Tick-Borne Diseases in Dogs - A Guest Blog!

Our new technician, Tiffany, has adapted a report she did in school to educate everyone on tick-borne diseases that affected our canine companions. Thanks to Tiff and congrats on her graduation this weekend! We can't wait to get her working full time!

Tick Borne Diseases

What Is a Tick Borne Disease?

• This is a disease that is carried by infected ticks, which transmits the disease to dogs through biting them.

What are the most common tick borne diseases in our area?

1.     Lyme Disease

2.     Ehrlichiosis

3.     Anaplasmosis

4.     Rocky Mountain Spotted Fever

What is Lyme’s Disease?

• Is caused by a bacteria known as Borrelia bourgdorferi. This disease is transmitted by the black-legged tick.                                                     

What is Ehrlichiosis?

• Is caused by a rickettsial bacteria that infects the white blood cells. There are two forms of Ehrlichia that can be found in your dog.

1.     Ehrlichia canis

2.     Ehrlichia ewingii

• Ehrlichia canis is transmitted by the brown dog tick. This disease mostly affects the dog's bone marrow.

• Ehrlichia ewingii is transmitted by the lone star tick. This disease leads to joint pain and lameness.                                                   

What is Anaplasmosis?

• Caused by an infectious bacterium known as Anaplasma. There are also two forms of this disease as well that your dog can contractt.

1.     Anaplasma phagocytophilum

2.     Anaplasma platys

• Anaplasma phagocytophilum is transmitted by the deer tick. This tick causes an infection in  the white blood cells.                                                

• Anaplasma platys is transmitted by the brown dog tick. This tick causes an infection of the blood platelets that can lead to bleeding disorders.                                                  

What is Rocky Mountain Spotted Fever?

• This disease is caused by a rickettsial bacteria that reproduces only inside living cells. This disease is transmitted by the American dog tick.

Symptoms tick borne diseases cause in your dog are : muscle aches, fatigue, decrease in appetite and energy, and fever.  These symptoms can also be indicators of other clinical problems. Therefore, if you suspect your pet may have been exposed to one of the diseases, a simple blood test can tell us if the dog has in fact been exposed to the disease. Based on these results, treatment plan can be designed to match your animal's needs.

The best way to protect your dog from getting these tick borne diseases is by using preventatives on your pet that kills all the life cycles of the tick.  Products like Ovitral, Parastar Plus, K9 Advantix, and Fronline plus work very well when used every month. We recommend using parasite prevention year-round in the Middle Tennessee area. 

- Tiffany

Puking Pup? - Motion Sickness in Pets

Bridget Riding Shotgun. Carsick Free!

As it heats up around the south and school lets out, chances are you will be headed outside and on the road with your pet! However, if your pet gets car sick, that can seriously put a damper on summer vacations. Motion sickness is also one of the reasons some pets don’t make it to the vet as often as they should. Simply put, owners just do not want to clean that up. So, here is a bit of information to help reduce the stress and actual vomiting involved in your pet’s carsickness.

Motion sickness is usually noticed in pets once they actually vomit in the car. Naturally, that will bring about a response from most owners. Often, the early signs of carsickness can be missed. They are similar to signs of nausea for any reason and include drooling, panting, licking of the lips and even yawning. If you notice you pet with any of these signs after a short car ride, chances are these symptoms could progress and lead to vomiting on a longer road trip.

Many pets often have anxiety associated with car rides. This can lead to nausea and vomiting as well. With cats, the anxiety is usually triggered as soon as the carrier comes out. Getting your cat used to the carrier is very helpful when it comes to car rides. We recommend leaving the carrier out in a well-used room, like the living room or kitchen, so your cat can explore it without any risk of being locked in and taken to the scary vet’s office. You can make your cat even more comfortable by occasionally putting a treat or two in the carrier as a surprise reward.

If your pet has some anxiety associated with a car ride, there are a few things you can do to make it easier on them. Start off with simply bringing your pet near and/or in the car without going anywhere. They can then get used to the smell and presence of the vehicle. Next up, progress to short car rides either around the block or down the street to the pick up the kids from school. Once you return, reward your pet for surviving with a treat or two.  After you master the car ride, make sure your pet is comfortable during the car ride. Remember, if you are hot while driving your car, your furry friend definitely is!

The above suggestions can make major strides in correcting motion sickness in pets. Sometimes, however, they are just not enough. There are several different medications that can be used for motion sickness. Cerenia is an antiemetic that is used often to treat and prevent motion sickness. If your pet’s carsickness is more anxiety driven, anti-anxiety medications should be considered. There are a multitude of options that are readily available. Please let us know next time you are in the office with your pet, and we can discuss which medication is most appropriate for your situation.

Now after educating yourself, I hope you can take that lake or beach trip this summer with Fido in tow, and no messes to clean up. If you have any questions, please comment below or give our office a call! 

Seriously Scary - GDV

First off, GDV stands for gastric dilation and volvulus. This is a serious, life-threatening condition that can occur in any dog breed, but most commonly in deep-chested dog breeds like Great Danes, Labradors, Weimaraners, Standard Poodles and Saint Bernards. The direct cause of GDV is not known but there are many factors that contribute to the development of the condition. These factors include rapidly consuming food, exercise immediately before or after eating, stressful conditions, increased age or inherent motility disorders of the stomach. There is a gas accumulation in the stomach that then leads to distention and a rotation or twist of the entire stomach.

So, how do you recognize this condition? The most common signs are abdominal distension, vomiting or retching (unproductive vomiting), restlessness or signs of pain. Occasionally, the dog may even collapse. These signs usually progress as the condition worsens. This condition can become very serious very quickly. As the stomach twists, the blood supply is cut off. This is a life-threatening situation that can lead to necrosis of the stomach. If your pet is showing any of these signs, they should already be in the car and on the way to a vet!

Diagnosing GDV is usually fairly straightforward. Abdominal radiographs show a dilated stomach that is full of gas and some food materials. Often times, a stomach tube cannot be passed due to the rotated stomach. Treatment of a GDV is multi-faceted. IV fluids must be administered for cardiovascular support. The patient is typically placed under anesthesia and decompression of the stomach is attempted. Usually, surgery is required to reposition the stomach. The stomach is then sutured to the abdominal wall in a procedure called a gastropexy. This prevents the stomach from twisting again in the future, as this condition often repeats itself. If the condition is severe enough, sometimes the stomach or the spleen may need to be resected due to necrosis. These conditions unfortunately increase the mortality rate of this condition. Recovery from the condition takes several days, as food is slowly re-introduced post-operatively.

This radiograph of a canine abdomen shows a severely distended stomach full of gas. 

There are many things you can do to try to prevent this condition from occurring in your pet. Changes to feeding habits can decrease the incidence rate. Feed multiple, smaller meals throughout the day and have a significant time gap in between feeding and exercise. Some dogs, like my mother’s dog Milly, often inhale their food within seconds. Placing a rock or large ball in the bowl to slow down eating is often helpful. None of these methods, however, are 100% effective. A prophylactic gastropexy may prevent this condition from occurring in your pet. This procedure tacks the stomach to the abdominal wall to prevent twisting from occurring. This procedure does involve an abdominal laparotomy; it is often done when spaying female dogs that are pre-disposed to this condition.

Hopefully, this gives you a bit of insight on a serious and life-threatening condition many dogs face. Most famously, Marley from the film “Marley and Me” suffered from a GDV at some point in the film. 

Marley from the classic canine film "Marley and Me". Just had to throw a cute lab puppy picture in for a smile. 

2013: Your Pet Can Have Resolutions Too!

This year, why not make a 2013 resolution for your pet?

Pet obesity is a huge problem with companion animals, both dogs and cats. It has been reported that over 50% of household dogs and cats are considered either overweight or obese. Another study has shown that around 25% of America’s pets are considered obese. This is a serious problem with serious health implications for your pets.

So, how do you tell if your pet is overweight, or even obese? Weight is not a helpful number in dogs and cats, as there are so many breed variations. The body condition system (BCS) is an accurate way to assess dogs and cats based on body fat percentages. Below are the ideal findings on a dog or cat as well as the findings on a pet that is overweight.

• Ideal Dog/Cat: Cannot see ribs, but you can easily feel them. Pet has a waist behind rib cage when viewed from above. Viewed from side, the stomach tucks behind the rib cage.

• Overweight Dog/Cat: Cannot feel ribs, or can feel them only with significant pressure. Fat deposits at base of tail. Belly is rounded when viewed from the side.

Obesity affects various systems in the dog and cat, including the musculoskeletal system, respiratory system, endocrine system and liver function. Numerous studies have been conducted on the relationship between body condition scores (BCS) and osteoarthritis. Just as in humans, the less stress (from excess weight) placed on joints over time will limit the development of arthritis in your pets. Diabetes is another disease humans may be familiar with. This disease is heavily influenced by a pet’s BCS. In cats especially, a healthy diet and appropriate weight can lead to discontinuing insulin therapy in some cases! Overall, dogs and cats with a normal BCS are likely to be healthier longer and live extended lives.

There are several keys to weight loss in your pet. As in humans, caloric restriction combined with exercise is the key to success. Dogs should go on regular, long walks to help with weight loss. Exercising cats can be more of a challenge. Laser lights on the wall or pulling a toy across a room can get most cats to play. This should be done for a 15 to 30 minute time period daily to see weight loss results. Equally important to weight loss is a diet. There are a lot of products out there that claim to be “weight management” foods. It is very important to read the label and know how many calories are in a serving. Some excellent weight loss diets can be found at most pet stores. Sometimes, however, a more severe calorie cut is needed. Companies like Royal Canin, Hill’s and Purina have developed prescription veterinary diets to make weight loss manageable. If you have any questions about these diets, please do not hesitate to ask us! Finally, never forget the power of treats when helping your pet lose weight. Most commercial dog and cat treats are full of unnecessary calories for your pet. Consider healthy alternatives for treats outside the typical treats. Green beans or other vegetables are low calorie, healthy treats. Also, Trader Joe's has a treat called "Charlee Bears" that are 3 calories each! There are many lower calorie options for rewarding your pet. 

Have a look at these BCS charts for dogs and cats. How does your pet score? If your pet is up in the 7 to 9 range, please give us a call or shoot us an email at techs.csah@gmail.com to discuss a weight loss plan for your pet! And always, we encourage you to swing by the office whenever you are out around town with your pet to check their weight and monitor your progress.

Need more information? Purina has a Project Pet Slimdown to help get your pet on track to a healthy weight in 2013.

Pet Survival Guide: Winter and the Holidays

Bonny Rose

The holidays can be a stressful time for your pet, just as it can be for you! Sure, they don’t have to struggle with mall traffic just to buy gifts for everyone on their list or cook for twenty out of town guests, but there are a lot of changes they have to adjust to in the month of December.

First off, let’s deal with the weather. Usually, in a normal winter, it’s COLD! (Now, a Tennessee winter is a different story). The weather changes affect your dogs and cats just as much as it affects you. As a guideline, if you pet stays outside usually they will be fine with proper shelter (a covered doghouse or similar structure) down to around 20° F. However, puppies, kittens, smaller dogs and geriatric pets usually should not be left outside below 40° F. Some pets may need a sweater if their hair coat is especially thin or short. The cold also makes arthritis act up in geriatric pets, so remember to have their arthritis medications on hand and limit their time outside. Frostbite can occur in extremely low temperatures, especially on the ears, paws and tail. If theses spots appear hardened, cold to the touch or black, please contact your veterinarian immediately. Remember to keep fresh water out for your dog and change it often to prevent freezing. Finally, if you use ethylene glycol anti-freeze in your vehicle, please keep it safe and away from your pet’s reach as it is highly toxin to both dogs and cats.

Now, for the holiday hazards your pet may encounter.

• Holiday Foods: Try to prevent your pet from getting any fatty or spicy foods, bread dough, fresh herbs, alcoholic beverages and sweets of any kind (especially chocolate ones). Cooked poultry bones can be a serious hazard to pets as they can splinter and cause gastrointestinal perforation.

• Decorations: Several holiday plants are toxic to pets, especially holly, mistletoe, poinsettias and amaryllis. Snow globes can contain anti-freeze, so keep them in a safe place to prevent them from breaking. Christmas trees should be secured to prevent falling and keep all breakable ornaments away from the bottom of the tree. Tinsel can also be a danger to both dogs and cats if ingested. Keep your pet away from the tree if possible, as ingesting the tree water or pine needles can cause stomach and intestinal upset. Also, keep candles and electrical wires out of your pet’s reach whenever possible.  

Lots of changes can happen over the holidays that may confuse or stress your pet. If you know when guests are coming, it is a good idea to exercise your dog before they arrive. This may help your pup relax and they may be ready for a nap by the time the guests show up. Try to prevent your pet from greeting guests at the door, as they may become stressed or react unexpectedly. If you think your pet needs a break or seems stressed, you can place them in their crate or an empty room to help them relax.

Finally, just like people, pets love presents! Don’t forget to pick up a new toy or some special treats for your pet to keep them entertained over the holidays.

Hope the holiday season treats everyone well and don’t forget to bundle up and keep warm! Happy Holidays from all of us at CSAH!

Breaking Down the Canine Annual Visit

Almost all veterinarians recommend an annual visit for your canine companions. In this blog post, we will break down our standard “yearly exam” for dogs with what vaccines are given and all the other items involved. One thing to keep in mind about vaccines is that they work by stimulating the immune system agaisnt certain antibodies or antigens. If a pet has a disease, such as a urinary tract infection or skin allergies, it is not a good idea to give vaccines at the same time, as that puts too much stress on the pet’s immune system. Let’s start off with a breakdown of our canine yearlys:

Canine annual examination:

1. DHLPP-CV
2. Rabies Vaccine
3. Bordatella vaccine (optional)
4. Fecal flotation
5. Nail Trim
6. Heartworm test +/- annual bloodwork
7. Full Physical Examination

1. DHLPP-CV: a combination booster with a lot of letters representing different diseases – we will break down the acronym below:

• D: stands for distemper virus – a very contagious and often fatal viral disease in dogs. It is usually spread from nasal or ocular discharge in injected dogs. This disease can affect many different organ systems, including the digestive system, respiratory system or the nervous system.

• H: stands for Infectious Canine Hepatitis – this disease is caused by adenovirus (some vaccines can be called DA2PP) and can be transmitted by contact with infected dogs through the urine, feces or saliva. This virus can cause liver failure, respiratory disease or eye damage. 

• L: stands for Leptospirosis – this is a bacterial disease that dogs can get when exposed to the organism in water. It can cause serious liver and kidney disease if contracted.

• P: stands for parvovirus. This is an extremely contagious and serious viral disease that can be fatal. It attacks the gastrointestinal system, especially in young puppies. It is typically spread through fecal exposure and is highly resistant to most cleaning agents.

• P: stands for parainfluenza – this is a respiratory viral disease that can cause coughing, especially when many dogs are found in the same place (boarding, grooming, etc.)

• CV: stands for Coronavirus – a less common viral disease in dogs that affects the intestines.

2. Rabies Vaccine – required by law. We usually start giving a 3 year vaccine to dogs after they have had two one year vaccines in a row. We will give each dog a current rabies tag at every annual visit. See our previous blog post for more information on rabies.

3. Bordetella Vaccine – this oral vaccine is optional for dogs. It prevents Bordetella bronchiseptica, a bacterial infection known to cause “kennel cough”. This vaccine is recommended for dogs that get groomed regularly, attend training sessions with other dogs, are being boarded or go to the dog park often.

4. Fecal Flotation – a sample is evaluated for presence of worm eggs. Most dogs on regular heartworm prevention do not have intestinal worms, but there is increasing resistance with many of these worms. The most commonly found worms in canine feces include whipworms, hookworms and roundworms. Some facilities require a fecal done annually before boarding.

5. Nail Trim – a complimentary pedicure for all dogs seen at their annual exam. Done mostly to save your hardwood furniture and upholstery. We have yet to meet a dog that enjoys a nail trim.

6. Heartworm Test +/- Annual Bloodwork – we require a negative heartworm test annually to renew any heartworm medication prescriptions. This is a blood test, typically sent to an outside lab that also tests for exposure to a few tick borne diseases. We also offer two different types of annual bloodwork that include a heartworm test.

• Junior Profile: a mini-chemistry panel checking liver and kidney values, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, and of course, a heartworm test. We recommend this bloodwork for dogs once they turn 3-4 years old and annually after that until your pet reaches their “senior years.”

• Senior Profile: a full chemistry panel with a more in depth look at liver and kidney function, electrolytes, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, a urinalysis and a heartworm test. We recommend this bloodwork for dogs once they reach 7-8 years old. This is also a good panel for any dog that has been sick or having urinary issues. If you would like more information on senior pet care, click here. 

7. Full Physical Examination - there is nothing more valuable to a veterinarian than a physical examination. Looking at every aspect of your pet every year helps to keep track of your pet as they age. We can make sure any lumps or bumps are not changing significantly and check for early signs of arthritis or other disease. There have been many cases where a dog comes in for annual vaccines, and a very significant disease has been found and treated just from a good physical examination. 

Milly stay healthy because she gets her exam and vaccines every year!

Hopefully this has been a good break down of our typical canine yearly examination. Please post a comment if you have any questions. Call us today at 615-377-4959 to schedule your pet’s annual exam! 

Better a day late, than never - Rabies

Did you see Old Yeller? If not, go watch it stat. I saw it when I was about eight, and I think it changed my life for three reasons. One, it is partially responsible for me becoming a veterinarian. Two, it solidified my love of Labradors. Three, it made me very afraid of Rabies. Why the movie reference? Well, I had grandiose plans of making a blog post in honor of World Rabies Day. However, World Rabies Day is September 28^th, so I missed my deadline by a day. My apologies, but we are still going to do an overview of the worst, most fatal viral disease, rabies.

Rabies is a viral disease (a Rhabdovirus to be exact – thanks Dr. Gyimah!) that is almost always fatal in animals and humans. It is secreted in salvia and typically transmitted from a bite by an infected animal. Rabies affects only mammals, mainly skunks, raccoons, bats foxes and coyotes. In household animals, cats are most commonly affected and have been since 1988. This is partly due to decreased compliance with rabies vaccines in cats (note: vaccinate your cat!). It also affects dogs, cattle, horses and other livestock.

Once an animal is infected with rabies, the virus travels along nerves from the wound site to the brain. It can take weeks or months for the virus to travel to the brain, depending on where the infection occurred. From there, the clinical signs begin. The signs are variable, but include your Hollywood perception of foamy mouth, aggression, staggering, etc. This is known as the furious form of rabies and is often referred to as “mad-dog syndrome.” There can also be fearfulness, seizures, difficulty swallowing (paralytic form), depression, light sensitivity or just acting in an unusual manner. Once clinical signs appear, the disease is nearly always fatal.

Diagnosis of rabies is an unpleasant topic. A definitive diagnosis is usually required if rabies is suspected. A rabies test involves humane euthanasia and decapitation. The head is then sent to a qualified laboratory for immunofluorescense microscopy.

Rabies control is the main mechanism of disease prevention. Annual vaccinations are a MUST for all dogs and cats. These days, many rabies vaccines are good for 3 years, with a new rabies tag being issued at each annual visit. As a bonus, rabies tag numbers can be used to help locate a pet’s home if they get lost. Also important is to limit your pet’s exposure risk. Keep your pet in a contained environment, such as inside or in a fenced yard. Avoid wild animals and never attempt to keep them as pets.

If another pet or a wild animal bites your dog, please give us (or any veterinarian) a call immediately. Even if the pet is current on vaccines, there are many risks associated with puncture wounds from animal bites. An observation period may be needed, depending on the situation. Unfortunately, if your pet is not current on vaccines and is exposed to a rabid animal, the only options are euthanasia or a strict isolation for 6 months. I cannot express enough how important it is to keep your pet current on their rabies vaccines.

How does this affect the pet owners? If an animal ever bites you, wash the wound immediately and see a doctor. If the animal is a pet, get information on the vaccination status and report the incident to the local health department. These cases are evaluated based on risk assessment, which may be too complicated to discuss in a brief blog post.

So, the moral of this story and the classic film Old Yeller? Vaccinate your pets EVERY YEAR! Questions? Let me know!

- H

Thunderstorms!

With the recent storms we have had in Middle Tennessee the last few weeks, I thought I would do a quick post about thunderstorm anxiety in dogs. This is a common fear in dogs (and rarely cats). It is very important to understand and manage your pet’s thunderstorm fear. All too often, pets can get frightened and panic and end up running away or hurting themselves or your home. Dogs can sense the barometric pressure changing before a storm rolls in and can develop anxiety before the storm can be heard.

The first thing to do with all pets, and especially pets prone to panicking and bolting away from their home, is ensure they have proper identification. ID tags on the collar AND a microchip are very important in case your pet gets lost. All too often people report found dogs that have lost their collar and therefore their only identification. With a microchip, most shelters and veterinary clinics have a scanner that can identify the ID number and then get the owner’s contact information associated with that number. This is an invaluable resource, and I strongly believe all dogs, whether inside or out, should be micro-chipped.

Ok, so your pet has proper identification. Now what? First off, provide your dog with a “safe place.” Inside, that is typically a kennel or a bed in a corner. For an outside dog, a doghouse or pen that is covered (to limit their visual stimulation from the lightening) is ideal. When storms are coming, make sure your dog knows where their safe place is and take them there. If possible, stay with your dog and try to distract them with petting, brushing or playing. Dogs can sense your anxiety or nervousness, so make sure you stay calm as well!

If your dog becomes destructive when anxious, then a crate is your best bet. That really limits the trouble your pup can get into while stressed during the storms. If you are not crating your dog, keep all doors closed and draw the curtains on all the windows. Turning on the TV or music can help distract your dog from the thunder. Unfortunately, some dogs may urinate (or defecate) when extremely anxious and nervous. This is a normal response to fear, and your dog should not be punished for this behavior.

If you have followed these guidelines and tried to modify the environment to help your dog, and they still have extreme anxiety during storms, you may need to take additional measures. I hear nothing but good things about “Thunder Shirts” and other similar items. The concept behind these is to put a mild amount of pressure around your dog. This gentle pressure helps to calm the dog during times of anxiety. See their website for more information (I am in no way being paid to promote this product, FYI, I just think it works most of the time). Another option is to see a behaviorist and work on reconditioning. This can be time consuming but can be very beneficial for the dog. Many pet owners have found great success with behavior modification.

A final option is medication to help with thunderstorm anxiety. The most common medication used in dogs is typically diazepam (Valium). This medication can help with your dog’s thunderstorm anxiety and typically has minimal side effects. Medications should only be used as a last resort for your pet. If you think your pet has severe thunderstorm anxiety, please give us a call, and we can discuss an appropriate plan for your pet.

Thanks and Happy Thursday!

- H