We all know Red is a sweet dog, but he is also a sly dog. Red loves women, especially blonde women, and I noticed he has picked up on how to look sad so they will give him some extra love and attention.
Whenever Kelly Patrick, who works night at the Mansion, sees Red, he puts his paw on her knee and looks crestfallen, and down at the ground. Kelly, who has a giant heart, drops to the ground and consoles him, usually saying “Red, you look so sad!” I try to tell her Red always looks the same, he has only one mood really, quite and attentive, he does not do any kind of drama, one reason I love him so much.
I notice he has perfected this trick whenever he meets a new person, especially a woman. He puts his paw up and looks straight down at the ground, as if he has lost someone dear to him.
The new person then drops to the ground and consoles him with love and kisses, and Red eats it up. I’m suggesting he is calculating, but this is a new trick and it works for him and he knows it. Red knows how to play a crowd and at least several times at the Mansion, I see someone – usually a woman – kneeling down on the floor hugging him and consoling him, “he looks so sad.” You are a rascal, Red.
Ever since Gus was diagnosed with megaesophagus a month ago, I’ve been research the illness, and also studying research on the many different kinds of intestinal disorders dogs can acquire and suffer from.
Some things about the megaesophagus diagnosis have always intrigued me. One is that Gus showed no signs of this disease until recently. In the first eight months of his life, he did what most Boston Terriers do once in a while, he spit up a bit every now and then.
On the medical sites, Boston Terriers are not listed as likely or common carriers of megaesophagus, in fact they don’t show up on any of of the lists of dogs who commonly suffer from the disease (most are also quite larger.) In addition, Gus only regurgitated his food in the mornings, almost never in the afternoon or evening.
Megaesophagus dogs can regurgitate their food any time, day or night.
Beyond that, none of the dogs in Gus’s breeding program have ever shown any signs of the disease, the mother, the father, the siblings. Gus’s bowel movements have always been normal, and he has never shown any sign of malnutrition, a consistent danger from megaesophagus.
I have the stirrings of an alternative idea about Gus, ever mindful that I am not a trained veterinary specialist. i was a reporter, and a good one. I am grateful for that time, i know how to look for and gather information, and I have leaned to trust my instincts.
I am grateful for my time as a reporter, i love gathering information, rotting it out and analyzing. I hope it helps Gus. I think I might be onto something here. I’m eager to share my findings with our vet, Dr. Fariello. She encourages my research. We’re meeting on Thursday.
Here’s what I am finding.
We have seen the barium X-rays, and it is see that his esophagus is enlarged, but the studies caution that many dogs are believed to have megaesophagus but it sometimes does not cause problems for the dog, the body works around it, and is never diagnosed.
As I have been exploring the disease, I have come across numerous studies gastrointestinal (GI) and digestive disorders and I am finding a number of precise symptoms and characteristics that mesh with Gus’s problems.
There are many different types of digestive disorders, they range from eating something other than dog food, to food allergies, infections, or lack of digestive enzymes. German Shepherds and collies are especially prone to particular digestive problems.
I found several gastrointestinal disorders whose symptoms including morning regurgitation (not vomiting) of thick, foamy yellow liquid. That is precisely what was happening to Gus. Since we expanded the doses of his motility medication Metoclopramide, prescribed for gastrointestinal problems, Gus has not spit up or regurgitated anything, he regained his normal weight and is as active as ever.
Metoclopramide, according to various veterinary school and research websites, is given to help with the quick passage of food through the upper digestive tract. It is used to treat disorders of the upper gasto-intestinal tract such as acid reflux disease.
Metoclopramide is also often used as an anti-vomiting drug.
In otherwise healthy pets that have a chronic vomiting problem due to delayed gastric emptying, Metoclopramide helps reduce the delay by speeding up the passage of food. Chronic vomiting of this type is typically characterized by a small amount of yellowish bile vomit, usually in the mornings.
This research caught my eye. Since we increased the dose of Metoclopramide we are giving Gus a few days, the regurgitation, chronic vomiting of a small amount of yellowish bile vomit – the bile smell is unmistakeable – has stopped.
Two or three times, and to experiment, we didn’t hold Gus upright in our laps, and he had no gulping or regurgitation or vomiting at all. Gus is an otherwise healthy dog, which many megaesophagus dogs are not, the disease has a number of recognizable side effects.
VetMD lists the following symptoms of megaesophagus: vomiting, cough, nasal discharge, increased respiratory noises, weight loss, extreme hunger or loss of appetite, excessive drooling, bad breath, stunted growth.
Gus has rarely vomited (mostly regurgitated), has had no nasal discharge, makes the typical flat- nosed small dog breathing noises, has had only one period of weight loss (after he was switched to low-calorie, gastroenteric food), the weight loss was quickly restored, is typically hungry, has had no loss of appetite, bad breath or stunted growth.
Gus has no other symptoms, and I keep going back to the fact that this condition erupted suddenly.
I also see in the research that many working dogs and farm dogs and pasture dogs are especially prone to gastrointestinal diseases because they eat the feces and droppings of farm animals – chickens, sheep and donkeys, even the larvae of flies.
In addition, the disease occurs much more frequently in large dogs than small ones. Dogs with the disease are usually divided into two groups: Those with congentital megaesophagus, which typically shows up in the first weeks and months of life. Congenital megaesophagus is usually the result of incomplete development of the nervous system or due to a physical obstruction of the esophagus caused by a remnant of the fetal vessel, also called persistent right aortic arch.
Acquired megaesophagus is most often the result of specific nervous system diseases, like Addison’s disease. Obstructions to the esophagus can also cause an enlarged, stretched esophagus. But most cases of megaesophagus have no known cause.
With megaesophagus, it isn’t only that food doesn’t end up serving its primary purpose – nutrition – but even more dangerous, the feed moving in the wrong direction can enter the trachea and the lungs as it does so. As a result, aspiration pneumonia is the most common cause of death from this disease. It is not always easy for people to spot, thus treat.
The greatest difficulty in diagnosing meaesophagus is not identifying the disease itself, but determining the underlying cause.
It took awhile to find it, but medical veterinary researchers have listed the dogs predisposed to this disease:
For the congenital form of the disease: Great Dane, Irish Setter, Newfoundland, German Shepherd Dog, Chinese Shar Pei, Labrador Retriever.
For acquired megaesophagus, the following breeds are predisposed to the disease: German Shepherds, Golden Retrievers, Irish Setters.
Almost all of these breeds are large dogs, and Boston Terriers are not on any of the predisposition lists.
Gus was constantly picking up small pasture waste – especially sheep pellets – and eating it. We wanted him to be a farm dog, but it might have been unwise, and caused some digestive issues. I should say we know a bunch of farmers who have BT’s and have had no health problems. But none of them have sheep.
All of the small breeds have sensitive digestive systems, primarily because they are small systems.
Many of the farm animals, especially sheep, carry parasites and infections that do not affect them but do affect more animals like dogs and cats. Barn cats frequently die from gastrointestinal diseases.
I’m going to explore this new theory further and bring my findings to Dr. Fariello. I trust her completely and it is unlikely my diagnosis is as sharp or accurate as hers. But she encourages this kind of independent research and is very open to other ideas, especially from pet owners who have the opportunity to monitor their dogs closely.
I work at home all day, and can record Gus’s progress, mishaps, diet, behavior and appearance.
But I am increasingly drawn to consider the idea that other gastrointestinal factors may be at work here.
Right now, it’s a growing hunch: Gus certainly has an enlarged esophagus – I saw it on the X – but it wasn’t causing him any troubles before. And it was considerably smaller than the other X-rays I saw online, perhaps because the other dogs were much bigger.
It’s possible that it just recently became enlarged, but Gus is almost a year old, and it isn’t typical, I am told, for a dog that age to acquire the disease. I need to be careful about drawing sweeping conclusions at this point – little is really known about this disease. Gus could be spitting up his food tomorrow, or any day thereafter.
If so, I will say so.
But I am also looking back at the calendar. And since we have kept Gus out of the pasture in the morning, the number of incidents have steadily decreased in frequently and stability.
With the additional doses of Metoclopramide, prescribed to stimulate the muscles in the digestive tract, the problem has stopped completely over the last few days.
We’ll have to see if it recurs, and in what way, and how often. Dr. Fariello told me right off the bat that Gus was the first megaesophagus dog she has ever seen, and so we are researching the disease together. It is a challenge for me, this is new terrain. But then again, I like challenges.
I normally don’t do my own investigating on the Internet, veterinarians are so much more qualified than I am to diagnose animals. But megaesophagus is different. Little is really known about how it begins and how it might end.
i feel a particular responsibility to make sure I know as much as I can, and this has already paid some dividends I think. I will continue this work and see what happens.
It took me five years to remember Maria’s birthday – January 28, and I still don’t really know exactly how old she is – somewhere in her 50’s. I guess it doesn’t really matter. Maria really doesn’t like presents, and she is always scolding me for giving her too many, but I love giving her gifts when appropriate, and I doubt I will give it up.
I think of her birthday not in terms of presents, but experiences. Maria doesn’t need or want much in the way of material things. She loves books and funky, inexpensive things to wear. That’s about it.
So I try and think of places to go with her. This year, she talked of wanting to go to the Salem Essex Museum in Massachusetts to see an exhibit of the artist Georgia O’Keefe’s personal style, her clothes and symbols and designed possessions.
So I decided this would be the perfect gift. She was delighted. One of the things I love about Maria is that if I gave her a diamond bracelet she would gag and beat me over the head with it. If I buy her a ticket to an art museum, she melts with joy an gratitude.
(I did order a couple of neat presents, they are hidden on the property. I’ll save them for the hotel.)
I reserved a room near the museum and we will go there just before Maria’s birthday and spend a weekend seeing the O’Keefe exhibit and checking out the Witch Monument and museum. We’re staying for one night.
Some Americans always seems to need to blame someone or something for its troubles, once it was the witches, now it’s the immigrants and refugees. History does always repeat itself.
I think this birthday will be sweet, we both love George O’Keefe and share the experience of her work and her life. We have also begun to perfect what I call our “rocket” trips, our short and sweet one or two day hits to special places. I think she’ll love her presents once she stops squawking at me for getting them.
