Indigestion in Ruminants 2 Flashcards

(45 cards)

1
Q

carbohydrate engorgement of ruminants happens due to:

A

¤ Access to highly fermentable feedstuffs
¤ by unaccustomed animals, or
¤ in larger than normal amounts

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2
Q

carbohydrate engorgement of ruminants - speed of clinical course

A

rapid

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3
Q

etiology of carbohydrate engorgement? what types of food?

A

¤ Sudden ingestion of toxic amounts of carbohydrate-rich feed
> Grains
<> Most toxic: wheat, barley, corn
<> Less toxic: oats and sorghum
> Finely ground feeds with large surface area promote rapid fermentation
> Apples, grapes, bread, baker’s dough, sugar beet, mangels, sour wet brewers’ grain

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4
Q

pethogenesis of carbohydrate engorgement

A

grain overload > strep bovis overload > lactic acidosis > severe drop in pH
<><>
¤ Increased of VFAs
¤ Decreased rumen pH
¤ Decrease rumen motility
¤ Increased Lactic acid (D and L isomers)
¤ Acid resistant Lactobacillus spp. proliferate producing lactic acid
¤ Increase rumen osmolality (280mOsm/L to ≈400 mOsm/L)

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5
Q

what species / animals are susceptible to carbohydrate engorgement? trigger?

A

¤ Cattle and sheep are susceptible
¤ Common in feedlot and dairy cattle
¤ Rapid change in high energy ration
¤ Accidental consumption of large quantities of grain

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6
Q

morbidity and mortality for carbohydrate engorgement

A

¤ Morbidity: 10-50%
¤ Mortalities:
> Non-treated animals: up to 90%
> Treated: 30-40%

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7
Q

carbohydrate engorgement GI clinical findings

A

¤ Abdominal pain
¤ Dehydration (6-12 %)
¤ Diarrhea – fluid, fetid
¤ Splashy rumen, bloat
¤ Rumen fluid analysis
> pH < 5
> sour odor
> protozoa dead, predominance of gram +

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8
Q

rumen fluid analysis for carbohydrate engorgement

A

¤ pH < 5
¤ sour odor
¤ protozoa dead, predominance of gram +

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9
Q

vital signs Clinical findings for carbohydrate engorgement (demeanor, appearance, HR, RR)

A

¤ Depression
¤ Lameness
¤ Scleral injection
¤ Elevated temp initially, may progress to subnormal (shock)
¤ HR = 80-140 bpm
¤ Respiratory rate elevated (blow off CO2)

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10
Q

carbohydrate engorgement clinical findings
- acidosis?
- blood?
- enzymes?
- electrolytes?

A
  • Metabolic acidosis
  • Increased PCV and total protein
  • Elevated BUN and creatinine (azotemia), phosphorous
  • Increased anion gap
  • Decreased calcium (hypocalcemia)
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11
Q

how does lactic acid in the rumen cause issues?

A

¤Lactic acid accumulation in the rumen increase the rumen fluid osmolarity, drawing more body water into the rumen (creates the “splashy rumen”)
¤Loss of body water causes dehydration contributing to acidosis
¤Lactic acid is absorbed from rumen as well as from small intestine & profound lactic acidosis develops

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12
Q

Chemical and mycotic rumenitis, liver abscessation
- how does this develop from carbohydrate engorgement?

A

¤ Acidic rumen pH damages mucosal surfaces in the forestomachs & intestine
¤ Blood vessels thrombosis & sections of rumen mucosa & submucosa slough allowing bacteria to invade
¤ Bacteria travel to liver via portal circulation & cause liver abscesses
¤ Mycotic rumenitis may develop
<><>
¤ Lactic acidosis > rumenitis > bacterial access to systemic circulation

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13
Q

bile duct and renal sequelae of carbohydrate engorgement

A

¤ Lactic acidosis > rumenitis > bacterial access to systemic circulation
¤ Diffuse coagulation and hyperplasia of bile duct epithelium
¤ Renal tubular degeneration may occur

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14
Q

what bacteria are implicated in hepatic abscessation due to carb overload?

A

¤ Fusobacterium necrophorum & Archanobacter pyogenes

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15
Q

what other toxins increase in a case of carb overload? what do they cause?

A

¤ Histamine levels increase
¤ Ethanol, methanol, tyramine, tryptamine production
contribute to CNS depression
¤ Thiaminase production may result in development of polio
¤ Death of Gram – bacteria can cause endotoxin release

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16
Q

diagnosis for carbohydrate engorgement

A

¤ History
¤ Clinical signs and clinical findings
¤ Rumen fluid analysis
> <5
> Absence of protozoa
> G- replaced by G+ bacteria
<><>
¤ Biochemistry panel
> Hemoconcentration
> Hyperlactetamia
> Hypocalcemia
> Low bicarbonate
¤ Blood gas analysis
> Lactic acidosis
¤ Urine
> pH <5

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17
Q

Treatment for carbohydrate engorgement

A

¤ Correct ruminal and systemic lactic acidosis > Sodium bicarbonate IV

¤ Prevent further lactic acid production
> Alkalinazing agents intraruminally
<> Magnesium hydroxide

¤ Restore fluids and electrolytes
> Hypertonic NaCL, Lactated Ringer’s solution

¤ Restore forestomach and intestinal motility

¤ Rumenotomy

¤ Rumen lavage
> Kingsman tube

¤ Antibiotics

¤ Antihistamines

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18
Q

Sub-acute Ruminal Acidosis (SARA) definition

A

¤ Definition: acidosis is a decrease in the alkali (base excess) in body fluids relative to the acid (hydrogen ion) content.
¤ Ruminal acidosis > ingestion of large amounts of highly fermentable, carbohydrate-rich feeds > excessive production and accumulation of lactic acid in the rumen.

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19
Q

SARA: Causes

A

¤ inadequate ruminal buffering
¤ inadequate adaptation to high carbohydrate diets.
¤ Diets with excessive (over about 15%) long forage particles can paradoxically increase the risk .
¤ In general major causes for subacute ruminal acidosis are lack of coarse fiber and/or excess concentrates in the diet, feed sorting, rapid diets changes, and engorging.

20
Q

is rumen pH constant throughout the day?

A
  • no, it goes through major and minor cycles
  • range ~5.4 (around noon) - 6.6 (midnight)
21
Q

what is rumen bloat? what are the forms?

A

¤ Gas production is a normal occurrence during rumen fermentation
¤ Excessive retention of gases of fermentation
¤ Bloat occurs if eructation is prevented for any reason
¤ Abnormal distention of rumen and reticulum
¤ Forms:
> Foamy (primary)
> Free gas (secondary)

22
Q

how often does normal eructation occur in ruminants? how much gas per minute?

A
  • Eructation, or belching, normally occurs about once every minute and requires about 10 seconds to be completed.
  • 2L of gas per minute
23
Q

layers of material in the rumen, from top to bottom

A

Top
- gas pocket
- layer of coarse hay and low density particles
- liquid ingesta layer; medium density
- fine particles; high density
Bottom

24
Q

primary rumen tympany (frothy bloat)
- pasture vs feedlot bloat causes

A

¤ Leguminous (pasture)
¤ Finely ground grain (feedlot)

25
¤ Secondary rumen tympany (free-gas bloat) - what causes this?
¤ Diets that lead to excessive gas production ¤ Failure to eructate
26
epidemiology of pasture bloat
¤ Lush pastures ¤ Spring and autumn
27
epidemiology of feedlot bloat
¤ Large quantities of grain/little roughage
28
Bloating forages
¤ Alfalfa (Medicago sativa) ¤ Red clover (Trifolium pratense) ¤ White clover (Trifolium repens) ¤ Sweet clover and alsike clover ¤ Cereal crops, rape, cabbages, peas, bean, young grass
29
Feedlot bloat risk factors
¤ High-level grain finishing ration ¤ Roughage component is alfalfa
30
pathogenesis of bloat?
- normally, gas bubbles in the rumen float up to form gas cap - eructation removes gas > for dairy cow on grass: 100L/h; on legumes: 200L/h <><> In bloat: 1. gas bubbles dispersed throughout the rumen 2. inadequate coalescence of gas bubbles 3. inhibition of eructation <><> ¤ Production of stable, proteinaceous FOAM ¤ Formed from leaf cytoplasmic 18-S soluble protein and saponins ¤ FOAM traps normal amount of gases > CO2, methane ¤ FOAM prevents the coalescence of small gas bubbles ¤ Gas remains trapped in the rumen fluid <><> ¤ Cardia cannot be cleared of FOAM > Eructation cannot occur > Gaseous distension of rumen > Pressure on large veins (posterior vena cava) > decreased venous return > increased blood pressure <><> ¤ Gaseous distension of rumen > Decreased thoracic volume > Hypoxia > Death
31
clinical findings with bloat
¤ Distended left paralumbar fossa ¤ Discomfort (grunting, colic) ¤ Open-mouth breathing ¤ Anorexia ¤ Salivation ¤ Anxious ¤ Depressed terminally ¤ Sudden death
32
therapy for free gas bloat
¤ Pass a stomach tube (carefully) either nasogastric or orogastric ¤ If positional, roll cow into sternal recumbency ¤ Force exercise ¤ If hypocalcemia, administer calcium ¤ Rumen stimulants ¤ Rumen trocharization or rumenotomy for emergencies only
33
Rumen Tympany-”Bloat” - is this serious?
¤ EMERGENCY!!
34
Rumen Tympany-”Bloat” - what may happen with mild cases? what should we feed? what type of bloat is stomach tube good for?
¤ Mild cases may spontaneously regress ¤ Feed coarse, stemmy hay ¤ Pass stomach tube: NOT effective in “frothy” bloat
35
what are our aims for frothy bloat treatment?
¤ 1. Lower the surface tension and viscosity of foam ¤ 2. Promote coalescence of bubbles of gas
36
in a frothy bloat case, do we prefer drenching or intra-ruminal injection or stomach tube administration? what is the goal of this?
Drenching preferable to intra-ruminal injection or stomach tube administration ¤ Clears cardia of froth
36
Rumen Tympany-”Bloat” - anti-foaming agents
¤ Synthetic non-ionic detergents: ¤ “AlfasureTM” -; Polaxalene (1,2-Propyleneglycol, ethoxylated and propoxylated). Rafter Products, Calgary, AB ¤ Alcohol ethoxylate detergent (“Blocare”) ¤ Oils: ¤ Peanut oil; Vegetable oil (120-180 ml) ¤ Mineral oil (120 ml); ¤ Dioctyl sodium sulfosuccinate (“Tympanex”)
37
how do we administer anti-foaming agents for frothy bloat?
¤ Directly injected to rumen ( 14g needle)
38
therapy for frothy bloat, to reduce surface tension? mechanism?
* Poloxalene – 2 oz. * Household detergent (Tide 2-3 oz.) * Mineral oil * Dioctyl sodium sulfosuccinate (DSS) *All of the above reduce surface tension allowing consolidation of tiny bubbles into a free gas bloat which can be eructated or relieved via tube
39
Rumen Tympany-”Bloat” - prevention - pasture management
¤ Avoid grazing legumes between 0700-0800 hrs - high risk period ¤ Graze on mixed grass/legumes ¤ Mature grass-dominant pastures ¤ Feed roughages before turning onto legume- dominant pastures
40
Rumen Tympany-”Bloat” - preventative anti-foaming agents
¤ “AlfasureTM” (Poloxalene) in water supply ¤ Drench 2x daily with detergents ¤ Feed anti-bloat supplements (poloxalene) ¤ Strip grazing and pasture spraying ¤ tallow or mineral oil emulsions ¤ Legumes that are “bloat-safe”
41
what is the etiology of chronic bloat? therapy?
* Chronic bloat – typically free gas bloat associated with high grain diets that may cause a permanent shift in microbiota – Increase fiber in diet & reduce grain – Rumen transfaunation – Temporary rumenostomy in severe cases * May be 2° to another problem such as vagus indigestion
42
how to remove rumen contents
¤ Kingman tube ¤ Rumenotomy ¤ Ice water administration
43
what other therapies can be combined with rumenotomy?
*Fluid and electrolyte replacement IV *Anti-inflammatory agents –flunixin meglumine (Banamine) *Antibiotics *Antimycotic therapy *Rumen transfaunation *Thiamine *B-complex vitamins
44
Client education for bloat - important considerations for prevention
* Slow adaptation to grain * Limit legume grazing * Poloxalene in feed, molasses, salt or block * Maintain sufficient long stem hay (fiber) in ration to stimulate good rumen motility ¤ Make dietary changes very gradually > Addition of antibiotics, HCO3-, and ionophore antibiotics to the feed have been beneficial but do not replace good management ¤ Rumen adaptation may take 6 weeks