Gastric Dilation/Volvulus

                   -------------------------

                   (bloat, gastric torsion)



                      General Information



Gastric dilation/volvulus is a life-threatening disease

characterized by a tremendous ballooning (dilation) of the

stomach with gas and frothy material.  Dilation may be followed

by twisting of the stomach (volvulus) that closes both the inlet

and outlet of the stomach.  As swelling continues, shock

develops as the swollen stomach blocks return of blood from the

abdomen to the heart.  Widespread tissue damage and kidney

failure develop and death from respiratory and cardiac arrest

soon follow.  While most cases occur in large, deep-chested

dogs, small dogs are occasionally affected.  The disorder

appears suddenly in apparently healthy dogs.  The cause is

unknown.



                 Important Points in Treatment



1.  Prompt treatment is essential to successful treatment.

    Irreversible damage can occur in a surprisingly short period.

    For this reason, many affected dogs die before treatment can

    be given. 



2.  Surgery is necessary in all cases of gastric volvulus.

    Unfortunately, recurrences are common in some pets.  Owners

    of recovered pets must be especially alert for the early

    signs of recurrence. 



3.  Give all medication as directed.  Call the doctor if you

    cannot give the medication. 



4.  Diet:  A proper diet and feeding practices are extremely

    important during recovery.  Feed your pet as follows: 



5.  Activity:  Do not allow any vigorous activity for _____ hours

    after feeding. 



6.  Surgical patients:



    * Check the incision at least once daily.  Report any

    abnormalities to the doctor.



    * Limit your pet's activity to short on-leash walks until the

    sutures have been removed.



    * Your pet will be evaluated for suture removal in _____ days.



    * Additional instructions:





       Notify the Doctor if Any of the Following Occur:



    * Your dog seems restless or unable to get comfortable.



    * Your dog makes repeated unsuccessful attempts to gag, belch or

    vomit.



    * Your dog's abdomen becomes enlarged or unusually firm.