Understanding Ligament Tears
While ligament tears can cause serious setbacks in an athlete’s career, a similar injury can mean surgery and rehabilitation for your frisky kitty or romping Rover.
According to Dr. Sharon Kerwin, professor at the Texas A&M College of Veterinary Medicine & Biomedical Sciences, anterior cruciate ligament (ACL) tears or cranial cruciate ligament (CCL) injuries, as they are referred to in animals, occur almost as often as they do in humans.
“Cats and dogs have the same ligaments that we have in our knees,” says Kerwin. “The cruciate ligament stabilizes your femur and your tibia so you don’t get too much motion between those two bones.”
CCL tears in cats often occur the same way ACL tears occur in humans. Often, there is some traumatic injury that occurs as a result of jumping from high places, playing or getting the animal’s leg caught in something.
“It takes a fair bit of force to rupture a cruciate ligament, and it tends to occur more often in overweight cats,” says Kerwin.
However, in dogs, this injury is often the result of a chronic degeneration of the ligament and occurs much more frequently than it does in cats.
“In dogs, we think the injury may be related to weight and body structure, meaning that some large breeds such as Rottweilers, Labradors and Chow Chows, may be predisposed to CCL injuries,” said Kerwin. “In some cases, we think it’s either the shape of their tibia or the shape of their femur that predisposes them to this injury.”
A ruptured ligament is usually characterized by limping or inactivity. In cats, they will not want to play the way they used to, and dogs will often appear lame and sit awkwardly with their leg sticking out, signaling a possible knee problem.
Kerwin says if your pet shows signs of an injured leg, schedule an appointment with your veterinarian who will conduct a lameness exam in order to diagnose the problem.
The injury is often treated in cats with medical management by placing overweight cats on a strict diet with exercise restriction for three to six weeks, followed by a check-up measuring progress. If the injury fails to heal, surgery is often recommended to explore and stabilize the joint.
But when dogs are afflicted with CCL injuries, many times the best option is surgery as quickly as possible.
“Dogs often don’t do well with medical management, the injury will often worsen over time as the arthritis in the knee builds,” explains Kerwin.
Dogs often require 8-12 weeks of recovery including strict rest and rehabilitation
Once your pet has undergone the recommended period of exercise restriction, it is important to encourage it to exercise its leg with slow leash walks or through playtime activities.
“The biggest way to prevent CCL tears is to keep your pet at a proper weight,” Kerwin says.
It is very easy for animals to gain weight, especially if they spend most of their time indoors, because they do not get the same level of exercise. Your veterinarian can advise you on the proper weight for your dog or cat.
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Pet Talk is a service of the College of Veterinary Medicine & Biomedical Sciences, Texas A&M University.
Top Feline Toxins
How to keep your cat safe this upcoming year
It is no surprise that dogs and cats are, by far, the most common pets in U.S. households today. The cat population in the U.S. outnumbers dogs by more than 10 million, making them the most populous pet species. This is due, in large part, to apartment dwellers in urban environments, the ease of cat maintenance, and the potentially lower financial cost of ownership.
Dogs tend to be prone to mischief and account for a large percentage of calls to Pet Poison Helpline, a 24/7 animal poison control based out of Minneapolis. That said, cats still comprise a significant number of calls to Pet Poison Helpline. The top five most common cat toxins include:
- Human or veterinary drugs
- Poisonous plants
- Insecticides
- Household cleaners
- Other poisons, such as glow sticks and liquid potpourri
Human and Veterinary Medications
Approximately 40% of calls to Pet Poison Helpline are due to cats inappropriately ingesting human or veterinary drugs. Cats have difficulty metabolizing certain drugs due to their altered liver metabolism, especially as compared to dogs and humans. Common drugs such as non-steroidal anti-inflammatories (NSAIDS) are some of the most deadly to cats. When ingested, NSAIDS can result in severe, acute kidney failure (ARF) and gastrointestinal injury/ulcers. Likewise, one Tylenol (e.g., acetaminophen) tablet can be fatal to a cat. Untreated, it can cause severe anemia (low red blood cell count), difficulty breathing, a swollen face, liver failure and death. Cats also seem to like the taste of certain antidepressants (e.g., Effexor), which may contain an attractive smell or flavor in the coating. With any accidental medication ingestion, immediate veterinary care is imperative.
Plants
Poisonous plants are the second most common toxin that cats get into, and represent approximately 14% of feline-related calls to Pet Poison Helpline. True lilies (Lilium and Hemerocallis spp.), including the Tiger, Day, Asiatic, Easter, Oriental, and Japanese Show lilies, are among the most deadly, as ingestion can cause severe, acute kidney failure in cats. Because these flowers are fragrant, inexpensive and long-lasting, florists often include them in bouquets. Small ingestions of two or three petals or leaves ā even the pollen ā can result in potentially irreversible kidney failure. Even the water in the vase can be potentially poisonous to cats.Ā Immediate veterinary care is imperative. Despite their name, other plants such as the Peace and Calla lily are not true lilies and do not cause kidney failure. Instead, these plants contain insoluble oxalate crystals that can cause minor symptoms, such as irritation in the mouth, tongue, pharynx and esophagus.
Insecticides
Insecticides comprise approximately 9% of feline-related poisonings at Pet Poison Helpline. Exposure to household insecticides can occur when a cat walks through an area that was treated with lawn and garden products, sprays, powders, or granules. Cats are also typically accidentally exposed to household insecticides when pet owners inappropriately apply a canine topical flea and tick medication onto a cat. Dog-specific insecticides containing pyrethrins or pyrethroids are highly toxic to cats. Severe drooling, tremors and life-threatening seizures can occur. Always read labels carefully before using any kind of insecticide and ask your veterinarian about appropriate topical flea and tick medications for your cat. Even more ānaturalā or āholisticā flea medication can be very dangerous to cats.
Household Cleaners
Exposure to household cleaners accounted for approximately 6% of feline-related calls to Pet Poison Helpline. Many cat owners donāt realize that some common household cleaners like kitchen and bath surface cleaners, carpet cleaners, toilet bowl cleaners and even laundry detergents can be toxic to cats. Symptoms can include profuse drooling, difficulty breathing, vomiting, and even organ damage. After cleaning your home, make sure all excess liquid or residue is wiped up or eliminated as soon as possible. Only allow your cat back into the cleaned areas after the products have completely dried. When storing cleaning products, keep them out of your catās reach.
Other Poisons
The remainder of feline-related calls to Pet Poison Helpline involve less obvious poisons, such as glow sticks. Glow sticks and jewelry contain a very bitter tasting liquid called dibutyl phthalate. While rarely deadly, just one bite into glow sticks can cause your cat to drool profusely. Most of these exposures can be managed at home. Offer (but do not force) your cat to drink some chicken broth or canned tuna (in water, not oil); this will help remove the bitter taste from the mouth. Remove the glow sticks and clean up any remaining liquid to prevent re-exposure as cats may continue to groom the bitter dibutyl phthalate off their fur. A bath may be in order to remove any āglowingā liquid from his or her skin. If you see signs of redness to the eyes, squinting, continued drooling, or not eating, a trip to the veterinarian may be necessary.
Keep your four-legged felines safe by protecting them from these common feline toxins. If you think your pet may have ingested something harmful, take action immediately. Contact your veterinarian or Pet Poison Helpline at 1-800-213-6680.
Hyperthyroidism is Increasingly Common Among Older Cats
If you have a kitty, you have probably heard of feline hyperthyroidism. Chances are even better if your Fluffy is a senior. That’s because feline hyperthyroidism is the No. 1 endocrine disorder of aging cats.
Hyperthyroidism is caused by an overactive thyroid gland. The opposite condition is an underactive thyroid gland, or hypothyroidism. People can be affected by either condition. Interestingly, for our four-legged family members, hyperthyroidism is virtually exclusive to senior cats, and hypothyroidism to dogs.
In fact, hyperthyroidism is so common in aging cats that standard wellness guidelines recommend screening for this disorder annually once a cat turns 7 years old.
The initial signs of an overactive thyroid gland can be subtle. As the disease progresses, your kitty may begin to show more obvious signs of a problem.
Early detection is key to successfully managing this disease and Fluffy’s overall health. Although some consequences of hyperthyroidism are reversible once treatment is established, others are not.
Excess thyroid hormone affects virtually every organ in the body. It increases metabolism, causing weight loss despite increased appetite. Fat and muscle are burned away. If left untreated, hyperthyroidism is a wasting disease.
Initially, you may not be aware that your cat has lost a few ounces. Or, you may erroneously think that Fluffy’s diet is finally taking effect.
Your veterinarian may examine Fluffy and feel an enlarged thyroid gland in his throat. This is usually due to a benign growth of thyroid cells. These abnormal cells don’t listen to the cat’s body’s signals to turn off hormone production.
Rarely, the enlarged thyroid gland may be due to cancer. This occurs in 1 to 2 percent of hyperthyroid cats. These cats initially have signs similar to other hyperthyroid cats, but the abnormal cells eventually metastasize, causing tumors elsewhere, such as in the lungs.
As metabolism increases, the heart works harder. This muscle pump changes in size and dimension due to the constant stimulation. Eventually, this leads to heart failure.
The kidneys take a toll as hyperthyroid blood is pounded into their delicate filters. Ironically, hyperthyroidism can initially mask the signs of kidney disease, but the damage is occurring nevertheless.
Blood pressure may climb and affect a variety of organs. For example, cats may become blind from retinal detachment.
Uncontrolled hyperthyroidism increases anesthetic risk. Safe anesthesia protocols include screening all senior cats for hyperthyroidism before performing elective anesthesia.
Fortunately, hyperthyroidism can be easily diagnosed with a simple, inexpensive blood test. Occasionally, thyroid levels can be in the “gray zone.” These cases warrant monitoring until their thyroid trend can be determined.
The good news is that most cases of hyperthyroidism can be successfully managed.
Daily, lifelong medicine controls hyperthyroidism in many cats. Most kitties tolerate this quite well. However, 10 to 15 percent become too ill from side effects of the drug to continue. Risks include severe nausea, liver disease and blood cell destruction. Cats need to be monitored closely for life-threatening risks, especially when starting or increasing this drug.
Unlike drug treatment, radioactive iodine therapy is a permanent remedy for hyperthyroidism. Certain government-approved centers provide this treatment by injecting affected cats with radioactive iodine. The sick thyroid cells attract this medicine, which in turn destroys them. Not all cats are good candidates for this procedure, but for those that are, the results can be marvelous.
Another option is to surgically remove the sick thyroid gland. This is also a permanent treatment, but involves placing a potentially unstable patient under anesthesia. Sometimes, the adjacent parathyroid gland is also damaged or removed, causing possibly severe calcium derangements.
In recent months, a novel therapeutic diet has been developed by a major pet food manufacturer to treat hyperthyroidism. The food is safe and effective, but cats must stay on it forever and cannot have treats or other nibbles of food. This can be especially challenging in households with multiple cats.
Research is ongoing to better understand what causes some cats to become hyperthyroid.Ā We know that the incidence of this disorder is increasing.
This is partly due to the increasing lifespan of cats over the past few decades. Since hyperthyroidism is a disorder of senior cats, we expect to see the incidence rise with a larger senior feline population.
But the incidence of hyperthyroidism is increasing faster than the senior cat population. And indoor cats have a higher risk than cats that go outside.
Various environmental factors, including canned cat food, flea products and cat litter have been studied as possible causes, but none has been found to be associated with hyperthyroidism.
A more recent theory suggests flame retardants in furniture and rugs as a possible culprit. More research is needed to determine whether there is actually a cause and effect relationship.
The bottom line: You can help Fluffy by having her thyroid checked every year after age 7.
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Dr. Heidi Bassler practices at Bassler Veterinary Hospital
Easter Goodies and Decorations Can Be Harmful to Pets
Pet owners are asked to be mindful of Easter foods and decor that can pose threats to animals.
Here are several tips:
Easter lilies are highly toxic to cats and can cause kidney failure.
Chocolate is toxic for dogs when ingested in large quantities and contains xylitol, which can cause a fatal drop in blood pressure. Also posing a risk are candy wrappers, sticks and plastic eggs.
Human holiday food can cause pets to become ill, including gastrointestinal sickness, pancreatitis and intestinal blockage or injury from eating bones.
Easter basket grass can cause intestinal obstruction in cats and may lead to emergency surgery.
Chicks and rabbits should not be taken on as pets unless their owners are committed to giving them permanent homes and caring for them responsibly.
For more information, visit lmah.net or call 645-2758.
How to get a finicky cat to take it’s medicines
Giving medications to cats can be daunting, but there are alternatives toĀ make the process easier. Many people have success hiding medications in theirĀ cat’s favorite treat or in commercially available treats designed with a pouchĀ for hiding pills.
Another option is to have medications compounded into a form and flavor thatĀ works for your pet. This involves dissolving or suspending medications into aĀ palatable liquid base that can be given directly into the mouth or hidden in theĀ food.
Cats are sensitive to bitter tastes or strange smells in their food and mayĀ not get the full dose if this approach is used, but specially trainedĀ pharmacists at compounding pharmacies can add sweeteners, or use a differentĀ form of the base medication to offset bitterness or acidity. They also have aĀ large range of flavoring agents, from meat to fruit flavors, in order to appealĀ to many different species of pets.
Some medications can be made into a chewable, flavored treat. CompoundingĀ pharmacies are available throughout the Bay Area. Ask your veterinarian if thisĀ is an option the next time a medication is prescribed.
Compounding pharmacies can also put some medications in gels or patches whereĀ the drug is absorbed through the skin or ear flap. While this route is notĀ available for all medications and the dose actually absorbed can vary dependingĀ on ambient temperature or blood flow to the skin, it’s a nice option and avoidsĀ the owner dealing with sharp teeth.
Finally, some owners find it easier to give injections, especially if they’veĀ had prior experience. Your veterinarian can show how it is done if they feelĀ that’s an appropriate option.
Kirsten Williams, DVM, Creature Comfort Holistic Veterinary Clinic,Ā Oakland
Pet Fecal Exams are and excellent Diagnostic and Preventive Tool
This question comes up every day at veterinary hospitals; how important is the laboratory analysis of a dog or catās stool? Years ago, fecal exams were done only on animals with digestive problems, either diarrhea or vomiting. But times have changed and so has our knowledge of disease-causing parasites.
First, there are newer ones that, years ago, never existed in our local environment. Just a few years ago, we rarely saw hookworm or whipworm infections. But as people have moved with their pets from other parts of the country into South County, these ābugsā have emerged as a potential problem. In addition to intestinal worms, protozoa (named giardia) are nearly endemic in many parts of California, causing digestive upset in animals and people. And those pet store over-the-counter medications? Unfortunately, theyāre not effective in eliminating many of these parasites.
Veterinarians and medical doctors are keenly aware that some animal parasites can also infect children, causing serious illnesses including blindness and paralysis. Itās a nasty world out there and we canāt just look the other way. So weāre always on the lookout.
Iām sure your vet made the right decision insisting on that fecal exam. Considering your poochās weight loss, it makes sense to check into the potential for a parasitic problem. Fecal exams should be done whenever there are signs of indigestion, weight loss or unthriftyness. Itās good medicine for your pooch AND for your family.
Top 10 Cat and Dog Medical Conditions of 2011
From the Animal Endocrine Center Blog
Veterinary Pet Insurance Co. (VPI), the nation’s oldest and largest provider of pet health insurance, recently sorted its database of more than 485,000 insured pets to determine the top 10 dog and cat medical conditions in 2011. Click here to see the original report from VPI or see the lists below.
For cats, notice that two endocrine problems, hyperthyroidism and diabetes, were among the top 5 most common feline diseases. For dogs, the only endocrine problem that made the top 10 list was hypothyroidism, but I suspect that hyperadrenocorticism Cushing’s syndreome) and diabetes were not far behind.
- Lower urinary tract disease
- Gastritis
- Chronic renal failure
- Hyperthyroidism
- Diabetes mellitus
- Enteritis/diarrhea
- Skin allergy
- Periodontitis/dental disease
- Ear infection
- Upper respiratory infection
- Ear infection
- Skin allergy
- Skin infection/hot spots
- Gastritis/vomiting
- Enteritis/diarrhea
- Arthritis
- Bladder infection
- Soft tissue trauma
- Non-cancerous tumor
- Hypothyroidism