump after a few days?

Re: Inducing emesis dilema

David Mills — Thu, 20 Dec 2012 23:25:04 GMT

What do people do with sewing needles and cats?

Re: Inducing emesis dilema

Lucy K — Thu, 20 Dec 2012 23:04:38 GMT

[quote user="Laurence Webb"]

Sure enough as the dog wagged its tail you could hear a 'dong dong' noise emanating from its abdomen.

[/quote]

Ha ha, he'd be an asset to any carol service if they trained him right! That's got Britain's Got Talent winner written all over it! ;)

Re: Inducing emesis dilema

Laurence Webb — Thu, 20 Dec 2012 22:45:39 GMT

Sure enough as the dog wagged its tail you could hear a 'dong dong' noise emanating from its abdomen.

Re: Inducing emesis dilema

Bibs — Thu, 20 Dec 2012 21:11:20 GMT

We had a dog a few years ago that managed to gulp down a snooker ball before the owner could stop him. Don't think that would have passed through too well.

Re: Inducing emesis dilema

Mark Hedberg — Thu, 20 Dec 2012 20:20:25 GMT

Boy, and we worry about Christmas cake advertisements! :p

Re: Inducing emesis dilema

Busybee — Thu, 20 Dec 2012 19:59:32 GMT

I often consider the same thing.

Once had a labrador that had eaten 8 chocolate muffins in silicone cases. Was a little concerned about the size of the muffins causing a problem on the way back up but decided to go ahead and induce emesis - all 8 came back up, almost intact ( a good 3-4inches diameter) and the dog was no worse for wear.

Had a dog in today that in the past has eaten socks, tights, tea-towels and pants. Has had 2 ex-laps when vomiting had been seen but the rest passed fine. He did vomit an entire cotton hankerchief this morning but seems to have been ok since so hopefully we won't end up with ex-lap number 3!

Re: Inducing emesis dilema

Michael Woodhouse — Thu, 20 Dec 2012 18:39:53 GMT

I will make them sick if they have eaten something potentially poisonousness; chocolate, rat poison, pills. Also if they get their nose in a bucket full of chronogest sponges. Most other things I wait and see. Most things will pass.

Re: Inducing emesis dilema

Bibs — Thu, 20 Dec 2012 18:12:17 GMT

[quote user="robloxley"]

[quote user="Elizabeth Billimore"] if you leave something that you know is very likely to cause an obstruction[/quote]

Experience says most things pass through fine. I'm not sure that intervention (particularly surgical) in every case to pre-empt the few that obstuct is justfied. See the RCVS case regarding the broken glass and expert comment thereon.

[/quote]

Yes I read about that one.

I would always tend to leave sharp shaped objects alone especially after reading that case. It's more the large soft or round objects that bother me. I would not tend to go for surgial intervention if there were no symptoms of a FB. I'm thinking more about the cases where they phone saying the dog has just this minute eaten a large ball or sock etc. Do we do nothing and wait and see, or make them sick?

Re: Inducing emesis dilema

Rob Loxley — Thu, 20 Dec 2012 18:04:35 GMT

[quote user="Elizabeth Billimore"] if you leave something that you know is very likely to cause an obstruction[/quote]