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| Clinical signs are related to the loss of lymph and the resultant protein-losing enteropathy and fat malabsorption. The following signs are therefore common: | | Clinical signs are related to the loss of lymph and the resultant protein-losing enteropathy and fat malabsorption. The following signs are therefore common: |
| *'''Weight loss''' in the face of '''polyphagia''' due to loss of fat and protein. | | *'''Weight loss''' in the face of '''polyphagia''' due to loss of fat and protein. |
− | *'''Chronic [[Diarrhoea|diarrhoea]]''' or '''steatorrhoea''', the latter occurring due to the high fat content of the faeces. The presence of large quantities of fat in the intestinal lumen provides a substrate for bacteria which produce hydroxy-fatty acids as by-products. Bacterial proliferation may result in concurrent [[Small Intestinal Bacterial Overgrowth and Antibiotic Responsive Diarrhoea|small intestinal bacterial overgrowth]] (SIBO) and the hydroxy-fatty acids act as potent secretagogues in the colon, leading to the production of diarrhoeic faeces. | + | *'''Chronic [[Diarrhoea|diarrhoea]]''' or '''steatorrhoea''', the latter occurring due to the high fat content of the faeces. The presence of large quantities of fat in the intestinal lumen provides a substrate for bacteria which produce hydroxy-fatty acids as by-products. Bacterial proliferation may result in concurrent [[Antibiotic Responsive Diarrhoea|small intestinal bacterial overgrowth]] (SIBO) and the hydroxy-fatty acids act as potent secretagogues in the colon, leading to the production of diarrhoeic faeces. |
| *[[:Category:Effusions|'''Effusions''']] may develop for a number of reasons in animals with lymphangiectasia. Ascites composed of a [[Transudate|transudate]] may develop in severely [[Hypoalbuminaemia|hypoproteinaemic]] animals but, in animals that develop secondary lymphangiectasia due to right-sided heart failure, a [[Modified Transudate|modified transudate]] may form due to portal hypertension. If the major lymphatic vessels of the abdomen are disrupted (by a neoplastic mass), [[Chylous Effusion|chylous ascites]] may develop, although this is very rare. In animals with congenital lymphangiectasia or in those with disruption of the thoracic duct, chylothorax has also been described. | | *[[:Category:Effusions|'''Effusions''']] may develop for a number of reasons in animals with lymphangiectasia. Ascites composed of a [[Transudate|transudate]] may develop in severely [[Hypoalbuminaemia|hypoproteinaemic]] animals but, in animals that develop secondary lymphangiectasia due to right-sided heart failure, a [[Modified Transudate|modified transudate]] may form due to portal hypertension. If the major lymphatic vessels of the abdomen are disrupted (by a neoplastic mass), [[Chylous Effusion|chylous ascites]] may develop, although this is very rare. In animals with congenital lymphangiectasia or in those with disruption of the thoracic duct, chylothorax has also been described. |
| *[[Stomach and Abomasum Consequences of Gastric Disease - Pathology|Vomiting]], lethargy and anorexia are uncommon clinical signs. | | *[[Stomach and Abomasum Consequences of Gastric Disease - Pathology|Vomiting]], lethargy and anorexia are uncommon clinical signs. |
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| *'''Hypocalcaemia''' occurs due to hypoproteinaemia (reducing the total but not ionised calcium concentration) and due to vitamin D and calcium malabsorption. Hypocalcaemic tetany may be observed in animals which are severely hypocalcaemic and which then become stressed or excited. | | *'''Hypocalcaemia''' occurs due to hypoproteinaemia (reducing the total but not ionised calcium concentration) and due to vitamin D and calcium malabsorption. Hypocalcaemic tetany may be observed in animals which are severely hypocalcaemic and which then become stressed or excited. |
| *'''Hypomagnesaemia''' may also develop due to malabsorption but this is rarely recognised in clinical practice. | | *'''Hypomagnesaemia''' may also develop due to malabsorption but this is rarely recognised in clinical practice. |
− | *Changes associated with SIBO are discussed [[Small Intestinal Bacterial Overgrowth and Antibiotic Responsive Diarrhoea|here]]. | + | *Changes associated with SIBO are discussed [[Antibiotic Responsive Diarrhoea|here]]. |
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| ====Other Tests==== | | ====Other Tests==== |
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| ===Antimicrobials=== | | ===Antimicrobials=== |
− | [[Nitroimidazoles|Metronidazole]] or [[Macrolides and Lincosamides|tylosin]] may be used to control any secondary [[Small Intestinal Bacterial Overgrowth and Antibiotic Responsive Diarrhoea|SIBO]]. Antibiotics are thought to have effects on both the intestinal immune system and the normal enteric flora. | + | [[Nitroimidazoles|Metronidazole]] or [[Macrolides and Lincosamides|tylosin]] may be used to control any secondary [[Antibiotic Responsive Diarrhoea|SIBO]]. Antibiotics are thought to have effects on both the intestinal immune system and the normal enteric flora. |
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| ===Fluid therapy=== | | ===Fluid therapy=== |