The term
colitis in the dog and cat is very general. It often refers to any one of a
variety of afflictions of the intestinal tract with emphasis on the large
intestine (large bowel). Whenever veterinarians are confronted with a case of
colitis in the dog or cat, a process of elimination is started in order to
achieve a specific diagnosis for what type of colitis is present. In general,
colitis is either acute (sudden onset) or chronic (long term and reoccurring).
Below are a few abbreviations that are frequently used when referring to types
of colitis...
AC... Acute Colitis
IBD... INFLAMMATORY BOWEL DISEASE
IBS... IRRITABLE BOWEL SYNDROME
SBS... SPASTIC BOWEL SYNDROME
LPIBD... Lymphocytic-plasmacytic Inflammatory Bowel Disease
These five
designations are all describing a disease state where a dog or cat is showing
signs of "colitis".
SIGNS OF COLITIS
(In veterinary medicine,
"signs" means the same thing as the word "symptoms" in human medicine.) The
usual signs of colitis in dogs and cats can cover a range of abnormalities from
intermittent constipation to long term (chronic) diarrhea. In general, because
the bowel tissues are inflamed and irritated, the most common signs are frequent
need to defecate and soft to watery stool. Some dogs and cats with colitis pass
liquid stool, often with blood, six to ten times a day. Straining to defecate
(called tenismus) while producing little or no stool, is another common sign.
These dogs and cats with colitis are very uncomfortable and often their appetite
is suppressed due to a general state of ill health. Along with the debilitating
effects of passing frequent, loose stool (called diarrhea), many dogs and cats
with colitis ( IBD, IBS, SBS ) will display a gradual weight loss. Chronic
colitis almost always creates a weight loss situation in dogs and cats due to
the loss of vitamins, rapid transit of food through the entire gastrointestinal
system, blood and fluid loss, and infectious agents entering the animal's body
through the damaged intestinal wall.
DUTIES OF THE COLON The words
"colon", "large intestine" and "large bowel" are interchangeable. This portion
of the digestive tract is the last segment to retain the digested food that has
been processed by the stomach and small intestine. (The small intestine has a
smaller diameter but a four-times greater length than the large intestine). Very
little goes on in the colon other than reabsorption of water, thus making the
fecal volume smaller, bacterial breakdown of ingesta and production of certain
vitamins. Storage of the feces occurs in the large bowel until an appropriate
time and place for elimination is selected. All these functions, though, are
seriously affected when a dog or cat develops colitis.
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Common Causes of Colitis:
1. Parasitic - Whipworms reside in the upper colon (unlike hooks and
rounds); protozoan parasites in some areas of the country are caused by Giardia,
Trichomona, Amoeba and Balantida.
2. Foreign Body Colitis - We've all seen
the dog that eats grass and straw. This indigestible fiber really irritates the
large bowel. Any dog with pica (the compulsion to eat non food material) is a
candidate for intermittent colitis.
3. Bacterial Colitis - Often is caused
by Salmonella and Campylobacter.
4. Chronic Inflammatory Bowel Disease ( IBD
)- This is an important group. This disorder is due to an invasion of the wall
of the large bowel by certain types of body cells. Eosinophilic Colitis is a
good example. Another common cellular infiltration into the wall of the large
bowel is due to lymphocytes and plasmacytes. This is referred to by
veterinarians as LPIBD... Lymphocytic-plasmacytic Inflammatory Bowel Disease and
is thought to be due in great measure to allergic reactions within the bowel and
even throughout the digestive tract. The wall of the large intestine is invaded
by the individual's own inflammatory cells in response to some triggering
antigen. An allergen is any substance that incites an immune reaction.
5.
Irritable Bowel Syndrome - Usually has a neurological or psychological origin.
It is seen often in the hyper-excitable dog that is stressed, overworked, or
apprehensive.
6. Typhilitis - Inflammation of the cecum which is a dead-end
pocket branching from the intestinal tract where the small and large intestine
join. (The medical term for this area is Ileoceco-colic junction.) This is
located near where the human appendix would be, however dogs and cats don't
have an appendix.
7. Cancer - The two most common types are lymphosarcoma
and adenocarcinoma.
Comparison of Large vs. Small Bowel Disease
(Adapted from work done by Dr. Todd Tams, Los Angeles, CA