Archive for September, 2010

Oh no!! My pet had a seizure!!

Thursday, September 23rd, 2010

Seizures can have a number of causes, including toxins, low blood sugar, low calcium, kidney or liver problems, blood clots to the brain or “strokes,” infectious diseases, inflammation of or around the brain, cancer, epilepsy, and trauma. In pets that are predisposed to having seizures, stress and different medications can also cause seizures. In addition, stopping certain medications can cause seizures.

Both cats and dogs, along with our exotics, can have seizures. Seizures can be focal (isolated) or generalized. Although cats can experience either type of seizure, they more often have focal seizures, which may include symptoms such as facial twitching, dilated pupils and running into objects abnormally. Sometimes cats’ seizures can be so focal that they go unnoticed for periods of time.

Dogs can also have both generalized and focal seizures. Generalized seizures often involve severe muscle contractions, loss of consciousness and repeated jaw clamping. They may salivate, urinate and defecate as well. After the seizure subsides, your pet may be disoriented, start pacing, seem confused, be blind, or display other abnormal behaviors (e.g., aggression, fear, etc.). This period can last for anywhere from minutes to hours.

Seizure frequency is widely varied. Some pets have one seizure and never have another. Some have seizures more frequently (e.g., once every 6 months), but their seizures don’t significantly impact their quality of life. Others have more frequent episodes that do affect quality of life and therefore require medication. And still others have such severe seizures that medical management is ineffective.

So what should you do if your pet has a seizure? Bring him/her in to a veterinarian immediately. Your veterinarian can administer medications to help stop the seizures and will also likely recommend blood work to rule out potential causes of the seizure. Your veterinarian may also prescribe medications to help prevent further seizures, depending on their severity. Not all pets require long-term medical therapy, however.

Seizures that repeat more than once during a 24-hour period, seizures that happen one after another, and seizures that last more than 4 minutes are medical emergencies that need to be seen immediately. If your pet is having a seizure, do not place anything — especially your fingers — in his/her mouth! During a seizure, a pet does not know what is going on and can bite without intending to. They will not swallow their tongue. Keep them away from stairs and other places where they can injure themselves. If your pet has had seizures previously, keep a seizure log of what time the seizure started, how long it lasted, whether there was anything different about the environment (stress and thunderstorms can actually precipitate seizures), whether it was a focal or generalized seizure, and any medications given.

© 2010 Greenbrier Emergency Animal Hospital. All rights reserved.

What did my dog get into … ivermectin?

Monday, September 13th, 2010

Here at Greenbrier Emergency Animal Hospital, we’ve had two very interesting cases lately. This first one was a middle-aged dog who was disoriented. On examination, he was suddenly and completely blind! The second case was a 7-week-old puppy who was normal when the owner went to bed — but In the morning, when the owner woke up, the puppy couldn’t walk and was barely responsive. On examination, this puppy was also suddenly blind! What did these two cases have in common? They were both either on or near a horse farm. Ivermectin toxicity was suspected in both cases, and within a few hours (for the puppy) and a few days (for the older dog), they were completely back to normal.

Ivermectin is a drug commonly and safely used in many dogs to treat a variety of parasitic infections. This drug is also commonly used in cattle and horses at much higher doses — which can be toxic to dogs, if they are exposed to the medication. Certain types of dogs, including but not limited to collies and Australian shepherds, are also far more susceptible to the toxic effects of the drug.

Toxicity signs include depression, disorientation, nonresponsiveness, blindness, drooling, tremors, and walking like he/she is “drunk.” More severe signs, especially in the susceptible breeds, include low heart rate, low breathing rate, coma and death.

Treatment often is centered around supportive care, which may include intravenous fluid therapy, nutritional support and appropriate nursing care. Although ivermectin toxicity can be fatal in rare cases, many dogs do well and make full recoveries. Sometimes it just takes time. If your pet is displaying any abnormal neurologic behavior, or you suspect your pet has ingested anything toxic, bring him/her to your local veterinarian (or to Greenbrier after hours) immediately.

© 2010 Greenbrier Emergency Animal Hospital. All rights reserved.

Diarrhea…cha cha cha…

Friday, September 3rd, 2010

No one wants to talk about it, but sometimes our pets get diarrhea. Diarrhea can range in consistency from soft to very watery, and in color from black to brown to bright red and bloody. Your pet may have large amounts of diarrhea, or small amounts with more frequent trips to the bathroom.

Two of the most common causes of diarrhea are parasites and dietary indiscretion, otherwise known as “eating something they’re not supposed to.” However, there are a lot of other causes, including bacterial overgrowths; viral diseases such as parvovirus; abrupt diet changes; food allergies; abnormal digestion and absorption diseases; stress; toxins; drugs; metabolic diseases such as diabetes and Addison’s disease; kidney, liver and pancreatic abnormalities; inflammatory diseases; and in our older patients, cancer. (This is by no means an all-inclusive list, however!)

If your pet has diarrhea, your veterinarian will likely want to start by running a “fecal,” which tests the stool for parasites. When you go to your veterinarian, you can bring a sample of the stool with you, if it is fresh, for them to test. Be sure to wear gloves when handling stool, and wash your hands directly after, as some parasites can be transmitted from pets to people! Depending on the age of your pet and the severity of the diarrhea, other tests that may be run include parvovirus tests and blood work. Chronic diarrhea may require further testing and colonoscopy with biopsy samples.

Treatment for diarrhea depends on its severity, cause and duration. Your veterinarian may put your pet on a bland diet. Parasite infections are often treated with deworming medication. Sometimes your pet will need antibiotics or fluids. For severe cases, your pet may need to be hospitalized and given intravenous fluids and injectable medications.

If your pet has developed diarrhea, bring him/her to your local veterinarian, or to Greenbrier Emergency Animal Hospital if it is after hours. They can decide on the appropriate treatment to help your pet feel better.

© 2010 Greenbrier Emergency Animal Hospital. All rights reserved.