What You Need to Know About Allergic Reactions in Your Pets

Picture this scenario: you let your dog out in the backyard, and when you let him in his face is swollen severely.  You of course suspect a bee sting, and the response your dog has shown is a form of anaphylaxis, but now what?

Image

Anaphylaxis or an anaphylactic reaction is an allergic/hypersensitivity reaction to a foreign substance.  These substances can include vaccines, food proteins, insect bites, medications, chemicals, etc.   The pet must have had previous exposure to one of these substances in order for an anaphylactic reaction to occur.  The body’s immune system over-reacts to the substance, causing the reaction. 

With spring starting, we usually start to see an increase in insect bite reactions, with bees being a primary concern.  Vaccine reactions are also a potential—speak to your veterinarian for more information.  Clinical signs of an anaphylactic reaction can include itching, red skin, hives, a swollen face, vomiting, diarrhea, pale or blue gums, or collapse, with potential for death if not treated.  If your pet experiences any of these symptoms, especially if after a known insect bite, vaccination, new medication, exposure to a chemical, etc, it is important to seek immediate veterinary attention.  Anaphylaxis is serious and requires treatment.  In some situations the allergic response may be treatable with an antihistamine, but it is always recommended to see your veterinarian first to ensure your pet is not having a serious anaphylactic reaction. 

Image

With each exposure to the substance, the reaction will worsen.  Therefore, once it is known to cause a reaction, the goal is to prevent future exposure. 

 

Modifications made by Kristen Ferguson, DVM, from “Anaphylaxis in Dogs” Ernest Ward, DVM © Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

Heart Disease in Pets

Heart disease is frequently seen in both dogs and cats.   There are many types and causes of heart disease and they can occur from birth to old age.  Like many other illnesses, it is important to diagnose and treat heart disease as early as possible to ensure our pets live without symptoms of illness for as long as possible.

Inherited or Congenital Heart Disease

Heart disease in dogs and cats can be congenital/inherited or acquired.  Congenital disease can cause malformations of the heart which impairs function and can be present at birth.   Hereditary disease can cause congenital problems or increase the likelihood of adult-onset heart disease, particularly heart muscle diseases in both dogs and cats.

Your pet’s breed may have increased chances of having inherited diseases.  Some cat breeds that are predisposed to heart disease include the Maine Coon Cat, Siamese, British Shorthairs, and Persians.

Examples of dog breeds with increased chances of heart muscle disease are Cocker Spaniels, Boxers, Doberman Pinschers, and other large to giant breed dogs.

Acquired Heart Disease

Other kinds of heart disease can occur later in life related to other illnesses such as hyperthyroidism (particularly in cats), long term untreated dental disease, bacterial infections, and cancer.

What is the structure of the heart and how is it affected by heart disease?

heart_murmurs_1

The heart can be divided into 4 functional components:

1.      The heart muscle which pumps the blood around the body

2.      The heart valves which act to prevent the blood going in the wrong direction

3.      The pericardium which is a tough membrane surrounding and protecting the heart

4.      The electrical conducting system which acts to initiate and transfer electrical impulses around the heart allowing it to contract or “beat” in a systematic and coordinated fashion

Any or all of these parts can be affected by heart disease. 

What are the signs of heart disease in cats?

Most cats do not display any clinical signs until the disease is advanced. Unlike humans and dogs with heart disease, cats rarely cough if they have heart disease. Exercise intolerance does occur but can be difficult to recognize since cats rarely go for walks or engage in sustained physical activity with their owners. With advancing disease and declining exercise tolerance, cats tend to become more withdrawn, hide under furniture and sleep more.

The most common signs of heart disease in cats are:

  • poor appetite
  • weight loss
  • lethargy
  • increased respiratory rate and effort
  • sudden collapse
  • sudden hind leg paralysis accompanied by pain
  • stunted growth (kittens)

Common signs of heart disease in dogs

The most common clinical sign of congestive heart failure (CHF) is persistent coughing accompanied by difficulty breathing. This is due mainly to pulmonary edema or the accumulation of fluid in the lungs. The enlarged heart will also push against the trachea, causing irritation that can induce a cough. Many dogs with CHF will fatigue more easily, have reduced stamina and not engage in playing or walking as they once did. Coughing when at rest or sleeping, excessive panting, persistent loss of appetite, a swollen belly, and pale or bluish gums are also signs associated with heart failure. The dog will develop generalized weight loss and muscle wasting due to the effects of CHF on other body systems. If any of these signs develop in a pet with a heart murmur, notify your veterinarian immediately.

How is heart disease diagnosed?

As mentioned above, early diagnosis is very important, since our patients hide signs of illness until the heart has advanced disease.  Regular examinations are very important to detecting heart disease early.  Puppy and kitten exams, yearly adult exams, and twice yearly senior (over 7 years old) exams are very helpful in diagnosing and treating patients before too much damage has occurred.

With any heart problem, diagnosis involves several tests: 

Auscultation or listening to the heart with a stethoscope is the first step in diagnosing heart disease. Heart murmurs are detected by auscultation; the murmur’s location and intensity helps determine its significance. The heart rhythm is assessed, and if there are concerns, the veterinarian may simultaneously palpate or feel the pulse to determine its strength and rhythm. Finally, the lungs are assessed, looking for evidence of changes associated with heart failure.

Chest x-rays are taken to evaluate the size and shape of the heart and look for lung changes such as the presence of fluid as in CHF.

heart0001

Blood and urine tests are performed to give an indication of any other disorders in the body. Liver and kidney function are often impaired in patients with heart disease.

An electrocardiogram (ECG) measures the electrical activity of the heart and allows accurate determination of both heart rate and rhythm. Any abnormal rhythms (arrhythmias or dysrhythmias) can be detected and evaluated.

Ultrasound examination (echocardiogram) utilizes ultrasound waves to evaluate the heart. The size and thickness of each heart chamber can be evaluated, and the effectiveness of the heart’s contractions can be directly observed. Measurements can be taken to evaluate the heart’s pumping efficiency.

Gretchen and ultrasound

Can’t you treat my dog without these tests?

Accurate diagnosis gives us a much better guide to the type and extent of treatment necessary. Today there is a wide selection of heart medications that can be used to treat congestive heart failure and treatment regimes must be tailored for each patient. Without these tests, your veterinarian is unable to determine the optimal treatment for your pet, and may inadvertently cause more harm than good. With proper treatment, many dogs are able to live a normal life for many months to years.

Ernest Ward, DVM © Copyright 2009 Lifelearn Inc. Modified by Dr. Clouse with permission under license.

Hospice Care and Your Pet: A General Overview

Hospice care for pets is pretty new in veterinary medicine, but more and more doctors are starting to have discussions with owners and then implement some form of hospice care for their geriatric pets.  If you have a pet that has been diagnosed with a chronic or terminal illness, or if you are interested in what goes on with hospice care in general, then this post is for you.

 

What does the term ‘hospice care’ mean?

Hospice care is supportive care that focuses on palliation (end of suffering, or keeping as comfortable as possible) to patients at the end of their lives/at the end stages of terminal diseases.  The goal with hospice care is to have the quality of life of the patient be the best it can be with whatever time is left in the patient’s life.  This is achieved by forming a plan with a doctor and having other medical professionals (such as nurses, physician assistants), volunteers, and family members implement it.

 

Where does hospice care take place?

Hospice care can be put in place anywhere, and often is performed in the home.  For veterinary patients, the at-home hospice approach is most used for a pet’s end-of-life care.   The hospice goal for pets is to allow the pet to be comfortable in its own home (especially because the hospital setting can be very frightening and overwhelming for many pets) with the family members by its side, either until death comes naturally or a humane euthanasia is chosen.

 

What are the differences between pet and human hospice care?

Pet hospice care is essentially the same as human hospice care with one important difference: veterinarians have the ability to provide humane euthanasia when the pet’s quality of life deteriorates.

 

As with dying humans, pets with diseases that cannot be cured benefit from having a system that measures their quality of life day-to-day (see the link at the end of the blog for an online hospice journal).  With your veterinarian, you can discuss what the baseline quality-of-life-measurement will be for your pet, and how often re-evaluations should occur.

 

When do pets need to enter hospice care?

If a life-limiting disease is diagnosed in your pet, it is time to have a discussion with your veterinarian about what options are available for treatment and comfort as your pet nears the end of its life.  Many of these diseases can be treated aggressively and managed in some of these pets, including diabetes, degenerative joint disease, and some cancers.  Treatment options depend on the disease process, how advanced it is, and the pet.  Your veterinarian will work with you on what options are best for your pet.  Your veterinarian will also help you feel comfortable in implementing the plan at home.

 

How do you know when hospice care should end?

Your veterinarian will discuss quality of life indicators for your pet.  In general, we want to see the pets free from as much pain as possible; control of vomiting, diarrhea, and infections; eating and drinking normally; etc.  Some quality of life indicators for one pet may be different for another, depending on what the owners are comfortable doing at home.  For instance, one owner may be comfortable expressing the bladder of his or her pet that has a neurologic disorder, whereas another may indicate that not being able to urinate on their own is an important quality of life indicator.  These standards of what is going to determine whether hospice care is continued for that pet need to be set before hospice care is implemented.

 

Additionally, planning early on how the euthanasia will take place (if death does not come naturally) can make things easier when it comes time to make that final decision.

 

If after reading this post you are interested in learning more, please discuss hospice care with your veterinarian.  The following website may be a useful tool for day-to-day detailing of your pet’s progression:

http://www.pethospicejournal.com/

 

 

 

Excerpts taken from Hospice Care for Pets –Overview, Part 1 and 2, by Robin Downing, DVM, CVPP, DAAPM, © Copyright 2012 LifeLearn Inc. Used and/or modified with permission under license.  Modifications by Kristen Ferguson, DVM.

Getting Older: What to Know About Your Aging Pet

As pets age, recommendations your veterinarian makes for their health care can change.  These can include changes in diet, supplements, frequency of visits, recommendations for screening tests, etc.  You may have heard your veterinarian call your pet at its recent visit a ‘senior.’  Additionally, your veterinarian may have recommended that your pet be seen twice a year instead of once a year.  I’ll break down a few of the recommendations that veterinarians make for monitoring your senior pet. 

 

Dogs are considered seniors when they are older than seven years of age, and cats generally older than eight or nine years of age.  With both of these species, the aging process begins to take a toll on their organ systems, and these organ systems can be at higher risk for cumulative damage. 

 

Frequency of veterinary visits.  It is recommended to take your senior pet in for wellness exams every 6 months, to help aid in early detection of potential disease processes.  Your veterinarian will have questions to ask you that could indicate a problem in your senior pet. 

 

Vaccinations.  Your veterinarian will determine based on the health status and lifestyle of your senior pet which vaccinations are important to keep up with.  Unless your pet is severely debilitated, it is generally recommended that all vaccinations are kept current, and the rabies vaccine is required by law.  Most core vaccines are given once every three years, but some ‘lifestyle’ vaccines are given more frequently, such as the Bordetella or Leptospirosis vaccinations.

 

Blood and urine tests.  In general it is recommended to have blood and urine tested at least once a year.  The key reason for this frequency is that early detection of some diseases can allow for more successful treatment.  Examples of these diseases can include kidney disease, diabetes, and thyroid disease.  Because these diseases can progress slowly, early detection is often only achievable through diagnostic tests.

 

Skin and haircoat maintenance.  It is recommended to brush your pet frequently to prevent mats and to allow you to feel for any developing lumps on or under the skin.  Early detection of new masses is important, as some tumors can grow quickly and make it challenging for complete removal surgically.  Additionally, the more hands-on you are with your pet, the more likely you are to detect skin lesions that can indicate infection.

 

Monitoring water consumption and urination.  Paying close attention to your pet’s consumption of water and volume of urination is important, as an increase in either can be associated with certain diseases. 

 

Monitoring for changes in weight.  Loss of weight can be an early indicator of many different diseases.

 

Monitoring appetite changes, vomiting, or diarrhea.  Increases or decreases in appetite can be related to different disease processes.  Chronic or waxing/waning vomiting or diarrhea can occur with many different disease processes.

 

Limping, trouble getting up or down, trouble using stairs, trouble jumping, or lack of activity.  Limping can be related to an injury or degenerative changes, including both musculoskeletal and neurological.  Trouble getting up/down or using stairs can often be related to arthritis.  In addition, bone cancer is a potential for any of these symptoms, and as a result if any of these symptoms are noted, it is recommended to have your pet seen right away. 

 

Oral health maintenance.  Brushing your pet’s teeth daily is the best way to prevent periodontal disease.  If that is not achievable at home, then once-a-year dental cleanings under general anesthesia is recommended.  Your veterinarian will discuss with you the risks of anesthesia based on your pet’s overall health status, and will also discuss other options for oral health if your pet is not a good candidate for anesthesia. 

 

Monitoring for changes in respirations, including increased panting, coughing, or gagging.  Radiographs are usually recommended to rule out disease processes including masses (cancer) or other types of tracheal or lung disease.

 

As it is probably easy to see with the recommendations for monitoring your senior pet, many symptoms can occur with a variety of different disease processes.  Increasing the number of visits to your veterinarian per year may be able to help detect a disease process early enough to allow for successful treatment and a longer, good-quality life.   Is your pet a senior?  See your veterinarian to discuss your concerns! 

 

 

Kristen Ferguson, DVM, with some modifications from Senior Dog Care and Senior Cat Care, Ernest Ward, DVM, © Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

Dental Disease Revisited

We visited the topic of dental disease is February, which is National Pet Dental Health Month.  However, this topic is so important it’s worth discussing again.  To quote my previous blog about dental disease: “Dental disease is one of the most common medical conditions seen by veterinarians. Over 68% of all dogs over the age of three are estimated to have some form of periodontal or dental disease.  Approximately two-thirds of cats over three years of age have some degree of dental disease. The most common problems are due to periodontal disease, gingivitis and cervical neck lesions, also called tooth resorption.”

So, what are the important things to know about dental disease?

Your pet may have periodontal disease (inflammation or infection of the tissues surrounding the teeth), but you may not be able to see its effects.

The mouth is home to thousands of bacteria, which can multiply on the surfaces of the tooth, and then form plaque.  In the beginning stages this will not be visible.  Additionally, one way to view what’s happening to the tooth is like an iceberg—you can only see the tip of the problem, and much of the infection lies below the surface, or under the gumline.  With periodontal disease, if caught early and a thorough dental scaling and polishing is performed, most of the teeth and gums will have a full recovery. If caught late, the changes cannot be reversed and further disease is inevitable.  However, dental scaling and polishing can help to alleviate symptoms and delay progression.

Periodontal disease is an infection—and one that can spread!

As the bacteria continue to multiply, resulting in more plaque and tartar build up, gingivitis, tonsillitis and pharyngitis can also occur.  These disease processes can be painful and make eating uncomfortable for your pet.  Additionally, the bacteria can also be absorbed into the blood stream and be carried to other organs, such as the heart valves (causing endocarditis), the kidneys, and/or the liver.

Routine oral care at home can prevent these disease processes!

The best way to prevent tartar build-up is regular home care, particularly tooth brushing using toothpaste that is specifically designed to be swallowed.  However, starting a brushing routine can be tricky, and should be done carefully to ease your pet into it.  Your veterinarian can give you details on how to start a brushing routine for your pet.  Additionally, allowing your pet to chew special dog chew toys and treats may help reduce or delay tartar build-up. Some pet foods have been specifically formulated as dental diets that mechanically assist in plaque removal.  Keep in mind, cats do not chew like dogs do, so the chew toys, treats, and food options are really only recommended for dogs.  For cats, brushing is the best option, but it can seem daunting to get started.  Please consult with your veterinarian on which option(s) are best for your pet.

Why does my pet have to be anesthetized for a routine dental cleaning?

A routine dental cleaning involves a thorough dental examination, followed by a dental scaling and polishing to remove the tartar and invisible plaque from all of the tooth surfaces.  Most owners have probably witnessed the trouble a veterinarian can have just trying to perform an oral exam on their pet.  The fact is, pets will not sit still and allow a cleaning to be performed with the dental scaler—it can be frightening enough for them just by the noise alone!  And they would not understand the purpose of trying to clean their mouth, and that part of the cleaning includes cleaning under the gumline.  If your pet has significant gingivitis, that cleaning can be painful. Additionally, we often find teeth that need to be extracted that were not noticed during the limited awake oral exam.  For their safety, and the safety of the technicians and doctors, these procedures must be done under general anesthesia.   Please refer back to my blog post in February for more details on what happens during a dental cleaning, or discuss with your veterinarian.

In summary

Want to know how your pet’s mouth rates?  Set up an appointment with your veterinarian to find out!

 

Kristen Ferguson, DVM, with modified excerpts from “Dental Disease in Dogs” and “Dental Disease in Cats”, Ernest Ward, DVM
© Copyright 2010 Lifelearn Inc. Used and/or modified with permission under license.

Please sir, can I have some more?

Gastroenteritis and Pancreatitis in Dogs

It’s summertime!  Spending time outdoors (when it’s not so exceedingly hot, that is) and grilling out is a big part of the season.  Admit it, when grilling something delicious, you’ll occasionally offer a hot dog, or some ribs, or even some potato chips , pretzels, or cookies to your furry pal.  What’s the harm in that?  Everything in moderation, right?

Perhaps, but perhaps not.  Unfortunately many dogs can have sensitive gastrointestinal systems that will respond negatively to any newly introduced foods, whether it is an abrupt change in diet from one brand of dog food to another, new treats, or ‘people’ food.  Gastroenteritis and pancreatitis are two potentially serious conditions that can occur from feeding dogs any new type of food, but especially foods that are high in fat.   An abrupt change in diet can potentially lead to vomiting, diarrhea, and resulting dehydration, which if left untreated can lead to serious illness and possibly death.

What is gastroenteritis?

Gastroenteritis is inflammation of the gastrointestinal tract (i.e., the stomach, intestines).  It can be caused by reactions to food, medications, plants, or infection with viruses, bacteria, or parasites.

What is pancreatitis?

The pancreas produces enzymes to aid in digestion of food and hormones such as insulin, which regulates blood sugar or glucose metabolism.  Inflammation of the pancreas is a condition called pancreatitis.

Acute pancreatitis can be the mild, edematous form or the more severe, hemorrhagic form. In pancreatitis, digestive enzymes spill into the abdominal cavity and damage the liver, bile ducts, gall bladder, and intestines. A few dogs that recover from an acute episode of pancreatitis may continue to have recurrent bouts of the disease, which is then called chronic or relapsing pancreatitis.

The exact cause of pancreatitis is not known, but it may be triggered by eating food high in fat or by corticosteroid administration.

What are the signs of gastroenteritis and pancreatitis?

Gastroenteritis symptoms usually include nausea, inappetence, vomiting, diarrhea, and lethargy; pancreatitis can include the same symptoms and will often also include fever and abdominal pain, which can be severe.  If the pancreatitis attack is severe, acute shock, depression, and even death may occur.

How are gastroenteritis and pancreatitis treated?

If your pet is having any of the above mentioned symptoms and you have recently fed your pet people food or changed its diet, then please see your veterinarian.  A thorough history taking and tests will likely need to be performed to rule out other causes of the symptoms, and to rule out or confirm pancreatitis.  If dehydration is severe hospitalization for administration of IV fluids may be needed.  With mild cases of gastroenteritis, pets can often be treated on an outpatient basis with subcutaneous fluids, anti-nausea and anti-diarrheal medications, and bland food.  With pancreatitis, hospitalization is usually required for at least a couple days, and pain medication, anti-nausea medications, anti-diarrheal medication, IV fluids, and sometimes other antibiotics are necessary if infection is suspected.   Prognosis depends on severity of the disease and how early treatment was started.  Most dogs recover without long term problems, but some will be at risk for recurrence.

In summary…

Giving your dog that chicken wing covered in bbq sauce may seem tempting, but the risks may outweigh the benefits of satisfying those begging eyes.  Gastroenteritis and pancreatitis can both be serious conditions, and there are additional risks of causing a foreign body with bones or hard to chew foods like corn cobs.  Lastly, some people food can be toxic to dogs.  Always consult your veterinarian prior to introducing any new food items to their diet.  And when in doubt, it’s always best to stick with treats made for dogs!

 

Kristen Ferguson, DVM, References and pictures from “Gastroenteritis in Dogs” and “Pancreatitis in Dogs” by Ernest Ward, DVM © Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

Rat Catcher’s Yellows (Easier to say than Leptospirosis, right?)

http://www.huffingtonpost.com/2008/11/20/fishermen-find-dog-swimmi_n_145296.html

Leptospirosis in Dogs

 

With the warmer weather comes more excursions outside, and that may include taking your dog camping and out for swims in lakes, ponds, creeks, etc.  Besides the obvious potential dangers of allowing your dogs to swim (ear infections, bites from venomous snakes or other critters, cuts/lacerations on sharp rocks, or worst of all, drowning), one that many pet owners may not know about is Leptospirosis (a disease that has been known in human medicine with many different nicknames, including Weil’s syndrome, Canicola Fever, 7-day fever, and yes, Rat Catcher’s Yellows).  As veterinarians, it is our job to educate pet owners about this disease and the vaccine that can prevent it, as undetected this disease has the potential to be devastating.

What is leptospirosis?

Leptospirosis is a bacterial disease of dogs and other mammals that primarily affects the liver or kidneys. Leptospires are known as “aquatic spirochetes”: the organism thrives in water and they have a helical or spiral shape with a characteristic hook on one or both ends. There are many species and serovars of Leptospira, some of which cause disease in dogs and some that may infect dogs without apparently causing any signs or disease. There is no evidence that Leptospirosis causes clinical disease in cats.

 

How are dogs infected?

Leptospires are spread through the urine of infected/carrier animals (often rodents, but many mammalian species can be infected and spread the disease), which can get into water or soil and survive for months.  Ingestion of infected urine or rodent-contaminated garbage is the most important means of transmission, but some forms of the bacteria can penetrate damaged or thin skin and mucous membranes. For instance, when dogs swim in contaminated water, they may become infected through their skin (of course they are also at risk by drinking any of the water). The incubation period (from infection to onset of clinical signs) is usually four to twelve days.  Infected animals are capable of excreting the bacteria in their urine for up to several years.

What are the signs of leptospirosis?

Many Leptospira infections go undetected, while others can show non-specific signs, but some cases can be life-threatening. There are three main forms of the disease:

  1. Hemorrhagic (bleeding)
    1. Fever
    2. Lethargy
    3. Anorexia
    4. Small hemorrhages
      1.  Mouth
      2.   Eyes
    5. Vomiting
    6. Bloody diarrhea
    7. Often fatal
  2. Icteric or jaundice (liver)
    1. Begins like hemorrhagic form
    2. Icterus (yellow color)
      1.   Mouth
      2.   Whites  of eyes
      3.   Potentially skin
  3. Renal
    1. Lethargy
    2. Anorexia
    3. Vomiting
    4. Fever
      1.   Temperature may be low in advanced stage
    5. Bad breath
    6. Ulcers on tongue
    7. Diarrhea
    8. Increased thirst
    9. Increased urination
    10. Abdominal discomfort
    11. Kidney failure

In general, younger animals are affected more seriously than older animals.

How is leptospirosis diagnosed?

Because the clinical signs are variable and easily confused with other diseases, definitive diagnosis can be difficult. There are no readily available rapid and definitive laboratory tests. Taking blood samples during infection and again in the recovery period and showing an increase in antibodies to Leptospira in the blood serum (at least a four-fold increase in antibody titer) is supportive of the diagnosis.

What is the treatment?

Antibiotics such as penicillin, ampicillin and amoxicillin, are reasonably effective if begun early. Most affected dogs require intensive care in the veterinary hospital. An extended course of antibiotics, typically doxycycline, may be prescribed in the recovery period to ensure that all the Leptospira organisms are cleared and the dog does not become a chronic carrier.

How can leptospirosis be prevented?

The vaccine for leptospirosis is not always part of the routine vaccination program for all dogs. Your veterinarian will consider the risks and options for your pet. The vaccine does not provide 100% protection since there are many strains (types) of leptospires, and the vaccine does not provide immunity against all strains. It is important to get your pet vaccinated again even if it gets leptospirosis because it can still get infected with a different strain of leptospire.

Can I become infected by my pet?

Leptospirosis can be transmitted to people, so owners of dogs that may have the disease should avoid contact between the owner’s bare skin and their dog’s urine, and wear rubber gloves when cleaning up any areas the dog may have soiled. Any areas where the dog has urinated should be disinfected. The organism is readily killed by household disinfectants or a dilute bleach solution.  Additionally, make sure that your infected pet takes all of its medicine and follow up with your veterinarian.

Conclusion

My intention with this information is not to be a party pooper and tell you to keep your dogs inside all summer.  But if you plan on letting your dog swim and have some fun in the sun, please discuss with your veterinarian getting your dog vaccinated against leptospira.  Additionally, if you are concerned at all that your dog is acting ill after a trip camping, swimming, or being in an area with a heavy population of wild animals, please see your veterinarian.

 

Excerpts from “Leptospirosis In Dogs” by Ernest Ward, DVM, with modification and additions by Kristen Ferguson, DVM

© Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

Additional information obtained from http://www.cdc.gov

Curiosity Killed the Cat: AKA, Why Cat Owners Should Keep Them Inside

The weather is warm and the birds are now out in full force, chirping mockingly at your poor little feline friend gazing from behind the screened window.  You feel sorry for your fluffball, and decide to let him have a stroll outside to enjoy the fresh air.  Maybe he’ll even catch one of those annoying rodents you know are around somewhere.  Nothing bad can happen, right?

Of course that question implies that yes, many bad things can happen from letting cats roam around outside, yet there are numerous owners who allow their cats to roam as they wish.   If you are one of those owners, it is important you realize all of the potential consequences that come with your cat being indoor/outdoor or solely outdoor.

But my cat loves to be outside, and he would be fat if he stayed indoors

There are many people who claim that cats enjoy being outside, kill rodent pests, get more exercise, and have less urinary tract disease when they go outside, so let’s address these claims first.   It is true that many cats enjoy being outside and get more exercise than indoor only cats.  However, indoor only cats can be stimulated to exercise with toys and enrichment (lasers, wind-up toy mice, rope/feather boa toys, etc).  More stimulation and interaction with the owner will make the cat more engaged, and in addition to promoting water intake through water fountain bowls or canned food diets, can help to prevent stress-related feline lower urinary tract disease.

Lastly, yes, cats are good hunters and will get those rodent pests for you.  But, there are many effective traps that can be placed to catch rodents.  Additionally, most cats will not discriminate and will kill other wildlife that are not pests, such as rabbits, squirrels, birds, and other baby mammals.  Since we have domesticated cats and allowed many feral cats to reproduce without restriction, there is an abundance of stray cats that kill wildlife.  While the veterinary world is doing what we can to reduce the feral cat population, it is up to the owners to be responsible for their own cats and how they affect the environment.

What are the risks of letting my cat go outside?  He’s healthy; he won’t spread any diseases…

While your cat may be healthy, it is important to realize that there are many feral cats that are carrying diseases that can come in contact with your cat.   Cats are curious by nature, and most cats will roam outside and come into contact with other animals.  Rabies is of course a viral disease that should be a disease every pet owner knows about, and in Ohio all cats and dogs are required to be vaccinated against rabies.  But beyond rabies, feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV) are also diseases that can be life threatening and are transmitted cat-cat.   Herpes virus, calicivirus, and panleukopenia virus are others, not to mention parasitic diseases (gastrointestinal—roundworms, hookworms, tapeworms, coccidia; topical—fleas, ticks, lice; and, heartworm disease, and other blood-borne pathogens).  While going into detail on these diseases is beyond the scope of this blog, it is important to realize that allowing your cat to go outside puts him at risk for acquiring any of them.

In addition to transmission of contagious diseases from cat-cat (or potentially wild animal to cat, in the case of rabies), there are other dangers as well.  Getting hit by a car is a real danger, as is being attacked and killed by a dog or a wild animal.

While a dog or a raccoon can be a big problem for a cat, so can another cat.  Picture the scenario of a cat wandering into an area another cat inhabits.   An intact male cat coming into another’s territory is a recipe for a cat fight (note: a neutered cat may keep the same desire to defend a territory, and female cats will also fight).  While all of the risks posted are serious in nature, I’d like to spend a little time focusing on cat fight wound abscesses as we recently had a client who unfortunately had two cats that got into a fight with a neighboring stray cat, and both ended up with abscesses that ran up a very expensive treatment for the owner.

In cats, over 90% of infected wounds result from cat bites sustained during a fight with another cat. Fight wounds frequently result in infection that can make cats quite ill, especially if left untreated. 

What happens after a cat has been bitten?

When a cat bites, its sharp canine teeth easily puncture the skin, leaving small, but deep, wounds in the skin. These punctures rapidly seal over, trapping bacteria from the cat’s mouth under the skin of the victim, where they can readily multiply. The infection may go unnoticed for several days, until swelling and pain at the puncture site develop. At this point, the cat will often develop a fever. If the skin surrounding the wound is loose, a pocket of pus will develop, forming an abscess. In areas where the skin is not loose such as the lower leg or the tail, the infection spreads through the tissues and causes cellulitis.

In rare cases, a cat bite will result in septic arthritis (infection of a joint space), osteomyelitis (infection of bone) or pyothorax (the chest cavity fills with pus).

What should I do if my cat gets an abscess or infected bite wound?

You should immediately take your cat to your veterinarian. If an abscess is present, your veterinarian will drain and flush the injured site. This may be done by removing the scabs over the original bite wounds or, more commonly, by lancing the skin over the abscess. It may be necessary to sedate or anesthetize your cat for this. If cellulitis is present, drainage is not possible.

Antibiotics will be given to treat the bacterial infection. If your veterinarian prescribes antibiotic tablets for you to give to your cat, it is very important that you give all the tablets as directed.

With large abscesses, your veterinarian may recommend a technique called debridement, or removal of all the affected tissues, including any inflamed tissues that have walled off the abscess from the rest of the body. The resulting “clean” wound will be closed with sutures. In some situations, your veterinarian may also place a surgical drain in the wound, to allow any discharges to escape. You need to clean the drainage holes twice a day for two to five days, or until the drain is removed. Once the tissues have completely healed, which usually takes about two weeks, any remaining sutures will be removed.

If an infected wound does not heal within a few days, your veterinarian may want to do further tests to see if there is an underlying cause. Certain viruses such as feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV) suppress the immune system and may complicate the cat’s recovery from infection. Blood tests can be performed to diagnose these viral infections. A persistent draining wound may indicate that a foreign body such as a broken tooth, a claw or some soil is present in the wound and may require surgical exploration. Alternatively, it may indicate the presence of an unusual infectious agent requiring biopsies for culture and other tests.

In conclusion…

Yes, cats would prefer to be outside.  But as a pet owner, it is your responsibility to realize that there are significant risks associated with allowing a domesticated animal to be outside.  It is possible to have an indoor-only cat that is at an ideal weight, has an enriched environment, and leads a stress-free (well, for the most part, they are cats after all) life.  If you insist on letting your kitties enjoy the wild outdoors, please ensure your cat has been tested for FeLV/FIV, and is vaccinated  yearly for both rabies and FeLV, and is on medication to prevent heartworm disease, intestinal parasites, fleas,  and ticks.  Also, to help reduce the population of unwanted cats, have your cat spayed or neutered. Please consult your veterinarian in order to determine what is best for your cat.

 

Kristen Ferguson, DVM, with excerpts from Wounds-Fight Wound Infections in Cats by Ernest Ward, DVM, © Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

 

Can’t Take the Heat!

Picture this scenario: It is 10 a.m. on a weekday, and it’s 85 degrees out and there isn’t a cloud in the sky.  You’re running errands around town with your canine companion because you plan on heading to the park afterwards to let your pooch take a dip in the stream.  Both the temperature and the humidity in the air are increasing as the day goes on.  So far you’ve only had to leave your buddy in the car for about 2-5 minutes at a time, and you’ve been leaving the windows cracked for him.  On your last stop at the bank, the line is long and you end up being inside for almost 20 minutes.  No worries, right (you did leave the windows cracked after all)?  Wrong.  Leaving a pet in a vehicle when it’s hot outside, even with the windows cracked, is essentially leaving them in an oven.  Whether it’s twenty minutes or just a few, the consequences can be disastrous.  Read on for more information on heat stroke.

http://www.funnypictures24.com

Heat Stroke in Dogs

What is heat stroke?

Heat stroke is a term commonly used for hyperthermia or elevated body temperature. Generally speaking, if a pet’s body temperature exceeds 103°F (39.4°C), it is considered abnormal or hyperthermic. Body temperatures above 106°F (41°F) without previous signs of illness are most commonly associated with exposure to excessive external or environmental heat and are often referred to as heat stroke. The critical temperature where multiple organ failure and impending death occurs is around 107°F to 109°F (41.2°C to 42.7°C).

What causes heat stroke?

The most common cause of heat stroke or hyperthermia is leaving a dog in a car with inadequate ventilation. The dog’s body temperature in this situation can elevate very rapidly, often within minutes.

It is important to remember that dogs cannot control their body temperature by sweating as humans do, since they only have a relatively small number of sweat glands located in their footpads. Their primary way of regulating body temperature is by panting.

Other common causes of heat stroke include being left in a yard without access to shade or water on a hot day, being exposed to a hair dryer for an extended period of time, and excessive or vigorous exercise during hot temperatures. Excited or excessively exercised dogs are sometimes at risk even if the environmental temperature and humidity does not appear hot. This is particularly true if they are kept in a poorly ventilated environment or dog house.

Dogs with a restricted airway such as the brachycephalic breeds (flat faced dogs such as pugs, boxers and bulldogs) are at greater risk.  In these breeds, clinical signs of heat stroke can occur when the outside temperature and humidity are only moderately elevated.

Dogs that are muzzled for any reason can be at greater risk since their ability to pant is restricted by the muzzle.

Any infection causing fever (pyrexia) can lead to hyperthermia. Seizures or severe muscle spasms can also elevate the body temperature due to the increase in muscular activity.

What is the treatment for heat stroke?

Hyperthermia is an immediate medical emergency. Safe, controlled reduction of body temperature is a priority. Cool water (not cold) may be poured over the head, stomach, armpits and feet, or cool cloths may be applied to these areas.  Rubbing alcohol may be applied to the footpads to dilate pores and increase perspiration. Ice may be placed around the mouth and anus. Intravenous fluids, mild sedation and low-concentration oxygen therapy are also commonly used to treat heat stroke.

The dog’s rectal temperature should be monitored and treatment discontinued once the pet shows signs of recovery or the temperature has fallen to 103ºF (39.4ºC).

What is the prognosis for heat stroke?

The prognosis depends on how high the body temperature elevated, how long the hyperthermia persisted and what the physical condition of the pet was prior to the heat stroke. If the body temperature did not become extremely high, most healthy pets will recover quickly if they are treated immediately. Some pets may experience permanent organ damage or may die at a later date from complications that developed secondarily to the hyperthermia. Pets that experience hyperthermia are at greater risk for subsequent heat stroke due to damage to the thermoregulatory center.

Please do not leave your pets in a car unattended for any amount of time in warm/hot weather!  When taking your dogs (or cats!) out for walks in hot weather, always make sure to have water with you in case they get over heated.  Avoid taking your dogs for runs or walks during the hottest part of the day.  Heat stroke is preventable!  If you are concerned that your pet may be suffering from hyperthermia, please have them seen by your veterinarian immediately.

Ernest Ward, DVM, with additions by Kristen Ferguson, DVM

© Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.

Mosquitoes and fleas aren’t the only bloodsuckers to worry about…

Ticks in Dogs and Cats

What are ticks?

Although ticks are commonly thought of as insects, they are actually arachnids similar to scorpions, spiders and mites. All ticks have four pairs of legs (eight legs in total) as adults and have no antennae Adult insects by comparison have three pairs of legs (six legs) and one pair of antennae. Ticks are parasites that feed on the blood of their host, which can be an animal or a human.

Ticks are efficient carriers of disease because they attach firmly when sucking blood, feed slowly and may go unnoticed for a considerable time while feeding. Ticks take several days to complete feeding.

What is the life cycle of the tick?

Ticks have four distinct life stages:

1.  Egg

2.  Six-legged larva

3.  Eight-legged nymph

4.  Adult

Females deposit from 3,000 to 6,000 eggs on the ground. Adult ticks seek host animals and after engorgement on blood, they quickly mate.

Male ticks usually die after mating with one or more females, although some may continue to live for several months. Females die soon after laying their eggs in protected habitats on the ground. The life cycle requires from as little as 2 months to more than 2 years, depending on the species.

After the egg hatches, the tiny larva (sometimes called a “seed tick”) feeds on an appropriate host. The larva then develops (“molts”) into the larger nymph. The nymph feeds on a host and then molts into an even larger adult. Male and female adults feed and mate on the host; the female falls to the ground to lay her eggs, continuing the life cycle.

How did my pet get ticks?

Ticks wait for host animals on the tips of grasses and shrubs; they are not commonly found in trees. When the plant is brushed by a moving animal or person, the tick quickly lets go of the vegetation and climbs onto the host. Ticks can only crawl; they cannot jump or fly.  Some species of ticks will crawl several feet toward a host. Ticks can be active on winter days if the ground temperatures are above 45 degrees Fahrenheit (7.2 degrees Celsius).

What are the different types of ticks?

There are two groups of ticks, sometimes called the “hard” ticks (Ixodidae) and “soft” ticks (Argasidae). Hard ticks, like the common dog tick, have a hard shield just behind the mouthparts (sometimes incorrectly called the “head”); unfed hard ticks are shaped like a flat seed. Soft ticks do not have the hard shield and they are shaped like a raisin. Soft ticks prefer to feed on birds or bats and are seldom found on dogs or cats.

Although there are at least 15 species of ticks in North America, only a few of these species are likely to be encountered by your pet. They include the:

1.  American dog tick

2.  Lone star tick

3.  Deer or Blacklegged tick

4.  Brown dog tick

Other tick species may be encountered in various regions. Ask your veterinarian if you need additional information about a specific species.

American Dog Tick
The American dog tick (Dermacentor variabilis) attacks a wide variety of hosts, including humans and dogs, but rarely infests homes. Adults are chestnut brown with white spots or streaks on their backs. Unfed adults are about 1/8-inch long. Engorged females become slate gray and may expand to a length of 1/2-inch. Larvae and nymphs feed mostly on small rodents, while adults feed on dogs, cattle, other animals and humans. These ticks are widely distributed throughout North America and are especially prevalent in the southern United States and in coastal and other humid areas. They are attracted by the scent of animals, and humans most often encounter them near roads, paths, trails and recreational areas. Although present all year round, American dog ticks are most numerous in the spring.

The American dog tick requires from three months to three years to complete a life cycle, and adult American dog ticks can live for up to two years without food! It is typically an outdoor tick and is dependent on climatic and environmental conditions for its eggs to hatch.  This tick is a vector for Rickettsia rickettsii, a bacterial organism that causes Rocky Mountain Spotted Fever.

Lone Star Tick
Adult lone star ticks (Amblyomma americanum) are various shades of brown or tan. Females have single silvery-white spots on their backs and males have scattered white spots. Unfed adults are about 1/3-inch long, but after feeding females may be 1/2-inch long. Larvae and nymphs parasitize small wild animals, birds and rodents, while adults feed on larger animals such as dogs and cattle.

All three stages of the lone star tick will bite dogs and humans. These ticks live in wooded and brushy areas and are most numerous in the underbrush along creeks and river bottoms and near animal resting places. Lone star ticks are present throughout the year, but peak adult and nymphal populations may occur from March to May. A second nymphal peak may occur again in July or August, while peak larval activity is reached in mid-June or July.  This tick is a vector for Ehrlichia chaffeensis, a bacterial organism that transmits human monocytic ehrlichiosis.

Deer or Blacklegged tick


All three active stages of the deer or blacklegged tick (Ixodes scapularis) will feed on a variety of hosts including dogs and people. After the eggs hatch in the spring, the very tiny larvae feed primarily on white-footed mice or other small mammals. The following spring, the larvae molt into pinhead-sized, brown nymphs that will feed on mice, larger warm-blooded animals and people. In the fall, they molt into adults that feed primarily on deer, with the females laying eggs the following spring. Adults are reddish-brown and about 1/8-inch long (or about one-half the size of the more familiar American dog tick).

These ticks are usually found in wooded areas along trails. The larvae and nymphs are active in the spring and early summer; adults may be active in both the spring and fall. The deer or blacklegged tick can transmit Lyme disease (Borrelia burgdorferi) and possibly ehrlichiosis to dogs and humans.

Brown Dog Tick
The brown dog tick (Rhipicephalus sanguineus, also known as the kennel tick) is found through most of the United States and can transmit ehrlichiosis. This tick feeds on dogs, but rarely bites people. Unlike the other species of ticks, its life cycle allows it to survive and develop indoors. In fact, the brown dog tick is the only tick species that can complete its entire life cycle completely indoors. The brown dog tick is found primarily in kennels or homes with dogs, where it may be found hiding in cracks, behind radiators, under rugs and furniture, and on draperies and walls.

The adult is reddish-brown and about 1/8-inch long, and usually attaches around the ears or between the toes of a dog to feed. After feeding, a female may engorge to ½-inch long. She then drops off the dog and crawls into a hiding place where she may lay as many as 3,000 eggs. This tick is tropical in origin and does not survive long, cold winters outdoors.

How can ticks be prevented?

There are many different types of tick preventatives available in the marketplace.  There are effective monthly preventatives that are typically applied to the skin at the back of the neck and represent a convenient method of control for these external parasites.  Your veterinarian will make specific recommendations to keep your pet parasite free.

What should I do if I find a tick on me or my dog?

If you are able to get to your veterinarian, it is advised to have he or she remove the tick to ensure it is done properly.  If not, blunt tweezers is the preferred instrument used to handle the tick. Infectious agents may be contracted through mucous membranes or breaks in the skin simply by handling infected ticks. This is especially important for people who “de-tick” pets because ticks infesting dogs and other domestic animals can carry Lyme disease, anaplasmosis, ehrlichiosis or other diseases capable of infecting humans.

IMPORTANT: Grasp the tick as close to the skin surface as possible. Do not grasp the end of the tick. This reduces the possibility of the head detaching from the body upon removal.

Pull the tick straight out with a steady, even pressure. Do not twist or jerk the tick as this may cause the mouthparts to break off and remain in the skin, increasing the chances of infection. Continue applying steady pressure even if the tick does not release immediately. It may take a minute or two of constant, slow pulling to cause the tick to release.

After removing the tick, thoroughly disinfect the bite area and wash your hands with soap and water. Home remedies such as applying petroleum jelly or grease, or touching the rear of the tick with a hot match do not work effectively and are not recommended. These techniques cause the tick to salivate and can actually increase the chance of getting a disease.

After removing the tick, you may wish to preserve it in rubbing alcohol for identification. Be sure to label the container with information about the time and place where the tick bite occurred. This activity will help you to remember details of the incident, especially if a rash or other symptoms associated with Lyme disease appear later. This information will be of help to a veterinarian or physician diagnosing an illness.

Are ticks even that prevalent around here?

Yes.  The tick population has been growing.  See the link below for information about an increase in the black legged tick population in Ohio.  Discuss with your veterinarian whether you and your pet inhabit an at-risk area for ticks, and whether your pet should be put on prevention.

http://veterinarynews.dvm360.com/dvm/Parasitology+Center/States-brace-for-new-Lyme-disease-threats-from-inc/ArticleStandard/Article/detail/762121?contextCategoryId=40534

 

Ernest Ward, DVM, with modifications and additions by Kristen Ferguson, DVM

© Copyright 2009 Lifelearn Inc. Used and/or modified with permission under license.