Category Archives: My Pet Has What?

Diarrhea and When to Get Concerned

Diarrhea

Some people think it’s funny, but…well you know.

Bob Baker, DVMDr. Baker

If you Google “Fecal Score” you see some great albeit somewhat graphic representations of differing dog and cat stool consistencies.  Suffice to say we all likely have a pretty good idea of what diarrhea is.

Occasional diarrhea is fairly common in the dog, less common in cats.  There are many causes of diarrhea: Bacterial infections, parasitic infections, liver and pancreas problems, primary small Kitten-using-a-litter-trayand large intestinal disease, dietary intolerance, dietary misadventures, and cancer can all be potential sources for diarrhea.  Occasional diarrhea that resolves within 24 hours, that is not associated with blood in the stool, vomiting, loss of appetite, or lethargy does not generally require a trip to the veterinarian.  Most over the counter medications used for diarrhea in people are not a good idea to give to our pets.  Pepto Bismol, Kaopectate, and Immodium are not considered useful, and some ingredients can actually be toxic to pets.  The best thing for the occasional diarrhea in an otherwise healthy dog is to withhold food initially for 12-24 hours, (never water) and the offer a bland diet (Hill’s I/D) or a homemade bland diet (boneless skinless chicken breast and white rice).  In the cat, occasional diarrhea is less common and if your cat has diarrhea more than once they probably should be looked at.

Dog bathroomDiarrhea that does not resolve in 24-48 hours or is associated with vomiting, bloods in the stool, or signs of illness should be addressed by your veterinarian.  It is helpful to bring a fresh stool sample to the office if available.  Tupperware or even a clean baggie will suffice if the sample can be obtained.  The history of the diarrhea can be helpful in making a diagnosis.  Recent changes in diet, whether the diarrhea has any blood or mucous in it, whether there is urgency associated with defecation, and also the volume and frequency will help your veterinarian determine the best course of proceeding with diagnosis and treatment.

Testing for acute onset diarrhea depends on how sick the patient is.  If the pet is otherwise healthy, a fecal smear or a parasite test may be all that’s required.  If the patient is notably sick, then other tests including routine blood testing may be indicated.

Chronic diarrhea is a much more involved workup that can involve more specific blood testing for pancreas function, and vitamin levels in the blood.  Deeper investigation into the stool with cultures and PCR testing for infections may be indicated.  Imaging tests like ultrasound can be helpful in some cases. Definitive testing for case that cannot be diagnosed by non-invasive testing would lead us to the next level which is getting a tissue biopsy of the gut.  There are three ways to get tissue biopsies.  Endoscopy is a procedure where a flexible tube with a Puppy on Fluidscamera on the end is passed into the anesthetized patient from form the mouth or the rectum.  From there, the veterinarian can inspect the inside of the gut, and using special tools collect small biopsy samples from the lining.  This is the least invasive way to get a biopsy, but is limited by the small sample size and the inability to inspect the entire intestinal tract.  An abdominal exploratory will allow access to all levels of the gastrointestinal tract and allow for full thickness biopsy samples which are preferred by pathologists.  The downside is that the procedure is quite invasive and a large incision is required to gain access to the abdomen.  An in between method, called laparoscopic surgery is performed using smaller incisions with camera and surgical instruments inserted into the abdomen through small holes.  In laparoscopic assisted procedures, you can still get the full thickness biopsy samples without the large incision.

Most acute onset diarrheas will resolve on their own, or with minimal intervention. Diarrhea that is chronic in nature needs a diagnosis to be managed properly.  Any animal that is noticeably sick or ill should evaluated as soon as possible.

New Development in Canine Lymphoma Therapy

New Development in Canine Lymphoma Therapy

By: Bob Baker, DVM 

Lymphoma is a common type of cancer affecting both dogs and cats.  It is a treatable disease, the gold standard of care being a chemotherapy

protocol called the UW-25.  This is a 6 month protocol that involves sequencing the drugs vincristine, cyclophosphamide, and doxorubicin. Prednisone is often used during the initial induction of remission and another drug L-Aspraginase is used on occasion for the first treatment.  This protocol has been in use for decades with usually minimal toxicity.  Remission time for the more common B-cell Lymphoma generally is anticipated at 10-14 months.  Recently, the pharmaceutical company Merial released a canine B-cell Lymphoma vaccine and an additional treatment option.  This builds on the success of the company’s Melanoma vaccine for the treatment of malignant melanoma. DSC_0854 The vaccine at the time of this writing does not replace the gold standard UW-25 protocol, but is used an additional measure following completion of the protocol.  The initial study shows a doubling of survival time when using the vaccine vs. historical controls.   This is exciting news as there have been no new treatment breakthroughs in canine lymphoma in over 30 years.   The vaccine is limited to use to B-cell lymphoma and not the T-cell form of the disease.  This is because the vaccine targets a membrane receptor CD-20 located on the B-cell.  Fortunately, the B-cell disease is the more common form, and there are reliable special tests to determine B vs. T cell disease prior to beginning therapy.   We are excited at the Baring Blvd. Veterinary Hospital Wellness Center to be able to offer this new cutting edge therapy to our cancer treatment services.

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‘Finding Dory’ is exelent film tell story about Dory is reunited with her friends Nemo and Marlin in the search for answers about her past. What can she remember? Who are her parents? And where did she learn to speak Whale? This film have genre Animation, Adventure, Comedy, Family and have 97 minutes runtime.

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Ellen DeGeneres as Dory (voice), Albert Brooks as Marlin (voice), Hayden Rolence as Nemo (voice), Ed O’Neill as Hank (voice), Diane Keaton as Jenny (voice), Eugene Levy as Charlie (voice).

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The Director of this movie is Andrew Stanton, Angus MacLane. The film Finding Dory is produced by Walt Disney Pictures, Pixar Animation Studios and released in June 16, 2016.

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What is Bloat?

Bloat; The Mother of All Emergencies

By: John Crumley DSC_0303-001

I want to take this opportunity to let you know of a severe, life-threatening syndrome that affects large breed dogs and a recent advance in preventative surgery for the condition.

Since your pet is a large breed dog, you may have heard of gastric dilatation volvulus complex, also referred to as “bloat” or “GDV.” This syndrome occurs in certain breeds, specifically large “deep-chested” breeds. The stomach dilates with gas and food and then begins an abnormal rotation (illustrated on the illustration-dog-bloat-500ximage to the left). This can happen very rapidly, often in hours, and if untreated results in obstruction of the stomach and death. Treatment consists of aggressive fluid therapy and prompt surgical correction. The success of treatment ranges from 60 to 80%, thus unfortunately, some of the patients die despite our best efforts. Cost of the procedure, excluding the obvious emotional cost, can range from $1,500 to $5,000.

Although this syndrome is not encountered every day in predisposed breeds, the severity of the condition has incited us to explore the latest surgical techniques to both correct and prevent it.

In the past the surgical procedure to prevent this syndrome (gastropexy) had to be performed with a more traditional surgical approach with a recovery time of 7 to 10 days and a 6 to 12 inch abdominal incision. Our hospital has invested in laparoscopic equipment and advanced surgical training for our doctors to enable us to perform surgeries such as this with minimal incision size and recovery time for the patient. We often recommend preforming this procedure during the time of great_dane_stock_7_by_sigarnistock-d3hwnnjthe spay or neuter. The surgery for the gastropexy can now be performed with two small incisions (less than 1 inch in many cases) with a recovery time of 2 to 4 days. If you have any questions on whether your pet would benefit from a preventative surgery please call us and speak with Dr. Baker, Dr Davidson, or me about the details of this surgery.

Parvovirus

What is Parvovirus?

By: Dr. John Crumley DSC_0303-001

Parvoviruses are a large group with almost every mammal species (including humans) seems to have its own parvovirus. Fortunately, each virus is specific for which animal species it can infect (i.e. the canine parvovirus will not infect people). However, the canine parvovirus will affect most members of the dog family (wolves, coyotes, and foxes).

While the parvoviruses of other species have been well known for decades, the canine parvovirus is a relative newcomer. The original canine parvovirus, discovered in 1967, lead to a series of infections in the 1970’s and unfortunately still to this day.

Golden Retriever puppyThe most common form of the virus is called CPV-2b, but there is a new particularly virulent strain of parvovirus (CPV-2c) which is rapidly becoming the second most common form of canine parvovirus. Fortunately, currently available vaccines cover all variants of canine parvovirus including CPV-2c, as do all the commercially available diagnostic test kits.

After a 3-7 day incubation period, the disease manifests itself with vomiting, diarrhea, and poor appetite. If untreated, death from dehydration and sepsis is most commonly the end result. If treated with aggressive care, up to 80% of patients will survive and go on to lead normal lives after infection. Since the treatment is extensive, often times requiring isolation in a veterinary hospital for many days, we must be prepared for significant expense of treatment (often times over $1,000).

Treatment for parvovirus infection centers on supportive care. This means that the clinical problems that come up in the course of the infection are addressed individually with the goal of keeping the patient alive long enough for an immune response to generate. We do not have effective antiviral drugs and must rely on the patient’s immune system for cure. Puppy on Fluids Intravenous fluids, anti-nausea medication, anti-diarrhea medication, antibiotics, and pain medication are paramount if the pet is to survive infection.

The sad truth of canine parvovirus is that we could eradicate it with simple vaccination as we have with other terrible diseases (ever heard of small pox? ) Vaccination must be done at an early age (as early as 6-7 weeks of age), then repeated every 3-4 weeks until the pet is 16 weeks of age, then every 1-3 years into adulthood.

The difficultly lies in the robust nature of the virus; it can live on surfaces (pavement, grass, dirt, bottom of shoes and the SAMSUNGlike) for months to years. A sick pet’s feces and/or vomit can spread thousands to millions of viral particles into the environment. If an unvaccinated, or undervaccinated, dog sniffs or licks up viral particles, they can become infected.

So, if you have a new puppy, make sure you get him or her vaccinated at the correct times with your veterinarian and avoid areas where dogs congregate until the vaccine series is finished.

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Director : Stephen Sandoval, Tom Caulfield.
Writer : Jase Ricci.
Release : March 10, 2017
Country : United States of America.
Production Company : Walt Disney Television Animation.
Language : English.
Runtime : 55 min.
Genre : Adventure, Animation, Comedy, Family, Fantasy, TV Movie.

Movie ‘Tangled: Before Ever After’ was released in March 10, 2017 in genre Adventure. Stephen Sandoval was directed this movie and starring by Mandy Moore. This movie tell story about Rapunzel grapples with the responsibilities of being a princess and the overprotective ways of her father. While she wholeheartedly loves Eugene, Rapunzel does not share his immediate desire to get married and settle down within the castle walls. Determined to live life on her own terms, she and her tough-as-nails Lady-in-Waiting Cassandra embark on a secret adventure where they encounter mystical rocks that magically cause Rapunzel’s long blonde hair to grow back. Impossible to break and difficult to hide, Rapunzel must learn to embrace her hair and all that it represents.

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Director : Marc Fehse.
Writer : A.D. Morel.
Producer : Yazid Benfeghoul, Marc Fehse, Carsten Fehse.
Release : September 1, 2017
Country : Germany.
Production Company : Marctropolis-Film.
Language : English.
Runtime : 101
Genre : Horror, Comedy.

‘Sky Sharks’ is a movie genre Horror, was released in September 1, 2017. Marc Fehse was directed this movie and starring by Cary-Hiroyuki Tagawa. This movie tell story about A team of Arctic geologists stumble across an abandoned laboratory in which the Nazis developed an incredible and brutal secret weapon during the final months of WW2. Deep in the ice, they accidentally awake a deadly army of flying zombie sharks ridden by genetically mutated, undead super-humans, who are unleashed into the skies, wreaking their bloodthirsty revenge on any aircraft that takes to the air. An elite task force is assembled to take on this deadly threat and stop the Sky Sharks from conquering the air, but as time runs out, the task force realises they will have to fight fire with fire, and the stage is set for the greatest flying super-mutant zombie shark air battle the world has ever seen….

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Director : Jeffrey Blitz.
Producer : Shawn Levy, Tom McNulty, P. Jennifer Dana, Dan Cohen, Mark Roberts.
Release : January 20, 2017
Country : United States of America, Finland.
Production Company : 21 Laps Entertainment, 3311 Productions, Story Ink.
Language : English, Pусский.
Runtime : 87
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Movie ‘Table 19’ was released in January 20, 2017 in genre Comedy. Jeffrey Blitz was directed this movie and starring by Anna Kendrick. This movie tell story about Eloise, having been relieved of maid of honor duties after being unceremoniously dumped by the best man via text, decides to attend the wedding anyway – only to find herself seated with five fellow-unwanted guests at the dreaded Table 19.

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Director : Dean Israelite.
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Release : March 23, 2017
Country : United States of America, Canada.
Production Company : Lionsgate, Saban Brands.
Language : English.
Runtime : 124 min.
Genre : Action, Adventure, Science Fiction.

‘Power Rangers’ is a movie genre Action, was released in March 23, 2017. Dean Israelite was directed this movie and starring by Dacre Montgomery. This movie tell story about Saban’s Power Rangers follows five ordinary teens who must become something extraordinary when they learn that their small town of Angel Grove — and the world — is on the verge of being obliterated by an alien threat. Chosen by destiny, our heroes quickly discover they are the only ones who can save the planet. But to do so, they will have to overcome their real-life issues and before it’s too late, band together as the Power Rangers.

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Title : Beauty and the Beast
Release : 2017-03-16.
Language : English.
Runtime : 129 min.
Genre : Fantasy, Music, Romance.
Stars : Emma Watson, Dan Stevens, Luke Evans, Kevin Kline, Josh Gad, Ewan McGregor.

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