In advanced stages of this disease, your dog will need to be hospitalized. Good support and constant nursing is usually required for a period of 3-4 weeks. If your dog is unable to eat on its own, your veterinarian will place a feeding tube directly into its stomach in order to maintain its energy and metabolic needs. Because this toxin attacks the muscles and nervous system, your dog is likely to be very sensitive, making forced feedings an undesirable treatment method. Such manipulations may, in fact, exacerbate the symptoms. Intravenous fluids may be started to prevent dehydration. That will be one of the primary concerns.
One of the important features of nursing care is to keep the dog in an environment of low light and low noise, as these animals are extremely sensitive to touch, sound, and light.
Your dog will be kept sedated to prevent further aggravation of the symptoms. Drugs can be used to minimize the muscle spasm and convulsions. In combination, these types of drugs will encourage your dog to remain in a lying position for extended periods. Because of this, there is a concern for the side effects of lying in one place for too long. You should provide your dog with soft bedding, and you will need to schedule regular times throughout the day when you can turn your dog over to its other side, to prevent bed sores/ulcers from developing.
In the event that your dog is not able to breathe properly, a tube will be placed into the trachea to facilitate normal breathing until the muscles have recovered from the infection. In some animals, a hole has to be made into the trachea to facilitate breathing and prevent asphyxia. If your dog is not able to pass urine, a urinary catheter will be placed to allow for the passage of urine. If your dog is constipated, an enema can be given to relieve constipation. In many cases, these treatments may be applied in the home environment. The most important consideration is the ability to maintain a sterile environment for the dog, if it is going to be receiving home treatment after the initial in-clinic care. You will need to discuss this with your veterinarian and go over the proper procedures for avoiding contamination.
Drugs will be given to bind the toxin and prevent its further binding to the nerve cells. Antibiotics will also also given, either orally or by injection, to control further spread of the infection. Topical (outer) antibiotics will also be used around the periphery of the wound to control infection.
Living and Management
Once your dog is out of danger, you’ll be allowed to take it back home where you will need to provide good nursing care until your dog has fully recovered from the infection and its side effects. Your veterinarian will brief you on the correct usage of the various tubes that will need to be placed in your dog's body, including the stomach tube for daily feeding.
As mentioned above, it is important to change your dog's resting position every few hours to prevent ulcers. Keep the wound clear and visit your veterinarian if you see any change in the color of the wound or if ulcers start appearing. Otherwise, you should expect your dog to feel sore. Your veterinarian will give you pain medication for your dog to help minimize discomfort, and you will need to set up a place in the house where your dog can rest comfortably and quietly, away from other pets, active children, and busy entryways. Trips outdoors for bladder and bowel relief should be kept short and easy for your dog to handle during the recovery period. Use pain medications with caution and follow all directions carefully; one of the most preventable accidents with pets is overdose of medication.
You will need to visit your veterinarian a few more times to have your dog examined and to evaluate its recovery status. The prognosis largely depends on the severity of the disease; the more severe the disease, the less are the chances for a full recovery. Good owner compliance is required as these animals often need a long period of time for a full recovery. A strong commitment from your side will greatly improve your dog's chances for survival.
A bundle of fibers that are used in the process of sending impulses through the body
The prediction of a disease’s outcome in advance
An in-depth examination of the properties of urine; used to determine the presence or absence of illness
The term used to describe the movement of an animal
The windpipe; it carries air from the bronchi to the mouth
Introducing fluid into the rectum of a living thing
A medical condition resulting in a lack of oxygen, usually resulting in death.
The singular form of the word bacteria; a tiny, microscopic organism only made up of one cell.
A medical condition in which the body has lost fluid or water in excessive amounts
a) living in an environment lacking free oxygen b) pertaining to an organism with the ability to live in an environment lacking free oxygen.
A substance that causes chemical change to another