rems = " "; document.write(rems);
Return to the Tennessee Gardening Forum | Post a Follow-Up
SnakesPosted by SmokyMist 6TN (fai34@chartertn.net) on Mon, Jun 23, 03 at 10:51
Just wanted to tell everyone be careful this year...mom lives down in South Knoxville and almost stepped on a Copperhead in her flower garden. They killed it, and took it in to UT for id'ing. Now I'm worried about her working out in her garden ! |
Follow-Up Postings:
RE: Snakes
thanks for the heads up !!! i am sure we will all be taking extra care outside now. ( matter of fact the day i see one in my yard is the day i take up a new hobby like INSIDE MY HOUSE!!! lol hope your mom stays safe snd still enjoys her garden ( even after such a scary find)
rachel |
RE: Snakes
Snakes were just always a part of life growig up. But since I've been in the big city I rarely see one anymore.
Maybe it's the cats... |
RE: Snakes
TNGreenThumb -- I think so too! When I bought this house in 85, the place was COVERED with northern brown snakes. Now I hardly ever see any. Hmph. Those little guys eat slugs, and I've got a TON of slugs. |
RE: Snakes
I have garters, green garden snakes and some others that all I see are the tails. They seem to gather around the pond. Snakes eat mice, slugs and even Chipmunks (yaaa!) Learn to recognize the poisonous snakes, and leave the beneficials alone.
Outside cats will kill snakes, therefore leaving more slugs, etc. They will also kill ground nesting birds (like Quail). My inside cats are too lazy to have any significant impact on mice outside! |
RE: Snakes
are ya'll implying that if you happened upon a copperhead, that you wouldn't have the jeeheebies scared out of you ??? now come on, we aren't talking harmless here. ya'll know that after one bite in the butt by one of those things you would do anything just to have a million harmless slugs eating your yard up (LOL) !!! so yes , we will all agree to leave the harmless ones alone but copperheads and cottonmouths are not welcome at my house NO SIR!!! :O) |
RE: Snakes
lol I seriously doubt I would have made a post that said be careful, mom almost stepped on a black snake ...lol It was the copperhead ummm poisoinous snake thing I wanted to post about. |
RE: Snakes
LOL and ROTF !!!!! i am thinking that maybe the copperhead thing flew past them OR maybe they really are just that macho :) i think that at the next plant swap there should be an activity called the tough man competition . what do you think smoky??? lol i love how deadly snakes are nothing to men but you hand them a baby with a stinky diaper and they run for the hills !!!!!! lol
rachel |
RE: Snakes
Excuse me?? For one thing, I'm not a man. For another thing, I didn't see anyone say anything about poisonous snakes being nothing, or anyone acting macho. Sheesh. |
RE: Snakes
lord , it wasn't meant for anyone to get offended by my post amazon , sorry if it came across that way. it just seemed to me that you all were making light of the fact that smokies mom came really close to a poisonous snake. as for what i wrote about men... well that was suppose to be humor. once again sorry for any hard feelings :)
rachel |
RE: Snakes
*sigh* this used to be a very nice and easy going place to come and visit ....recently I've kinda stayed clear of it, because this seems to be happening alot. I don't think anyone meant to hurt anyone, sheese almighty ! |
RE: Snakes
Actually, I think this forum is STILL a "very nice and easy going place to come and visit". But remember that old saying about the road to hell being paved with good intentions? A person can easily be offensive without "meaning" to be.
Rachel already apologized, and that's great. There's no reason to go any further than that. :-) |
RE: Snakes
Last time I remembered I am allowed to say what's on my mind as well Doc. |
RE: Snakes
Huh? Of course you are, I wouldn't have it any other way. :-) |
RE: Snakes
Hey, don't get me wrong either - a moccasin or a copperhead in my pond would eat some lead, or maybe a shovel. I just hate to see a garter or something dead, because someone was scared... |
RE: Snakes
Boots and gloves will go a long way to prevent the risk of copperhead bites. If someone wants to be extreme in their prevention there are also snake proof leggings made out of Kevlar called gaiters. I don't think they're really necessary for places where venomous snakes are not abudant though.
And the good news about copperheads is that their most common reaction is to just lay there. Their temperments can vary though. I've lifted rocks with my finger just inches from a copperhead and had nothing happen on more than one occasion. But I've also encountered copperheads that have lunged defensively when I merely stepped near them. The trickiest thing about them is that they blend so well in the leaves and they aren't easily excitable so they stay there motionless and sometimes get stepped on as a result.
While I would let a copperhead stay in my yard I am cool with the fact that others aren't so keen on that idea for their yard. When people go out of their way to kill them in state parks I get upset but on their land it's fair to let people make their own call.
Both myself and my wife love snakes and I wouldn't equate liking snakes with being macho. For us snakewatching is like birdwatching is for birders only you look down instead of up :-). The only connection between macho and snakes is that 90% of snakebite victims are adult men (often drunk) who either hate snakes and go out of their way to kill or mess with them or really like snakes and go out of their way to handle them.
I see almost as many men who are terrified of snakes and nearly as many women who like snakes as the other way around. The main difference I see is that women who are terrified of snakes are less likely to go out of their way to mess with them and women who like snakes are less likely to go out of their way to mess with them. Back Away vs. Approach and Kill..Take a Picture vs Catch Snake seem to be the main nonmacho/macho differences that break down somewhat but not entirely on gender lines. |
RE: Snakes
so once again folks , there we have it. one more reason not to get drunk LOL!!!! friends don't let friends handle snakes while they are drunk . ( AND IT ISN"T A GOOD IDEA TO HANDLE DRUNK SNAKES EITHER ) ;) |
RE: Snakes
Since my brother always brought baby snakes home from his friend's houses in his pockets, I've always been the type to look at it, back away and leave it alone. Of course I also pet the snakes at the pet store and let them wrap themselves around my arm lol. Copperheads, don't know if I'd know the difference , I really should look into that. I'm wondering , since this was a small snake, if that means there are more, a den of them ? Or do Copperheads travel ? |
RE: Snakes
Copperheads leave their dens in April and hang around close by into May and then disperse and travel fairly widely in the summer. Then in late September they make their trek back to their dens and in October (like April) they hang close by their dens.
Usually people who have copperhead dens will see more of them in April and May and again in the fall while seeing not as many in the summer. Other people will see fewer copperheads but if they do see them it will be in the summer.
Hard to say. If it's the first one she has seen probably no den in the area, although I suppose it could be that they have just gone undetected until now.
Easiest way to identify a copperhead is by its hershey kiss or dumbbell shaped markings.
Below is a picture of one I took this spring. You can see the hershey kiss markings in the pic.
|
Here is a link that might be useful: Copperhead = hershey kisses
RE: Snakes
Wow...no kidding, those do look like Hershey Kisses. Thanks for all the information Wayne. Was that copperhead at your place ?
Cheryl |
RE: Snakes
Cheryl,
You're welcome! That one was not at my place. It was in Southern Illinois. I chose it because it more closely matches the color typical of copperheads in Tennessee. The ones near my place in Missouri are not as richly brown in color as the ones found further East. The one below is a juvenile more typical of the ones I find near here. Note again the hershey kisses when viewed from the side.
Another way people can tell copperheads is by their elliptical eye pupils but I prefer to give them the "hershey kiss" advice because it seems more practical and one can even use it if one only sees a segment of snake in dense cover and doesn't see the head. |
Here is a link that might be useful: Copperhead = hershey kisses II
RE: Snakes
There are atleast 5 varities of Cooperheads. I think 2 are found in Tennessee. In Tennessee , the cooperhead is a sneaky and terrible snake. Often if it hears humans or other animals coming , it will scurry and hide and STRIKE when the victim is close , then it will scurry away. I dont care what anyone says , poisonious snakes have no benefical attributes in Tennessee , with only 3 or 4 snakes like that in Tennessee , all the rest do keep nature in check. There are enough black snakes in Tennessee to keep things going without sparing the cooperheads or watermocs or Rattlers (the latter two WILL KILL you and the cooperhead will make you wish you were dead when your body part swells about 10 times larger than normal . You can die of a cooperhead bite if it gets you from the shoulders up - brain swelling , etc. or if your in poor health , elderly or young . More cooperheads are killed in Tennessee each year by Black Snakes than Humans . For the record , for the past three months , atleast 3 women have been bitten by cooperheads in my county , 2 in flowergarden beds and one lady walking down her beautiful landscaped sidewalk . Each time , the snake heard them and layed still and quite untill they got closer and after they bit those ladies , off they went.... I say kill every cooperhead and rattler in Tennessee and shoot the mocs! (not intended for UTC : ) |
RE: Snakes
AMEN!!!!!!!!!! mountain grown |
RE: Snakes
"In Tennessee , the cooperhead is a sneaky and terrible snake. Often if it hears humans or other animals coming , it will scurry and hide and STRIKE when the victim is close , then it will scurry away."
Snakes are deaf. They also have poor eyesight and very limited intelligence. People attribute mammalian (human) senses and motives to them that they don't have. They rely almost entirely on close range smell and somewhat on vibrations. They don't scurry and hide right before people come, the ones that people unexpectedly find camouflaged were already there and just hadn't moved (presumably because they didn't sense the person coming until they were too close). The reason they leave afterwards immediately after striking is because in their mind they were defending themselves against a predator.
While a snakebite is a terrible experience and venomous snakes command a degree of fear and respect, I do hate to see people living in fear and afraid to go into the garden because of an overestimation of the danger snakes poses. While a venomous snakebite is a very painful to trip to the hospital to be avoided at all costs, to put things in proper perspective:
Fatal snakebites per year in the US = 9 to 15 Homicides per year in the US = 15,000 to 20,000
The number of fatal snakebites in Tennessee in an average year is zero. Most of the small handful of fatal snakebites in the US in a year come from the Western and Eastern Diamondback and the Mojave Rattlesnake which aren't found in Tennessee.
So, yes be careful in the garden by all means and wear boots if you have to. And yes feel free to keep your own property safe and snake free.
But to put your risk in perspective, keep in mind that snakes are 1000 to 2000 times less likely to kill you than your fellow human.
|
RE: Snakes
Great post Wayne. Without a doubt snakes are amongst the most misunderstood creatures in the natural world. Folks often fear thing that they don't understand. Knowledge is the key to overcoming fear. Knowledge comes through educating yourself. Don't believe everything you hear about snakes or any other animal for that matter. Do some research and find out the facts for yourself. There is a lot of good information in this thread about snakes but there is also a lot of misinformation. Go study the facts for yourself.
Mark |
RE: Snakes
To put all of this snake-bashing in perspective...
I work for a healthcare system in NE Tenn. In the past 12 months, all of our hospitals have treated only 21 snake bites, with 10 of those being from poisonous snakes. None were fatal, and only 2 had more than a 24 hour stay in the hospital.
I am terrified of snakes, but I also have a healthy respect for them and do not try to pick them up for a closer look, nor kill them. On occasions, I've come across one, it has "ran" faster the other way, than I have.
When confronted with the situation, you may deal with what you see as an "intruder" any way you like, but be careful or I may see you in one of my Emergency Rooms.
Thanks for the pic, Wayne, I don't think I have ever come across any copperheads, but the hershey kiss thing will be easy to remember if I ever get that close!
|
RE: Snakes
First of all let me say that if I run across a snake it doesn't have to fear me maiming or killing it, I'll either be lying in a dead faint, or I'll be running the other way. However I wouldn't mind if someone came to my rescue and killed it for me. BUT, are you all aware that it is against the law to kill a snake, any kind of snake, in Tennessee? To kill one and then take it somewhere for identification is taking a chance of being arrested by the game warden. I'm not saying not to kill the poisonous ones, just don't tell it if you do. LOL |
RE: Snakes
This has very informative topic.
I have gotten a ton of information from neighbors. One thing I have heard is that the venom of a copperhead messes your nervous system up and you never completely recover, if you survive at all. Is this true? One other thing I have heard is that it illegal to kill a Timber Rattler in Tennessee. This cannot be true considering some of what I have read here, except this last post by diggity.
I have seen many snakes this spring, but I don't think any copperheads. My only resource has been a book titled Amphibians and Reptiles in Kansas. It has two non-color pictures of copperheads. One didn't have the Hersheys Kisses and the other didn't show them well.
I went to the extension office to get information on snakes in Tennessee. They told me go to a book store and buy a book.
About a month ago I was running a rotary cutter. As I was cutting, I noticed that on the previous pass I had killed a snake. It was a Timber Rattler. It was only about 3½ or 4 feet long, but was as big around as my arm. I am sure it was the biggest snake I have ever seen out in the wild.
I have gotten in the habit of wearing shorts. I feel vulnerable account of the snakes. Would jeans be any protection at all if a venomous snake were to strike?
|
RE: Snakes
People can report here what they want but one or two people get bitten by cooperheads in my area every season ( tennessee) I have a cousin who has been bitten 5 times in the last 7 years ( he is a farmer and gets deathly sick each time ) As for snakes being DEAF , they have other ways to pickup mammals and humans moving nearby. The only time snakes are blind around here are during the dog days and they will strike at anything . as per Wayne's comments : "" The number of fatal snakebites in Tennessee in an average year is zero. Most of the small handful of fatal snakebites in the US in a year come from the Western and Eastern Diamondback and the Mojave Rattlesnake which aren't found in Tennessee."" EXCUSE ME but your comment on ZERO AVERAGE of snakebites in Tennessee is incorrect Sir. Tennessee does have the Timber Rattler and Eastern Diamondbacks have been captured in Tennessee ."" please dont make me out a liar when Ive reported that Cooperheads will hide and scurry away after biting. If you havent ever lived here , you wouldnt know. Ive actually seen them raise up a foot or so and look down the path ( a path my little neice was walking up ) You post is well done and informative but you know little about snakes in Tennessee. The day some of you have to live in rural appalachia , you wont think twice about shooting a snake. Rattlers attacking livestock is common here aswell. The very idea that Wayne would allow a cooperhead to stretch out in his yard and make itself at home is a little too much to take , please ! also his comment : ""The only connection between macho and snakes is that 90% of snakebite victims are adult men (often drunk) who either hate snakes and go out of their way to kill or mess with them or really like snakes and go out of their way to handle them."" ARE YOU SERIOUS , maybe where you live but you dont have to be drunk or male to get bit around here in the appalachians of Tennessee. People would laugh you out from these parts of the Tennessee Appalachians with your snake tales. Cooperheads arent lame and lounging around here and they are aggressive here in the southeastern mountains and I caution all tennesseans to be careful this season . Too many reports of snake bites so early in the season.
|
correction.......
In Haste , I failed to gasp that WAYNE reports 0 deaths (on average) in Tennessee (ie: snake bites ) and he is indeed correct and I apologize for disputing his factoid . |
Copperhead Bites....
KsKent,
While a copperhead bite can be extremely painful and unpleasant,the venom is comparatively mild for a pit viper and as such permanant damage is unlikely and death is almost unheard of. Unlike bites from cottonmouths and rattlesnakes, copperhead bites usually aren't treated with antivenom anymore (the antivenom being considered a greater risk than the venom from the bite itself), the relatively mild venom is simply allowed to run its course while the patient is monitored closely.
(What may cause confusion is that the Australian copperhead, which is completely unrelated to the American copperhead has dangerous neurotoxic properties that attack the central nervous system. American Copperheads have hemotoxic venom which causes local tissue damage but does NOT attack the nervous system.)
Technically, all snakes are protected in Tennessee, including the Timber Rattlesnake, but the law is not enforced.
Incidentally, despite anecdotal evidence to the contrary, diamondback rattlesnakes are not officially recognized as part of Tennessee's herpetofauna...Tennessee has both Timber and Pygmy Rattlesnakes; the large Timbers are often mistaken for Diamondbacks by the locals.
|
Here is a link that might be useful: Tennessee Snakes
demographics of snakebite victims
Roughly 9 out of 10 venomous snakebite victims are adult males, and most bites occur from trying to handle, harass or kill the snake. For some reason, drunk men are particularily susceptible to doing these things. When men are bitten (much more often than women) it is usually on the arm or hands and usually when attempting to kill the snake. The moral of this story is if you see a snake leave it alone, and especially if you have been drinking, don't try to be a hero by killing the snake.
http://216.239.51.100/search?q=cache:hqc3WkQEMnQC:wmuma.com/tracker/tracksofthetracker/winterspring94pg08.html+snakebite+drunk+males&hl=en&ie=UTF-8
Studying ten years' of rattlesnake bites that came into the County-USC hospital, Wingert also found some interesting patterns that suggest who gets bitten and why. Eighty percent of bites were on the hands and only fifteen percent on the legs or feet. Forty percent of the victims were drunk. The vast majority of victims were males between 20 and 30. Judy McNally, Assistant Director of the Arizona Poison and Drug Information Center - which sees 350 snake bites cases every year - told me "fifty to seventy percent of the bite cases are from people molesting or harassing a snake. The typical bite is a guy driving down the road with a bottle of Jack Daniels, sees a snake on the road, gets out and tries to beat it with a stick."
http://www.amnh.org/naturalhistory/features/0700_feature.html In 1988 two doctors at the University of Southern California Medical Center analyzed 227 cases of venomous snakebite, covering more than a decade, and found that more than 55 percent resulted from the victim's grabbing or handling the creatures, and in 28 percent of these cases, the victims were intoxicated. The doctors' conclusion was that the typical snakebite victim is male and under thirty, with a blood-alcohol concentration of more than 0.1 percent at the time he is bitten. Yet only 0.2 percent of all snakebite victims die each year, and most of them receive no medical treatment or first aid.
http://www.arts.arizona.edu/herp/newslt88.html "In males 'illegitimate' bites (unnecessary exposure to being bitten because of rattlesnake manipulation) predominated."
|
RE: Snakes
Back when Dollywood was Silver Doller City , didn't a girl die from a snake bite from where a copperhead had crawled into the log ride ? Any locals know this answer ? And I'm sorry if it's illegal but if I find a copperhead in my garden it's a gonner. I don't want to take any chances. It would be the black snakes I'd leave alone. I love my kids too much to "not kill" a poisoinous snake that is in my own yard. |
RE: Snakes
There's an interesting report -- actually, a nice informative article -- from a doctor at UTK medical center. No deaths at UTK (a level 1 trauma center) during the five year study; nationally deaths have averaged 4 per year for the past several years. Nationally snake bites average 9.1 males for every 1 women. At UT, snake bites average 2.1 males for every 1 women. Most bites resulted from attempts to handle the snake (and remember, we've got "religious" snake handlers here). http://www.emedicine.com/med/topic2143.htm
Another interesting report in the "Appalachian Focus Health News", put out in West Virginia --
"It's rare for someone to die from a snakebite in West Virginia, and no one in the state has reported a death from a copperhead. In the past 40 years there have been only 11 deaths - all from rattlesnakes - and "seven of those were people in snake-handling churches, " Jernejcic said. " "In the wild, only four people have died from snakebites in 40 years, and none since 1992, which makes it a nonissue," he said. "More people have been killed by dogs - animals we keep as pets in our houses." Jernejcic said many bites could be avoided if people did not try to pick up or play with snakes. "Encounters with snakes should be treated as educational experiences," he said. "A copperhead will not strike more than half of its body length. They're usually about 2 feet long, so you know you're safe if you're at least a foot away from him - 'cause he's not going to come after you, that's for sure." http://www.appalachianfocus.org/_health1/00000024.htm
There's also a helpful booklet available online, on the Poisonous Snakes of North Carolina. It contains detailed identification and natural history info for the poisonous snakes we're likely to see around here. Part of it reads:"Although not aggressive, Copperheads inflict perhaps 90 percent of all venomous snakebites in North Carolina. Most bites result from stepping on or touching the snake. Authenticated reports of human fatalities from bites are very rare and apparently only one death from Copperhead bite has been recorded in North Carolina." http://www.naturalsciences.org/research/herpetology/Venomous_Snakes_of_NC.pdf
In general -- be cautious, be careful, but don't be hysterical. |
RE: Snakes
I don't think killing a snake if you're afraid of it is being hysterical. It's very easy for people to quote one thing, then when faced with a poisoinous snake in your face to think to just be "cautious". This has been a great discussion, but I think alot of us would still rather get rid of a copperhead than to let it live in the garden you work in on a daily basis. |
RE: Snakes
"I don't think killing a snake if you're afraid of it is being hysterical."
I don't believe I said that it was. :-) |
tennessee snake deaths....
In the past 40 years, seven people have died from snakebite death in Tennessee (an average of one every six years, though the average is probably dropping due to improved medical treatment). Incidentally, some of these may have been from snakehandling churches and pet owners with exotic and dangerous snakes from other parts of the world.
As for copperheads, only about 12% of bites are treated with antivenom, becuase the antivenom is often as harmful as the bite since copperhead venom is comparatively mild.
As for the Dollar City story, it may be local legend rather than factual. Snopes.com's urban legends page has a number of stories of the local lore variety regarding snakes. A fatality would not be impossible, but the story should be viewed skeptically in the absence of a newspaper account or other source to verify its authenticity.
Finally if you feel you must kill a snake on your property, just bear in mind that attempting to kill a snake actually increases your immediate risk of being bitten, so exercise caution and don't be careless in your attempts to kill it...try to keep a safe distance between your legs, your arms and the snake.
On public property such as a State Park you should always avoid the snake rather than trying to kill it.
|
Here is a link that might be useful: more Tennessee Snake info
Well..
"I don't believe I said that it was. :-)"
Since it was a general statement I took that it would apply to any given situation. :o) |
assumptions
Hmmm. I think that's a dangerous assumption to make. If I say "in general, fire is dangerous" -- would you therefore assume that I oppose roasting marshmallows? No, of course not (I hope!). Generalities are precisely that -- generalities. |
correcting the world , one post at a time
Keith , hospitals in rural areas here use the anti-venom quite often . Since you dont live here you wouldnt know. Im refering to cooperhead bits. Smoky Mist , the snake bite did occur at silver dollar city or whatever that place was called and since some want to rattle you about it , tell them to get the facts next time . Keith and Amazon Woman , I will remind you that opinions are like , well you know and you two seem to have gathered quite a few references and OPINIONS . Thats all they are , OPINIONS and further more if people want to handle snakes in religious meetings or pray to mecca , its a free world. |
RE: Snakes
Plantbot -- "getting the facts" is always a good thing. Could you please provide us with the facts about this supposed Silver Dollar City episode? I'm not claiming that it didn't occur -- I don't know one way or the other -- but since you don't even appear to know the name of the place, I have trouble believing that you yourself know the "facts" of this reported incident. ;-)
As for "opinions". Hmmm. Personally, I think the findings of medical, research, and herpetological professionals counts for a lot more than mere "opinion". And yes, of course people can handle poisonous snakes if they want to -- who ever said otherwise?
Oh, and as for hospitals in rural areas using the anti-venom quite often -- if you'll read those web sites I posted, you'll see that this claim is not precisely true. In fact, hospitals in this very area are using the anti-venom less and less often, due to a combination of factors -- including the growing realization that anti-venom often causes more problems than it alleviates, especially for snakes of relatively low toxicity such as the copperhead. As you said -- please get the facts. :-) |
anti-venom use
Since plantbot seemed interested in "the facts" about anti-venom use in this region and "rural areas", I thought he/she (sorry, I've forgotten!) might be interested in the following --
"In 1999, staffers at the West Virginia Poison Center recorded 86 people bitten by snakes in the state. Nearly half were from poisonous species. West Virginia has two species of poisonous snakes - the copperhead and the timber rattlesnake.
Only seven of the victims were given doses of antivenin, said Scharman.
One reason is some bites, even from poisonous snakes, are without venom. "About a third of all bites by poisonous snakes are what we call dry bites - bites where no venom is introduced," said Art Shomo, public information officer with the West Virginia Division of Natural Resources.
"Snakes use their venom to kill their prey, and some experts believe they have the ability to control whether or not they inject venom. If it's just a defensive bite, they may decide to conserve their venom."
Another reason doctors exercise caution in administering antivenin is that it carries health risks. "Usually, after about a couple of weeks, people experience serum sickness -- fever and muscle aches, but it can cause more serious reactions," Paulson said.
Cost is another factor. "The cost to the hospital is close to $600 per vial," said Scharman. "If they need 10 or more vials, that means it's going to cost the patient a lot."
http://www.appalachianfocus.org/_health1/00000024.htm |
RE: Snakes
lol doc..you have alot of time on your hands today don't you ? |
RE: Snakes
;-) Actually, yes -- I keep thinking about going to the Bloomsday events -- but instead I'm avoiding computer work and reading web pages. But I already had that latest quote, since it was from one of the pages I already cited. :-) |
It's Hot
I'd thought about going to that. Read about it in the newspaper, sounds really nice, but it's just sooooooo darn HOT. |
RE: Snakes
I may go tomorrow. We Shall See. In part I'm not in the mood because of going out to Oakes yesterday, in part I'm sulking since the ETN plant swap fizzled, in part I'm also sulking because I expected to receive money yesterday which it now turns out I won't have til at least Monday. Delayed payments always put me in a WONDERFUL mood. So, mostly, I'm too busy sulking. Haven't checked the weather for tomorrow -- if it holds, maybe I'll be through sulking by then. ;-) |
RE: Snakes
If I may, I'd like to interject with a couple of questions. One, is it true that all venomous snakes have the eliptical eyes? I've heard that, forked tongues, and diamond shaped heads as tricks to recognize the snakes from which to run especially fast.
Two, does anyone have any ideas about why I could be finding so many dead garters in my yard this year? We have many, many garter snakes here in East Nashville, and we keep a respectful distance from each other. And I found my third dead one today. The first was several weeks ago, and it was a wee baby. Yes, even dead baby snakes are cute!
Thanks! |
RE: Snakes
No, not all poisonous snakes have the "cat's" eye. However, pit vipers -- which are the common group of poisonous snakes in this area (including rattlers, copperheads, and cottonmouths) -- do. (They also have the diamond shaped heads.) Coral snakes do not have the eyes or the head (they are not pit vipers), but you are very unlikely to find a coral snake in TN.
All snakes have forked tongues, so that one won't help you any.
If you've got lots of dead garters, I'd look for a cat who likes to catch things. When I used to let my cats outside, they loved to catch snakes! |
RE: Snakes
All of the venomous snakes in Tennessee have elliptical pupils and all of the venomous species in the United States except Coral Snakes have them. The rule does not work very well in other countries, however.
The diamond shaped head rule is less reliable. While the pit vipers do have the most spade shaped heads of any snakes in the US, many nonvenomous snakes can also have triangular appearing heads especially when they flatten their head when alarmed (Hognose Snakes and some nonvenomous water snakes are easily confused for venomous snakes for this reason). I still think the best strategy if one can afford a few dollars, is to have a good field guide handy and to learn snakes by their pattern, range and habits.
I was thinking the dead snakes might be the work of cats as well. In fact, unfortunately I saw one parading around a dead snake in my yard today. |
RE: Snakes
While a few stray kitties come into my yard, I do not think these snakes are their victims. I actually encountered one of the dead snakes, the baby, while it was still alive. It was curled up happily under one of my hostas (found it weeding--their was a loud little-girl scream that I heard coming from somewhere nearby...). A couple weeks later I encountered the same one decomposing. It just curled up there and died. Not a kitty.
I also feel stupid for the forked tongue thing. Of course they do..... Sigh. |
RE: Snakes
Is it true that snakes will pretty much stay out of yards where there is a dog? I heard that but is hard to believe that a snake would know the difference.
B |
RE: Snakes
A snake wouldn't usually know whether or not there is a dog until the dog approaches it so the claim some are making to you that snakes will stay out of yards with dogs is overstated. Dogs will sometimes kill snakes and snakes would generally want to avoid them but their lack of good senses and mammalian intelligence prevents snakes from being good judges of what yards to avoid. On the flip side, dogs aren't necessarily good judges of what snakes to avoid either. |
Snakes and Amusement Parks
Regarding the logride story, it sounds like a familiar urban legend theme.
"...tales abound of snakes' nesting in roller coaster cars just unhoused from winter storage and bad-tempered venomous vipers' fanging any hand carelessly trailed in the water of an amusement park's Tunnel of Love. The message is clear: danger lurks amidst the gaiety, and a wise parent never takes his eyes off his kid. The juxtaposition of venomous snakes and amusement areas makes an even stronger statement than if these selfsame snakes were putting the chomp on youngsters in less carnival-like settings -- say, a schoolyard or a department store. Such legends work to caution parents to not relax parental vigilance even in presumed safe settings."
While parental vigilance is a good thing, it would make more sense to foucs that vigilance on the safety of the machinery of the amusement park rides themselves.
|
Here is a link that might be useful: urban legend
RE: Snakes
My first thought was that the amusement park story sounded like an urban legend. Too often stories like that get told from person to person as fact when in reality they are just urban legends. I would think that snakes are the focal points of dozens of urban legends. |
RE: Snakes
I read some of those legends from a website(forget which site, it was a couple of weeks ago), and even as TERRIFIED of snakes as I am,some of those stories were just hilarious! Like the one where a lady buys a winter coat(usually the store is said to be Burlington's),and she puts her hand in the pocket, and is bitten by a snake residing there.Or a different twist on the story, where someone buys a basket, and upon removing the lid, a COBRA is found resting inside. Or the one where some people go fishing or boating, and copperheads drip from the trees above, usually dropping en masse into the boat and attacking the people in the boat. Well, I learned from Wayne(bless his heart) that copperheads don't hang from trees,a harmless(non-venomous) watersnake that looks similiar does sometimes, and it's not likely to PURPOSELY drop from the tree just to get ME-but I STILL wouldn't pass underneath where I saw it,LOL. Even if it accidenatally dropped on me on it's way to the water, I'd P... myself before fainting. My way of dealing,always has been, always will be, is to LEAVE THE DARN THING ALONE.Not because I have ANY love for snakes, they give me the creeps, but because I just don't want to be near them. If a venomous one comes into my yard, if my husband or other male is nearby,HE can go kill it,because I have dogs,including an old,slow cocker spaniel that I love dearly.And NO, dogs won't necessarily keep snakes away,because a lady who posts here had one killed by a coral snake,in her own yard. And neither will cats-my next door neighbor has had more than one kitten killed by water mocassins. My other next-door neighbor had a pygmy rattler under the azaleas right by the street-which my husband killed for her.She says it's not the first one she's seen,and it's hard to mis-identify a rattler,I would think. Wayne understand perfectly where I'm coming from, and I appreciate that-I would never LOOK for a snake to kill it, and I'm trying to reach the point where I wouldn't be afraid of the harmless ones(though from my reading, even those can make a powerful "stink",LOL),and to even remember the beneficial effect they can have in my garden-eating bugs and slugs, some even killing venomous snakes. But the rattlers,mocassins,copperheads, and coral snakes(we have them ALL in my area),well, IN MY YARD, they have to go to snake heaven,and even then ONLY if someone else sends them for me,LOL. I'm more concerned about the people who keep venomous IMPORTED snakes,for which most places don't have the antivenin if they get loose and someone is bitten. The venom of these snakes makes that of our native species look like a joke, I understand. |
RE: Snakes
Amen to your comment about "pet" exotic venomous snakes! Those things can be really scary, and so many people are stupid about the way they handle them!
The scariest envenomation story for me, though, is a true one about a brown recluse spider. A nurse at my father's hospital was bitten by one -- INSIDE THE HOSPITAL -- as she put on her surgical scrubs to start the work day. I believe she ended up losing a good chunk of tissue off of her thigh. |
RE: Snakes
Regarding spiders-that's a whole NOTHER fear,LOL. I'm just glad I don't live in Australia, where they have those funnel web spiders-from what I've read, they actually PREFER to live in the same places as humans-not because of the humans, but because the same conditions that we find comfortable, so do they. And those spiders are DEADLY! What's really weird, is that they've done research with the spider venom on mice, and the mice weren't bothered by it-but it will kill a human!
Not to mention all the other deadly animals in Australia-the ten most venomous(not necassarily deadly to man) snakes,blue-ringed octopus,sea snakes,great whites,platypus(a venomous MAMMAL, for goodness' sake!),box jellyfish-the list goes on. And we think WE have problems, with rattlers, copperheads,mocassins,coral snakes, black widows, and brown recluses-not that that's much comfort if you're confronted by any of the above!
And then Sri Lanka-where more people are killed by snakebite than any other country(the deadly Russell's viper,amongst others),and India, the REGION where more people are killed by snakes(usually cobras), and the people in Africa(mambas and boomslangs),and the Middle East(saw-scaled vipers)-so, things could always be worse! |
RE: Snakes
According to the latest issue of REPTILE , it has a great story on Cooperheads. They will indeed climb trees as some have been found 40 feet in the air , seeking insects , etc. to eat . They love catapillars , etc. Also the southern cooperhead is the largest , often reaching 52 inches and the northern cooperhead is found here also. The southern cooperheads do seem more vigorious than the types and climate hasd a lot to do with it. It is believed that cooperheads living in the southern highlands are more exposed to temperature changes all through the year and this may make them more ill tempered in some mountainous regions of the southern highlands than in most other places. The southern cooperhead is famous as the Ambush artist as it does indeed 'ambush' its prey. A close friend of mine killed one the other day ( and he is the biggest herpo I know , loves 'em ) but it was too close to his kids and the swimmin hole . He caught it as it was moving over to a brush pile near his small children . He caught it , examined it and then killed it. It was about 48 inches long as as fat as his arm . I really think the southern cooperhead is a wee bit more aggressive than the credit its due. here in my area , lows in the 40's ( ANYTIME of the year is not uncommon as are hot temps in the day , this keeps the cooperheads restless ( this was also noted in the AUG 03 issue of Reptile. Great Story on the Crocs of S.Florida , amazing. I use to live in Miami and I always heard there were crocs off key biscayne near Crandon Park and sure enough , they are there as well as many other isolated mini spots of crocs in south florida , they even live side by side with gators in the everglades. oh , by the way , cooperheads sometimes spend as much time as 6 hours copulating . Are these creatures Wild or what ? |
RE: Snakes
Does anyone have any ideas on how to keep copperheads out of a fenced in yard. So far this year I have killed 4. I have 2 dogs and 2 cats, so I don't want them in my yard. I live in a rural farming area and no one else has them. I have no mice,voles, moles, wood piles, old buildings, or anything to draw them. I would appreciate any suggestions. |
RE: Snakes
mrst53,
Unfortunately there isn't any guaranteed foolproof way to keep venomous snakes out of a yard. Here is a link with some general suggestions that will help some, but none of them are 100% effective (scroll down to where it says controlling snake problems). The link is from Nebraska but the advice applies to snakes in any state. |
Here is a link that might be useful: snake problems
RE: Snakes
I caught a three foot Garter a couple of weeks ago and put him in my Canna bed. That little booger tried to bite me several times but resorted to covering my hand with a wonderful aroma instead. I wasn't molesting him, just giving him a better home. I walked out the back door that opens onto the driveway and almost stepped on him so I figured he needed a safer place to be. If Lavonne had seen him she would have freaked. Dang Rob, Copperheads on Viagra! Six hours? WOW, I'm totally impressed. Geez, major props to those guys!!! Tim and I were floating the Duck fishin' a couple of weeks ago and saw six or seven Mocs that were over five to eight feet long. Bigguns'! Needless to say, we didn't mess with 'em and thankfully they didn't mess with us but they were curious as to who we were and what we were doing in their space. I always give snakes a wide berth just like a black bear or anything else that dosen't relate to me being higher on the food chain. |
RE: Snakes
Garters are vicious little critters, ain't they? Kinda like the chihuahuas of the snake world, LOL. |
RE: Snakes
Yeah, like ponies. They have way too much attitude. That smell was something else altogether though! Whew!!! Doc are you going to be in this neck of the woods anytime soon? I've got this monster plant over here........ |
RE: Snakes
Thanks Wayne for the for site, I may try the 1/4" mesh around my yard, of course I have almost an acre fenced, but I can try right around the yard part which is where I have seen the copperheads the most. |
RE: Snakes
`this is an interesting thread! I have been looking at pictures of Tennessee snakes trying to identify "my" snake. It is marked like what I have always called a chicken or rat snake but is short and fat. Not fat like a lump of something he has eaten, just thick bodied and short. He is not aggressive (lives under my shed and likes to sun on the ramp which I was having replaced) but a workman told me yesterday when I asked him to wait until the snake could go under the shed "lady, that is a copperhead." He must have a heavy scent because my dogs were very interested in sniffing the area, although I don't think they saw the snake itself.
any ideas? |
RE: Snakes
Well after all this discussion it was on the news last night about the lady who was bit by a copperhead up in the Smokies. Then they did a piece on how snake bites and bee stings are really up this year. Yeeoch |
RE: Snakes
I have a snake around my yard (found him/her in the garage this morning) that is black with a slight gray pattern on his/her back. It's clearly non-venomous, but I went to the Tennessee Snakes website and didn't see anything exactly like it. This one is between 4-5 feet long and it's body is thicker than its head. The head is black. Any ideas? Thanks. |
RE: Snakes
I have seen several dead snakes this year. After checking them out I think they died from lead poison. |
RE: Snakes
I have only seen two snakes this year and here they are  |
Post a Follow-Up
Please Note: Only registered members are able to post messages to this forum.
If you are a member, please log in.
If you aren't yet a member, join now!
Return to the Tennessee Gardening Forum |
|
Sponsors:
|
www.cnn.com
|
|
The subepithelial gland in ants: a novel exocrine gland closely associated with the cuticle surface
Acta Zoologica, October 2003, vol. 84, no. 4, pp. 285-291(7) Gobin B.[1]; Ito F.[2]; Billen J.[1] [1] Laboratory of Entomology, K.U. Leuven, Naamsestraat 59, B-3000 Leuven, Belgium; [2] Faculty of Agriculture, Kagawa University, Ikenobe, Miki 761-0795, Japan Abstract: Gobin, B., Ito, F. & Billen, J. 2003. The subepithelial gland in ants: a novel exocrine gland closely associated with the cuticle surface. Acta Zoologica (Stockhom) 84: 285291
Two glandular systems were discovered that secrete their products onto the cuticular surface in ants. The first, the subepithelial gland, was previously undescribed in ants, and is found throughout the body just beneath the epithelium. This gland consists of independent secretory units, each made up of a single gland cell and an associated duct cell that penetrates the cuticle. Its ultrastructural appearance is consistent with possible hydrocarbon production. Examining 84 ant species, the subepithelial gland was found in eight subfamilies (out of 13), although not necessarily in all species. In a single ant species, Harpegnathos saltator, it was the epithelium itself that was enlarged and functioned as a gland. The enlarged epithelial cells secrete their products directly onto the cuticle through distinct cuticular crevasses. Keywords: chemical communication; desiccation; fertility signal; Formicidae; hydrocarbons; kin recognition Document Type: Research article ISSN: 0001-7272
| | scotniel daniel <scotniel@yahoo.com> wrote:



|
Uneducated few give snakes bad rap; they only bite as last line of defense
What are you afraid of? Death, the unknown, pain, bad grades, that roommate from your freshman year who liked to play the banjo in the nude? Whatever it is, we're all afraid of something. But some people let their fears control them and some people are afraid of silly things.
One of the biggest fears I saw firsthand during my days as a zoo volunteer was the rampant and ridiculous fear of snakes-the general attitude of which can be summed up by a quote from one of my professors who said, "All snakes kill in one of two ways. Some kill by poison, and the rest kill by heart attack."
The people who think this way are the ones who walk quite nervously through the herpetarium (reptile house) at the zoo. The worst of them refuse to come within 10 feet of the exhibit windows. That kind of behavior is obviously foolish - let's examine why. Does a snake have any hands or other appendages with which to strike the glass? No. Which leaves only its head. How many of you, without first downing a case of Southern Comfort, willingly would put your face through plate glass? The snake has no desire to do so, either.
In the Kansas wilderness, the big fear is the dreaded rattlesnake. Here is an animal that does everything in its power to let you know right where it is so you can avoid it. The rattling does not mean, "You want some of this? Let's go, cowboy!" By rattling, the snake is saying, "Hey! I'm down here, please don't hurt me! I was just leaving! You wouldn't hit a guy with glasses, would ya?"
When the rattlesnake hunts, it holds its rattle perfectly still so it can move silently. The snake's fangs and venom are not meant for defensive purposes. In fact, 25 percent of defensive bites are dry bites, meaning the snake doesn't inject venom. Venom is for securing prey, and because you are a bit bigger than the average field mouse, the snake would be wasting his venom to use it on you.
I'm not saying snakes won't bite. They will give you every chance to leave them alone long enough for them to escape. But if you push them, they have no other choice (remember that lack of appendages thing we discussed earlier). They also may bite if you surprise them and are suddenly too close for them to have any time to warn you of their presence. I think you would react similarly if an animal 10 times your size suddenly stepped or sat on you.
People continue to demonize snakes, though. Of course, it wasn't the person's fault the rattlesnake bit them; after all, they were only trying to kick it out of the way. Worse than fearing them, people pass this unjustified fear on to their children.
Children learn about the world from their parents. So when their moms or dads pick up the picnic basket in the park, find a garter snake curled up under it and run away, arms flailing, screaming, "Mommy! Help, get it away!," the children are going to be traumatized into thinking snakes are deadlier than nuclear weapons. The fear becomes entrenched and is almost impossible to get over later in life.
Psychologists tested this theory. They used baby monkeys, some raised with parents and others raised by people. Those raised by people reacted with curiosity when presented with a rubber snake or garter snake. Those raised with their parents, seeing their parents flee in terror of the rubber snake, were horrified by snakes. The psychologists then showed the human-raised monkeys a video of adult monkeys reacting fearfully to snakes. After this, the monkeys raised by humans developed a fear of snakes. Many of us share this primal fear, though we should know better.
It's a crying shame so many people are ignorant about snakes. I hardly can count the number of times I've heard morons spout off about how they would go out of their way to kill a snake. From a pseudo-Freudian perspective, I would have to say the reason for this is snakes remind these guys of their inadequate ... well, manhood, and thus they feel the need to express their self-loathing through violence. For women who enjoy killing snakes, I have two words of warning for the men who date or marry them: Lorena Bobbit.
Australia is the only place in the world where there are more venomous snakes than non-venomous snakes. We are not in Australia; in fact, Kansas is home to only a few species of venomous snakes. So chances are if you see a snake, it's harmless. Some snakes can be dangerous, and thus it is a good idea to respect snakes. If you have children, don't pass on your fears; teach them to respect snakes in the same way they respect any other wild animal.
This item was published on April 14, 1998
Copyright 1998, Student Publications Inc. All rights reserved. This document may be distributed electronically, provided it is distributed in its entirety and includes this notice. However, it cannot be reprinted without the express written permission of Student Publications Inc., Kansas State University. |
Cirrhosis
By Howard J. Worman, M. D.
What is Cirrhosis?Cirrhosis is characterized anatomically by widespread nodules in the liver combined with fibrosis. The fibrosis and nodule formation causes distortion of the normal liver architecture which interferes with blood flow through the liver. Cirrhosis can also lead to an inability of the liver to perform its biochemical functions. To understand the pathophysiology of cirrhosis, the normal anatomy and physiology of the liver must first be briefly reviewed.
Liver Blood FlowOxygenated blood that has returned from the lungs to the left ventricle of the heart is pumped to all of the tissues of the body. This is called the systemic circulation. After reaching the tissues, blood is returned to the right side of the heart, from where it is pumped to the lungs and then returned to the left side of the heart after taking up oxygen and giving off carbon dioxide. This is called the pulmonary circulation. Blood from the gut and spleen flow to and through the liver before returning to the right side of the heart. This is called the portal circulation and the large vein through which blood is brought to the liver is called the portal vein. After passing through the liver, blood flows into the hepatic vein, which leads into the inferior vena cava to the right side of the heart. The liver also receives some blood directly from the heart via the hepatic artery. In the esophagus, stomach, small intestine and rectum, the portal circulation and veins of the systemic circulation are connected. Under normal conditions, there is little to no back flow from the portal circulation into the systemic circulation.
Bilirubin SecretionThe liver is the site of bile formation. Bile contains bile salts, fatty acids, cholesterol, bilirubin and other compounds. The components of bile are synthesized and modified in hepatocytes (the predominant cell type in the liver) and secreted into small bile ducts within the liver itself. These small bile ducts form a branching network of progressively larger ducts that ultimately become the common bile duct that takes bile to the small intestine. Bilirubin is a yellow pigment that derives primarily from old red blood cells. Bilirubin is taken up by hepatocytes from the blood, modified in the hepatocytes to a water soluble form and secreted into the bile.
Biochemical FunctionsThe liver performs many biochemical functions. Blood clotting factors are synthesized in the liver. Albumin, the major protein in the blood, is also synthesized in and secreted from the liver. The modification and/or synthesis of bile components also takes place in the liver. Many of the body's metabolic functions occur primarily in the liver including the metabolism of cholesterol and the conversion of proteins and fats into glucose. The liver is also where most drugs and toxins, including alcohol, are metabolized.
What Goes Wrong in Cirrhosis?Cirrhosis results from damage to liver cells from toxins, inflammation, metabolic derangements and other causes. Damaged and dead liver cells are replaced by fibrous tissue which leads to fibrosis (scarring). Liver cells regenerate in an abnormal pattern primarily forming nodules that are surrounded by fibrous tissue. Grossly abnormal liver architecture eventually ensues that can lead to decreased blood flow to and through the liver.
Decreased blood flow to the liver and blood back up in the portal vein and portal circulation leads to some of the serious complications of cirrhosis. Blood can back up in the spleen causing it to enlarge and sequester blood cells. Most often, the platelet count falls because of splenic sequestration leading to abnormal bleeding. If the pressure in the portal circulation increases because of cirrhosis and blood back up (note: this can also sometimes occur in severe cases of acute hepatitis and liver damage), blood can flow backwards from the portal circulation to the systemic circulation where they are connected. This can lead to varicose veins in the stomach and esophagus (gastric and esophageal varices) and rectum (hemorrhoids). Gastric and esophageal varices can rupture, bleed massively and even cause death. Hypertension in the portal circulation, along with other hormonal, metabolic and kidney abnormalities in cirrhosis, can also lead to fluid accumulation the abdomen (ascites) and the peripheral tissue (peripheral edema).
Decreased bilirubin secretion from hepatocytes in cirrhosis leads to the back up of bilirubin in the blood. This leads to jaundice, the yellow discoloration of the skin and eyes. As the water-soluble form of bilirubin also backs up in the blood, bilirubin can also spill into the urine giving it a bright yellow to dark brown color.
Abnormal biochemical function of the liver in cirrhosis can lead to several complications. The serum albumin concentration falls which can lead to aggravation of ascites and edema. The metabolism of drugs can change requiring dose adjustments. In men, breast enlargement (gynecomastia) sometimes occurs because metabolism of estrogen in the liver is decreased. Decreased production of blood clotting factors can lead to bleeding complications. Derangements in the metabolism of triglycerides, cholesterol and sugar can occur. In earlier stages, cirrhosis frequently can cause insulin resistance and diabetes mellitus. In later stages or in severe liver failure, blood glucose may be low because it cannot be synthesized from fats or proteins.
Cirrhosis, especially in advanced cases, can cause profound abnormalities in the brain. In cirrhosis, some blood leaving the gut bypasses the liver as blood flow through the liver is decreased. Metabolism of components absorbed in the gut can also be decreased as liver cell function deteriorates. Both of these derangements can lead to hepatic encephalopathy as toxic metabolites, normally removed from the blood by the liver, can reach the brain. In its early stages, subtle mental changes such as poor concentration or the inability to construct simple objects occurs. In severe cases, hepatic encephalopathy can lead to stupor, coma, brain swelling and death.
Cirrhosis of the liver can also cause abnormalities in other organ systems. Cirrhosis can lead to immune system dysfunction causing an increased risk of infection. Ascites fluid in the abdomen often becomes infected with bacteria normally present in the gut (spontaneous bacterial peritonitis). Cirrhosis can also lead to kidney dysfunction and failure. In end-stage cirrhosis, a type of kidney dysfunction called hepatorenal syndrome can occur. Hepatorenal syndrome is almost always fatal unless liver transplantation is performed.
Clinical Symptoms and Diagnosis of CirrhosisCirrhosis is usually an easy diagnosis to make when any or all of the above abnormalities and complications are present. This is especially true when the underlying liver disease can be identified. The underlying liver disease (see below) is identified in most patients, however, sometimes it will not be discovered. Such cases are called "cryptogenic" cirrhosis. Sometimes, other conditions such as metastatic cancer, hepatic or portal vein thrombosis, severe acute hepatitis or acute bile duct obstruction can cause some of the abnormalities seen in cirrhosis. A careful history combined with special diagnostic tests will usually identify these conditions.
Some patients with cirrhosis, especially early in the course of the disease, will have no overt clinical signs or symptoms. Some may have only subtle physical changes such as red palms, red spots that blanch on their upper body (spider angiomata), hypertrophy of the parotid glands, gynecomastia or fibrosis of tendons in the palms. Some patients may only have subtle abnormalities on blood tests, and in some cases, all blood tests may be normal. Radiological and nuclear medicine tests may give clues as to the presence of cirrhosis, but the diagnosis of cirrhosis must often be made by liver biopsy.
Causes of CirrhosisAlthough most often associated with alcohol abuse, cirrhosis of the liver can result from many causes. Almost any chronic liver disease can lead to cirrhosis. This list gives some of the many causes:
- Alcoholic liver disease - most common cause in the U. S. A.
- Chronic viral hepatitis B, C and D
- Chronic autoimmune hepatitis
- Inherited metabolic diseases (e. g. hemochromatosis, Wilson disease)
- Chronic bile duct diseases (e. g. primary biliary cirrhosis)
- Chronic congestive heart failure
- Parasitic infections (e. g. schistosomiasis)
- Nonalcoholic steatohepatitis (liver inflammation that can be caused by fatty liver)
- Long term exposure to toxins or drugs
TreatmentCirrhosis of the liver is irreversible but treatment of the underlying liver disease may slow or stop the progression. Such treatment depends upon the underlying etiology. Termination of alcohol intake will stop the progression in alcoholic cirrhosis and for this reason, it is important to make the diagnosis early in a chronic alcohol abuser. Similarly, discontinuation of a hepatotoxic drug or removal of an environmental toxin will stop progression. Treatment of metabolic diseases, such as treatment of iron overload in hemochromatosis or copper overload in Wilson disease, are also effective therapies. Chronic viral hepatitis B and C may respond to treatment with interferon and autoimmune hepatitis may improve with prednisone and azathioprine (Imuran). Drugs such as ursodiol (Actigall) may slow the progression of primary biliary cirrhosis and possibly sclerosing cholangitis.
In patients with cirrhosis of the liver, treatment must also be directed at the complications. Bleeding esophageal varices can be treated with endoscopic sclerotherapy or rubber band ligation. Ascites and edema are often responsive to a low sodium diet and such a diet must be emphasized in patients with these symptoms. More advanced ascites and edema can respond to diuretic therapy. A low protein diet and agents such as lactulose may help hepatic encephalopathy. Infections such as spontaneous bacterial peritonitis must be rapidly treated with appropriate antibiotics. Drugs metabolized in the liver must be given with caution. Coagulation disorders will sometimes respond to vitamin K.
Liver transplantation is highly effective for the treatment of end-stage cirrhosis. Transplantation is usually needed when complications such as encephalopathy, ascites or bleeding varices are uncontrollable or when biochemical function is severely depressed. In patients with primary biliary cirrhosis, a rising bilirubin indicates a poor prognosis and such patients should be considered for transplantation as the serum bilirubin concentration begins to rise. Active drug or alcohol abuse are contraindications to liver transplantation. However, alcoholics who have abstained from drinking for an extended period of time (usually more than six months), and have participated in rehabilitation programs and support groups such as Alcoholics Anonymous, can be considered as candidates and will often have a good prognosis. Liver cancer is usually a contraindication to transplantation, except in experimental protocols. Liver transplantation is usually not performed in patients more than 70 years old.
Alcoholic Liver Disease
By Howard J. Worman, M. D.
Alcohol abuse is a leading cause of morbidity and mortality throughout the world. It is estimated that in the United States as many as 10 % of men and 3 % of women may suffer from persistent problems related to the use of alcohol. The Fourth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) published by the American Psychiatric Association divides alcohol use disorders into "alcohol dependence" and "alcohol abuse." Alcohol dependence is indicated by evidence of tolerance and/or symptoms of withdrawal such as delirium tremens (DTs) or alcohol withdrawal seizures (rum fits) upon cessation of drinking. Alcohol abuse is characterized by recurrent performance problems at school or on the job that result either from the after effects of drinking alcohol or from intoxication on the job or at school. In addition, patients with alcohol abuse disorders may use alcohol in physically adverse circumstances (e.g. while driving) and may miss work or school or neglect child care or household responsibilities because of alcohol use. Legal difficulties related to alcohol use are also common. Patients with alcohol abuse disorders often continue to consume alcohol despite the knowledge that continued consumption poses significant social or interpersonal problems for them. People with alcohol use disorders often consume alcohol despite knowing that they suffer from alcohol-related medical problems such as liver disease.
Alcohol affects many organ systems of the body, but perhaps most notably affected are the central nervous system and the liver. Almost all ingested alcohol is metabolized in the liver and excessive alcohol use can lead to acute and chronic liver disease. Liver cirrhosis resulting from alcohol abuse is one of the ten leading causes of death in the United States.
From data obtained in autopsy studies, it appears that between 10 % and 15 % of alcoholics have cirrhosis at the time of death. It is unknown why some alcoholics develop liver disease while others do not. One possibility is that there are genetic factors that predispose some alcoholics to liver disease. Some data also suggest that co-factors such as chronic infection with hepatitis C virus may increase the risk of the development of cirrhosis in an alcoholic. In general, women who drink an equal amount of alcohol are at higher risk than men for the development of liver disease, possibly because of decreased metabolism of alcohol in the stomach prior to absorption.
REMEMBER, LIVER DISEASE IS NOT THE ONLY LIFE-THREATENING COMPLICATION OF ALCOHOL USE DISORDERS. ALL ALCOHOLICS MUST ABSTAIN FROM DRINKING AS NUMEROUS OTHER ALCOHOL-RELATED MEDICAL, SOCIAL AND PSYCHOLOGICAL PROBLEMS CAN LEAD TO MORBIDITY AND MORTALITY.
Alcohol abuse generally leads to three pathologically distinct liver diseases. In clinical practice, any or all of these three conditions can occur together, at the same time, in the same patient. These three conditions are:
- Fatty Liver (Steatosis)
- Alcohol abuse can lead to the accumulation of fat within hepatocytes, the predominant cell type in the liver. A similar condition can also be seen in some obese people who are not alcohol abusers. Fatty liver is reversible if the patient stops drinking, however, fatty liver can lead to steatohepatitis. Steatohepatitis is fatty liver accompanied by inflammation and this condition can lead to scarring of the liver and cirrhosis. Click to see a microscopic section of a NORMAL LIVER LOBULE and an example of FATTY LIVER in an alcoholic. (Images are part of WebPath and are copyrighted by the Pathology Department of the University of Utah Health Sciences Center. Link with permission of Edward C. Klatt, M. D.)
- Hepatitis
- Alcohol can cause acute and chronic hepatitis. The patient who presents with alcoholic hepatitis is usually a chronic drinker with a recent episode of exceptionally heavy consumption. Other presentations are also possible. Alcoholic hepatitis can range from a mild hepatitis, with abnormal laboratory tests being the only indication of disease, to severe liver dysfunction with complications such as jaundice (yellow skin caused by bilirubin retention), hepatic encephalopathy (neurological dysfunction caused by liver failure), ascites (fluid accumulation in the abdomen), bleeding esophageal varices (varicose veins in the esophagus), abnormal blood clotting and coma. Histologically, alcoholic hepatitis has a characteristic appearance with ballooning degeneration of hepatocytes, inflammation with neutrophils and sometimes Mallory bodies (abnormal aggregations of cellular intermediate filament proteins). Click to see a microscopic section of a NORMAL LIVER LOBULE and an example of a liver with ALCOHOLIC HEPATITIS. (Images are part of WebPath and are copyrighted by the Pathology Department of the University of Utah Health Sciences Center. Link with permission of Edward C. Klatt, M. D.) Alcoholic hepatitis is reversible if the patient stops drinking, but it usually takes several months to resolve. Alcoholic hepatitis can lead to liver scarring and cirrhosis, and very frequently occurs in alcoholics who already have cirrhosis of the liver.
- Cirrhosis
- Cirrhosis is characterized anatomically by widespread nodules in the liver combined with fibrosis. In the United States, alcohol abuse is the leading cause of liver cirrhosis. Anatomically, alcoholic cirrhosis is almost always micronodular (i.e. the regenerating liver nodules are small). You can click to see a microscopic section of a liver with MICRONODULAR CIRRHOSIS AND FATTY LIVER and a NORMAL SECTION for comparison. (Images are part of WebPath and are copyrighted by the Pathology Department of the University of Utah Health Sciences Center. Link with permission of Edward C. Klatt, M. D.) Cirrhosis can result from many causes other than alcohol such as chronic viral hepatitis, metabolic and biliary diseases. The co-existence of another chronic liver disease in a patient who abuses alcohol likely increases the risk of developing cirrhosis (eg. an alcoholic with chronic viral hepatitis C). Alcoholic cirrhosis can occur in patients who have never had evidence of alcoholic hepatitis. Cirrhosis can lead to end-stage liver disease. Some of the complications of cirrhosis are jaundice, ascites, edema, bleeding esophageal varices, blood coagulation abnormalities, coma and death. You can click to read more about CIRRHOSIS AND ITS COMPLICATIONS.
Treatment
The most important measure in the treatment of alcoholic liver disease is to ensure the total and immediate abstinence from alcohol. This will sometimes require admission to an in-patient medical ward for prophylactic treatment of withdrawal symptoms such as delirium tremens and seizures. Treatment of other associated neurological conditions may also be required. Chronic alcohol abusers often need treatment with vitamins, especially thiamin, to correct the deficiencies that may have resulted from chronic alcohol abuse. Intensive medical treatment of the complications of acute alcoholic hepatitis or cirrhosis is also sometimes necessary, as is the treatment of concurrent infectious and/or metabolic disorders.
Once the patient is medically stable, he/she should receive on-going treatment to ensure abstinence from alcohol. This often includes a period of in-patient alcohol rehabilitation followed by subsequent long-term participation in support groups such as Alcoholics Anonymous and possibly continuous out-patient psychiatric care. Cessation of alcohol use will reverse fatty liver and alcoholic hepatitis. Although cirrhosis is irreversible, alcohol abusers who stop drinking will often have a good prognosis in that progressive liver deterioration can be avoided.
There are several sites on the Internet with information about alcohol-related disorders and recovery programs for alcohol abusers. Here is a list of links, some of which will also lead to other sites:
| |
www.trellix.com
Here's a link to a friend's site:
www.myfriend.com
|