Allergic Reactions in Pets

cat flea dermaititis 300x276 Allergic Reactions in PetsPets,  just like humans, can have allergic reactions to just about anything. The reactions can range from mild itching, to hives and whelps, or even life-threatening anaphylaxis. Allergies occur when a substance the pet is exposed to triggers an overactive response from the immune system. Allergies can develop slowly over time, or can develop suddenly.

The most common allergic reaction in pets is that to fleas. The flea saliva has a protein component that causes the pet to itch every time they are bitten. Sometimes, you never see the flea because the pet grooms themselves and can ingest the flea. The most common area for the dog to itch is just above the base of the tail. Once the skin is broken, and the dog licks and chews at the area, secondary skin infections set in. Here in Houston, the hot bed of all things allergic and the perfect storm of warm temperatures and humidity, is ideal for growing parasites and pollen. We recommend giving the heartworm and flea control medications all year round to control the fleas.

Allergies can also develop to injections, such as antibiotics or vaccines. Every effort has been made to improve the quality of vaccines and reduce the episodes of reactions, but every dog is different and so is their immune system. The majority of these reactions can occur rather quickly, so waiting around the hospital to check out after an injection is sometimes a good thing because the reaction can be treated quickly.

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The other common allergen is food allergies, such as wheat, corn, beef and others. Dogs with food allergies can have intestinal problems and can have itching and swelling around the face and eyes. Food trials or blood tests can help to identify the culprit and then you have to avoid that ingredient in the diet. Special foods that have novel proteins, such as salmon and potato are often fed for a 6-8 week trial to see if the allergies improve. Once the dog is not itching, a protein is re-introduced to the dog one at a time to identify the allergen. Sometimes, the dog needs to stay on the special diet.

The next common allergen is inhaled allergens, such as pollen, dander, dust mites, etc. Yes, I have even had a Bichon that was allergic to human dander. The majority of these dogs present with anything from licking and chewing at their feet, to generalized itching, hair loss and secondary infections. Ear infections are also a common secondary development because the skin is inflamed from the allergy and the warm, dark, moist environment of the ear sets up the perfect growth media for yeast and bacteria.  Cortisone and anti-histamines will help relieve the symptoms for a short time but for real control, the allergen needs to be identified with either skin tests or blood panels. Once the specific allergens are identified, a special “vaccine’ of the allergy causing culprits are mixed up and desensitization injections are given to help reduce the symptoms over time.  Secondary infections are controlled with antibiotics and/or  medicated shampoos. Newer spot-ons have been developed to help heal the integrity of the skin barrier to help it fight off the secondary infections better and omega-3 fatty acid supplements can also help by reducing the allergic response and improving the health of the skin.Bonnie snake bite1 259x300 Allergic Reactions in Pets

Another allergic causing culprit is insect or spider bites. In this scenario, the dog is outside playing, and then comes back in with usually a swollen nose and muzzle. Snake bites can also present with the same signs. If the swelling continues to worsen, a call or visit to your veterinarian is warranted.

The next allergic reaction that can occur is a contact allergy. The reason I am writing this post is because one of my patients had a possible allergic reaction to a common carpet freshener that was applied to freshen the carpet before the holidays. Because we are investigating this product with the company, I am not going to identify the product specifically, but give general recommendations on how to test products before applying them to your carpets.

The story goes as follows, the owners applied the carpet freshener as directed. Later they noticed the dog’ s skin was bright red and the pet had vomited. They bathed the pet in cool water to calm the skin, not knowing what had caused the reaction and the skin improved. The next morning the dog walked across the carpet and broke out in hives and big whelps. The pet was then presented to my hospital where we administered benadryl and some cortisone to relieve the allergic reactions. The owner then recalled that the pet may have had a slight reaction the last time they applied the product.  Now the owners are going to have to steam clean the carpets to remove the product.

Because pets have a lot more skin area exposed to the carpets, they may be at a greater risk for contact allergies or simply irritation. Since their noses are closer to the ground, they can also inhale the products, which may result in allergic reactions.

So, what can you do to see if your pet could have a problem? Just like when ladies have to test the hair dye before applying it to their hair, you may want to test a small amount of the product on the belly of your pet. If a red whelp or a red irritation develops, you may wish to skip that product and stick with steam cleaning.  If you suspect your pet may have had a reaction to a product, take your pet and the product to your veterinarian. Your pet should be bathed to remove any product from the skin and then treated with antihistamines. The product should then be reported to the company for further testing. You should also write down the UPC code and the product batch code. Most of these products have usually been tested rigorously, but a super sensitive pet may still have a reaction to just about anything.

Can Dogs Get Arthritis?

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Did you know that dogs and cats can also develop arthritis in their joints?  Osteoarthritis is the most common type of disease in our pets and is frequently found in the hips, knees, shoulders, elbow and in the bones of the spine. Some arthritis can develop from a ligament rupture such as a torn cruciate in the knee or a knee cap that slips from the groove of the tibia. Hip dysplasia in dogs is the most common cause of arthritis of the hips. Early surgical correction of the knee and hips can help stave off the arthritis. Obesity, and congenital conditions can also contribute to arthritis formation. Old, large breed dogs, such as Labradors, can also get arthritis in their spine.

Rheumatoid arthritis is caused by a malfunction of the dog’s immune system. The antibodies that normally protect the dog from foreign invaders incorrectly attacks the joints of the dog causing severe cartilage and bone deterioration. Blood tests can help identify rheumatoid arthritis. Auto-immune arthritis is treated with corticosteroids to reduce the inflammation.

Arthritis can also be caused by infections, either bacterial, fungus or viral. Leptospirosis and Lyme disease are common invaders that can cause arthritis. Septic arthritis is ususually treated with antibiotics.

Some dogs may not exhibit symptoms of arthritis until the disease is well advanced. Lameness, limping, difficulty in getting up, reluctance to jump or resisting walking can be signs of developing arthritis. Sometimes a loss of appetite, lethargy or other signs may also develop.

A trip to your veterinarian for an exam, blood tests and radiographs (x-rays) can help identify the problem. Surgical intervention can help with some cases of arthritis, especially of the knee, and hip. Arthroscopic surgeries and joint replacements are now common place at larger referral hospitals or Veterinary Universities. Rehabilitation with water treadmills are now available for our pets, too.

Some arthritis can be managed with anti-inflammatories, such as Rimadyl or other NSAIDS. Diagnostic blood work is recommended to monitor for possible affects on the internal organs.

Glucosamine and chondroitin may also be effective with arthritis by providing the basic components cartilage needs to repair itself. These supplements can be given as a chewy treat  (Joint support) or can be in prescription diets such as Hill’s j/d diet.

Your veterinarian can help advise you in a treatment plan to alleviate the pain in your pet and have a better quality of life.

Does My Cat Have Allergies?

How can I tell if my cat has allergies? Is the amount of hair she is shedding normal? What could she be allergic to? All of these may be questions you might ask if you suspect something is wrong with your cat. The best advice I could give you would be to first make an appointment with your veterinarian; he or she would be able to help you decide if your cat had allergies.

Keeping your cat and home free of fleas is very important, as some cats have allergies to flea saliva.  They may have a reaction when bitten. Interestingly enough, ear infections are sometimes indicative of an allergy.

If your cat has developed an allergy to food, you can ask your veterinarian’s recommendations as to how you should introduce new foods to find out which one your cat may be allergic to. Pollen and dusts can cause allergies in your cat just like they cause allergies in people. Your veterinarian may recommend antihistamines if the offending allergen cannot be found or taken away from your cat’s environment. In severe cases of allergies, your veterinarian can take skin or blood tests to determine the allergen and a combination of the allergens can be injected to help build up your cat’s immunity to them.

Hopefully when you find hair floating around and covering the cushions of your sofa, it is due to normal seasonal shedding and you will never have to ask, “does my cat have allergies?”

Cancer in Cats

Cancer is the leading cause of death in senior cats. As we already know, this is a very serious disease that can affect virtually all areas of your cats body. However, the spread of cancer is more rapid when certain areas of the body are reached, such as the lungs or liver. There are too many forms of cancer to discuss in this post; so instead, we will discuss various signs that you can be mind of and the veterinary options available.

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There are many symptoms to watch for that might indicate your pet has developed a cancer. It is important to realize that many of these symptoms can be related to several other illnesses, so do not assume your cat has cancer until he has been officially diagnosed by a veterinarian. Unexplained weight loss, abdominal distention, respiratory distress, difficulty swallowing, changes in bowel consistency (diarrhea or constipation), blood or mucous in the stool, unusual bleeding or discharge, lameness, growths that can be felt through your pets skin and any areas of skin discoloration should be reported to your veterinarian. Remember that these symptoms are merely indicators that you should bring your cat to see the veterinarian.

Unfortunately, there are no blood tests to determine whether or not cancer is present in our cats. Therefore, acquiring a sample of the tumor through biopsy is often necessary and this sample is normally sent off to a specialized pathologist for microscopic examination. Many cancers can be cured if caught early enough and if the lump is small enough to surgically remove. Even after a lump is removed, your veterinarian may wish to send the sample to a pathologist to ensure that the margins of the growth are cancer free.
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If your cat is diagnosed with cancer, many of the same treatment options available to humans are also available for pets. Chemotherapy and radiation therapy for pets is offered at most veterinary specialty practices in major metropolitan areas. Your veterinarian will be able to share more information about these treatment options with you. It is important to understand that these therapies are costly and some forms of cancer are more easily treated than others. If chemotherapy and/or radiation therapy are not an option, your cat can be treated symptomatically, and depending on how aggressive the cancer is, your cat may be able to live for several months to a year. Other medications and therapeutic options will be outlined by your veterinarian.cancer Cancer in Cats

There are steps that can be taken to avoid cancers. Having your pet spayed or neutered will drastically decrease the chances of various reproductive cancers. Feeding your cat a high quality diet and keeping him at a healthy weight will also help to prevent certain cancers. Obesity is a major cause of many cancers in pets. It is impossible to prevent all cancers and genetics also play a role in this disease. If you have any additional questions about a specific cancer or are concerned about your cat, please do not hesitate to discuss this with your veterinarian.

Heartworms in Cats

 Heartworms in CatsHeartworm Disease is a potentially life-threatening parasitic infection. Found worldwide, it mainly affects dogs and their wild relatives. However, it causes serious disease in some cats as well.

How Pets Get Heartworms
Heartworm Disease is caused by a worm, Dirofilaria immitis, and is spread by mosquitoes. When a mosquito feeds on an infected animal, usually a dog, it ingests microscopic larvae in the blood. These microfilariae mature in the mosquito for about two weeks. When the mosquito bites a susceptible animal the infectious larvae are injected into its tissues. They migrate through the animals body, maturing into adult worms over a period of months. The adult worms live in the heart and major blood vessels where they reproduce to create new microfilariae. The time from infection to appearance of microfilariae is about six months.

Cats seem to have a greater natural resistance against heartworms as compared to dogs. The prevalence of the disease in cats ranges from 0% to about 9% depending on geographic area. In the United States, heartworms are found in all 50 states but are most common along the Atlantic and Gulf coasts and near the Mississippi River. When cats do get heartworms, they usually only develop one or a few adult worms. The worms rarely reproduce or produce microfilariae.

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What the Disease Does
Adult worms cause inflammation of the blood vessels and the lungs, and can obstruct arteries. They can live in a cats body as long as two or three years, but may be killed sooner by the animals immune system. As worms die, they release antigens that can create life-threatening inflammatory reactions.

Symptoms of heartworm disease in cats are vague. They include coughing, difficulty breathing, vomiting, loss of appetite, lethargy, and seizures. Some cats die suddenly without showing any other symptoms.

How Heartworm Disease is Diagnosed
Diagnosis of heartworms in cats is more difficult as compared with dogs. Blood tests for antibodies to heartworm are useful initially. However, the antibody test determines only whether the cat has been exposed. It will not differentiate between an infected cat and a cat that was exposed but fought off the infection. Therefore, antibody-positive cats should receive further testing. A blood test for the presence of the adult heartworm (antigen test) is often the second step. A positive antigen test confirms the presence of heartworms. However, the test can miss some infected cats, so other diagnostics may be needed too. These include physical examination, blood counts, microfilaria tests, x-rays, ultrasound, and angiography.

Treatment for Heartworm Disease
There are no medicines currently approved for treatment of feline heartworm disease in the United States. Cats with mild symptoms are monitored carefully and may be given anti-inflammatory drugs such as corticosteroids to minimize lung inflammation. A physical exam and x-rays are recommended twice a year. The goal is to support the cat until the worms have died and the inflammation has subsided. Cats with more serious symptoms are usually hospitalized and may require additional medications, such as bronchodilators, IV fluids, oxygen, and antibiotics.

Medications designed for killing adult heartworms in dogs are sometimes used to treat cats. This is considered an experimental use of these drugs and is undertaken with great caution, since the risk of fatal side effects is relatively high. Even more rarely, adult worms may be surgically extracted from a cats heart.

Preventing Heartworm Disease
Fortunately, effective preventive medications are available. They are given monthly and can be started as early as 4-6 weeks of age. Preventive medication is recommended for cats in areas where heartworms are common. Cats should be tested for heartworm before starting preventive treatment, and retested annually. Preventive is given seasonally in some parts of the U.S., but year-round in temperate areas. If a dose is missed, its best to give it as soon as possible and check with your veterinarian about the need for a heartworm test.

Visit the Heartworm Society for more information on cat heartworms

Cancer in Pets

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splenic cancer Cancer in PetsOur pets are living longer and as a result they are also susceptible to some of the same illnesses as senior humans. One such illness is the development of cancer which is now the leading cause of death in our senior dogs. Cancer can affect many different organs from the skin, to the liver or lungs. Many factors may increase the susceptibility to cancer, such as genetic predisposition, exposure to insecticides, environmental toxins, second hand smoke, and many more.

Since cancer can affect many different organs, it is up to you and your veterinarian to monitor your pet for any changes in their weight, eating, urination, stool consistency, drinking more or less water than usual and changes in breathing.  Semi-annual exams and screening blood work can help detect problems when they are most able to be treated. Daily grooming can help you detect any lumps or bumps that may be skin cancer. Oral exams, dental x-rays and dental cleanings can detect oral cancer. Some cancers sometimes can only be found by x-rays or  exploratory surgeries.

Your family veterinarian is your first defense against cancer with early detection and removal or biopsy of the cancer. Once the cancer is identified, then treatments can be initiated depending on the type, size and location of the cancer. Just like in people, treatment can range from surgical excision, radiation and chemotherapy or combination of therapies. If you are located in a major metroplex or near a veterinary university, you may be able to consult with a veterinary specialist in oncology to determine the best treatment for your pet. The goal of cancer treatment is not always to eradicate the cancer entirely, but to lengthen the time you have left with your pet and to improve their quality of life.

Worms and Parasites in Dogs

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Worms%20and%20Internal%20Problems Worms and Parasites in DogsThe Parasite Problem
Parasites are organisms that live in or on your dog, causing harm. Minimizing parasites is an important part of keeping your pet healthy. Some pet parasites can cause problems for people too, so keeping them out of your home is also good for you and your family.

The most common internal parasites of dogs live in the gastrointestinal tract. You may see some of these organisms in your pets feces, but a fecal analysis by your veterinarian is more reliable. Some parasites live in the bloodstream or other parts of the body. Blood tests may be required to detect these. Most internal parasites can be treated with medication available from your veterinarian.

Roundworms Almost all puppies acquire roundworms from their mothers. The worms look like curly pieces of spaghetti and may be several inches long. Heavy infestation with roundworms may cause a dull hair coat and pot-bellied appearance. Roundworms can also cause disease in children, so all puppies should be routinely tested and treated. The treatment is a simple oral medication, but it must be repeated two or more times. It is important to follow label directions exactly. You can help prevent the spread of roundworms by cleaning up animal feces as soon as possible, especially in your yard.

Tapeworms Tapeworms are one type of worm you may very likely see in your pets stool. The worms are long and flat (like a narrow piece of tape), but you will rarely see the entire worm. Small segments, resembling grains of rice or sesame seeds, break off periodically and appear in the feces or on the hair around your pets anus. Tapeworms are spread when your pet swallows an infected flea while grooming himself, or when he eats an infected animal, such as a mouse. Tapeworms may cause anal irritation, and some types can cause problems in children. You can prevent your pet from being exposed to tapeworms by controlling fleas and discouraging hunting. Your dog can be treated for tapeworms with an oral or injectable medication.

Hookworms Hookworms look similar to roundworms, but are smaller. Hookworms live in the small intestine where they feed on blood. They can cause severe anemia and even death in puppies. Hookworm larvae live in the soil, especially in warm, humid areas. They can cause skin infections in humans. Hookworms can be treated with an oral medication. Picking up animal feces immediately can also help with prevention.

Whipworms Whipworms get their name because part of the worm is short and thick, like the handle of a whip, while the rest is long and slender, like the lash. They are common in dogs. Whipworms can cause diarrhea and colitis. Treatment and prevention are similar to that for roundworms and hookworms.

Protozoa Protozoan parasites of the intestine include Giardia and Coccidia. All are microscopic. Giardia and Coccidia often cause diarrhea in puppies. Giardia can be spread to humans as well. Oral medications are available to treat for these organisms.

Heartworm Heartworms are worms that look very similar 213266 f520 Worms and Parasites in Dogsto roundworms, but live in the heart. Their microscopic larvae circulate in the blood and are spread by mosquitoes. Heartworms are common in dogs. Without treatment, heartworm infection causes damage to the heart and lungs and is often fatal. Therefore, prevention is crucial. A variety of convenient preventive medications are available from your veterinarian. Routine blood tests are recommended annually or more often if preventive treatment has been interrupted. Once infected, dogs can be successfully treated for heartworms, but the treatment is much more involved than that for intestinal worms.

Litter Box Issues for Cats

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Litter%20Box%20Issues%20for%20Cats Litter Box Issues for CatsOne of the most appealing aspects of owning a cat is that they are generally clean and require little training. Most kittens have already learned appropriate litter box use from their mothers long before they are adopted. Unfortunately, there are several things that can go wrong that cause cats to urinate in places we find offensive. Inappropriate elimination is the most common behavioral problem recognized in cats.

Urinary Tract Illness
When a cat begins urinating outside the litter box, the first possibility to be considered is illness. Cats with bladder irritation or infection frequently urinate in unusual places including potted plants, sinks, and bathtubs. There is often only a tiny amount of urine in each place, and it may be bloody. Kidney failure, diabetes, and some medications can cause cats to urinate more. They may be unable to wait to go outside or to get to the nearest litter box. They generally produce large amounts of watery urine. A physical examination, urine and blood tests can identify or rule out medical causes for elimination disorders.

Urine Marking Behavior
Spraying urine is a normal marking behavior in un-neutered male cats. Spraying differs from ordinary urination because the cat remains standing and the urine is sprayed onto a vertical surface behind him. Neutering male cats as early as possible reduces this behavior. However, neutered males and female cats can spray too. This is more likely when the cat is distressed or anxious and occurs more often in multi-cat households.

Aversions and Preferences
Some cats develop aversions or preferences with regard to locations or substrates for urination. The most common sources of aversions are dirty litter boxes, strongly perfumed litter, and litter boxes placed in busy areas where the cat may feel insecure. Some cats develop a preference to urinate only in a particular spot in the house, or only on a certain material such as carpeting or plastic.

Treating Inappropriate Urination
After ruling out medical concerns, the veterinarian must address underlying emotional issues. Removal of stressful stimuli such as dogs and other cats may help. Antidepressant and antianxiety medicines are sometimes used. A spray that mimics a natural calming hormone of cats has shown benefit as well. Litter boxes are adjusted to encourage the cat to use them. Boxes can be provided in preferred locations and with preferred substrates. Aversive factors should be eliminated. This can involve a lot of trial and error, such as providing numerous litter boxes or different types and observing which are most preferred. Unfortunately, behavioral elimination disorders in cats can be difficult and frustrating to treat.

Preventing Inappropriate Urination
Since its so difficult to treat, its a good idea to try to prevent abnormal urination behavior. A helpful tip is to provide plenty of clean litter boxes, preferably without perfumed litters. The rule of thumb for the number of boxes to have is that there should be at least as many boxes as there are cats and at least as many boxes as there are stories in the house. Most cats prefer a large, open litter box in a quiet location as opposed to litter boxes with hoods, which may trap odor.

Male cats should be neutered. Always remember that cats are territorial by nature. Cats housed singularly are less likely to have behavioral elimination problems, probably because they experience less territorial stress.

Neutering Your Cat

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Neutering%20Your%20Cat Neutering Your CatNeutering, or orchiectomy, is a surgical sterilization procedure that can provide major health benefits for cats. Here are some important facts you should know before getting your cat neutered.

The Neuter Surgery
Orchiectomy is a surgery that is performed under general anesthesia. Your cats scrotum will be shaved and cleansed, and an incision will be made. The veterinarian will remove both testicles and tie off the spermatic cords. The skin incision is closed with stitches or surgical adhesive. Following neuter surgery, your cat will no longer produce sperm and he will have lower testosterone levels.

Although neutering is very routine, it still carries the risks associated with general anesthesia and surgery. Your veterinarian takes numerous measures to keep your cat safe, such as checking his heart and lungs before administering anesthesia and monitoring him constantly while he is asleep. You can ask whether your veterinarian recommends any additional safety precautions, such as pre-anesthetic blood tests or administration of IV fluids during the procedure.

Benefits
The normal behavior of an un-neutered cat is often incompatible with being a household pet. Intact cats tend to wander from home, seeking a mate or defending their territory. This puts them at risk for being hit by a car or being injured in a fight. Urine marking and some types of aggression are more pronounced in un-neutered cats as well. Although neutering may not entirely eliminate these behaviors, it can diminish them by 50-90%.

Intact male cats suffer from a high incidence of inflammation and enlargement of the prostate, as well as testicular tumors. Neutering your cat will greatly cut down on the incidence of reproductive related cancers.

The final benefit of neutering is that its the best way you can help end pet overpopulation. Every year, 3-4 million cats and dogs are euthanized in U.S. animal shelters. None of us wants to contribute to that sad statistic, but we may do so unwittingly. Kittens adopted to apparently good homes may be given away or lost.

Considerations Before Surgery
Consult with your veterinarian about when to schedule your cats neuter surgery. Traditionally, pets are spayed at around six months of age. However, some veterinarians advocate performing the procedure earlier. The night before your cats surgery, remove his food and water before you go to bed. He should not eat or drink anything during the night or the morning of his surgery.bigkitty Neutering Your Cat

Considerations After Surgery
Your cat may go home the day of his surgery, or may stay in the hospital overnight. If he goes home the same day, expect him to feel a little groggy. Keep him indoors, in a warm, safe, quiet room away from other pets. During the first week after surgery, try to restrict his activity level. It may be necessary to keep your cat indoors for several days following the surgery and it will be very important to keep the litter box clean.

If you notice your cat licking the surgical site frequently, ask for an Elizabethan collar. Some cats develop a swollen or slightly bruised scrotal area following neuter surgery. Some swelling is normal, but don’t be afraid to ask your veterinarian if you are concerned about your cat.

The effects of neutering on your cat will not be instantaneous. Testosterone levels wane over a period of weeks or months, followed by a reduction in fertility as well as territorial and mating behaviors.

Caring for Our Senior Pets

Caring%20for%20the%20Older%20Dog Caring for Our Senior Pets

If your dog is seven years or older, he has entered his golden years. In middle and old age, metabolism slows, their digestive system has more difficulty absorbing nutrients and joints and muscles become weaker. Diseases such as arthritis, diabetes, renal failure, hypothyroidism, heart disease and various cancers are more common. The good news is that many diseases respond to treatment if detected early. Here are some simple steps to keep your senior dog healthy and happy.

Routine veterinary visits
Even if the dog seems fine, he should go to the vet at least twice a year. Remember that dogs age the equivalent of seven or more years for each calendar year. Your veterinarian will perform a comprehensive physical exam and listen to your dogs heart and lungs. He will check for signs of disease, especially conditions that occur commonly in older dogs. Your vet visit is also a great opportunity to ask questions.

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Diagnostic Tests
When people reach middle age, there  are routine tests such as blood tests, cancer screening and evaluation of the heart that doctor’s recommend to maintain good health. Same goes for older dogs. The reason, in both dogs and humans is that some diseases are not visible during a physical examination, but can be detected in other ways. Tests recommended for dogs seven years or older are listed below.

Comprehensive Blood Panel :Each type of blood cells are counted and the chemical components of blood plasma is measured. This gives information about the health of the bone marrow, kidney, liver, pancreas and thyroid, and can help to detect infections.

Complete Urinalysis concentration and chemical constituents of the urine measured. Cells and other solids in the urine examined microscopically. The urinalysis provides information about the health of the kidneys and bladder, and is also useful in the diagnosis of diabetes.

Chest X-ray – radiographs allow visualization of the internal organs of the body. Chest x-rays are recommended to assess the state of the heart and lungs and to detect tumors.

Abdominal X-Rays -  X-ray of the abdomen is useful to detect tumors and to assess the state of the kidneys, bladder, intestines and spleen.

Electrocardiogram -  This test measures electrical impulses in the heart, using sensors placed on the skin. ECG is useful in detecting heart disease.

Vaccinations
As he did when he was younger, your dog will benefit from the protection of regular vaccination against infectious diseases. Your veterinarian will recommend a vaccine program tailored to your dogs age, lifestyle and health.

Nutrition
Healthy older dogs require a diet that is lower in calories, yet rich in important nutrients such as high-quality protein, essential fatty acids, vitamins and minerals. Special diets are available to address the more specific requirements in dogs with medical conditions. Your veterinarian is your best guide in choosing a diet that will keep your dogs tail wagging.

Musculoskeletal
Your dog may be slowing, but he needs exercise. Regular exercise can help keep him supple and prevent obesity. Remember to tell your veterinarian if your dog has pain when he stands up, walks or goes up and down stairs. Medications can be available to him more comfortable.

Dental
Keep your dog’s teeth and gums healthy are essential to his well being. Dental disease is painful and can cause an infection in internal organs such as kidneys and heart. Your veterinarian should check your dogs teeth regularly. He’ll let you know when your dog needs a professional dental cleaning. Under general anesthesia, all of the plaque, tartar and bacteria are removed from the teeth. Once  your dog’s teeth are clean, it’s your job to keep them healthy. Brushing, dental diets and soft chew toys are very effective.

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