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The Pharma Innovation Journal 2022; SP-11(11): 742-746
ISSN (E): 2277-7695
ISSN (P): 2349-8242
NAAS Rating: 5.23
TPI 2022; SP-11(11): 742-746
© 2022 TPI
www.thepharmajournal.com
Received: 21-09-2022
Accepted: 23-10-2022
Padhi Pratibha
Department of Veterinary
Clinical Medicine, College of
Veterinary Science and Animal
Husbandry, Odisha University of
Agriculture and Technology,
Bhubaneswar, Odisha, India
Patra RC
Department of Veterinary
Clinical Medicine, College of
Veterinary Science and Animal
Husbandry, Odisha University of
Agriculture and Technology,
Bhubaneswar, Odisha, India
Senapati SK
Department of Veterinary
Clinical Medicine, College of
Veterinary Science and Animal
Husbandry, Odisha University of
Agriculture and Technology,
Bhubaneswar, Odisha, India
Panda Sonali
Department of Veterinary
Clinical Medicine College of
Veterinary Science and Animal
Husbandry, Odisha University of
Agriculture and Technology,
Bhubaneswar, Odisha, India
Das DP
Department of Veterinary
Pathology College of Veterinary
Science and Animal Husbandry,
Odisha University of Agriculture
and Technology, Bhubaneswar,
Odisha, India
Biswal Sangram
Department of Preventive
Medicine College of Veterinary
Science and Animal Husbandry,
Odisha University of Agriculture
and Technology, Bhubaneswar,
Odisha, India
Corresponding Author:
Padhi Pratibha
Department of Veterinary
Clinical Medicine, College of
Veterinary Science and Animal
Husbandry, Odisha University of
Agriculture and Technology,
Bhubaneswar, Odisha, India
Prevalence, clinicpathological changes and therapeutic
management of ascites in dogs
Padhi Pratibha, Patra RC, Senapati SK, Panda Sonali, Das DP and Biswal
Sangram
Abstract
Ascites, a multi-etiological disease, is characterized by distension of abdomen, poor appetite and
lethargy. Lack of adequate literature on etiopathology and clinico-pathological alterations in ascites in
dogs possesses serious problem for management of the disease. The present study was conducted on
owned dogs with distension of abdomen to study the prevalence of the disease with respect to primary
organ involvement in the pathogenesis of ascites, and hematological and biochemical changes and the
efficacy of therapeutic management. The ascetic dogs were grouped into causative types; heart-related,
liver-related, or dogs with both heart and liver involvement, kidney-related and others on the basis of
clinical symptoms, physical examination findings, and radiography and haemato-biochemical studies.
The affected dogs were treated with drugs depending on the cause of the disease along with supportive
drugs. Twelve apparently healthy dogs were recruited for the study to serve as controls. The blood
samples collected before (day 0) and 15 days following treatment and from control dogs were subjected
to haemato-biochemical analysis. Ascetic fluid was collected by abdominocentesis for gross, cytological
and clinicopathological examinations. The collected faecal samples were examined for the presence of
parasitic ova, Estimation of serum ascetic albumin gradient (SAAG), thoracic and abdominal radiography
and electrocardiography were performed. Out of the total 3541 dogs examined during the period from
January to June 2016, 12 dogs (0.34%) had ascites, consisting of four (33.33%) Labradors, 3 (25%)
Spitz, 2 (16.67%) German shepherd, one (8.33%) mixed breed dog, one (8.33%) Boxer and one (8.33%)
Golden Retriever. Ascitic dogs were grouped into 4 causative types depending on the primary organ
involvement, and appropriate therapy was provided depending on the cause of the disease. The ascetic
dogs with kidney involvement had significant decrease in mean haemoglobin level and Packed Cell
Volume. There was significant increase in neutrophil percentage in all groups as compared to control, but
no significant difference was recorded in eosinophil percentage among the groups. The mean serum total
bilirubin & direct bilirubin of group with primary liver affection was significantly higher than other
groups and control. The mean serum AST activity of all the groups was significantly higher than control.
Post treatment haematological examination on day 15 revealed increase in Hb and PCV in all groups,
Serum ascetic albumin gradient (SAAG) of two cases were more than 1.1 g / dl suggestive of presence of
portal hypertension. It was concluded that specific and supportive treatment after identification of
primary organ involvement in the pathogenesis of ascites restored clinic-pathological alterations.
Keywords: Ascites, dogs, hematology, biochemical changes, SAAG
Introduction
Ascites, also known as hydro peritoneum, is defined as an accumulation of excess fluid in the
peritoneal cavity. The cavitary liquids are produced by filtration in capillaries of the parietal
layer of the pleura or the peritoneum. Normally, a small amount of lubricating fluid (Less than
1 ml/kg body weight) is found in healthy animals and their function is to lubricate and prevent
friction between organs
[1, 2, 3]
. The fluid accumulation within a body cavity results when the
rate of filtration of fluid into space is greater than the rate of fluid resorption from the space. It
is technically grouped into three grades based on the amount of accumulated fluid. Grade 1
ascites is a mild form associated with accumulation of a small amount of excess fluid that can
only be detected by ultrasound examination. Grade 2 ascites is a moderate form, manifested by
moderate symmetrical distension of the abdomen, while grade 3 ascites is the clinically
observable gross and large accumulation of fluid, manifested as marked abdominal distension.
Grade 3 ascites cases are normally presented at the clinic for medical or veterinary attention
[4]
.
Ascites is a multi-factorial disease. The common cardiac problems resulting in ascites include
heartworms infestation, congestive cardiomyopathy, right side heart failure and congenital
pulmonary stenosis. Hepatic diseases leading to ascites are liver insufficiency, chronic active