Pet Talk: Hard to swallow

Pet Talk: Hard to swallow

By BETH PIEPER
UI College of Veterinary Medicine

Animals are very curious creatures. But as the old adage goes, curiosity can be deadly, or at least dangerous. So it is with animals that swallow things not meant to be swallowed: Your dog snarfs down a broken or too-small toy. Your cat goes from licking a string to ingesting it after the string gets stuck on her rough, scratchy tongue.

In veterinary terms, this object your pet has swallowed is referred to as a "foreign body," and it may pose a medical emergency. Dr. Stanley Rubin, an internal-medicine specialist at the UI Veterinary Teaching Hospital in Urbana, has seen many foreign-body cases in cats and dogs.

What goes down may get stuck

"I've seen it all — bones, pet toys, string and even a whole radish — lodged in an animal's throat (the esophagus), as well as the stomach and even sometimes the trachea," Rubin said. The pet swallows these objects but is then unable to cough or vomit them back out.

If a foreign body becomes stuck at any point in the digestive tract, from the mouth to the esophagus, stomach or intestines, so that it partially or completely blocks the flow of nutrients and impairs blood flow to the bowel, then the foreign body becomes a life-threatening obstruction. In these cases, it is best to seek veterinary treatment as soon as possible.

Clues to a foreign body

Sometimes the owner actually sees the pet swallow a forbidden object. Occasionally, an animal swallows something that the owner has given it, such as a bone or string toy. More likely, owners will become suspicious that their pet has swallowed something it shouldn't have when they find a tipped-over garbage can, they notice something missing from an open clothes drawer or a squeaker toy disappears.

According to Rubin, the clinical signs that can accompany a foreign-body ingestion range widely, from the obvious (vomiting, gagging) to the subtle (not wanting to eat, not defecating normally and abdominal pain). A veterinarian will use the history from the owners, physical examination findings and diagnostic imaging (ultrasound, X-rays) to make a diagnosis and develop an action plan.

Removing a foreign body

The method for removing the object will be selected based on many factors, including the object's location and estimated size. Options include inducing the pet to vomit, extracting the foreign body through the mouth using an endoscope, removing it surgically or waiting to see if the object will pass through the pet's intestines naturally.

"It is possible for a swallowed needle and thread to safely pass through the pet's intestines," Rubin said. "However, most people just don't want to take the chance that the needle will cause other problems, so they choose to have it removed instead."

About once a month, Rubin and his team use endoscopy for foreign-body extraction. Endoscopy involves a small flexible instrument that is illuminated with a camera that safely goes down the animal's esophagus and into its digestive tract. Using an endoscope, the veterinarian can not only can see inside the pet but also use tools, through a channel within the scope, to gently grasp and remove objects.

These tools include a small wire loop and a small metal grabber that can hook on to the object to pull it out. Animals undergoing an endoscopic procedure will be anesthetized. Removing objects via endoscopy is generally faster than surgery, less invasive and does not involve post-surgical healing.

Risks of endoscopy

"Every procedure has risks," Rubin said. "With endoscopy, there is risk of damage to the esophagus, especially if the object has a sharp edge." Veterinarians will advise owners of the risks and benefits of the various options for removing the foreign body as they discuss the best course of action for the pet.

If you suspect that your pet has swallowed a foreign object, seek veterinary care immediately.

An archive of pet columns from the UI College of Veterinary Medicine is available at vetmed.illinois.edu/petcolumns/. Requests for reprints of this article may be directed to Chris Beuoy at beuoy@illinois.edu.

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