Tag: puppies

Parvovirus – Deadly, but Preventable!

First things first – What is Parvo?

Almost every mammal species has its own parvovirus. The canine parvovirus was discovered in 1967. At first the strain present CPV-1 did not represent much of a threat except to newborn puppies. In 1978 a new variant appeared called CPV-2. At this time the virus was still new and no dog had any kind of immunity against the virus. With no resistance and no natural immunity to the virus, the resulting epidemic was disastrous.

canine-parvovirus-parvo-in-dogs-1In 1979, the virus mutated again creating the CPV-2a. This strain was even more aggressive that the first two. Vaccine manufacturers were unable to keep up with the demand. The virus is able to rapidly spread and infect dogs because it is shed in large numbers by infected dogs and is especially hardy once in the environment.

At this point in time, the virus is considered to be in every environment. Simply trying to keep a puppy from exposure to the virus is a futile task. Luckily, most dogs have some level of natural immunity to the virus and vaccination against it is common practice now.

How is it spread?

Parvo is spread through the feces of infected dogs. Very little fecal material is needed to transmit the virus. Parvovirus can remain in the environment for six months to a year. It is especially tough and it can survive both extreme heat and subzero temperatures. The virus enters the body through the mouth as the puppy or dog cleans itself or eats food off the ground. There is a three to seven day incubation period. First, the virus hangs out in the lymph nodes in the throat and begins to multiply. Once the virus has reached sufficient numbers, it then begins to attack the bone marrow and begins to kill the young cells of the immune system. 

dogs

Signs and Symptoms

Symptoms of parvovirus include severe, bloody diarrhea, lethargy, vomiting, weight loss, lack of appetite, and fever. Parvo should be considered as a possible diagnosis for any young dog presenting with vomiting and diarrhea.

The GI tract is where the most damage is done by the virus. The lining of the intestinal tract is covered in finger like projections called villi. The villi are covered in even smaller finger like projections called microvilli. These projections increase the surface area of the intestine allowing for absorption of nutrients. The cells that make the the microvilli are short lived and are replaced by cells deeper in the tissue that rapidly multiply. The parvovirus strikes these cells. The villi then become blunted and the dog is not able to absorb nutrients. The lining between the digestive bacteria and the blood stream is broken down. This is what causes the characteristic bloody diarrhea of parvo. Bacteria can now enter the bloodstream causing widespread infection.

The virus kills in one of two ways. The first is dehydration and fluid loss brought on by diarrhea and vomiting. The second is bacterial infection from the loss of the intestinal barrier.

parvotestHow is it Diagnosed?

A diagnosis is made by Parvo ELISA test. This is performed in clinic and takes about 15 minutes to run. The biggest drawback to the ELISA test is that recent vaccination with a live virus vaccine can cause a false positive. In this case, doing a complete blood count to look for a drop in white blood cells may also be done.

Treatment

With proper treatment and hospitalization, the survival rate is 75-80%. Treatment of parvovirus centers around supportive care. Supportive care includes keeping the dog hydrated, comfortable, and as strong as possible. There is no way to kill the virus inside the dog. The only way to cure parvo is to keep the dog strong enough that eventually the immune system is able to make enough antibodies to the virus to fight it on its own. When treating parvo, be prepared for a 5-7 day hospital stay and intensive care. Unfortunately, treatment can be expensive. 

puppy-diarrhea-vetThe first step in treating parvo is keeping the dog hydrated. IV fluids are needed to replace the fluids lost by the extreme vomiting and diarrhea. Antibiotics are also needed to help prevent septicemia. The loss of the intestinal barrier allows bacteria from the GI tract into the bloodstream. Since the virus destroys the the immune system, the dog has no way to fight on its own. Keeping the patient comfortable is a key part in treating any disease.

Tests are done to monitor the progress of the disease and effectiveness of the treatment throughout the puppy’s time in hospitalization. These tests include white blood cell counts, complete blood count, electrolyte and glucose levels, urine specific gravity, lactate levels, and total blood protein.

There are some additional treatments that can be done to help the puppy (such as plasma transfusions and certain kinds of cold medicine). However, these options are not a substitute for hospitalization and need to be discussed in detail with your veterinarian before starting them. 

Aftercare

Once the puppy has recovered from the worst of the infection, they can then be sent home. They will most likely be sent home with antibiotics, anti-nausea, and anti-diarrhea medications. It is important to follow your veterinarian’s instructions for the medications and home care.

puppyeatingYour puppy will probably be very hungry after going so long without solid food. He should be fed in small portions every 1-2 hours. If he is allowed to gorge himself, this can upset his already delicate tummy.

Your puppy should be considered contagious to other puppies for at least a month after infection. It is important to keep him confined from any dogs that have not had the full vaccine series. Your veterinarian will let you know when it’s ok to resume vaccines. It is possible that your puppy has developed a life long immunity from the parvovirus since the infection. You should still continue vaccinating him for parvo along with all other recommend vaccines. There should be no permanent ramifications from the parvovirus. After the 2-3 week recovery period your dog should go on to lead a happy, healthy life.

Prevention

To prevent parvovirus infection in your puppy, you must follow the recommended vaccine schedule. Starting at six weeks of age your puppy should be vaccinated every 3-4 vxweeks until he is 16 weeks of age. Until your puppy has completed the vaccine series, he should be kept away from other puppies and kept out of dog parks or other social situations. Once your puppy has had all necessary vaccines he is ready to begin exploring the world with you!

There’s a Fungus Among Us!

Ringworm is a fairly common and highly contagious skin, nail, and hair or fur infection that despite its name does not always manifest as a ring and is NOT caused by a worm! Ringworm is actually caused by a fungus! There are several different types of fungi that are responsible for ringworm infections and many of them are zoonotic, meaning the infection can be transmitted to and from both humans and pets. The infection is easily spread by skin to skin contact and from objects or surfaces that have been touched by an infected person or pet such as clothing, towels or bedding, and brushes or combs. The fungi also occur in soil.

So what does a ringworm infection look like?

ringwormCAringwormKid

Symptoms of Ringworm in Pets

Ringworm is not a life-threatening disease, but it is very contagious and does require the intervention of a veterinarian. Knowing the symptoms of ringworm can help you catch the disease before it passes to humans or other pets.

ringworm3aRingworm usually presents as circular areas of hair loss throughout the body. These lesions may start to heal in the center as they enlarge, creating a patchy appearance, and may become inflamed or scabbed.

Ringworm usually does not itch. The affected hair follicles are brittle and break easily, which helps spread the disease throughout your home. In some cases the fungus infects the claws, making them brittle and rough.

Contact your veterinarian if your dog or cat experiences any or all of these symptoms:ringworm3

  • Circular areas of hair loss
  • Dry, brittle hair
  • Scabby, inflamed skin
  • Rough, brittle claws

How is Ringworm diagnosed?

Often your veterinarian can determine from the symptoms your pets has that it is a ringworm infection. There is also a special type of ultraviolet lamp called a Woods Lamp that can be used. Some types of ringworm fungi will fluoresce when exposed to this light.

Unfortunately, not all ringworm infections will fluoresce. Your veterinarian may need to set up a culture to determine the best course of treatment.

How is ringworm treated?

Your veterinarian will determine the best course of treatment. The most common way to treat ringworm is to use a combination of topical therapy (application of creams, ointments or shampoos) and systemic oral therapy (administration of anti-fungal drugs by mouth). In order for treatment to be successful, all environmental contamination must be eliminated.  All surfaces must be cleaned and all bedding should be washed. Humans should be diligent about washing hands frequently and thoroughly. If you suspect you have ringworm you should see your doctor. The earlier the infection can be diagnosed the more the chance of spreading the infection decreases.

By: Kathy Berrier

Ew! What is that in my dog’s stool?!

Oh no! It looks like your pet may have some kind of intestinal parasite!

parasites2Intestinal parasites are parasites that live inside a host’s gastrointestinal tract. Some feed off of the nutrients that the host ingests while others ingest the host’s blood. Whatever their food of choice may be, they can cause numerous issues for the host.

Examples of common intestinal parasites:
-Roundworms
-Whipworms
-Hookworms
-Tapeworms
Giardia
-Coccidia

While some parasites are large enough to see with the naked eye, this is not the case for all of them. For example, tape worms break apart and are usually passed as segments which can look like small grains of rice in your pet’s stool. Round worms resemble noodles or string. Others are much, much smaller and you may not physically see them in your pet’s stool. These parasites can cause all sorts of issues for your pet.

Symptoms include:
-Vomiting
-Weight loss
-Diarrhea
-Distended abdomen
-Scooting
-Occasionally coughing
-Anemia

How do cats and dogs get intestinal parasites?
Parasites are usually transmitted when an animal inadvertently ingests parasite eggs or spores in contaminated soil, water, feces or food. In the case of tapeworms, they can also be transmitted when a dog eats an infected flea. Puppies and kittens, on the other hand, usually get intestinal parasites from their mother. Transmission can occur in uterus or from nursing.
parasites
Many intestinal parasites are zoonotic, meaning that they can also infect humans. Simply practicing good hygiene is usually enough to prevent this from happening. You should always remove your pet’s stool from the yard and be sure to thoroughly wash your hands afterwards. The same goes for your cat’s litter box. Wearing shoes while outside can help protect you against hookworms.

Diagnosing and Treatment:
But don’t worry – these pesky parasites are easily treated! There are many types of dewormers available. Some parasites can be seen in the stool, such as tapeworm segments or roundworms. Others are much, much smaller and harder to detect. Here at TLC Animal Hospital, we send your pet’s stool to an outside lab for thorough testing to identify which parasites are present to ensure that the correct dewormer is used to treat any and all parasites that your pet may have. Some dewormers require a second dose that is given a few weeks later to ensure that all of the parasites are gone. Depending on the parasite, repeat testing of your pet’s stool may be needed as well once treatment is done.

tapeworm-cycle3-cat-rf1

Prevention:
10765_001_xxlWhile there is, unfortunately, no way to 100% prevent against intestinal parasites, there are steps that you can take that will drastically reduce the chance of your pet becoming infected. Most monthly heartworm preventatives also contain a broad spectrum dewormer. This helps get rid of any eggs or larvae that your pet may have picked up during the previous month. Picking up after your pet helps reduce the chance of any eggs or larvae from getting into the soil.

The best way to prevent against tapeworms is to use a monthly flea preventative. Having your yard treated by an exterminator for fleas will also help. The less fleas there are in the environment, the less of a chance your pet has of eating an infected flea. As we’ve written about before, every pet should be on a monthly flea preventative, even if they are strictly indoors. Read more about the flea preventatives that we offer in our previous post to help you decide which preventative is the best for your pet’s lifestyle.

puppy_kitten_careIf your pet is not already on monthly parasite preventatives, take them to your veterinarian to discuss how you can protect your pets and family from intestinal parasites.

Remember that the best way to protect your pets against parasites is to keep them on parasite preventatives and have their stool checked at least once a year. If you have any questions or concerns, you should always contact your veterinarian. They are your best resource to ensure the health and well-being of your pets.

By: Pigeon Tyler and Ashley Elliott

Visiting the Vet doesn’t have to be Scary!

A-scared-dogWe’ve learned a lot about dogs and cats over the last 20 years including a lot about their behaviors. The truth is dogs are not people and cats are not small dogs. They have different preferences and respond differently to stressful situations.  Unfortunately, visiting the veterinarian is frequently considered a very stressful experience for both pets and their owners.

The good news? You don’t have to sacrifice care by skipping out on regular veterinary visits because of stress. There are plenty of ways for you and your pet to stay relaxed during a veterinary visit. As we work on becoming Fear Free Certified, we want to share some of these tips with you!

Fear Free visits start at home!

dogincardangerSocialization is key! Early, positive experiences can build a foundation of trust and help prevent fear from developing. Puppies should be enrolled in training and socialization classes. Dogs should be comfortable riding in the car, visiting new places and meeting new people. A combination of rewards, slowly acclimatizing your pet to car rides and, sometimes, anti-anxiety medications given prior to the veterinary visit can greatly reduce or eliminate anxiety associated with car rides.

Something most clients don’t think about is that it’s ok to come by, even when your pets don’t actually need any kind of care. In fact, we encourage it! We have several patients who stop by for nothing more than some love and a handful of treats. This allows us to bond with our patients and build trust.

Owners can also desensitize their pets to being examined by handling them frequently at home, rubbing their feet, ears and gums.

Pheromone & Supplement Therapy

Like most animals, dogs and cats use a series of scents and pheromones, or “chemical signals”. These pheromone signals are used to mark territory and convey a large range of feelings including anxiety and contentment. There are several products that mimic some of the “feel good” pheromones that animals give off.

feliway-electric-diffuser-48-ml-3Feliway is a synthetic pheromone that mimics the facial pheromone produced when a cat rubs its face on an object to scent mark. Meridian is a synthetic pheromone that mimics the pheromones mother cats produce to reassure kittens. The calming pheromones from both of these products reduce the alarming sense cats can feel during stressful situations and help control those unwanted behaviors that stem from stress including aggression and inappropriate urination.

Adaptil-Diffuser_r7nexxAdaptil for Dogs works in a very similar fashion. Mother dogs communicate with their puppies through natural messages released into the air. These “comforting messages“are called Dog Appeasing Pheromones and they provide a strong signal of security and comfort to dogs of all ages.  Adaptil is available in several different forms: diffusers, collars and spray. In the event that an owner does not have Adaptil at home, we do have bandanas that have been pre-treated with spray in all of our exam rooms. Clients are encouraged to loosely tie one around their dogs’ necks while waiting to be seen.

1431-zylkene-newIn addition to synthetic pheromones, we also carry some supplements that have shown effective relief of stress in both dogs and cats. Zylkene is made with a milk-derived ingredient and it promotes calmness in pets. It often gives pets a calm feeling without causing sedation or drowsiness. Zylkene can be used for specific stress inducing events such as a visit to the vet, boarding, fireworks, thunderstorms and travel. Pets that are fearful may benefit from starting Zylkene one-two days prior to a known stress inducing event. It is also approved for long term, daily use.

Visiting the Clinic

pets-like-vetAll dogs entering the clinic should be on leashes and all cats should arrive in carriers. We try to make sure that all pets are moved into exam rooms quickly but if your pets are especially anxious, ask if you can wait in the car or even outside. In addition, ask our staff for a bandana that has been pre-treated with Adaptil. This can be tied loosely around your dog’s neck and will help him/her to relax some while waiting to be seen.

It is best for your pet to be hungry when he/she comes for his visit to a Fear Free veterinary clinic, since he will have a wide assortment of treats and toys available to reduce anxiety, distract and reward him while waiting, being examined and having treatments done. Pet owners are encouraged to bring their pet’s very favorite treats and toys as well.

In the exam rooms, pets will appreciate a familiar slip-proof surface on the table. Both Feliway and Adaptil are used throughout the clinic in their various forms and are also used in our boarding facility.

Feline Friendly!

adventurecat-yuki-11-of-118-1024x768We get numerous calls every day from pet owners needing to reschedule their cats’ appointments because they are hiding or they can’t get them in their carriers. This is because most cats never see their carrier unless they are going to the vet and they have been conditioned to associate their carrier with scary experiences. Cat owners should find a place in the home where their carrier can be left out. Allow your cats to become familiar with their carrier.  A carrier that opens from the top as well as the front is ideal. Leave the door open so the cat can investigate and leave its scent on the carrier. Put treats and favorite toys in the carrier to encourage exploration. Make sure the bedding is soft, comfortable and stays in place when the cat moves. If the carrier you use is one of his or her favorite safe sleeping spots, your kitty will be much more likely to accept transportation in a vehicle and also will be happier once they reach the hospital.  Clients are encouraged to pick up a Feliway wipe prior to the appointment so that they can wipe their kitty’s carrier at home an hour or so before their appointments.

cat-vetOnce at the clinic, cats are moved quickly into our kitty exclusive exam room. We keep a Feliway Diffuser plugged in at all times to help create a naturally soothing environment for our feline patients and help them feel safer while here. Cats are welcome to explore the exam room and even climb the cat tree. We have plenty of catnip and treats at hand and also keep warm towels on hand for cats to curl up or hide under during their exams.

For kitties that require a little extra stress reduction, we have “Feline Fear Free” kits. These kits include a couple of doses of a tasteless medication that can be sprinkled directly on their food the night before and the morning of their appointments. This medication will help to relax them. In addition, the kits include a Feliway wipe for their carrier.

All cats that drop off for exams or boarding are kept in a separate area, away from dogs, and are given tents or boxes to curl up and hide in.

Sedation is not a last resort

stress dogWe will never struggle with your pet or hold him/her down in an uncomfortable position for any reason. This will only create a cycle of fear and distrust that will become nearly impossible to break. Once a pet is at the clinic, if it is fearful and won’t take a tasty food reward, even if hungry, it’s time to regroup. While a lot of people balk at the idea of sedating their pets, sedation with safe and effective modern drugs is ideal in many situations and is certainly more beneficial to the pets’ mental well being than being wrestled to the table or floor. Some pets may even need sedation for routine examination and that’s ok! Many pets are so psychologically damaged or fearful that they would benefit from sedation before they even leave home. Our doctors can work with you to create a stress reduction plan for your pet that meets their individual needs.

Clients are encouraged to bring their pets by for “happy visits” or desensitization exercises to prepare them for future handling without sedation. Even a very fearful pet can be taught to tolerate procedures with time and effort.

By: Tara Sansing

Creepy Crawly Skin Mites

Is your pet loosing hair on their face/around eyes/mouth/ears for no reason? They might be scratching themselves silly or not at all? It is a possibility that your pet has mange. Luckily, this is a treatable disease.

Kinds of Mange

  • Demodectic Mange “Demodex”
  • Sarcoptic Mange “Scabies”

Demodectic Mange “Demodex” is a mite that is normally found in the hair follicles of all cats and dogs, but can become a health problem when found in excessive amounts. The immune system usually keeps the mite numbers in check. Demodex mites can become excessive if the animal has a compromised immune system (ex. puppies, poor nutrition, stressed animals, parasite infestation, or chronic disease). Demodex is commonly found in young animals (3 months-1 year old) and animals that have had a history of demodex earlier in life. Demodex mites in canines are named Demodex canis and demodex mites in felines are named Demodex cati and Demodex gatoi. There are three different forms of demodex: Localized (isolated spots on body), Generalized (entire body is affected), and Demodectic Pododermatitis (paws are just affected).

Clinical SignsUntitled2

  • Alopecia (hair loss) on face, around eyes, mouth, and ears. If severe case, they can have hair loss on forelegs and trunk too.
    • The mites feed on the hair follicle, which is what makes the hair fall out.
  • Erythema (redness) with crusty patches can be seen. When this is seen it is called “Red Mange”.
  • In severe cases (Generalized Demodex) the animal can have a fever, whole body hair loss, and a secondary skin infection.
  • The most important clinical sign is that the animal is NONPURITIC (not itchy). This helps identify Demodex compared to other mange mites.

Diagnosis

  • Skin scraping. After treatment, the animal should be rechecked twice and have two negative scrapings to verify that treatment is working.
  • Culture if secondary skin infection is present.

Treatment Options

  • Oral treatments
  • Topical treatments
  • Injections
  • Shampoos/Dips
  • Oral antibiotics if secondary skin infection present.
  • In the old days there was a myth that dipping the animal in motor oil was a good home remedy. This is FALSE. Motor oil can cause severe rashes and destroy healthy skin. It can also be absorbed through the skin and cause blood pressure issues. PLEASE – do not dip you animal in motor oil.

Untitled1Prognosis

  • Prognosis is good in localized and pododermatitis forms if proper treatment is followed.
  • The generalized form of Demodex can be fatal because of the severity of infection.
  • Demodex canis and Demodex cati are not contagious to humans and other animals.
  • Demodex gatoi is contagious to other animals and all animals in the household should be treated.
  • It is important to know that treatments will never completely remove the mites. It will just help control them to normal numbers so it does not affect the animal’s skin.
  • Relapse is possible because every mite cannot be killed, but it is more likely to happen if no recheck skin scrapes were preformed. Relapse is common 6-12 months after treatment.
  • Breeders should not use previously infected animals because it can be hereditary.

Prevention

  • There is currently no preventative measures against Demodex. There are a few simple things you can do to avoid it. A healthy immune system can help prevent the recurrence of mange. It’s therefore important to keep your dog on a regular feeding schedule, with lots of water and healthy meals, and plenty of exercise.

Sarcoptic Mange “Scabies” is a mite that burrows into the epidermis and lays eggs. This causes severe itching and inflammation within the skin. Scabies can infest almost all species of haired animals. It is very contagious to other animals and humans by direct contact. Scabies can occur in dogs/cats of any age, sex, or breed. Canine scabies mites are named Sarcoptic scabiei and feline scabies mites are named Notoedres cati.

Clinical Signs

  • Red, crusty lesions on ears, elbows, and trunk of animal.
  • Severely puritic (itchy)
    • This distinguishes it from Demodectic Mange
  • Secondary bacterial skin infections due to self trauma from itching.

Diagnosis

  • Skin scraping
  • Skin biopsies

Treatment Options

  • Oral treatments
  • Topical treatments
  • Injections
  • Shampoos/Dips
  • Antibiotics to control secondary bacterial skin infection
  • Anti-itch medications

Prognosis

  • Prognosis is good if proper treatment is followed and the secondary bacterial infection is not extreme.
  • Animals can remain contagious for 2-4 weeks during treatment.
  • If you see red papules on yourself there is a chance you could have scabies. Contact your physician.

Prevention

  • There is currently no preventative measures against Scabies. There are a few simple things you can do to avoid it. A healthy immune system can help prevent the recurrence of mange. It’s therefore important to keep your dog on a regular feeding schedule, with lots of water and healthy meals, and plenty of exercise. Also avoid contact with infected animals.

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Sources
Brooks, Wendy C. “Demodectic Mange in Dogs.” Demodectic Mange in Dogs – VeterinaryPartner.com, http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=630.

Brooks, Wendy C. “Notoedric Mange.” Notoedric Mange – VeterinaryPartner.com, http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=512.

Brooks, Wendy C. Demodectic Mange in Cats – VeterinaryPartner.com, http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=1415.

Brooks, Wendy C. “Sarcoptic Mange (Scabies).” Sarcoptic Mange (Scabies) – VeterinaryPartner.com, http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=616.

“Mange Mites.” Common Diseases of Companion Animals, by Alleice Summers, Elsevier/Mosby, 2014.

By: Jamie McAfee