Veterinary Homeopathy

Common Bile Duct Obstruction and Cholecystitis in a 7 Month Old Shih Tzu

Dr. Gautam Unny shares a case of a Seven-Month-Old Shih Tzu. with common bile duct obstruction and cholecystitis.

Liver disorders, particularly jaundice is very common in pets. Broadly there are three kinds of problems or causes of jaundice, i.e. pre-hepatic (when the blood is destroyed before the liver as in forms of blood parasites like tick fever), hepatic (issues within the liver like infections and masses), and post-hepatic (when some form of obstruction of the bile duct is seen).

The treatment of all three varies and prognosis is dependent on the type of jaundice detected. In animals because gall bladder surgeries and common bile duct (CBD) obstructions are difficult to manage surgically, homeopathy offers a very safe, cheap and non-surgical option for treatment.

Treatment in animals is generally at the organotrophic level and disease based mostly. This is because subjective symptoms are often absent and objective symptoms along with laboratory diagnosis play a vital role in selecting a cure.

This may not always be true as I have seen some fantastic results in dogs where the mind symptoms are clear. In this case however I had to deal with objective symptoms and what the client told me about his pet.

Maya was a seven- month-old Shih Tzu pet who had an acute attack of jaundice. She was presented at the clinic for being morose, dull, lethargic, anorexic and not responding to the owner.

On clinical examination the skin was icteric and temperature was normal. A blood test was done as was an ultrasound. The ultrasound showed the CBD to be inflamed and cholecystitis was seen. The patient was initiated on intravenous fluids, multivitamins and given this treatment twice a day for a week till the appetite returned to normal.

The nil per oral approach adopted helped in tackling the pancreatitis. No other medicine was given to address that ailment. The Polycystic Ovarian disease was left for a later date as the acute clinical conditions warranted that the liver issues were addressed first.

The patient was started on Cholesterinum 30C four drops four times a day. This remedy has been indicated for obstinate hepatic engorgements (Boericke’s Materia Medica).

Along with this Chelidonium majus MT was given ten drops thrice a day.  The patient showed increased energy levels from the third day of starting medicines. The same treatment was continued for two weeks.

After one week, Carduus Marianus MT was also given at the rate of ten drops thrice a day. The two mother tinctures were given for a full month. After two weeks the blood tests showed normal bilirubin levels and all signs of icterus were no longer seen. The patient had regained her appetite and was her normal sprightly level.

This case had unique significance in the fact that often the obstruction of the CBD and gall bladder sludge need surgical intervention. The owner was reluctant for any such intervention.

URINARY BLADDER : UB moderately distended, wall thickness 2.16 mm. No luminal defects seen.
LIVER : Hepatic Parenchyma is hyperechoic. Lobes shape and size normal. No SOL seen. Intrahepatic biliary radicles are hyperechoic. Portal veins are prominent. GB well distended, wall showing double layer appearance, wall thickened 6.51mm, biliary sludge seen. CBD is normal in course and caliber.

SPLEEN : Dense, homogenous, fine granular echotexture seen, margin is sharp and well defined, shape and size normal. Splenic vein at hilum is not dilated. No SOL seen.

KIDNEY : Both renal corticomedulary junction clear, cortex isoechoic to spleen. Shape and size (refer to image) normal. Pelvicalyceal system not dilated. No mineralization/calculi seen.

STOMACH : Dark and bright rugal folds seen. Lumen filled with gases and mucous contents.

INTESTINE : Intestinal loops are normal. Lumen filled with gases and mucous contents.

UTERUS & OVARY : Both ovaries seen polycystic [PCOD](rt ov 24.15mm x 11.89mm, lt ov 18.92mm x 14.79mm). Uterine horns seen normal.

ABDOMEN : No free fluid seen.

PANCREAS : Pancreatic limb seen inflamed with its surrounding fats. Right limb width is 15.42mm.

IMPRESSION : Cholecystistis (GB oedema), Hepatitis, Bilateral PCOD, Pancreatitis.

SUGGESTION : To know the function of organs need to correlate with blood
parameters findings.

About the author

Gautam Unny

Dr. Gautam Unny B.V.Sc, M.I.S.V.S. is a practicing veterinarian in New Delhi, India. He has over two decades of clinical experience. He has recently completed his Post Graduation Certification in Veterinary Homeopathy from Kerala Veterinary and Animal Sciences University (KVASU). He is now treating his animals in a One Animal One Health approach with a combination of Homeopathy and Allopathy. The Amrita Pet Care Clinic -

1 Comment

  • Great 👍 He is very good doctor and animal lover also. His new start of homeopathy with Allopathy is will greatly help animals.

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