A couple weeks back I was seeing Meike, a friendly high spirited German Shepherd Dog, for her annual physical exam. Meike is a special dog because she really would not be alive today if it weren't for the dedication of her owner. As soon as Meike started on solid food at around 6 weeks old, it became obvious that something was wrong. She regurgitated food often and wasn't growing as fast as her littermates.
Here is a picture of Meike's chest x-ray after giving a barium slurry. She was just a small puppy at the time of this radiograph.

As you can see, there is a big blob of barium balled up in the esophagus in the front part of the chest. Turns out Meike was born with something called a persistent right aortic arch. This is a birth defect where a ring of tissue circles around the outside of the esophagus and makes it difficult for food to pass through on the way to the stomach. The danger is that food collects in a pouch in the esophagus and gets regurgitated from time to time. If a little food or fluid leaks down into the lungs, it can cause pneumonia.
Meike went and had surgery done by a surgery specialist. The surgery got rid of the tissue causing the stricture so that food could better pass through to the stomach. The first part of her esophagus still does not function properly though and so Meike has to eat a liquefied diet. The esophagus not returning to normal is quite common in puppies with this condition and is called megaesophagus.
So kudos to Meike's owner. I am in awe of her love and commitment to her dog. Meike would truly not be alive today and grace all of our lives if it were not for this devotion. See, what a great way to spend a day talking to people who love animals. I am truly blessed to be able to spend my days this way.
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