Allergies in dogs and cats:

Allergies in Dogs and Cats: Symptoms, Triggers, and Relief

Allergies in Dogs and Cats: The Ultimate Guide to Soothing Your Itchy Pet

You aren’t alone if you’ve ever experienced a night of stress while lying awake and watching your pet shaking their head, chewing the skin, or licking their paws. Fur babies are just like us and are very sensitive to seasonal, dietary and environmental irritants. In fact, allergies in pets, both dogs and cats, are among the most common issues that dog and cat parents visit veterinary clinics around the world for.
Humans tend to react to an allergy when their eyes get watery, their nose runs, and they sneeze. Our pets usually react in a different way, however. Pets don’t get watery eyes, a runny nose and sneezing when they have an allergy, but they react in a very different way. Their main arena of combat is the skin. Thus, allergic reactions in dogs and cats will typically appear as extreme itching, inflammation of the skin/ear and recurring ear and skin infections.
When your furry friend is in constant pain, it’s devastating. To truly be of assistance, you have to first comprehend what is in fact causing their allergy, how to identify the subtle symptoms and how you can help bring peace and comfort back into their everyday lives.

How Does an Allergic Reaction Work?

Allergic reactions are essentially the body’s immune system mistaking the environment with which it is in contact as a foreign invader. Allergies in dogs and cats is a case in which the body’s immune system mistakenly targets a perfectly harmless substance from the environment (or food) and labels it as a dangerous invader. In response to this perceived threat, the immune system generates appropriate antibodies and sets off a host of inflammatory chemicals in the body, such as histamines.
These chemicals in pets are very prone to moving towards the skin, the ears and the gastrointestinal tract. This localized inflammation produces the high temperature, redness and the desire to scratch that results in allergies in dogs and cats. The more they scratch, the more they irritate and infect, which leads to a vicious cycle of irritation and infection.

There are three main types of allergies that are common among dogs and cats.

There are basically three main types of causes that trigger allergies. The first major step to developing an effective treatment plan is to determine what type of variant is affecting your pet.

1. Flea Allergy Dermatitis (FAD)

This is most likely to be the cause of allergies in dogs and cats. The intense reaction is due to proteins found in the flea’s saliva, not the crawling flea itself. A flea’s bite puts a very small amount of saliva into the skin. A normal pet may experience itching from a bite which is only temporary. Dogs and cats with allergies caused by fleas however, will have an explosive itching reaction from a single bite by a flea, and it will happen all over their bodies. Usually, dogs will gnaw on the base of the tail and thighs and cats will get tiny, crusty scabs on their neck and back.

2. Environmental Allergies (Atopy)

 As with people, pets can be extremely sensitive to airborne particles in the environment. Dogs and cats get environmental allergies from tiny particles, like tree, weed, and grass pollens, mold spores, house dust mites and mildews. More often, atopy begins as a seasonal disease (only in spring or fall), but can progress to a year-round condition as the pet ages.

3. Food Allergies

While environmental sensitivities are more common than food allergies, the latter are a big hassle to deal with. In dogs and cats, if they develop a food allergy it is to a protein that is found in their normal diet. Beef, chicken, dairy, fish and lamb are the most common allergens in both dogs and cats. These ingredients can cause chronic and severe skin problems and digestive complaints as well.

Symptoms to be aware of:

Dogs and cats don’t say when they are feeling lousy, so we must watch for signs and symptoms of allergies.
 Irritation: This is the most common sign. Relentless scratching, chewing and licking. Your dog or cat will be seen chewing at their paws, rubbing their face against the carpet, and scratching their underarms.
 Recurrent Ear Infection: The skin of the ear canal is a hotspot for allergies in dogs and cats. If your pet is constantly shaking its head, ears are red and swollen or there is a foul, dark discharge, there’s a strong chance your pet has some sort of allergy.
 Hair Loss and “Hot Spots”: Self-trauma creates patchy hair loss and “hot spots” are raw, weeping bacterial skin infections which occur overnight.
 Bright pink or angry red skin: Parting the pet’s fur might expose bright pink or angry red skin, especially around the belly, groin and paws.
 Food Allergy: Pets get diarrhea, vomiting, flatulence, or loose stool constantly, or they may have a lot more bowel movements than normal daily.
Diagnostic Strategies: Finding the Root Cause
Your veterinarian needs to investigate the cause of your dog’s or cat’s allergy symptoms slowly and systematically to determine the exact cause.
Eliminating parasites first.
Your veterinarian will make sure that itching isn’t due to external parasites before testing for complex sensitivities. They will do skin scrapings to see if there are mites present and will use a fine-toothed flea comb to search for hiding fleas or flea dirt.

The Elimination Diet Trial

Blood tests are unreliable in case a dietary trigger is suspected. Rather, the most reliable method to diagnose a dog or cat’s food allergy is by trying an elimination diet for 8–12 weeks. The pet should only be fed a prescription hydrolyzed protein diet or a novel protein source (one the pet has not eaten before – such as kangaroo or venison). It is essential to be absolute with compliance – one single kibble, one flavoured medicine, one table scraps can spoil the whole trial.

Introduction of intradermal and serum allergy tests.

If your pet is an environmental atopic, the veterinarian can use special blood tests (serum testing), or may refer you to a veterinary dermatologist for intradermal skin testing, which is similar to human allergy scratch tests. These diagnostics identify the specific grasses, molds or trees that are triggering the immune system to panic.

The treatment is a multi-modal approach that relieves your pet.

While many people think of “magic bullets” to cure their pets’ allergies, there is no single “magic cure” for allergies. Rather, it depends upon a thorough, multi-modal approach customized to your pet’s life style and sensitivities.

Advanced Medical Therapies

In today’s veterinary medicine there are much more targeted treatments that avoid the long-term usage of steroids, which are the traditional treatments with very high side effects:
– Cytopoint: This is a highly targeted injection of a monoclonal antibody that works for dogs to block the specific itch-signal from the brain and can cure itching in dogs for 4-8 weeks.
– Apoquel: Rapidly interrupts the itch and inflammation pathway in dogs that comes from the biological pathway, administered as a daily oral medication.
– Atopica (Cyclosporine): This is an immunosuppressive drug which is safe and long-term approved for dogs and cats to help control an overactive allergic response. This is an optional item. This is an optional supplement.

Prescription medicated shampoos that contain an ingredient like chlorhexidine, ketoconazole or a soothing oatmeal help to physically wash away the allergens in the fur and to soothe inflamed skin. Adding high quality omega-3 fatty acids (fish oil) to your pet’s food will help heal the damaged skin barrier, from the inside out, helping to lower overall inflammation.

Allergen Immunotherapy (Allergy Shots)

If environmental triggers are detected by testing, specific allergy shots or oral drops can be created for your pet. Over several months, the body is exposed to small, incremental doses of the allergen, and the immune system becomes accustomed to it, providing a permanent remedy for allergies in dogs and cats.

Conclusion

It can be an exhausting emotional roller coaster to live with a pet that has chronic allergies in dogs and cats. But by being patient, observing closely and working with your veterinarian, you should be able to break the itch-scratch cycle. If your pet requires a special food regimen, a focused flea prevention program, or even flea itch treatment with modern innovative products, it is possible to get your pet to feel better. Watch their skin and notice changes, steer clear of the things that may trigger itchy skin, and look forward to helping your companion live a happy, comfortable, itch-free life.

Frequently asked questions (FAQs)

Q: May I use antihistamines (such as Benadryl) on my pet human for allergies?

A: Some antihistamines that can be bought at the pharmacy are appropriate for use in pets, but they are not as effective as they are in humans, and should be used only with strict veterinary supervision. They can be sedative, but don’t always work on intense skin itching that penetrates into the deeper layers. Always follow your vet’s instructions for the proper dose.

Q: Yes, there are some breeds that are more susceptible to allergies than others.

A: Yes, there is a significant genetic component. Many breeds of dogs are highly susceptible to atopy; such as French Bulldogs, Golden Retrievers, Labradors, West Highland White Terriers and Boxers. Cats with Siamese and domestic shorthair breeds often suffer from allergic skin disease.

Q: Food allergy trial results can be seen after 1-2 weeks depending on the diet.

A: It takes a lot of patience. It takes time for the skin to heal and dietary proteins stay in the body for weeks. The following general guidelines apply to the prescription elimination diet: It must be followed as strictly as possible for at least 8 weeks to 12 weeks before assessing the success of the diet.

Addioson’s Disease, (Hypoadrenocorticism) in dogs:

Addioson’s Disease (Hypoadrenocorticism) in dogs:

Addison's Disease (Hypoadrenocorticism) in Dogs - The Parents Guide

No pet owner wants to have an experience like this: one day your dog is normal, the next it’s shivering, weak, and lethargic. You hurried them to the clinic and the preliminary tests weren’t conclusive. After a couple of days they recover and a few weeks later, a strange illness takes hold again. The sad cycle of Addison’s disease (hypoadrenocorticism) in dogs is very common.
Often times, veterinarians refer to this disease as “The Great Imitator” because it closely resembles 12 different diseases in dogs, ranging from common stomach viruses to serious kidney disease. Addison’s disease (hypoadrenocorticism) in dogs can be a moving target to diagnose as it can mimic other conditions. When the mystery is solved, however, it evolves from a frightening, concealed threat to a completely manageable condition. Let’s shed some light on this endocrine disorder: the way it affects your dog’s body, how you can tell if your dog is entering an emergency crisis and what it takes to give an Addisonian puppy a long, happy life.

Addison's Disease (Hypoadrenocorticism) in Dogs: What is it?

Understanding the issues that arise when a pet develops Addison’s disease (hypoadrenocorticism) in dogs means examining two small but powerful organs, the adrenal glands. These glands are located directly next to the kidneys and they release hormones that maintain the body’s normal functioning during stressful periods.

The adrenal cortex secretes two important hormones:

Glucocorticoids (Cortisol):

The natural stress hormone in the body. It assists to control blood sugar, digest protein and fat and enables the body to deal with physical or emotional strain.

Mineralocorticoids:

A hormone which regulates internal thermostat for fluids and electrolytes. It regulates sodium and potassium, which are essential for blood volume, blood pressure and heart function.
Addison’s disease (hypoadrenocorticism) in dogs is the result of the immune system attacking and destroying the outer layer of these glands. The structural damage results in a tremendous and harmful weakness in cortisol and aldosterone production. All of these hormones are essential to the ability of a dog to cope with stress and to keep their internal electrolytes in balance or balance, or they will be completely ill.

The Triggers and Breeds at Risk

Addison’s disease (hypoadrenocorticism) in dogs is an immune-mediated disorder in 99% of cases, in which the dog’s own immune system attacks its adrenal gland(s). It is still somewhat of a mystery why, but there is a clear trend for some breeds.
Any dog can get this disease, but it is found more often in Standard Poodles, West Highland White Terriers, Great Danes, Bearded Collies, Portuguese Water Dogs and Nova Scotia Duck Tolling Retrievers. It is far more common in young to middle aged females, but can affect males and senior dogs.

The Great Imitator" is a type of spotting.

Dogs with Addison’s disease (hypoadrenocorticism) have characteristic symptoms that come and go. If a dog experiences a stressful event such as a thunderstorm, boarding, a veterinary visit, etc. and then appears “better” on their own afterward, they are likely ill because of the stress.

Watch for the following changing indicators:

Intermittent, chronic lethargy:

Your dog is noticeably tired, sluggish and/or depressed for no apparent reason.

Bad Appetite:

Progressive pickiness with food and/or loss of appetite

Gastrointestinal Distress: Persistent vomiting and diarrhea, frequently attributed to “dietary upset” and irritable bowel syndrome.
 Severe shaking and trembling: In severe shaking or trembling the dog shows general muscle weakness and shivering as if it was being attacked by the cold or frightened.
High sodium and urination: The body is unable to maintain proper sodium and potassium balance, thus, the kidneys are unable to retain water.
A painful or stiff gait: Hind limb weakness or complete refusal to go onto furniture.

The Ultimate Danger: The Addisonian Crisis

If the hormone deficiency is untreated, it will eventually lead to an Addisonian Crisis. It is a dangerous and chilling total collapse. The dog’s blood pressure becomes dangerously low, potassium rises to a toxic level slowing the dog’s heart rate and hypovolemic shock occurs. Addisonian crisis is a true medical emergency, in which immediate and aggressive veterinary care is required to prevent cardiac arrest.

This is a guide to the Diagnostic Maze.

Dogs with Addison’s disease (hypoadrenocorticism) require several special laboratory tests to confirm the diagnosis, due to the fact that symptoms can be confused with many other conditions.

Routine blood tests and electrolyte levels.

Typically, the first indicator is a routine blood chemistry profile. The sodium/potassium ratio will be carefully considered by vets. In Addison’s disease (hypoadrenocorticism) of dogs, potassium levels will be dangerously elevated, and sodium and chloride levels will be dangerously low. You might also have higher levels of kidney markers (BUN and creatinine), which is caused by low blood pressure.

This test is called the ACTH Stimulation Test.

The veterinarian may also perform an Adrenocorticotropic Hormone (ACTH) stimulation test if blood tests are abnormal and are suggestive of a problem. Addison’s disease (hypoadrenocorticism) is the only definitive diagnosis made in dogs.
A baseline blood sample will be taken to see the level of cortisol when the animal is at rest, then an hour later, the second blood sample will be taken after the vet administers a synthetic form of the hormone, which stimulates the adrenal glands to generate cortisol. In a healthy dog, cortisol level will rise dramatically. For dogs with the Addison’s disease (hypoadrenocorticism), the low adrenal glands will not respond, thus confirming the diagnosis.
The treatment involves stabilizing and controlling the condition. Treatment of Addison’s disease (hypoadrenocorticism) in dogs can be broken down into two stages: emergency stabilization and life long maintenance therapy.

Emergency Crisis Management

When a dog is rushed to the hospital with an active Addisonian crisis, the first priority is to save the dog’s life. The team of vets will insert an intravenous line to provide intense fluid replacement, increasing blood volume, blood pressure and flushing toxic build-up of potassium. Your vet will also give you some quick-release intravenous (IV) steroids to replace the missing hormone at the time.

Lifelong Maintenance Therapy

The long-term management of Addison’s disease (hypoadrenocorticism) in dogs starts when a dog is stable and eating. The adrenal glands cannot “recover” so, for life, the dog must be given the missing hormones. This is usually accomplished with two drugs:

DOCP (Percorten-V or Zycortal) Injections

 Long acting injection of a mineralocorticoid drug, administered every 25-30 days to keep sodium and potassium in balance.
 Daily Oral Corticosteroids (Prednisone): A tiny daily dose of oral prednisone to replace the missing glucocorticoids (cortisol).
 Stress Protocol: Owners should temporarily give a higher dose of oral prednisone during predictable periods of stress, like during surgery, holidays, fireworks, or when moving into a new home. The dog’s body doesn’t make additional cortisol to deal with stress, so it is necessary to give them that “stress buffer” by hand.

Conclusion

When your beloved is diagnosed with an endocrine disorder that is chronic and life threatening, it’s very alarming. But the prognosis is extremely optimistic for dogs with Addison’s disease (hypoadrenocorticism). After the proper dosages of the correct medications are determined, these dogs live a completely normal, very active and long life. They are able to run, play, hike, and cuddle like any healthy pup. Addison’s disease (hypoadrenocorticism) can easily be managed in dogs by learning to know the symptoms of a hormonal crisis and working closely with your veterinarian to monitor your dog on a regular basis.

Frequently Asked Questions (FAQs)

Q: No, Addison's disease doesn't hurt dogs.

A: When a flare-up or crisis occurs, dogs are very uncomfortable because of the intense nausea, cramping, weakness of muscles and low blood pressure. Once stabilized and taking the daily maintenance medication, however, they are pain free and feel completely well.

Q: In dogs, is it possible to live a normal life with Addison's disease (hypoadrenocorticism)?

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A: Absolutely. Dogs with this condition usually have a normal, full canine lifespan with consistent administration of medication and routine veterinary monitoring and checks for electrolyte levels.

Q: The cost of treating Addison's disease (hypoadrenocorticism) in dogs vary depending on the severity of the condition.

A: The first diagnosis for a crisis may be expensive and may result in crisis hospitalization. Long-term expenses are largely based on dog size since the hormone injections (DOCP) are based on weight and are administered on a monthly basis. Smaller breeds will require lower and less costly doses, whereas very large breeds will be more expensive.

Q: If I forget to give my dog the medication, what do I do?

A: If you miss one dose, your dog may fall into a sudden hormone deficiency, and be susceptible to illness or a life-threatening Addisonian crisis. If a dose is missed by accident, please call your vet right away for instructions on how to safely catch up.

Distemper in Cats, A Complete Guide to Feline Panleukopenia

Distemper in Cats: A Complete Guide to Feline Panleukopenia

It is very upsetting to discover that your cat may have a serious disease. A veterinarian’s worst news for any pet owner is hearing about a case of distemper in cats. It is a highly contagious and potentially fatal virus that causes Feline Panleukopenia Virus (FPV) which does require urgent veterinary attention.
Although it has the same name, it should be noted that this virus is completely different from canine distemper. Rather, it is very similar to the canine parvovirus. It causes severe damage to the gastrointestinal tract, bone marrow and developing nervous system as it targets a cat’s most rapidly dividing cells.
Knowing how distemper works in cats, its early warning signs and what treatment protocols are available to you can mean the difference between life and death for your pet. This extensive handbook will take you through all the aspects you should know to identify, handle, and stop this hazardous condition.

Distemper in Cats, What is it?

In order to get a good idea of the distemper in cats, it’s important to take a moment to examine how the vitamin works. Feline panleukopenia literally means “all-white-blood-cell decrease. Once a cat becomes infected with the virus the virus invades tissues where cells are rapidly dividing.
The virus primarily invades:

⦁ The Bone Marrow:

By attacking the marrow, the virus shuts down the production of all white blood cells. This leaves the cat with no protection from secondary bacterial infections

⦁ Intestinal Lining:

The virus causes damage to the lining of the intestines, causing severe ulceration and sloughing off of intestinal tissue, excessive diarrhea and deadly dehydration.

⦁ The Brain:

The virus can cause problems in the developing brain of the unborn kittens of pregnant infected queens, affecting the cerebellum, the brain’s balance and coordination centre.

The virus is very hardy and will survive in the environment for months or even years, and can not be killed by most common household disinfectants.

Where Do Cats Get The Virus?

Distemper spreads quickly and easily among cats. The main route of infection is via the faecal-oral route. Infected cats produce huge quantities of the virus in their vomit, saliva, urine and feces.
There are several ways a healthy cat can become infected:

Direct Contact: An infected cat can be contacted by sniffing, grooming or sharing the same environment.
Contaminated Objects: Contact with contaminated food bowls, water dishes, litter boxes, bedding or toys (Fomites or Contaminated Objects).
⦁ Human Transmission: Transmitted by human care takers who have come in contact with an infected animal through their hands, clothing or shoes.
⦁ In Utero: Transmitted to the developing kittens by the infected mother across the placenta.
Indoor cats do not have absolute protection against the pathogen because it is very stable outside of a host. A pet can pick up the virus from a walk in a part of a home where a stray cat was infected and shed the virus.

Symptoms and Clinical Signs

Cats do not show signs of distemper for three to ten days after exposure. The onset of clinical signs is often sudden and dramatic. A seemingly normal cat may be very sick by nightfall.
If you think your pet may have been exposed, watch for these characteristic signs:

1. Extreme Lethargy and Depression: The first symptom is sometimes an extreme lack of energy (extreme lethargy and depression). Your cat may get stuck in a dark corner, be unwilling to get up, and exhibit complete apathy toward cat toys or cat food.
2. Fever and Temperature Drops: The first signs of distemper in cats are a high temperature, which can reach 104 Fahrenheit to 107 degree Fahrenheit or between 40 degree Celsius and 41.6 degree Celsius. The body temperature drops sharply as the disease advances and the cat goes into shock.
3. Severe Gastrointestinal Distress: Signs are often severe Gastrointestinal Distress, with persistent vomiting and profuse watery diarrhea. The stool may be bloody and smell very bad from the shedding of the intestinal lining. It’s also possible you’ll find your cat leaning over the water bowl, trying to drink but can’t because of the nausea.
4. Dehydration and Poor Coat Condition: Due to severe fluid loss from vomiting and diarrhea, the skin becomes wrinkled and dry. With gentle pinching of the skin over their shoulders it will not “pop back”. The fur soon becomes matty, unkempt and dull.
5. Neurological Signs in Kittens (Cerebellar Hypoplasia): If a kitten is exposed to distemper in cats in the womb or during early infancy, he or she can survive and develop a condition called cerebellar hypoplasia. These kittens have an unusual “wobbly cat” walk, head tremor and poor spatial coordination. This particular problem is non-progressive and not painful, but will need to be accommodated inside where it will remain for life.

How Veterinarians Diagnose the Condition

These are the signs by which veterinarians diagnose the condition, so if you see any of these signs, you must go to your veterinary clinic right away. Diagnosis of distemper in cats involves the combination of clinical history, physical examination and certain blood tests:
        ⦁  Complete Blood Count (CBC): A CBC will show a severe decrease in white blood cells (leukopenia). Normal cats will have thousands of white blood cells in each microliter of blood, but infected cats can have almost none.
        ⦁ SNAP ELISA Tests: A quick fecal test, commonly used to detect canine parvovirus, is frequently used by veterinarians: SNAP ELISA Tests. These rapid tests can be used to detect the presence of the virus in a feline stool sample within minutes due to the fact that the virus is structurally very similar to the virus found in cats.
        ⦁ Polymerase Chain Reaction (PCR) Testing: If there is still any doubt about the presence of viral DNA, a laboratory can perform a PCR test on a fecal swab to confirm the presence of viral DNA.

Treatment Options and Supportive Care

At this time there is no antiviral drug that can cure distemper in cats. Rather, medical management is directed solely toward intensive supportive care which would be lifesaving until the cat’s immune system is able to recover and manufacture antibodies.
The disease breaks down the barrier in the gut and reduces the number of white blood cells, leading to bacteria entering the bloodstream and causing fatal sepsis. Aggressive hospitalization is almost always required.

⦁ IV Fluid Therapy:

The very backbone of therapy is IV (intravenous) fluid therapy to replace hydration, electrolyte disturbances and to support blood pressure.

⦁ Injectable Antibiotics:

Antibiotics are not effective against viruses, but are essential to ward off a secondary infection by bacteria that may overpower the leukopenic patient who is already weakened by the virus.

⦁ Blood Transfusions or Immunotherapy:

Blood transfusions and immunotherapy (also known as blood replacement therapy) can be used in severe cases when blood levels of protein are dangerously low, and/or anemia has set in, to give the blood proteins, proteins, and immediate immunity

Prognosis and Survival Rates

The prognosis of distemper and the chances of survival in cats vary significantly based on the speed of treatment. The mortality rate is more than 90% if the cat is left without veterinary treatment, particularly if it is a very young kitten under five months of age. But timely and aggressive hospitalisation and intensive supportive care can improve survival rates to 50-75%.
If an infected animal can survive those first 3-5 crucial days of sickness, the probability of the animal making a full recovery grows rapidly. After a few weeks, once a cat has recovered from the illness, they build a strong immunity to this particular virus and don’t shed the virus into the environment again.

Prevention: Standard Kitten Vaccination Schedule

Prevention: Standard Kitten Vaccination Schedule
The best way to deal with distemper in cats is to prevent it from occurring. Fortunately, we have an extremely powerful weapon: The FVRCP vaccine.
Kittens are initially provided temporary immunity via their mums milk (maternal antibodies) which fades between 6-8 weeks of age.
1. Initial dose: 6-8 weeks old.
The primary vaccine gives the immune system a shot of the modified-live or inactivated virus strains.
1. Boosters: Every 3 to 4 Weeks.
Give booster shots every 3-4 weeks until the kitten is about 16-20 weeks.
1. One-Year Booster: 1 Year After Series.
A booster one year after the first kitten series to strengthen the long-term memory cells.
1. Adult Maintenance: Every 3 Years.
Adult healthy indoor cats will need booster shots every three years to ensure adequate protection.

Conclusion

As a cat owner, you are going to find it difficult to deal with distemper in cats, not only emotionally, but financially as well. The fact that feline panleukopenia is a disease that progresses so quickly demonstrates how sensitive our pets are to harmful disease-causing organisms.
Luckily, this disease is easily preventable. You can keep your cat protected from this fatal disease by following your veterinarian’s vaccination guidelines and keeping up with good hygiene. If you ever notice your pet suddenly being lethargic, vomiting or having diarrhea, remember that every minute matters; seek emergency veterinary care right away to improve the chances that your cat will survive.

(FAQs)

1. Do cats transmit distemper to humans?

No. Distemper can be caused in cats by the feline panleukopenia virus which is highly species specific. It is not communicable with humans, and does not affect dogs. Humans may however serve as mechanical vectors (carriers of the virus on their hands and clothing from an infected cat to a healthy cat).

2. Is it possible for fully indoor cats to be contaminated?

Distemper is a disease that can be contracted by cats in the house, yes. The virus is very hard to kill in the environment and can be easily spread indoors on your shoes, clothes or hands following exposure to an infected outdoor cat in an area where the virus is commonly found. All cats, whether indoors or outdoors, should be vaccinated.

3. The shedding of the virus will cease after how many days in a recovering cat?

Feces and urine may contain the active virus for up to 6 weeks after clinical recovery in a cat that has had a distemper infection. In this period the convalescent cat should be isolated from all other cats and young animals that have not been vaccinated.

Tumors in Cats

Feline Mammary Tumors: Symptoms, Treatment, and Survival Guide

Any pet owner’s nightmare has to be finding a lump on their pet’s body and that is especially true for the female cat. Cats with mammary tumors are one of the most important and commonly diagnosed reproductive cancers in animals, as mammary cancer comprises about 17% of all tumors in female cats.
Canine “mammary growths” have a 50/50 chance of being avulse, but that’s not the case with feline mammary growths. Nearly 85-95% of mammary tumours in cats are very aggressive, locally invading and are a high risk to spread to nearby lymph nodes and other organs such as the lungs. As this cancer is so quick to develop, it is paramount that the owner knows the risk factor, recognises signs of the disease early and gets their cat into a rapid veterinary treatment protocol—a treatment plan that will help to prolong their life.

So, What causes Mammary Tumors in cats?

Hormonal influences are a major contributing factor to why mammary tumors occur in cats and this is because they are exposed to estrogen and progesterone on a regular basis during normal heat cycles. Ovariohysterectomy (spay surgery) is the single best preventative measure against mammary tumors occurring in cats.

Spayed before 6 months of age: decreases lifetime risk of mammary cancer by a huge 91%.
Spayed at 7-12 months of age: decreases risk by about 86%.
Spayed between 13 and 24 months old: Reduces risk by 11%.
Spayed after 2 years of age: No benefit in terms of protection from mammary tumors for cats.

Further Hormonal Risk Factors

The use of exogenous progestins (synthetic hormones that may be prescribed by a veterinarian for certain skin problems and/or behavioral disorders) significantly increases the risk. Cats treated in this way run more than 3 times the risk of developing malignant mammary tumors in cats.

Age and Breed Predispositions:

ost of the cats affected are older (11-13 years median) intact females. Any domestic cat can be affected but, in Siamese cats, the tendency is quite strong, and they often get these tumors at a much younger age than other breeds.

2. Recognizing the Signs and Symptoms

Cats have four pairs of mammary glands from the top of the chest through to the groin area and mammary tumors can develop anywhere along these lines. When diagnosed, from 60% of felines affected will have more than one distinct mass on both chains.
Owners should regularly palpate the abdomen at home and carefully look for these clinical signs:

Firm, Nodular Lumps: Small, pea-sized pebbles or firm, irregular thickening under the skin, next to or under a nipple.
Skin Ulceration and Discoloration: When a malignant growth or tumor grows, the skin is stretched until it tears apart, leaving a sore that is raw, weeping, or bleeding and giving off an unpleasant odor because of secondary bacterial infection.
Localized Swelling and Pain: The affected mammary glands may be abnormally warm, red or swollen and the cat will be visibly uncomfortable when picked up.
Systemic Illness or Breathing Distress: If mammary tumors in cats have been successful in metastasizing to the thoracic cavity, the cat may become lethargic, lose weight, have an uncharacteristic loss of appetite, or begin to breathe quickly and shallowly.

3. Important Clinical Diagnosis and Staging

When a veterinarian sees mammary tumors in a cat, she will perform a thorough staging panel to determine the extent of the disease before any surgery is done.

Biopsy and Histopathology

Fine-needle aspiration (FNA) may be useful to exclude skin cysts, but a biopsy or removal of the tumor and complete histopathology will be the best method to diagnose mammary tumors in cats. Pathologists analyse the cells to determine the type of carcinoma (e.g. tubular, ductal or anaplastic) and give a histological grade (Grade I, II or III), depending on how aggressively the cells are dividing.

Advanced Imaging

A 3-view thoracic X-ray panel is a must for a cat with mammary tumors as these can easily spread into the chest cavity and lungs. If you notice any signs of cancer spreading to the lungs (pulmonary nodules), the treatment plan changes from aggressive surgery to aggressively palliative care. An abdominal ultrasound is also commonly ordered to see if there is any spread within the abdomen to the liver, spleen or medial iliac lymph nodes.

4. Treatment Approaches and Prognosis

Treatment approaches and prognosis are significantly related to one basic number when it comes to mammary tumors in cats: the size of the primary tumor at the time of surgery.

Tumor Size and Prognosis

Tumor Size Group

Clinical Characteristics

Expected Median Survival Time

Small Tumors (< 2 cm)

Early detection, localized to the primary gland

3+ years (with radical surgery)

Medium Tumors (2 to 3 cm)

Intermediate stage, potential lymph node involvement

1 to 2 years

Large Tumors (> 3 cm)

Advanced local disease, high likelihood of cellular tracking

4 to 6 months

The Standard of Care: Radical Chain Mastectomy

Because all the mammary glands on one side of a cat’s body are connected by shared blood vessels and lymphatic channels, conservative “lumpectomies” are highly discouraged in treating mammary tumors in cats. Surgical treatment is the gold standard, and involves either a unilateral or bilateral radical mastectomy where the whole line of mammary tissue and any regional lymph nodes are removed on the affected side to reduce the risk of aggressive local recurrence.
When surgery is a success, an oncologist might suggest that the pet receive the same drug treatments as systemic chemotherapy, most commonly by injection with the drug carboplatin or doxorubicin. In cats with high-risk factors such as vascular invasion or high grade tumor, chemotherapy can help to postpone the progression of metastatic disease, giving cats important extra months or years.

5. Medical Management and Palliative Care

Medical management of the cat with an advanced, non-resectable mammary tumor and when the cancer has already spread to the lungs is chronic palliative management, where the aim is to maintain the maximum possible comfort, pain reduction and preservation of the quality of life of the cat.

1. Offer personalized pain management:

Use veterinary prescribed non-steroidal anti-inflammatory drugs (NSAIDs) and/or some pain modulators for the nervous system that have been developed for pets on a regular basis to ensure maximum comfort.

2. Continue Strict Wound & Hygiene Management:

If the tumour has broken through the skin surface, keep the area clean, wear loose protective shirts as recommended by your vet and do not let the cat over-groom or lick the raw skin.

3. Prescribe Targeted Antibiotic Therapies:

Make use of wide spectrum antibiotics to actively treat secondary bacterial infections in weeping, open mammary sores to help reduce inflammation and odors.

4. Report on QoLM regularly:

Assess daily activities of your cat within a structured QOL framework, to make sure that good days outweigh bad days for your cat as far as their appetite, hydration and general comfort are concerned.

Frequently Asked Questions (FAQs)

Q1. What is the survival rate for a cat diagnosed with mammary tumors?

Tumor size at diagnosis is the almost sole determinant of survival. For cats less than 2 cm in size, a radical mastectomy may result in a few years of survival. If the tumour is bigger than 3 cm or the tumour has spread to the lungs, the median survival time decreases to less than 6 months.

Q2. Do male cats get mammary tumors?

Yes, but it’s unusual. Cats are less likely to develop mammary tumors if they are male, accounting for less than 1% to 5% of all mammary tumor cases. In male cats, however, once it develops, mammary cancer is as aggressive as it is for female cats and is staged and treated identically.

Q3. Is a lump in a cat's mammary gland always cancer?

Some mammary tumors in cats are very malignant cancers, but it is a small possibility that the mass is a benign adenoma or feline mammary hypertrophy, which is a benign fast-growing growth caused by a hormone, progesterone. They can only be distinguished safely by a professional biopsy.

Q4. What are the causes of death of mammary tumors in cats?

With progression of malignant mammary tumors in cats there are two ways in which complications can occur. The first is that it can cause the main external tumours to open up, become infected, bleed and cause massive systemic inflammation. Second, the cancer spreads to the lungs and, over time, becomes unmanageable and causes the cat to become uncomfortable breathing.

Bladder Stones in Dogs. Causes, and Veterinary Treatments

Bladder Stones in Dogs: Symptoms, Causes, and Veterinary Treatments

The Complete Guide to Bladder Stones in Dogs: Symptoms, Causes, and Treatments

The discovery that your cherished four-legged family member has a medical problem can be extremely stressful. You’ve heard from your veterinarian about your pet having bladder stones in dogs or you think your pet may be exhibiting symptoms of this painful condition, and you likely have a number of questions.
Dogs are prone to developing bladder stones, which are a fairly common, but very uncomfortable, urological disorder. Scientifically called uroliths, these are rock-like structures that form inside the urinary bladder and vary in size from sand-like small particles to large and smooth stones, filling nearly the whole bladder cavity. Bladder stones in dogs can be a source of confusion, so it’s important to gain an understanding of what they are, how to identify them, and the treatment options available to help get your dog back to a happy, pain-free life. We’ll delve into the science behind bladder stones in dogs, the various types of stones, signs and symptoms, and medical and surgical treatments.

So What Do Bladder Stones In Dogs Mean?

It’s helpful to understand how the urinary system works in a dog to understand bladder stones in dogs. Wastes are removed from the blood by the kidneys and discharged into the bladder as urine. This urine will contain a number of the substances that are dissolved in the blood and excreted from the body.
Under normal circumstances they are fully dissolved and excreted without causing any symptoms. These microscopic crystals of minerals can start to form if the chemical makeup of urine shifts, or if the urine becomes very concentrated. These ‘clustering’ crystals harden and increase in size with time and the crystals develop into full bladder stones in your dog.
Note that bladder stones are different from kidney stones. Kidney stones develop in the kidneys, and are not a very common condition in dogs, however bladder stones develop in the urinary bladder, and are a much more common condition in veterinary clinics.

The dog bladder stones are of different types.

There are several different kinds of bladder stones in dogs.
Dogs can have stones in their bladders that are not all of the same substance. In fact, the mineral make-up of the stone is important, the type of stone determining the exact treatment and prevention strategy. The two most prevalent are the most common veterinary cases.

1. Struvite Bladder Stones

Struvite stones are made up of magnesium, ammonium and phosphate. Struvite bladder stones in dogs are almost certain to occur as part of an existing urinary tract infection (UTI) in dogs. Some bacteria have an enzyme called urease which changes the pH of the urine, making it more alkaline. This alkaline environment causes struvite crystals to quickly combine to create stones. Females are more likely to develop struvite stones than males since they are more likely to get a UTI.

2. Calcium Oxalate Bladder Stones

Unlike struvite, calcium oxalate bladder stones in dogs form in highly acidic or neutral urine. A disease infection usually does not cause them. In reality, they are associated with genetically inherited factors, metabolic disturbances and high calcium intake. Miniature Schnauzers, Shih Tzus and Yorkshire Terriers are very susceptible to calcium oxalate bladder stones in dogs. Unfortunately, these stones can’t be dissolved with any medicine or diet and nearly always must be physically removed.

3. Other types of stone that are less common.

  • Urate Stones: Also known as uric acid stones, they are common in Dalmatians that are genetically predisposed to a defect in their liver’s ability to break down uric acid.
  • Cystine Stones: These are a rare type of stone which is related to an inherited genetic metabolic defect and are usually only seen in undamaged male dogs.
  • Silica Stones: Very rare stones, typically associated with certain food ingredients, like foods rich in corn gluten or grain hulls.

The symptoms of Bladder Stones in Dogs include but are not limited to:

The symptoms are similar to that of a severe infection of the bladder in dogs, as the stones irritate the bladder’s lining, causing inflammation. If you are a conscious dog owner, you should be concerned about the following clinical signs:

  • Blood in the Urine (Hematuria): This is due to the rough surfaces of the bladder stones continually rubbing against the bladder wall, causing small tears and bleeding. Urine may appear pink, red or with blood clots.
  • Straining to Urinate (dysuria): If your dog strains to urinate for extended periods of time but only gets a few drops out, this is also a symptom to watch for. The stones are physically present, causing pain or irritation.
  • Pollakiuria (Frequent Urination): The irritation tricks the dog’s brain into thinking the bladder is always full and causes him/her to go outside more often.
  • Accidents in the House: Even a perfectly house trained dog can start to leak urine or have accidents in the house due to the inflammation that make them less able to hold their bladder.
  • Licking the Sore or Painful Areas: Dogs will often lick at sore or painful areas as a form of self-soothing.

CRITICAL WARNING

If the stone moves out of the bladder and blocks the narrow tube (urethra) which carries urine outside the body, it can be a complete blockage of urine. This is a life-threatening medical emergency! If your dog is straining extremely hard but no urine is produced, vomiting or is very lethargic you should go to an emergency veterinarian right away.

Risks and root causes

How does this condition develop in pets, and why are some never affected and never develop it? There are several interlocking factors that help cause bladder stones in dogs:

Diet and Hydration

If your dog does not drink sufficient amounts of water, its urine will be very concentrated. Concentrated urine allows minerals to be packed tightly together and is very easy for crystals to form in your dog’s urinary system, especially in their bladder, leading to bladder stones. In addition, too much of certain minerals (such as calcium, phosphorus, and magnesium) or protein can change the chemistry of urine, leading to the formation of stones.

Urinary Tract Infections (UTIs)

Like struvite stones, persistent or unaddressed UTIs completely alter the chemical makeup of the bladder thus creating an ideal environment to promote bladder stones in dogs.

Breed and Genetics

There are a lot of genetic factors involved. The bladder capacity of small breeds is also smaller and they tend to produce more concentrated urine, making them more susceptible to a high risk profile. There are specific bladder stones in dogs that are more common in certain breeds because of genetic anomalies, such as Dalmatians, English Bulldogs and Pugs.

The diagnosis of the condition is made by veterinarians.

If your dog is exhibiting urinary troubles, your veterinarian will use a number of diagnostic tools to determine if bladder stones in dogs are to blame.

Physical Exam & Urinalysis / Diagnostic Imaging (X-rays/Ultrasound) / Stone Analysis.

  • Blood tests: The vet will take a sample of blood and test it for blood cells, signs of infection, blood chemical levels and the presence of microscopic mineral crystals.
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  • Digital Radiographs (X-rays): Bladder stones that are radiopaque, which means they appear very bright and white on an X-ray, many types of bladder stones in dogs (like struvite and calcium oxalate) are radiopaque.
  • Urinary Ultrasound: Some stones, such as urate stones, are not detectable by the traditional X-ray. These stones can be easily identified by ultrasound, which can be used to see them in the bladder.
  • Calculus Analysis: after the stones are extracted or passed, they are taken to a special laboratory. The only way to be 100% certain of the mineral composition of the bladder stones in dogs is to have a complete X-ray analysis, so that a long-range preventive care plan can be developed.
Treatment of Bladder Stones in Dogs

Treatment is greatly different based on the size of the stones, the sex of your dog and the type of mineral that is involved.

1. Surgical Removal (Cystotomy)

If the stone is very large, will not pass on its own or if there is an immediate risk of a life-threatening blockage, a surgical procedure called a cystotomy is the gold standard. The veterinarian gives the dog general anesthetic and makes an incision into the abdomen and opens the bladder, in order to gently remove all the bladder stones in a dog and thoroughly rinse away everything. Although surgery can be frightening, it can give immediate relief from pain and clear the blockage, and also remove the risk of a sudden blockage.

2. Dietary Dissolution

Medical dissolution is a possibility if your veterinarian feels that your pet is not at risk of developing a urinary blockage, and you have struvite bladder stones in dogs. This includes a prescription therapeutic diet for your dog. A special food that helps to bring the pH of the urine back into the acidic range and significantly lower the consumption of mineral salts that can form stones. Dogs gradually pass away their bladder stones over a few weeks to months.

Note:

 When dissolving the stones, your dog is not allowed to eat table scraps, regular dog food, or commercial treats, since a morsel of normal food can destroy the exact chemical balance required for dissolving the stones.

3. Non-Invasive Procedures

There are in modern veterinary medicine highly specialized, non-invasive methods of treating bladder stones in dogs:

  • Urohydropropulsion: If the stones are very small, the vet can sedate the dog, and use a special catheter method to flush them out from the urethra without any surgical cut.
  • Laser Lithotripsy: At specialized veterinary referral centers, a laser lithotripsy is possible, where a very small laser fiber is inserted into the urinary tract and the bladder stones are physically broken down into tiny pieces that can then be urinated out.

Prevention: Stones not coming back.

Unfortunately, bladder stones in dogs tend to recur very rapidly. Without modification of your dog’s lifestyle habits, there is a very high chance that stones will reappear in a year or two. A dedicated, lifelong management approach is needed for prevention.

Increase Water Intake

Diluting the urine is the best protection against bladder stones in dogs. Urine that is diluted prevents minerals from lumping together. To get your pet to drink more, you can mix warm water or low sodium bone broth into your dog’s food, get a circulating dog water fountain, and encourage your dog to eat more canned wet food where there is a higher moisture content.

Prescription Preventative Diets

If your dog has a history of calcium oxalate or urate bladder stones, your veterinarian may recommend a maintenance diet for the rest of the dog’s life. The diets are also specifically formulated to balance the body’s internal pH and reduce the raw mineral building blocks in the bladder.

Frequent Bathroom Breaks

Avoid holding your dog’s bladder for too long. Mineral crystals have the perfect chance to settle and adhere to each other when urine remains stagnant in the bladder for too long, resulting in complete bladder stones in dogs. The frequent urination will rinse away the microscopic crystals before they do any harm.

Frequently Asked Questions (FAQs)

Q1. Will bladder stones pass on their own in dogs?

Sometimes little sand-like stones pass without any issue, especially in female dogs, who have a shorter, wider urethra than males. But, medium to large bladder stones in dogs cannot pass without the intervention. Trying to pass them on their own can be a huge risk of causing a urinary blockage that can lead to death. Don’t wait for the stones to go away, always consult a vet.

Q2. How long does it take to dissolve bladder stones in dogs with a special diet?

A prescription diet is usually the solution for removing bladder stones in dogs, and it takes 2 to 12 weeks to completely dissolve these stones. The amount of time it takes will vary based on the size and quantity of the stones. Continued x-rays are necessary throughout this time for monitoring.

Q3. Can dogs use apples cider vinegar to treat bladder stones?

No, do NOT use apple cider vinegar or other home remedies to help remove bladder stones from dogs. Changing your dog’s urine pH can be extremely dangerous if you don’t know what kind of stone is occurring. As another example, the treatment of a possible problem by making the urine more acidic may actually promote the formation of very dangerous calcium oxalate stones.
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Q4. On average, how long does it take for a dog to recover from bladder stone surgery?

Dogs make a wonderful recovery after a routine cystotomy. Your dog will likely have to wear an Elizabethan Collar (the “cone of shame”) and their exercise routine limited for approximately 10-14 days until their abdominal incision has healed. Your pet’s doctor will prescribe pain medications and antibiotics to help your pet recover from the surgery in a comfortable and pain-free manner.

oral squamous cell carcinoma in cats

Feline Oral Squamous Cell Carcinoma: Symptoms, Treatment, and Care Guide

This article provides a comprehensive clinical and care guide to Feline Oral Squamous Cell Carcinoma. This article offers a thorough clinical and care guide to Feline Oral Squamous Cell Carcinoma.
The news of a beloved pet has cancer is one of the most painful things a pet owner can experience. Feline oral squamous cell carcinoma (OSCC) is one of the most common and aggressive oral cancers in cats, representing approximately 60% to 75% of all oral tumors in cats.
This aggressive form of cancer begins in the lining of the mouth and spreads quickly and is very destructive. Oral squamous cell carcinoma in cats is a locally infiltrative disease, so prompt diagnosis and the speed with which treatment options are understood is important to ensure patient comfort and quality of life. In this guide we will look at the risk factors, common symptoms, the current treatment and importantly, the proper care practices for cats facing this disease.

1. What is the cause of the oral squamous cell carcinoma in cats?

Veterinary researchers have found that a combination of chronic inflammation, genetic mutations and environmental factors play a role in the development of oral squamous cell carcinoma in cats. Feline oral and head and neck cancers have different environmental predisposing risk factors than human cancers, and are not as strongly associated with alcohol or direct tobacco use.

Environmental Risk Factors

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Cats are known for being clean. As tobacco smoke falls on their fur they lick it off, giving the concentrated carcinogens directly to their oral tissues. This is an important action because it raises the risk of developing an oral squamous cell cancer in cats.

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 Chronic exposure to chemicals from some older flea collar models has been correlated with an increase in oral tumors

Other Potential Risks:

These include frequent tuna consumption (canned tuna or wet food with chemical additives), and exposure to household volatile organic compounds (VOCs), or clumping clay cat litter

Age and Demographics

This cancer affliction is mostly affecting older cats. In retrospective health data from a large scale, the median age of diagnosis is 13 years old. It may affect any breed, but most cases are in domestic shorthaired and longhaired cats that are not pedigree cats.

2. Early warning of symptoms is crucial.

In cats, one of the biggest challenges in the treatment of oral squamous cell carcinoma is that early signs are similar to that of other non-cancerous conditions such as periodontal disease or feline chronic gingivostomatitis (FCGS). As a result, few cats are diagnosed with oral squamous cell carcinoma in cats until the tumor is in an advanced stage.

Owners should watch for these clinical warning signs in older cats:

The cat may drop food, chew completely on one side of its mouth, or walk up to the food bowl with great enthusiasm yet walk away crying.

Unexplained Weight Loss:

The person will lose weight rapidly as eating is either very painful or not possible due to the main tumor

Drooling:

May contain a secondary bacterial infection, which blood tinges it and gives it a foul smell, or it may be necrotic (dying) tissue in the mouth.

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An unkempt and matted coat is the result, sometimes with swelling under the eye, face and/or jawline

3. Diagnosis and Staging

A careful diagnostic evaluation is needed if a vet suspects a cat might have **oral squamous cell carcinoma** to confirm the diagnosis and to assess if there is any damage to the structures.

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The only definitive diagnosis for a cat with oral squamous cell carcinoma is a tissue biopsy. Under the microscope, pathologists search for characteristic aggregations of cancerous epithelial cells, different features within the cancer cells, and rapid cell division.

Advanced Imaging and Bone Invasion

One amazing thing about OSCC in cats is that it tends to be osteolytic – that is, it invades its surroundings and aggressively breaks down the bone. Dental radiographs or Computed Tomography (CT) scans are used by the veterinarian to identify whether the tumour has invaded the lower jaw (mandible) or upper jaw (maxilla).

Metastatic Assessment

Fortunately, this tumor has a relatively low rate of regional and distant metastasis early on; it is highly destructive locally but does not spread very rapidly to other organs. Even so, when the oral squamous cell carcinoma is properly staged in cats, fine needle aspiration of the regional lymph nodes is needed as well as thoracic Xrays to confirm no lung disease.

4. Current treatment modalities and prognosis.

Treatment Approach

Intended Purpose

Expected Median Survival Time

Palliative Care Only

NSAIDs for pain and inflammation management

~44 days

Radiation Therapy Alone

Coarse or palliative radiotherapy

60 to 92 days

Accelerated Radiation + Carboplatin

Combined radiosensitizing chemotherapy

163 to 174 days

5. This is an emerging research and palliative care.

Oral squamous cell carcinoma in cats is an area of veterinary oncology that is actively being targeted for treatment breakthroughs, as the disease has been known to be resistant to traditional treatments. Due to the similarity in deep molecular and behavioural characteristics between feline oral cancers and head and neck cancers in humans, it is a valuable animal model for comparative oncology studies.
If your cat is diagnosed with OSA, drug therapy targeted at specific molecules (tyrosine kinase inhibitors) has been used successfully and can improve survival rates – sometimes considerably – from those of the untreated cats.
In addition, recently the oral microbiome of cats has been mapped and it has been found that cats with OSCC in cats have a dramatic reduction in microbial diversity. The tumor microenvironment is highly pro-disease and is dominated by disease-associated anaerobic bacteria, leading to a new horizon of possibilities for supportive antimicrobial treatment of secondary infections.
Since complete resolution is uncommon, the main treatment for cats with oral squamous cell carcinoma is supportive care for comfortable, quality life.

RWMP: Daily

1. Establish Robust Pain Management:

Thoroughly cooperate with your veterinarian to put a tight regimen of non-steroidal anti-inflammatory drugs (NSAIDs) or transdermal narcotics to control intense bone and soft tissue pain.

2. Change the texture of the diet: each meal:

Gradually switch to ultra thickened watered down purees or liquified recovery feeds. Do not feed hard kibbles or chunky foods which can mechanically rub the ulcerated tumour tissue.

3. Impact Secondary Infections: Addressed:

Use a specific antibiotic to control the bacterial overgrowth that usually occurs with necrotic oral tumors and minimizes the “morning breath” and inflammation in the area.

4. Nutritional Interventions: Evaluate (Clinical Milestone):

If the cat is very interested in living, however it is unable to swallow the food because of the size of the tumor, consult with your veterinarian about the possibility of having an esophageal or gastrostomy feeding tube placed to allow the cat to eat without stress.

Frequently Asked Questions (FAQs)

Q1. What's the life expectancy of an OSCA cat?

In cats, if left untreated, the median (50th percentile) survival time is approximately 2 months after the diagnosis of oral squamous cell carcinoma. Survival times can be longer than 1-2 years, though, if the tumor is diagnosed early and placed on the bottom jaw, where radical surgery is feasible.

Q2. Is it possible for oral squamous cell carcinoma in cats to resemble a bad tooth?

Yes, absolutely. Oral squamous cell carcinoma in cats often presents as severe periodontal disease, loose teeth or small areas of gum swelling in its early stages. An immediate biopsy is strongly recommended if a cat’s “bad tooth” is seen in normal dental care or antibiotic treatment without improvement of the swelling to rule out oral squamous cell carcinoma in cats.

Q3. Does the OSCC in cats hurt?

Absolutely, cats with oral squamous cell carcinoma are very painful. It’s an invasive form of cancer that often wears down the bones of the face beneath the skin, leaves the mouth open in an ulcer and can lead to secondary bacterial infections of the affected area. Multi-modal pain management is required for these patients.

Q4. Is oral squamous cell carcinoma contagious in cats to other organs?

This particular cancer is very fast and very aggressive at its primary location in the mouth but it spreads (metastasizes) to other organs, such as lungs or liver, at a lower and slower rate. The most common complications of oral squamous cell carcinoma in cats are direct consequences of the primary tumor’s effects on the cat’s comfort eating and drinking.

Q5. Should I get a feeding tube for my cat with oral cancer?

An esophageal feeding tube can dramatically improve quality of life by taking the pain out of eating and ensuring your cat receives necessary fluids and medications. However, it should only be used if your cat’s pain is fully managed and they still display a joyful, interactive quality of life despite their diagnosis of, oral squamous cell carcinoma in cats,

Q6. What are the earliest warning signs of oral tumors in cats?

The earliest signs often include dropping food while eating, a sudden preference for wet food over kibble, mild drooling, and unusual bad breath. Because these signs are so subtle, early cases of **oral squamous cell carcinoma in cats  are often discovered during routine veterinary dental cleanings.

Veterinary Dermatologist Near Me

Constant Scratching? When It’s Time to Find a Veterinary Dermatologist Near Me

When you type veterinary dermatologist near me into a search engine, you aren’t looking for another temporary band-aid you are looking for a definitive, long-term solution. Let’s break down exactly what an animal skin specialist does, the warning signs that your pet needs advanced care, common advanced diagnostics, and answers to the most frequent questions pet parents ask.

Few things are more heartbreaking for a pet owner than watching a beloved dog or cat constantly itch, bite, and chew at their own skin. You have likely tried soothing oatmeal shampoos, switched their food brands, and visited your local family veterinarian for temporary anti-itch medications. Yet, weeks later, the relentless scratching always returns.
If this frustrating cycle sounds familiar, your pet is likely dealing with a complex underlying dermatological issue. While general practice veterinarians are incredible at handling everyday health emergencies, chronic skin, ear, and allergy conditions often require the advanced training of a specialist.

What is a Veterinary Dermatologist?

A board-certified veterinary dermatologist is a licensed specialist who has undergone years of intensive, post-doctoral training specifically focused on the animal integumentary system. This complex system includes an animal’s skin, hair, coat, ears, claws, and mouth.
To achieve official board certification through the American College of Veterinary Dermatology (ACVD), these specialists must complete a rigorous professional path:

  • A comprehensive one-year general clinical internship.
  • A specialized two-to-three-year residency program solely dedicated to skin and allergy diseases.
  • Publication of original, peer-reviewed scientific research in veterinary journals.
  • Passing an extensive, multi-day board examination to earn the title of “Diplomate.

Unlike general practitioners who must balance everything from dental cleanings to fracture repairs, a dedicated pet dermatologist spends 100% of their clinical time diagnosing and treating complex conditions. When you look for a dog skin specialist, you are accessing specialized expertise in atopic dermatitis (environmental allergies), autoimmune skin disorders, severe parasitic infestations, and chronic ear diseases.

5 Warning Signs Your Pet Needs a Skin Specialist

How do you differentiate between normal grooming and a serious dermatological medical issue? If your dog or cat exhibits any of these five chronic symptoms, it is time to search for a specialized animal allergist:

1. Relentless Paw Licking, Chewing, and Face Rubbing

If your dog spends hours gnawing at its paws until the fur turns a rusty brown color (caused by staining from the saliva), or repeatedly rubs its face against the carpet, it is experiencing intense pruritus (severe itching). This is a classic indicator of environmental allergies to local tree pollens, weeds, grasses, or dust mites.

2. Recurrent Ear Infections (Otitis)

Does your pet get a painful ear infection every few months? While a general vet can clean the ear canal and prescribe temporary topical drops to clear up the immediate yeast or bacterial overgrowth, they often miss the primary trigger. Chronic ear infections are almost always a secondary symptom of an underlying allergy.

3. Patches of Hair Loss and Red, Inflamed Skin

Alopecia (hair loss), crusting, scabs, and weeping “hot spots” indicate that your pet’s natural skin barrier has completely broken down. When an animal scratches obsessively, they create micro-tears in their skin, allowing normal surface bacteria to multiply uncontrollably and cause painful secondary infections.

4. A Persistent Musty Odor

If your pet still smells distinctly unpleasant just 24 hours after a thorough bath, you are not dealing with standard “dog smell.” A pungent, sweet, or musty odor is a definitive sign of an active bacterial or yeast infection on the skin surface or deep within the ear canals.

5. Lack of Response to Standard Anti-Itch Treatments

If your pet has been prescribed standard treatments like steroids, Apoquel, or Cytopoint injections, but the severe symptoms return the moment the medication wears off, the underlying root cause has not been accurately identified or managed.

How Specialists Pinpoint the Problem: Advanced Diagnostics

When you visit a specialized clinic, you won’t just get another quick prescription. Dermatologists utilize advanced diagnostic tools that are typically unavailable at standard veterinary clinics to find the exact source of your pet’s misery.

  • Intradermal Allergy Testing: This is the gold standard for mapping environmental sensitivities. While your pet is under mild sedation, a small patch on their chest is shaved, and minuscule amounts of regional allergens are injected just under the skin. The dermatologist monitors the skin’s reaction in real-time to create a custom profile.
  • Video-Otoscopy: For chronic ear cases, specialists use advanced fiber-optic cameras to look deep inside the ear canal. This allows them to examine the eardrum, clear out deep bacterial impactions, and identify hidden polyps or foreign bodies.
  • Skin Cytology and Deep Scrapings: Microscopic evaluations are performed right in the clinic to instantly identify specific strains of yeast, bacteria, or microscopic mites that are causing secondary infections.
  • Skin Biopsies: If an autoimmune disease or unusual skin tumor is suspected, a specialist can safely harvest a tiny tissue sample to be evaluated by a dedicated veterinary dermatopathologist.

(FAQ)

Can a blood test accurately diagnose food allergies in dogs?

No. There are currently no reliable blood or skin-prick tests to predict food allergies in veterinary medicine. While these commercial blood tests exist, veterinary dermatologists agree they are highly inaccurate due to high rates of false positives. The only medically accurate way to diagnose a food allergy is through a strict, 8 to 12 week elimination diet trial using a prescription hydrolyzed or novel protein diet under a specialist’s supervision.

What is Intradermal Allergy Testing?

This is the preferred method for identifying environmental allergies. While the pet is under mild sedation, a small patch on their chest is shaved. The pet dermatologist injects tiny amounts of regional allergens just beneath the skin surface. Within 15 to 20 minutes, any localized swelling or redness reveals exactly what environmental factors are triggering your pet’s immune system.

How do allergy shots (Immunotherapy) work for pets?

Once your animal’s environmental triggers are mapped out via allergy testing, a custom formulation is created using microscopic extracts of those exact allergens. By administering these custom drops under the tongue or via tiny injections at home, you gradually train your pet’s immune system to tolerate the allergens. Over time, this drastically reduces or completely eliminates their dependence on daily anti-itch medications.

Is it worth seeing a specialized vet dermatologist instead of a regular vet?

Yes. Seeing a specialist saves you time, frustration, and money on repetitive, ineffective treatments in the long run. Instead of paying for continuous vet visits, repetitive rounds of antibiotics, and lifelong temporary anti-itch pills that only mask the symptoms, a dermatologist identifies the actual root cause to establish a permanent, sustainable management plan.

Conclusion

Living with a pet suffering from chronic skin irritation is an exhausting journey for both you and your animal companion. Temporary fixes like topical creams and generalized medications will only offer fleeting moments of comfort if the true underlying cause isn’t diagnosed.

By utilizing the specialized skills of a board-certified veterinary dermatologist near me, you stop guessing and start healing. From advanced intradermal allergy mapping to custom-tailored immunotherapy plans, a specialist provides the targeted care your pet needs to finally live an itch-free, comfortable, and happy life. Don’t let your pet suffer through another season of scratching reach out to a local veterinary specialist and book a dedicated dermatology consultation today.

Shy Dog Rescue- grove center

Shy Dog Rescue: How to Help a Fearful Rescue Dog Feel Safe and Trust Again

Having a shy rescue dog is one of the most rewarding things a pet parent can do. But there could be a transition time that is full of questions and uncertainty. A large number of rescue animals are so overwhelmed, scared or very reluctant when they first arrive in a new home. It is important to keep in mind that all of these are normal coping mechanisms if your new companion is hiding, avoiding eye contact or is trembling.
By taking the proper steps, exercising patience, and using a heartfelt approach, you can lead your rescue dog out of fear and into a life of security, joy, and loving.
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Familiarity with the sources of fear in rescue dogs.

Before supporting a shy rescue dog, we need to know why their dogs behave in that way. Rescue dogs have their own history as they come from a different place than puppies raised in controlled environments.

History of trauma and neglect.

 Many rescue dogs have experienced trauma in the past. This could involve physical neglect and/or abandonment or extended periods in stressful shelter situations. Any disruption of a dog’s normal routines and needs for security and provision of care will activate the dog’s internal alarm system.

Lack of Socialization

Some dogs may be decent, but too little socialization in their developmental periods. It can seem like an existential threat when a vacuum is turned on, a baseball cap is worn, a passing truck rumbles by.

Shock of a New Environment

When a family moves to a new home, it’s a huge and overwhelming change for a dog. They don’t really know anything has happened to them, they simply know that all of their world, all of their smells, all of their routine and all of their handlers have changed overnight. They’re doing what they have to do to keep themselves safe, as they determine if they’re in a safe place or not.

Core Strategies for Building Trust

Changing a fearful rescue dog means changing the way you teach obedience and instead putting the emphasis on building a relationship and regulating emotions. These are the basic steps you can take that will help your dog feel comfortable

Time is the most important factor in rehabilitation:

Trust shouldn’t be forced, required or timed. Rescue dogs are often used for days, weeks, even months and then they start unpacking and settling in.

Drop all expectations:

Your dog’s tail isn’t initially expected to wag, you don’t expect them to cuddle, you don’t expect them to want to stay in the same room!

Always allow them to set the pace:

Do not push an interaction. If your dog likes sitting in the corner, watching you from a distance, go with that. If a frightened dog is forced into contact, it can shut down even more and/or react out of self-defend. The most successful safety base is a calm, patient and low-pressure environment.

Create an Absolute Safe Space

 Even before your dog walks through the door, you need to set up your dog’s “safe zone”. This is a place where the dog is left alone, 100% alone, no exceptions.

Selecting the Location:

Select a part of the home where your dog doesn’t get a lot of foot traffic, but where they can see the people around the home if they so choose.

The Sanctuary:

Make this area comfortable with soft and thick bedding, blankets, and some comforting toys. A Dog crate can give this place an unsurpassed level of security! Cover top and sides of the crate with blanket to simulate a natural, protective den. As a golden rule of the safe space, no adults, children or guests are allowed to touch/bother the dog in the safe space.

Use low pressure positive reinforcement

The language of trust is positive reinforcement. Changes the dog’s internal dialog from “Is this person going to hurt me??” to “This person brings wonderful things!”.

Reward Calm and Brave Behaviours:

Use high value treats (small pieces of chicken/cheese), gentle praise or favourite toys to reward calm/brave behaviours.

The "Treat-and-Retreat" Method:

Do not reach out and offer a treat to a frightened dog, but throw it away from yourself. This caters to them because they will be rewarded, yet without having to step outside their comfort zone to obtain the food.

Ignore the dog:

Do not approach the dog, keep a distance and ignore the dog while it approaches when it feels ready. Reward them gently when they do move toward it (baby steps), but don’t make sudden movements or noises.

Create a Routine that is predictable.

The unknown is the greatest source of anxiety. A dog that was rescued from a shelter and is shy may need an unpredictable schedule to keep him alert at all times. A set daily schedule gives them a definite guide to follow for their daily activities and removes some of the uncertainty of their day. Routine: Set a regular feeding schedule, a time to take your dog out to walk and a regular bedtime.

Lowering Environmental Stress:

 If a dog can reliably anticipate their feeding times, potty times and nap time, the normal level of cortisol decreases considerably. When you can predict what to expect, you’ll develop a strong, founded confidence in the structure itself. Socialize at a Snail’s Pace
There is a common misconception that rescue dogs need to be immediately integrated into society to “cure” their shyness. In reality, forcing a fearful dog into intense social situations will only traumatize them further.

Avoid Triggers Early On:

In the early weeks, completely avoid crowded parks, busy streets, pet stores, or bustling family gatherings.

Controlled, Micro-Exposures:

Slowly introduce your dog to new sights, sounds, and people only after they feel fully secure with you. Keep these introductions brief, quiet, and paired with an abundance of positive reinforcement. If the dog shows signs of distress, immediately step back and give them space.

Recognize the Small Victories!

There are no standard milestones when rehabilitating a traumatized animal. It is important to be able to see micro-progress.
The Signs: If the dog makes eye contact for a split second, wags her tail slightly, hesitantly, or lets it go a few inches closer to you, or accepts a treat from your hand, it’s a huge step forward for a scared dog.
Be patient: things don’t always go smoothly, your dog might take two steps forward and one step back. Enjoy the little things, stick to it and believe it is totally worthwhile.

Identifying when professional assistance is needed.

Some rescue dogs have underlying severe psychological issues that have to be professionally addressed. It’s important to know your limits as a pet owner.
You should consult a professional if you observe:

  • Daily anxiety that is out of control. Fearful behavior such as growling, snapping or biting were all aggressive.
  • A sustained decline in food and/or fluid intake that poses a risk to physical well-being.
  • Being totally paralyzed with fear for days at a time.

If these are very severe symptoms, consult a veterinarian right away to be sure there is no underlying medical cause for the dog’s pain, or reach out to a certified, force-free dog trainer that specializes in trauma recovery.

FAQ

Q1: How many minutes does it take a rescue dog to be comfortable?

Weeks to months. All dogs are unique. Use the ‘3-3-3 rule’ – 3 days to decompress, 3 weeks to get your routine, and 3 months to feel like home.

Q2. Why is my rescue dog constantly hiding?

This is a completely normal way of coping. The act of hiding is a way for a stressed dog to reduce all the sensory input that is being processed. Don’t remove them from their hiding place; make it safe, and allow them to come out when they are ready.

Q3: Can I push or coerce my dog to socialize him/her to overcome his/her fear?

Absolutely not. Do not overwhelm a dog with fear, it will make their dog anxious. Positive and slow links are far more powerful than forced links.

Q4: Is a rescue dog any different to a regular dog?

Yes, it takes special commitment. Rescue dogs may have carry emotional baggage or gaps in their upbringing. They need to be deliberate rehabilitated, specialized patience, and specialized treatment.

Q5: Will my rescue dog behave like a "normal" dog?

Yes, for almost all cases. As soon as that sense of security is achieved, rescues that are fearful often become intensely loving, fiercely loyal, and joyful.

Q6. Do they reject food initially?

Yes, temporarily. When dogs are stressed, they will instinctively turn down food. Provide attractive smelly foods (such as wet food or warm broth). If they do not eat for over 24–48 hours, contact a vet.

Q7: Is it actually necessary to crate train a shy rescue?

Highly recommended. If introduced in a non-threatening manner, a crate is a safe individual rest area, not a punishment. It keeps them out of the chaos of the home and it keeps them safe when not supervised.

Q8: What can I do to make my dog feel safe in particular around me?

Maintain steady and stable energy levels. Avoid sudden movements, running, loud shouting or intense activities that lead to over-stimulation. Never punish, yell, or use physical force.

The Road Ahead: A Journey of Transformation

This article explores the concept of transformation through the lens of the road. The road to the successful rehabilitation of a shy rescue dog is not a straight one. It will be days of incredible breakthroughs and days where it will feel like you slipped back. It is a natural occurrence. Imageless, still, and predictable is what matters, in a world once terrifying.

A note on commitment:

 Keep in mind that you have to completely reframe your dog’s concept of humans. You are giving them the greatest gift: a second chance at life by respecting their boundaries, creating a secure environment, and attending to positive connections. This fellowship of healing is very strong and the love and loyalty which springs from it very strong indeed. Be patient, be gentle and see your companion change in front of your eyes.

WHY DO CATS HIDE WHEN THEY ARE SICK?

WHY DO CATS HIDE WHEN THEY ARE SICK?

Understanding Feline Behavior

Cats are an independent and mysterious species, but one of the things that can cause concern for any cat owner is the act of hiding. When not feeling well, many cats are quick to hide under beds, in closets or quiet corners. It’s not something they’re trying to do, but rather their instinct to survive deeply embedded in their nature. Knowing about the reasons why cats hide when they are sick can enable owners to observe early signs of disease and get cats to the veterinarian before illness progresses.

WHY DO CATS HIDE WHEN THEY ARE SICK?

WHY DO CATS HIDE WHEN THEY ARE SICK?

Cats in the wild are predators and prey. They may be weak or sick if they show weakness, and this could make them a bit vulnerable to bigger animals. As a result, cats instinctively hide pain and sickness to protect themselves. These instincts for survival exist in even domesticated cats. Hiding behavior occurs when a cat is not well, and it can serve as a mechanism to feel safe and not be noticed. Here are some of the most frequent illnesses which can make cats stay out of sight.
There are many medical conditions which can make a cat withdrawn. Infections, fever, arthritis, dental disease, stomach issues, injuries, urinary tract infections and chronic conditions like kidney disease are among the common causes. When cats are feeling pain or discomfort, they will look for places to go and rest in peace.

Cat Diseases: Signs Your Cat May Be Sick

Isolation does not necessarily equate to sickness, but if it occurs with other symptoms it could be a serious issue. Look for increased appetite, weight loss, vomiting, diarrhea, trouble breathing, lethargy, aggression, changes in grooming or litter box habits. A cat will hide in pain very well and it should never be ignored if there are slight changes in behaviour.

Stress and Anxiety Can Also Cause Hiding

Not all hiding is related to physical illness. Cats may also become shy if something is stressful, they become anxious, loud noises are around them, they see new cats or animals, or they feel changes in their routine. Hiding should be monitored closely, however, and should not last for too long, as stress can cause health issues in cats.

When does the concern become an issue of worry?

Many cats will hide from time to time, but if hiding occurs suddenly or for extended periods, this could indicate that the cat is sick or in pain. Take a cat to a vet right away if he refuses food for more than a day, avoids interaction for more than a day, or exhibits other abnormal behaviors. Timely diagnosis will avoid serious complications.

What to do if your cat is sick.

Create an environment for your cat that is peaceful, quiet and comfortable. Ensure good access to food, water and litter boxes. If your cat wants some space then do not bother him/her, but keep a close watch on their behaviour. It is crucial to assess a cat’s condition if it begins to hide or act ill for a long period of time.

It's important to know about the behavior of a cat.

Cats express discomfort in different ways than dogs and humans. The ability to identify hiding as a possible warning sign can enable owners to respond quickly and protect the health of their pet. Early detection of illness and better outcomes from treatment can be achieved by paying attention to behavioral change.

(FAQs)

Q1: Why do cats hide when they feel sick?

A: Cats hide because it is a natural survival instinct that helps them feel protected when they are weak or vulnerable.

Q2: Is hiding always a sign that my cat is sick?

A: Not always. Cats may also hide due to stress, anxiety, fear, or simply wanting quiet time.

Q3: When should I take my hiding cat to the vet?

A: You should contact a veterinarian if hiding is sudden, prolonged, or accompanied by symptoms like loss of appetite, vomiting, lethargy, or breathing issues.

Q4: Do cats hide when they are in pain?

A: Yes. Many cats hide when they are experiencing pain because they instinctively avoid showing weakness.

Q5: Can stress make cats hide?

A: Yes. Changes in environment, loud noises, visitors, or new pets can cause stress-related hiding behavior.

Q6: How can I comfort a sick cat?

A: Provide a quiet, safe space with easy access to food, water, and litter while minimizing stress.

Q7: Why is my older cat suddenly hiding?

A: Older cats may hide due to age-related illnesses such as arthritis, kidney disease, or cognitive changes.

Q8: Should I force my cat out of hiding?

A: No. Forcing a cat out can increase stress. Instead, observe them gently and seek veterinary advice if needed.

Laser Therapy- for Your -Older Pet

Laser Therapy for Your Older Pet

Chronic pain and mobility problems are important problems in older pets that can greatly impact their quality of life. Arthritis, hip dysplasia, joint inflammation, back pain and post-surgical discomfort are all common ailments seen in older pets, particularly cats and dogs. Low level laser therapy (LLLT) for pets, or cold laser therapy, is one new therapy that is becoming very popular in veterinary medicine. This non-surgical and non-painful treatment is effective in minimizing inflammation, easing pain and speeding up recovery without pain and surgery.
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How Laser Therapy Works

 therapy involves the use of specific wavelengths of light that penetrate deeply into the tissues and activate cell activity. This will help to bring blood flow, relieve inflammation, relax muscles and promote tissue repair. Unlike an invasive procedure, laser therapy is non-invasive and will not cause stress or pain for your older pet.

Symptoms to look for:

Laser  is a potential treatment option for pet owners that notice a decrease in mobility or pain in their older pets. Common symptoms include limping, stiffness after rest, being unable to get up, reluctant to go up and down the stairs, decreased activity, altered posture or irritability due to discomfort. Cats may stop jumping up on furniture, hide more often, or be less interactive.
 therapy has been used to treat many conditions, including those listed below:

  • Laser therapy is a recommended treatment that veterinarians use to help senior pets with one of the most common forms of chronic pain, known as osteoarthritis.
  • It is also good for hip dysplasia, spinal issues, muscle injury, ligament strain, wound healing and recovery after surgery.
  • To achieve the best outcomes, many veterinary clinics use laser therapy in conjunction with other treatments, such as medical care, weight loss, joint supplements, and physical rehabilitation.

Benefits of Laser Therapy for Senior Pets

The great benefit of laser therapy is that it can alleviate pain without causing many side effects. Some older pets may not be able to take anti-inflammatory drugs with ease for a long period of time because of kidney, liver or digestive problems. Laser therapy is a safe supportive therapy that can help decrease the reliance on medications and enhance comfort and mobility.

What can you expect from Therapy?

Laser therapy sessions usually last between 5 and 20 minutes depending on the condition being treated. Most animals are calm during treatment, and some even fall asleep! Many animals improve after just a couple of treatments, but chronic cases can require regular maintenance treatments.

When is Laser Therapy a good idea?

Senior pets can be more comfortable and mobile throughout the years with early intervention. As your pet begins to move slower, difficulty with normal activities or stiffness and discomfort, it may be time to consider laser therapy with your veterinarian. Early treatment may maximize your pet’s quality of life and independence when pain is not severe.

FAQs:

Q1. Is laser therapy even safe for older pets?

A: Yes, laser therapy is safe for older pets. When applied by a qualified veterinarian, laser therapy is very safe and is an effective treatment for older animals with chronic pain.

Q2: How many sessions will my pet need to feel better?

A: The number of laser therapy sessions your pet needs depends on their condition.

Q3: How long will the treatment go on for?

A: No, laser therapy is not painful and most pets enjoy the sessions.

Q5: Is laser therapy more effective than pain killers?

A: YES! Faster and more effective than pain pills. Laser therapy can in some circumstances even lessen the use of medication, but therapy will vary depending on the pet’s condition.

Q6: What conditions can laser treatment help with in pets?

A: Laser therapy can be used to treat a variety of conditions. It is very popular for arthritis, joint pain, back pain, hip dysplasia, injuries, inflammation and healing after surgery.

Q7: How long does each therapy session take?

A: Duration of most sessions is 5 to 20 minutes depending on the treatment area.

Q7: Are there any side affects of laser treatment?

A: Laser  is not known to have any side effects.

Q8: Can I bring my cat for therapy too?

A: Absolutely! Cats with chronic pain and mobility issues can also benefit from  therapy.