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Colitis (Inflammatory Bowel Disease) in Cats and Dogs

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Filed under Dr. Dym's Vet Blog

Colitis literally means inflammation of the colon.  The symptoms of colitis in our pets include loose and bloody stool in dogs and cats, mucousy stool or feces, painful or straining at bowel movements, as well as increased stool accidents in the house or outside of the litter box. Colitis, also known as inflammatory bowel disease (IBD) can have many possible causes from intestinal parasites like parasites like whipworms, hookworms and Giardia, foreign body ingestion or dietary indiscretion, dietary allergies or hypersensitivity, as well as metabolic problems like inflammation of the pancreas or liver.

Possible causes of colitis may include parasites like whipworms or hookworms On occasion polyps and tumors of the colon can appear, particularly in older pets. Any pet with chronic signs of colitis should have a full medical workup, including stool samples for parasites, as well as a complete CBC/chemistry blood profile and urine analysis. Sometimes additional imaging of the colon is needed through ultrasound and the use of endoscopes as is done in human medicine. Many pets that don’t respond to symptomatic therapy and develop chronic signs of colitis, sometimes have a disease called inflammatory bowel disease of the colon. This condition needs a surgical or endoscopic biopsy for appropriate diagnosis and treatment if symptomatic and dietary therapy fail.

As veterinarians we often use prescription drugs and antibiotics like Metronidazole, Tylan Powder, or Sulfasalazine to try and control symptoms of colitis, in addition to dietary changes or adding fiber using such products as Vetasyl. Recently we have been having great success using probiotics and enzymes to help restore health and digestive tract function, especially when antibiotics are used. Fast Balance is a wonderful product that can often quickly control acute cases of colitis and diarrhea by giving our pets a quick and bioavailable source of healthy bacteria to bring symptoms under control more quickly. Long term, excellent probiotics such as NaturVet Probiotics and Enzymes can often be added to meals, not only in treatment, but also in preventing future colitis flare-ups.

On occasion polyps and tumors of the colon can appear, particularly in older pets. Any pet with chronic signs of colitis should have a full medical workup, including stool samples for parasites, as well as a complete CBC/chemistry blood profile and urine analysis. Sometimes additional imaging of the colon is needed through ultrasound and the use of endoscopes as is done in human medicine. Many pets that don’t respond to symptomatic therapy and develop chronic signs of colitis, sometimes have a disease called inflammatory bowel disease of the colon. This condition needs a surgical or endoscopic biopsy for appropriate diagnosis and treatment if symptomatic and dietary therapy fail.

As veterinarians we often use prescription drugs and antibiotics like Metronidazole, Tylan Powder, or Sulfasalazine to try and control symptoms of colitis, in addition to dietary changes or adding fiber using such products as Vetasyl. Recently we have been having great success using probiotics and enzymes to help restore health and digestive tract function, especially when antibiotics are used.  Fast Balance is a wonderful product that can often quickly control acute cases of colitis and diarrhea by giving our pets a quick and bioavailable source of healthy bacteria to bring symptoms under control more quickly.   Long term, excellent probiotics such as NaturVet Probiotics and Enzymes can often be added to meals, not only in treatment, but also in preventing future colitis flare-ups.

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Feline Leukemia Virus (FeLv) in Cats

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Filed under Dr. Dym's Vet Blog

There isn’t a more frightening diagnosis for a feline guardian than hearing their kitty has been tested positive for feline leukemia virus (known as FeLv) or feline immunodeficiency virus (known as feline AIDS or FIV). As in the situation with dogs that test positive for Lyme disease, a cat who tests positive on an in-house veterinary ELISA lab test does not necessarily mean that the cat is clinically infected.

With feline leukemia virus, an IFA antibody test should always be done to confirm if a true positive result, and is often considered the gold standard of diagnosing FeLv infection. With FIV, a western blot is recommended, which is also done at an outside laboratory. As with people many patients who test positive, may not have any symptoms of disease, and with the case of FIV positive cats, these pets can often live long and healthy lives, as long as they are neutered/spayed and remain indoors and placed under as little emotional, physical or toxic stress that is possible. With true FeLv positive animals, the prognosis is somewhat different.  I have often read statistics that say that up to 85% of true FeLv positive cats will die of a complication of FeLv infection within 3 years of diagnosis.

As with human AIDS, both of FeLv and FIV can suppress the immune system leading to many other clinical problems and infections. Common symptoms of illness include inflammation of the gums and mouth (sometimes to a very severe degree called gingivitis/stomatitis), chronic or recurring respiratory symptoms such as sneezing, nasal congestion and/or coughing, chronic or intermittent digestive or skin disorders, as well as tumors, both skin and internal tumors that can involve any organ system, but most commonly the lymph nodes in the cats’ bodies.

Symptoms of Feline leukemia virus (FeLv) are inflammation of the gums and mouth, recurring sneezing, nasal congestion and/or coughing, chronic digestive or skin disorders.

These are cats who in my opinion should be kept inside, minimally vaccinated for other diseases if they are kept indoors, other than rabies vaccination as required by law in many states, and should be on all natural diets, preferably home made, but if not possible than excellent natural commercial diets like Wysong or Pet Guard.  In my practice I also recommend immune stimulants to boost the immune system of such cats. Such products as Vetri-DMG liquid and good multivitamins like VitaChews for Cats are essential. Other products I’ve used include Transfer Factor, Colostrum and extra vitamin C added to their diets. There are vaccinations for both of these diseases now available.

Because of my concern for safety and efficacy, as well as after discussing my concerns with the discoverer of the FIV virus, I do NOT recommend FIV vaccination. For cats who are freely roaming or spend a lot of time outside exposed to other cats, vaccination with one or two vaccinations of FeLv could be considered by a feline guardian.  Before a guardian subjects their cats to yearly or over vaccination with FeLv, they should be made aware of a few facts.  Most cats who become infected with feline leukemia virus acquire the virus under the age of one or two. In other words, there seems to be an age associated natural immunity to those cats who are older and who spend lots of time outside. Thus a 4 year old cat that is tested negative for feline leukemia is unlikely to acquire infection as they get older, even if they go outside.

Back when the first vaccination studies were done, the experimenters could not even induce disease in cats over the age of one or two when testing efficacy of the early vaccinations. And while many feline task forces and various feline political organizations recommend yearly vaccinations for cats that spend significant time outdoors and are exposed to wandering other cats, I personally do NOT recommend this practice due to the age acquired immunity most cats achieve.  Also, like most viral vaccinations in dogs and cats, immunity to any vaccinations of younger cats over 4-5 months old for this virus probably lasts for years to the life of the pet.

Over the past 2 decades there has also been concern about cancers at the site of feline leukemia virus vaccinations, believed to occur in 1 in 5000 cats vaccinated.  There have been newer vaccine delivery systems and technologies that are supposed to be safer, however, I am reserving my right to see how they perform over time, rather than jumping on any bandwagons.  I also have concerns about the potential genetic mutations that can occur from injecting what are called retroviruses of this class, and long term immune suppression and other diseases and/or cancers occurring in vaccinated animals. That is why it has been so difficult to develop a safe and effective human AIDS vaccine as well.  Therefore for those guardians who choose to vaccinate their outdoor cats for feline leukemia virus, I would stress that they learn more about the issues/concerns I raise here, rather than blindly following every year vaccination programs for their cats.

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Feline Bronchial Disease (Feline Asthma)

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Filed under Dr. Dym's Vet Blog
Common symptoms of feline asthma include difficulty breathing, wheezing, and coughing While there is a growing epidemic of human asthma cases in recent decades in younger people, as well as adult-onset asthma, we are also seeing increasing numbers of asthma in cats, also known as feline bronchial disease (feline asthma). Symptoms include cats experiencing difficulty breathing, wheezing, and coughing, which is often misdiagnosed by both feline guardians and even veterinarians as often hairballs.

Some of the expected triggering agents include seasonal allergens, dust and irritants in the environment, including secondhand smoke and certain dusty litters, as well as even potentially injected or ingested allergens such as over vaccination and even food allergies. Diagnosis is usually made by a combination of x-rays, blood work, and stool checks to rule out other causes of coughing/wheezing, including intestinal parasites, feline heartworm disease, and other infectious and cardiopulmonary diseases of the chest cavity and heart. While we often try and look for underlying causes and/or minimize the above potential triggers, most of the time we don’t find out the cause of feline asthma, except to say that it goes under the category of another autoimmune disease, which is where the cats own immune system is over-reacting to its own body, in this case resulting in constriction and inflammation of the airways.

As with other autoimmune diseases, treatments include often immune suppressive medication, including most commonly prescription injectable steroids in cats, the most common one being used by veterinarians known as Depo-Medrol. And while occasional injections of this long acting steroid often offers dramatic relief, repetitive use of this drug long term can lead to other complications in cats, including diabetes, as well as secondary bacterial infections. Other prescription medications such as the bronchodilator Theophylline, which can help dilate the airways in some cats, as well as the prescription drug Terbutaline offer variable results as alternatives or as add on drugs. Most recently in severely affected cats, veterinary specialists are now using at home inhalers, in a similar way as with people.

Feline guardians can learn more about this safer alternative to repetitive injectable cortisone at www.aerocat.com. Other preventative measures feline guardians can take include minimizing emotional, physical and toxic stress on asthmatic cats.  Using air purifiers in the home with HEPA filters such as those approved for human asthmatics can sometimes help.  Natural calming agents such as rescue remedy or Be Serene, Quiet Moments, or Composure Liquid can help ease emotional anxiety in some cats.   Feeding a natural diet with the help of a holistic veterinarian, as well as avoiding over vaccination of especially indoor cats is also important in minimizing the frequency of asthmatic attacks. Supplements such as Proanthozone and Vetri-DMG liquid from can help modulate the immune response, and I have sometimes found these neutraceuticals helpful in minimizing the amount of cortisone needed in asthmatic cats.

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Ruptured Anterior Cruciate Ligament (ACL) in Dogs

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Filed under Dr. Dym's Vet Blog

One of the biggest growing and expensive to treat orthopedic epidemics seen in dogs today is the increasing numbers of dogs (and to a much lesser extent of cats) diagnosed with either complete or partial anterior cruciate ligament tear of the stifle (or knee joint of an animal).  When I was in veterinary school back from 1987 through 1991, this was only a rare cause of lameness in dogs, mainly being seen in a few breeds particularly the Rottweiler.  However, both the incidence of this condition and the variety of breeds affected has grown tremendously in recent years. The history may include mild to moderate off and on hind leg lameness that has been sometimes present for weeks or months, or a sudden 3 legged lameness in those pets with a complete tear.

Varying degrees of stiffness can be seen after exercise or rest.  Many of these pets are often tested for Lyme disease, and in fact Lyme disease is often significantly overdiagnosed as a cause of lameness in dogs, as you read in a previous blog.  Most of these pets are middle aged larger breed dogs such as Mastiffs, St. Bernards, Bulldogs, Labrador Retrievers, Akitas, and Rottweilers. However, any sized breed can be affected. While there is an intense search as to a genetic cause of this big increase in the incidence of this condition, there is also some who feel that an immune-mediated disease, where the pet’s own immune system destroys the ligamentous structures of the stifle could also be involved. Lameness is a common symptom of a dog that has a torn ACL

In my opinion, various nutritional factors and over vaccination may be playing roles here.  Unfortunately up to 50% of dogs, who tear one curiae ligament or ACL, are at some point in the future also going to have the other stifle affected. An ACL rupture is often diagnosed by your vet palpating excessive laxity in the knee/stifle known as a positive “drawer” sign. However, in some partial cases this can sometimes be difficult to elicit. Many pets need to be sedated and have appropriate x-rays taken, as well as even some having joint taps to assess the joint fluid, as well as sometimes exploration of the joint to definitively diagnose those sometimes elusive and vague cases.

If your pet is diagnosed with this condition, there are various surgical techniques available from the expensive TPO procedure to many others, but this will vary depending upon the particular surgeon. Even when surgically corrected, some degree of degenerative joint disease and joint thickening often develops at some point in the future.  I have seen lighter and smaller breeds with partial tears often return to normal function with rest, prescription nonsteroidal anti-inflammatory medications, and joint supplements, regaining adequate use and function of the affected limb over time and patience.

With the breeds especially prone to tearing this ligament, I always recommend a good natural diet such as Azmira, Be Well, or even a proper homemade diet following a balanced recipe.  I will sometimes supplement these pets with extra vitamin C in the form of Ester-C to strengthen the collagen of the connective tissue of the body from doses as low as 500 mg up to a few grams once to twice daily, depending upon the size of the pet.  I also love using antioxidants as well to natural help prevent and reduce inflammation such as Proanthozone, as well as Yucca Intensive by Azmira. Glucosamine/MSM derivatives including Super Joint Enhancer or Glyco-Flex by VetriScience also may help enhance the health of the joints in general.

In those pets where I suspect partial tears or to help facilitate recovery from surgery, I will often recommend pet physical therapy, an emerging area of veterinary medicine that increasing numbers of veterinarians are being trained in. Hopefully by keeping the body healthy through good diet and nutritional supplementation, we can help keep our pets’ joints and ligaments healthy and strong. While there are no guaranteed preventative steps an animal guardian can take, in my practice I try and promote good diet and nutritional supplements to help keep the joints strong and healthy, and hopefully lessening the likelihood of this common and painful orthopedic condition.

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Declawing Cats

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Filed under Dr. Dym's Vet Blog
Declawing a cat can lead to long term emotional and physical complications One of the most difficult decisions for feline guardians to make is whether they should declaw their cats, and if they do are there any long term complications or side effects to this commonly done procedure? Declawing cats in essence involves removing the last bone of each digit (like removing the end of your finger from the cuticle of your nail on up), so that the germinal layer where the nail grows does not grow back.

This procedure, although simple to perform by most veterinarians, has come under much controversy at times, even so much so that in a few areas of the country, declawing was even banned for a while. Of course some of the bigger reasons why cats are declawed are either to cut down on those unwanted scratching behaviors that can certainly cause damage to human skin, including infections such as cat scratch disease, as well as cats scratching furniture, beds or carpeting, that is so valuable in the human home.

My own feelings are that declawing should be avoided if at all possible in cats, as while conventional veterinary experts continue to say that a properly done declawing procedure poses no long term risks or side effects to our beloved felines, I personally have seen both long term emotional as well as physical complications, including even regrowth of nails through the pads years later (if done incorrectly) from these procedures. A certain amount of scratching objects in the home is normal in domestic felines, however, behavior modification techniques such as scratching posts provided with cat nip sprinkled on them, as well as shaking a coffee can full of coins when cats start to scratch an unwanted area, can both provide alternatives, and teach the cat not to scratch those valuable items in our home.

There is an excellent book called “How to Get Your Cat to Do What You Want” by well-known animal behaviorist Warren Eckstein, which offers wonderful behavioral techniques to help a feline guardian avoid putting their feline through the declawing procedure.  There are also other alternatives such as Soft Paws, which can be easily applied to most cats’ nails, and literally act as nail caps, again preventing unwanted scratching of both people and furniture.  Natural calming agents such as the Bach Flower Remedy as well as Be Serene, can again be helpful in some cases. Comfort Zone with Feliway “plug-in” diffuser and spray can also help deter unwanted scratching of certain furniture or areas.

If these suggestions here don’t work, and the feline guardian absolutely finds it necessary to declaw their kitty, I would suggest only doing the front feet (which is what cats scratch these items the most with), as well as consider some other alternatives to traditional declawing such as tendonectomies, which are less painful to cats and where I have seen cats recover faster, as well as newer laser surgeries now available for the declaw procedure.

No matter which procedure is done, proper pain control, especially in the post operative period with either prescription medications from your veterinarian,  such as Metacam or the recent use of the human drug Buprenex should be used as directed and prescribed.  Homeopathic medications such as the homeopathic remedies Arnica and Hypericum in 30c potency, (available from health food stores) can also help with post operative declaw pain as well.

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1800PetMeds Pet Photo Contest

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Filed under 1800petmeds

We hope you’ve been enjoying the blog posts from Dr. Michael Dym, VMD and our Pharmacy Services Director, Gary Koesten. We’d just like to take a moment to inform you of a new series of pet photo contests we are running over the next few months here at 1800PetMeds.

PetMeds Pet Photo Contest - WIN $1000!

Each contest will include a centralized theme (Cutest, Funniest, Look alike, and Ugliest) with voting open from the beginning to the end of each month. All contests will conclude with three winners. The top 3 vote earners with the highest scores will be awarded as follows:

First place – $1000
Second place - $150
Third place – $50

Our first contest for “Cutest Pet Photo” ended a few days ago and you can view the winners page to see who took home the grand prize of $1000! Our current contest is up and running, so if you think your pet has what it takes to land you the first prize, submit your pet’s photo now!

Thanks to all those who participate and good luck from the staff at 1800PetMeds!

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Excessive Drooling (Ptyalism) in Cats and Dogs

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Filed under Dr. Dym's Vet Blog

One of the more urgent common phone calls to veterinary offices and emergency clinics across the country is when a dog or cat suddenly starts drooling excessively without warning.  Sometimes the saliva can be so thick and profuse, that both dogs and cats experience difficulty/heavy breathing. There can be many possible causes of a cat or dog heavy salivating. The first one to always consider is whether the pet potentially was recently exposed to a toxin or pesticide in the environment outside or inside the home. Even certain topical pesticides, including topical Frontline Plus and Advantage, can cause drooling in sensitive pets, especially if the product is inappropriately applied, or in an area where the pet can lick it off.

One possible cause of excessive salivating or drooling may be caused by your pet's allegries

Electric cord injuries and burns, especially seen in puppies and kittens, can cause difficulty breathing as well as excessive drooling, and such pets should get immediate emergency care. Allergic reactions to common household cleaning agents, and pesticides on the lawn or inside the home are also common causes of drooling. Even certain prescription and bitter tasting medications, such as the commonly prescribed drug Metronidazole can cause heavy drooling particularly in cats.

Many dogs and especially cats will drool to varying degrees, often accompanying nausea and vomiting seen in so many acute and chronic conditions and diseases. When drooling is more chronic, especially if the drool has a foul odor, one of the first category of diseases to consider is periodontal disease in both dogs and especially cats. Our feline friends sometimes can develop severe painful gum inflammation known as feline gingivitis/stomatitis syndrome, which can often make it difficult for them to eat.

All such pets should have an immediate veterinary exam with thorough evaluation of the oral cavity for any dental/gum disease, ulceration of the tongue, as well as a check for any foreign bodies, gum growths or tumors in the mouth or throat. Upper respiratory infections such as feline calicivirus can not only cause sneezing and nasal congestion, but also oral ulcers that can lead to heavy drooling. If the drooling persists and no known causes can be found, a full baseline workup at the veterinarian, including blood work, urine analysis, and x-rays are needed.

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National Pet Diabetes Month

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Filed under Pharmacy Blog

November is National Pet Diabetes Month.

Diabetes is one of the most common diseases to affect dogs and cats. We treat our dogs with insulin (Vetsulin, Humulin, Lantus) and we treat our cats with either insulin (Vetsulin, PZI-Vet) or one of the oral antidiabeic medications such as glipizide.

Starting or changing insulin therapy should be done cautiously, and only under the supervision of a veterinarian. The most common adverse effect associated with insulin is hypoglycemia. This can occur suddenly. Your veterinarian can tell you the symptoms of hypoglycemia that you should be aware of, as well as what needs to be done in the event your pet becomes hypoglycemic. Hypoglycemia can be  life-threatening.

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Zoonotic Diseases

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Filed under Dr. Dym's Vet Blog
Cat fleas may contribute to increased cases of zoonotic diseases In a recent blog post I touched on many of the more common diseases potentially transmitted from animals to people, otherwise known as zoonotic diseases. In the recent veterinary literature, I have been reading even more articles on the role fleas play, especially in indoor/outdoor cats and certain potential wild life reservoirs such as opossums can play in recently recognized diseases in people.

While one often thinks of ticks and the role they can play in transmission of Lyme disease, Ehrlichiosis, and Rocky Mountain spotted fever to dogs and people, cat fleas may also act as an important vector and vehicle of transmission of other, what are known as Rickettsial diseases in people. In addition to these diseases, fleas have been well known to play an important role in transmitting Bartonella to cats, the causative agent of cat scratch disease in people and other Bartonella induced diseases in humans. Fleas also carry various species of mycoplasma organisms, which can cause varying degrees of illness in cats including anemia and other systemic signs of illness. It is therefore recommended to implement rigorous flea control with either conventional flea products such as Advantage, Frontline Plus, or natural products for those so inclined, to help prevent infection with the above infectious agents to cats and their human guardians. Limiting exposure of cats to wild life such as opossums is also important in preventing transmission of these diseases.

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Vetsulin

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Filed under Pharmacy Blog

Customers who have a pet or pets with diabetes and are using Vetsulin Insulin should be aware that the FDA’s Center for Veterinary Medicine has issued an advisory regarding Vetsulin.

There is NO recall of this product. However, pet owners are advised to monitor their pets for the following symptoms:

  • hyperglycemia
  • increased thirst, or urination
  • weight loss
  • disorientation
  • signs of weakness

If the pet has any of these symptoms, pet owners are advised to call the manufacturer’s Technical Services Department at 800-224-5318. Customers should also contact their veterinarian.

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