Archive for the ‘Actual Medical Information (Mostly)’ Category

Vaccination Guide

Thursday, October 28th, 2010

My latest Wuzzy Chronicles article at Omaha.net is about dog, cat and ferret vaccines. Is everyone as excited about vaccinations as I am??  Ha!  You do not have to be!  But I hope this guide helps you.

During the same week that I was writing the article, friends and I were talking on #dogtalk about how absolutely horrendous we found the story of “Old Yeller” as kids.  If you do not know the story, DO NOT read the book or watch the movie!  In fact, I will spoil it for you so you are not tempted…the incredible Yellow Lab who just saved his kids from some possibly rabid wild animal is destroyed out of a fear of the zoonotic* potential of rabies.  As I so often yell at the end of Law and Order and CSI, “Why would you make this stuff up?!?”

I made these fake vaccines just for the article and had great fun doing it!  Yup, that’s red food coloring!  And real vaccine vials are not really that full, as my Pet Nurses all pointed out…but I think they are prettier that way!  Especially with the shiny blue and silver lids (which are also not accurately portrayed as rabies and distemper vials-again, I used them because I thought they were pretty!)

Sadly, at the time Old Yeller took place, rabies was a huge issue in America.  And lest we think it is a disease of the past, a handful of human cases occur in the United States every year.  And an average of 55,000 cases occur world wide every year! Fifty-five thousand people die yearly of this preventable disease!

I do not want our pendulum to swing too far in the direction of unvaccination.  Thankfully, we do not commonly see many of the diseases against which we vaccinate any more.  Much of that is due to strong vaccination protocols.  Outbreaks inevitably occur when we let our guard down.

Vaccines do carry risks.  We ought to avoid the risks as much as we can, and only use the vaccines our pets need, at the time intervals that will protect them the best.  But we should not forget the incredible things vaccines do for our pets, and even for us.

A vaccine list may seem a dry topic for an article, especially one sanctioned by Wuzzy Rat!  But I think the more we know about the health care of our pets, the better we are able to make wise decisions for them.  Let the list be a sort of launching pad…into a discussion of vaccines, diseases, risks, whatever you would like to talk about.  You, Wuzzy Rat and I can decide from there what issues Wuzzy Chronicles articles should cover in 2011!

Here is one of Wuzzy Rat’s favorite Omaha.net-Wuzzy Chronicles articles from 2010…

Artists For Hope

*zoonotic=transmissable from animals to humans

Pugs and Coprophagia

Monday, October 18th, 2010

Originally Written for Pug Partners of Nebraska – Please visit their website to find out how you can help Pugs!

Coprophagia.  Just giving you a different word to use when you do not want to tell your friends that your adorable puppy is a poop-eater.

Do not be embarrassed!  It is so common that it almost deserves its own page in a standard puppy scrap book.  The question I field most often about this issue is “Why?”  This is usually not a dietary deficiency issue.  It is usually not related to complex anxiety problems.  Pet owners have not caused it by training or not training their pets a certain way.  Brace yourself…you will not like the answer.  Dogs are coprophagic because they LOVE the taste of poop.

Coprophagia is normal, it is natural, all puppies (and some dogs) do it.  But you do not have to live with it.  As obsessed as I am with medical wellness, the grossness factor is almost as good of a reason to discourage this behavior.  As you know, Pugs are very similar to Boston Terriers in that they do not give normal puppy kisses.  They lure you close with their cute faces, then lick the roof of your mouth.  So having a Pug with coprophagia is simply not acceptable!

The biggest medical risk to a pet with coprophagia is infection (if eating feces from another animal such as a wild bunny or indoor cat friend) or reinfection (if eating his or her own feces) of intestinal parasites.  So first and foremost, make sure your dogs AND cats are regularly being tested and treated for intestinal parasites.  And now on to habit reshaping…Ask your veterinarian about oral taste deterrents.  Products are available that are odorless and tasteless when eaten, but bitter when passed.  The pet whose poop is being eaten is the one who should be treated.  For example, if your puppy is eating his own poop, you would treat him.  If he is eating the cat’s poop, you would treat the cat.  This seems unfair, but hopefully, your pet will not even notice the medication and will not know he or she is being treated.

Make sure feces are removed from the yard as soon as possible, and cat litter is cleaned as soon as possible.  This may require hiding around the corner with a scoop or a bag while your pet potties.  Once your pup has developed new habits (like NOT eating poop), you will be able to relax your vigilance.

Coprophagia is frustrating but very treatable.  Retraining with taste deterrents and environment controls usually can be done within a week.  If your pet is especially stubborn, take heart in knowing that if we can not retrain our pets, they WILL almost always outgrow the habit.  My professional advice is that you should wait on puppy kisses until then.

My Super Cute Pug-Nephew Gary

Pugs are Cute…”Table of Contents”

Monday, October 18th, 2010

A while back, I posted a series of Pug Health Articles written for Pug Partners of Nebraska.  Here is a list of those articles, in case you need to find them quickly!  They are not just pug-specific.  But the poor dears do lend themselves so well to health issue discussions!

Introduction:  Pugs are cute, but they do have issues.

(haha I still think that is a hilarious title!  Woo!  I crack myself up!)

Allergies

Anal Glands

Coprophagia

Dental Disease

Ear Care

Eye Care

Orthopedic Issues

Paw Care

Respiratory Issues

Skin Care

Weight Management

If there are other Pug (or any) topics you would like me to cover, please let me know!  I always thought Dave and Sara should get a Boston Terrier to match Riley the Great Dane’s markings, and a Pug to match James the Mastiff’s markings.  Don’t you agree??

Mona Lisa, the super cute Boston Terrier

Ebony (our gorgeous Lab Mix), James and Riley (also gorgeous!)

Typhoon, the super cute Pug

Choose Your Own Adventure – Litterbox Edition

Monday, August 16th, 2010

On to our adventure…

Page 1: Your cat has gone outside of the litterbox!  Though it seems intentional, you understand that this is a straightforward conditioned response.  Your cat is either responding to an environmental stimulus or exhibiting a medical symptom.  (Reread the beginning of our adventure until you truly believe it – No malice is involved in pet behavior issues.  Ever.)

As you examine the first two clues more closely, the pee that is where it should not be, and your beloved cat, you notice…The pee is yellow and of a normal amount. Your cat is seemingly well and comfortable.

(Go to page 2.)

The pee is dilute/concentrated/bloody/a huge amount/a small dribble and/or your cat is lethargic/depressed/not eating well lately/drinking too much/not drinking enough.

(Go to page 9.)

Page 2: Next you examine the next clue – the litterbox.  It is right there!  How could…then you remember the beginning of our adventure…this is a straightforward conditioned response.  Your cat is either responding to an environmental stimulus or exhibiting a medical symptom.  No malice is involved in pet behavior issues.  Ever.

You clean the area and check the litterbox.

Go to page 3.

Page 3: The smell of cat pee is SO GROSS that it is tempting to use the strongest cleaner possible.  Be VERY careful if you use bleach to clean. The ammonia in urine (which is what gives it its smell) reacts with the chlorine in bleach to create chlorine gas, which is a very dangerous respiratory irritant that can even be fatal.  If you use bleach, FIRST make sure you have cleaned the area well enough that there is no smell, and then dilute the bleach 1:10 or more with water.  Rinse just as well after cleaning.  You do not want your cat’s first trip to the box to cause a reaction with any residual bleach.  The safest course is to avoid bleach all together, and use an enzyme based pet odor remover for extreme cleaning needs.

If the litterbox could use some attention, go to page 4.

If the litterbox is squeaky clean and has no waste in it, go to page 5.

Page 4: You notice that the box could use some attention.  With all that is going on lately, it has been almost impossible to scoop daily and change the litter completely weekly.  *sigh*  No time like the present!  And what a way to be reminded!  You remove all of the litter.  You rinse the box thoroughly and clean it with water and dish soap or dog/cat shampoo until no odor is present and fill the clean box with new litter.  If the odor persists, it may be time for a new litter box.

If the problem persists, go to page 5.

If your cat just needed a clean restroom, and now is back to his or her perfect self, go to page 10.

Page 5:  Make sure you have a litterbox on every level of the house and at least one more than the number of cats in the house.  Check that there is at least one covered box and at least one uncovered box.  Spy on your pets to check if another pet is bullying the offending cat out of using the box.    Though you are already using a scent-free, low dust litter, for the short term at least, switch the litter to Cat Attract.

Close rooms that have doors.  Clean areas that have been soiled with an enzyme-based pet odor remover.

Go to page 6.

Page 6:  After the area is dry, cover it with aluminum foil to discourage your cat from walking there.  Where possible, close off rooms in which your cat is urinating.

Bringing your house up to “Cat Code” and getting your cat to respond could take a good week or two.  During this time, make sure your cat IS urinating (ESPECIALLY if he is a male – a cat who cannot urinate is a medical emergency – go to page 9 – or better yet, stop reading, call your veterinary team and tell them you are on the way to the hospital!)

Assuming your cat is urinating, just not in the right place yet, watch for signs of discomfort, abnormal urine and excess drinking.  If you notice any of these, go to page 9.

If all of these litterbox changes have not resolved the issue, go to page 7.

If all of these litterbox changes have resolved the issue, have, go to page 10.

Page 7:  You have taken every reasonable step to make your house cat-bathroom accessible.

If you notice any abnormalities in your cat or his or her pee, go to page 9.

If your cat is still urinating normally and acting well, time to pull out all the stops and get kind of crazy.  Remember that this is short-term, and remember that it is worth it to get to the end of our adventure!  Place a shallow litter box filled with Cat Attract litter EVERYWHERE your cat is urinating-on the bed!  On the couch!  On the pile of laundry!  Place litterboxes around those boxes AND around the ones you want your cat to use!  Sometimes it takes up to a dozen litterboxes to pull off this stunt.

After a few days, remove any litterboxes your cat is not using.  Place them in any areas that you may have missed in the first round of “You’re going to use our house as a giant litterbox?  Well, I will make it one!”

We are trying to make using a box so much easier than not, that your cat starts using the box every time again.  Every few days, remove the boxes that have not been used, and place new boxes where your cat prefers to go.

After one or two weeks, you should be able to reduce the number of litterboxes back to a sane amount, and have your cat using the litter appropriately again.  Take note of the type of box your cat seems to prefer (covered or uncovered, deep or shallow) and use that kind of box.  Also note where your cat prefers to go, and have a litterbox as close to that area as possible.

If all is now well, go to page 10.

If accidents are still occurring, go to page 8.

Page 8: You have done everything possible to address your cat’s behavior.  Either your cat is dealing with an underlying medical issue, or this is a more serious behavior issue than it first appeared!  Go to page 9.

Page 9: Make an appointment to have your cat seen by your veterinary team as soon as possible.  Your veterinarian will most likely want to start with a complete history and physical exam.  The price of the exam can be obtained by phone when making the appointment, if that takes any of the scariness out of the picture.

Of course, what is done from there may vary*, but once your cat has been examined, the veterinary team will be able to present you with a treatment plan (including prices) which I think makes a big scary unknown problem at least manageable.  The next step may include bloodwork, urine tests, radiographs (x-rays) and sometimes ultrasound.  You now have a list of differentials (possible things that could be wrong) and the price to find out what is going on.

Remember-finding all normal results on physical exam and laboratory work is a GOOD outcome!  If you know that a problem is strictly behavioral, it can be safely treated as such without the fear that something more serious is going on.

If the problem is medical, make sure you understand all instructions completely.  Give any medication for the full course for which it is prescribed.  (“Of course!” you say.  “Does not always happen!” I say.)  Follow all dietary recommendations and follow up with all recheck exams and lab tests that are recommended.  Go to page 10!

*Yet another “Disclaimer or Warning or Whatever” Not every veterinary team will approach every problem identically.   Even the same team will treat different cats with different histories and issues as individuals!  As long as you know your team is trustworthy, do not worry if they approach your pet’s case in a different manner than what is presented here!

Page 10:  Everyone lived happily ever after.

~The End~

Choose Your Own Adventure – Litterbox Edition – Introduction

Tuesday, August 10th, 2010

Behavior problems are the number one reason for pet relinquishment, and inappropriate elimination tops the list for cat behavior problems resulting in relinquishment.  Even if you have not had to go so far as to rehome your own pet, I would guess that you have dealt with this issue.  It is a common, frustrating, many-faceted topic.  It is sometimes completely rooted in behavior issues and sometimes complicated by medical issues.

I hope this post gives you some tools to begin to solve the issue, and allows you to feel as though the solution is at least partially in your hands.  Having your mood and your home completely in the paws of your cat can be frustrating, infuriating, even bond-breaking.  Having urinary issues completely in the hands of your (albethem awesome) veterinary team can be frightening and unempowering, especially when the wellbeing of your cat and unknown financial issues are involved.  Bringing your cat, your family and your veterinary team together with you at the decision making seat could very well be the winning combination that allows your cat’s issues (be they behavior, health or a combination of the two) to be resolved and your home to be once again peaceful and to smell like…well…nothing.

I know I always say that it is best to bring your veterinary team in on any pet related issue as soon as possible.  “Start with a thorough physical exam and find out what if any laboratory tests need to be done.”  However, I also realize that many, many cats are relinquished before a veterinarian is consulted at all, and probably even more families just live with behavior issues without seeking veterinary help.

Part of the issue is financial-How much is this going to cost to explore?  Who knows?  It depends…on what we find at the first step, and the next, and the next.  Part of the issue is wondering whether the problem is medical at all-Why consult doctors when the cat is “being naughty*?”

I hope to address each of these issues here, but in case you hesitate to rush a cat right in for peeing outside his box, I hope to empower you to do what can be safely done at home to resolve the issue, and draw a clear line between when it is safe to try conservative home-based courses of action, and when your pet needs to be seen by a doctor sooner rather than later.

Disclaimer or Warning or Whatever: You are all awesome, and I know you would not do this.  But in case you have just wandered here and happen to be un-awesome, please DO NOT try to skip through these steps when going to see your pet’s veterinary team.  If you need professional help with your cat’s issues, trust the professional team.  Do not say anything like “Dr. Finch said my cat only needs a urinalysis-I don’t want to pay for an exam.”  Or “I checked the internet.  I know what is wrong.  Just prescribe me <wonder drug>.”  You laugh.  It happens.

*On “being naughty…”   Though misbehavior of our pets often seems intentional, please understand that every behavior issue of our pets is a conditioned response.  In the case of inappropriate elimination, your cat is either responding to an environmental stimulus or exhibiting a medical symptom.  No malice is involved in pet behavior issues.  Ever.

What I am Doing This Week: Gathering! Restating! Linking! Helping! Publishing!

Friday, July 2nd, 2010

(If you don’t mind, imagine the next sentence fragments in the voice of Flint Lockwood, from Cloudy With A Chance of Meatballs.  You know I LOVE to be boring, but sometimes I love to SEEM exciting, so I thought maybe that would help.   Thanks.)

Gathering!  Restating!  Linking!  Helping!  <running around the living room> <pushing big red button>  Publishing!

I know it’s been said, but I just wanted to make sure you and your pets have all the resources you need for this Independence Day!  So this week I am gathering and reposting information about storm and firework phobias.  Add any tips or resources you have!

Scared on the Fourth of July – Last Year’s Posting With an Update

Thunderphobia – Trainer Eric Goebelbecker’s Great Posting on Dr. V’s Pawcurious Website

Fourth of July Fireworks Safety Tips for Your Pets – brand new article from Dr. Patrick Mahaney, Veterinarian and Certified Veterinary Acupuncturist

Thundershirts! – Too late to order them from the website for Sunday!  And as you know, yahoos in Omaha are already shooting off fireworks, so the poor dogs are already pretty worked up.

Nebraska Humane Society has some Thundershirts, but they are running low!  Quick, go push someone out of the way and grab theirs.  (Don’t really.)

Happy Independence Day! Make sure your pet is with you or safe at home this weekend.  Here’s to a safe and wonderful weekend for you and your family!  God Bless America!

Pugs and Weight Management

Saturday, June 19th, 2010

Originally Written for Pug Partners of Nebraska – Please visit their website to find out how you can help Pugs!

Every problem Pugs are prone to is magnified if they are carrying extra weight. Breathing issues become more severe. Joint issues become more painful. Even wrinkles become deeper!  Obesity may even worsen conditions that may seem unrelated, such as allergies and other immune problems.

Unfortunately, Pugs are also genetically prone to being overweight.  This does not have to become a hopeless cycle. Start now to keep your Pug fit and at an appropriate weight, and you will minimize and perhaps even eliminate many problems in the future.

Pugs should be broader at the shoulder and chest than most dogs, but their body condition should be muscular. They should have a slightly tucked in waist, and ribs that can be felt, but not seen.  Weight loss, if indicated, should be guided by your veterinarian and spread over several months.

Provide your Pug with a high quality diet, perhaps a low fat version of his normal food. Consult with your veterinarian as you formulate his feeding plan while he is losing weight and once he is in great shape.  Your veterinarian can also give you ideas on treats and between meal snacks.  Consider weight loss goals and your pet’s preferences. Some treats to consider are green beans, carrots, chicken and low fat commercial treats.

Walk your Pug as often as you can. Once or twice a day is ideal. Playing fetch, running in the yard and swimming, if he or she enjoys these activities, are also great, but walks will most likely be the crux of your exercise program.  Base the length and intensity of the first walks on your Pug’s fitness level. Do not push him or her beyond what can be done comfortably.

Remember that all dogs are prone to heat stress, and Pugs and other brachycephalic dogs are more sensitive than most. If your pet seems at all uncomfortable during exercise, be grateful that though they may be overweight, they are still portable and can be scooped up and carried home if needed! Have water available on your walk, and a cool place to rest inside after exercise.

Over weeks and months you can increase the duration and intensity of exercise until you are both in peak condition.

Stephanie Alford’s Typhoon

No beer for dogs in real life!  But you knew that, right?

Pugs and Skin Care

Saturday, June 19th, 2010

Originally Written for Pug Partners of Nebraska – Please visit their website to find out how you can help Pugs!

Dogs shed or need haircuts. Pugs shed very, very well. A high quality diet will help minimize shedding, but your Pug will still shed. Brushing your Pug at least weekly will contain some of the shedding, but will also keep the skin healthy with the gentle stimulation of brushing and redistribute the skin’s oil along the hairs.

A slicker brush can be used, but a Furminator is even better. This is a brush based on the grooming clipper blades that gently works out the loose undercoat.  It is the most effective brush I have found. The one precaution you will need to take is be careful about brushing one area of skin over and over, as excessive or rough brushing can cause skin irritation. If you are concerned, spread a good brushing over two or three days.

Bathe your Pug regularly.  Every two to four weeks is ideal. Any more often (unless prescribed by your veterinarian for a medical condition) may cause skin dryness. Use a puppy or dog shampoo. Massage it into the coat well and rinse completely. This too will keep hair follicles healthy, so shedding is as minimal as possible, and will also contain some of the shedding to bath time.

When you are bathing your Pug, make sure you gently wipe the crevices of his or her wrinkles with a soft cloth. Make sure they are dried completely. Pay special attention to the wrinkles around your Pug’s eyes. These can be extra prone to moisture problems, as tears may collect here. If needed, wipe these wrinkles out daily with a pet-specific wipe, being careful to avoid the eyes themselves. If the wrinkles seem red or have any discharge, make sure you get your Pug in to see your veterinarian as soon as possible. After bath time is a good time for nail clipping and ear cleaning.

When your Pug is dry, check his or her wrinkles for moisture. They should be as dry as the rest of your Pug. Moisture at the worst is a sign of a skin problem and at the best, predisposes your Pug to skin problems in the future.

Pugs have wrinkles around their eyes and muzzle, over their shoulders and around their tail base. The depth of the wrinkles varies from dog to dog, but can be accentuated by excess weight. Keep your Pug at an ideal weight, and wrinkle problems will be minimized.

Stephanie Alford’s Typhoon

Pugs and Respiratory Issues

Saturday, June 19th, 2010

Originally Written for Pug Partners of Nebraska – Please visit their website to find out how you can help Pugs!

Pugs are brachycephalic (literally “broad headed”). The upper respiratory system of Pugs is not as efficient as that of mesochephalic (normal) or dolichocephalic (“long headed”) dogs, and many of the breathing problems Pugs are prone to are due simply to the inability of air to travel smoothly from the outside atmosphere to the lungs. Our job as Pug lovers is to make that journey as smooth as possible, and thus minimize breathing issues as much as possible.

Pugs often have stenotic nares, meaning their nostrils are smaller and not as fully open as other dogs’ nostrils. They have a shorter snout which means they also have a shorter, more compressed sinus system. Their soft palate, which is behind their hard palate, or roof of their mouth, is longer than that of other dogs, and also goes back farther into their pharynx. The soft palate may cause no problem at all, or may interfere with breathing by blocking the opening to the lower respiratory system. Often their laryngeal saccules (small membranes near their larynx, or voice box) may be inverted, which could be a primary issue or secondary to chronic negative pressure due to the other respiratory issues.

All of these will at best make your Pug a snorer, a snorter and a reverse sneezer, and in the worst cases will cause respiratory issues that can be very serious.

Some of the issues Pugs face are potentially surgical. If your Pug has stenotic nares, a veterinarian who does nasal surgery (usually a general practitioner) can reshape the nostrils under general anesthesia to create more comfortable air flow. If this is done at a young age, often secondary problems of elongated soft palate and everted laryngeal saccules can be avoided. If these also are problems (your veterinarian can check for you), they can also be surgically corrected, either by a general practitioner or a board certified veterinary surgeon.

Weight management will be the number one variable you will be able to control in keeping your pet’s respiratory system healthy.  If your Pug is fit and at a healthy weight, he or she will be better able to deal with the shortcomings of the respiratory system. Your Pug will be even more heat-sensitive than other dogs, so be over-protective in warm weather.  Exercise is important, but watch carefully for any signs of discomfort and let him our her rest or discontinue an activity that is causing respiratory distress. Keep him or her cool and well hydrated.

Control what you can, and have treatable problems treated. Keep your Pug at a healthy weight, and be very watchful for respiratory discomfort. May your snoring, snorting, reverse-sneezing Pug always be completely healthy and fully oxygenated.

Stephanie Alford’s Typhoon

Pugs and Paw Care

Saturday, June 19th, 2010

Originally Written for Pug Partners of Nebraska – Please visit their website to find out how you can help Pugs!

Interdigital cysts can be a problem for any dog, but Pugs may be more disposed to them, and dogs who have spent time on wire grating often develop interdigital cysts secondary to the irritation caused by the wiring. Broken toes are another risk of living on wire flooring.

Wire grating is NEVER an appropriate substrate for sensitive pet paws, but is often used in puppy mill situations to fit too many dogs into too small of an area. It is illegal as a flooring material for pets in many communities, including Omaha.

Sometimes interdigital cysts will occur without prior foot trauma, and sometimes they will mimic other diseases, such as tumors or foreign bodies in the foot. If a “cyst” seems to be growing or is not healing, have it checked by your veterinarian.

Many times interdigital cysts will resolve without treatment. Make sure your Pug is not uncomfortable or favoring one paw over the others. If all else seems well, keep an eye on your Pug and call your veterinarian at the first sign of the problem worsening.

Watch for discomfort, discharge, enlargement of the cyst and failure to resolve in ten to fourteen days. Your veterinarian may remove or lance the cyst and/or prescribe antibiotics or foot soaks.  He or she will also rule out other causes of swelling between the toes, so be sure to have your Pug seen if the problem does not resolve or if it worsens.

Stephanie Alford’s Typhoon