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Tuesday, 9 November 2010

$38 : My 7 year old over weight chihuahua has been having trouble

Thanks XXX XXX info.

What you are seeing is definitely irritation of the nasal cavity. The question is what is causing it. Based on your description, it can be foreign body in the nose, fungal infection, or cancer. Since you have done a few tests already and came up with nothing concrete, he needs to have a more advanced imaging testing. I would suggest to find a veterinary radiologist and internal medicine specialist for a MRI. This is a very concrete way to find out what is inside the nose. To start the process, the best way is to find an internal medicine specialist for a consultation. You can find one here: http://www.acvim.org/

Please let me know if you have any questions or concerns. Thanks.


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$38 : My goat has rectal bleeding and seems unable to pee. What

Hi there.

If your goat is straining to urinate, this will cause straining of her rectum also. These are symptoms of a urinary tract infection or urinary blockage. If this is an infection , daily injections of penicillin G for 5-7 days will resolve this situation. If there is a urinary blockage, this will not respond to antibiotics and your vet will have to treat your girl for this.

A urinary blockage is much less common in female goats but it is still possible and these symptoms that your girl is showing may be caused by this which will require veterinary attention.

good Luck!!

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Veterinarian

25 years experience in large and small animal medicine.


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Monday, 8 November 2010

£28 : Hello I need advice about a very young cat who comes to

HI there.

This lesion may be due to a healing abscess. This is an infection that happens under the skin and the healing process causes this scab like lesion that will resolve on its own. Since she can reach it, she will keep this area clean until it heals.

This could also be due to a food allergy. This is a common distribution for this type of lesion and this will require steroid treatments which the owner may not be able to get for her.

For now, when she appears, apply Neosporin to this area. If this is an infection, this will help and even if she licks this, it will not hurt her.... If this does not resolve, she may require veterinary attention.

Good Luck!!


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$48 : What treatments are out there for a Morkie with PLE disease?

The disease or term PLE means there is protein lose in excess through the intestinal tract and as a result there is a low serum protein causing other problems. Now, PLE usually has an underlying cause. In other words, something else is going on in the body that is causing these protein to be lost. PLE can be caused by cardiovascular disease, parasites, food sensitivity, cancer, inflammatory bowel disease, lymphagiectasis, fungal infections, etc. The list is very long. In addition, the veterinarian also has to exclude other causes that would cause a low serum protein like liver disease, kidney disease, etc. Once the veterinarian determines the underlying cause than treatment is tailored toward that problem.

As far as being a genetic disease, it has not been proved but yorkies is one of the breeds where PLE is seen commonly.

As far as diet, in general we are learning that keeping dogs on a grain free and casein free diet may be best. Food sensitivities is one of the things that can cause PLE. I would recommend get him off gluten (protein found in wheat, barley and rye), corn, soy and casein (dairy). You may want to feed him a home cooked protein source with some potatoes and veggies (broccoli, carrots, etc.).

I would recommend you speak to your veterinarian about trying to find the root of the problem. If your vet does not feel comfortable working this case, than request a referral to an internal medicine specialist.

If you have additional questions I will be glad to answer them.

Dr. Peter


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Sunday, 7 November 2010

CA$53 : Small Maltese mix has hair loss over large amount of body.

Optional Information:
Type of Animal: Maltese mix
Gender: Female
Age: 9

Already Tried:
thyrotabs


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$38 : My Doverman has had diarrhea for some time has been wormed

Thank you for your reply!

I would try some conservative management at home - you can start by offering a bland diet. A common bland diet is boiled chicken and rice (2/3 rice and 1/3 chicken). I would try this for about 1 week, hoping that she improves over this time. You can also add 2 tablespoons of either bran or canned pumpkin (not pumpkin pie filling) to help as well.

You can also consider giving 10mg of Pepcid A/C (famotidine) by mouth every 12 hours for 5 days for stomach upset. You can purchase this over the counter. They usually come in 10mg tablets, so you will give 1 tablets by mouth every 12 hours.

You can also consider giving 2mg of the immodium once per day to help with the diarrhea.

If the signs do not resolve - or worsen - in 5-7 days with this supportive care, then I would see your primary veterinarian.

Regarding a veterinary visit, tests they may consider performing include:
- Evaluation of the feces for abnormal bacteria or parasites
- Bloodwork to check electrolytes and organ values
- Potentially even x-rays.

Hopefully with a little food change / bland diet, everything will be better in a few days.

I hope this information helps!
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Please click "ACCEPT" if the information I have provided has been of help so I receive credit for my work. Bonuses are always welcome and appreciated. Thank you.

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Veterinarian

Emergency and Critical Care Specialist


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Saturday, 6 November 2010

$38 : Hi. I have several questions. My 8 year old Labrador "max"

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Friday, 5 November 2010

$18 : dwarf rabbit tends to appear as if unbalanced leans to the

Optional Information:
Type of Animal: Dwarf rabbit
Gender: female
Age: 2

Already Tried:
nothing yet but my friend suggested maybe a course of antibiotics?


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$23 : What can you do to treat mites on a dog?

Yes, that would be scabies, or sarcoptic mange. I presume that he has hair loss with intense itching and if so there are a few options to treat this.

You can use a product sold at any veterinary clinic, "ProMeris", which is a topical application to treat fleas. This will also treat mange and you can buy a six pack of this and apply it once every two weeks for six doses. By the way, ProMeris will also cure demodectic mange at the same dose but sometimes you have to treat a bit longer than you do to cure scabies.

Let me know if you have more questions about this,

Dr. Debbie

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Veterinarian

Companion animal veterinarian for over 8 years


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Thursday, 4 November 2010

$38 : Hi, We have a very constipated 11 year on female cat that has

Hello Cynthia,

I am sorry to hear about this situation.

No, I would not wait. Absolutely, veterinary examination today.

I do not doubt she is constipated and we can't rule-out systemic (internal) causes of illness that can result in dehydration and subsequent constipation. That includes kidney disease!

Absolutely, she really would benefit from getting supportive care today, since she has not had a bowel movement in so many days!

Also, the veterinarian should DEFINITELY be asking you to perform a basic blood test for an overall health assessment. This is critical to know how she is doing and to determine what other supportive treatments may be necessary.

If there is anything I have not covered for you, please use the REPLY button, and I will happily continue to chat. I hope you have found my advice helpful or informative. Please remember to click the "ACCEPT" button (EVEN IF YOU ARE A SUBSCRIBING MEMBER).

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Veterinarian

UC Davis Graduate / Interests: Internal Medicine, Dermatology, Pain Control, Emergency , Geriatrics


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Wednesday, 3 November 2010

AU$46 : our 11 week old puppy vomitted yesterday and twice today once

Optional Information:
Type of Animal: boxer cross bull arab
Gender: male
Age: 11 weeks

Already Tried:
nothing


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£13 : I have a cat who is 20 years old and is struggling to walk

I have a cat who is 20 years old and is struggling to walk properly. She can't balance on 3 legs or clean herself, so her fur is becoming matted, its difficult to brush her as she is so frail now. She also is missing her litter box. She urinates a lot and drinks a lot and seems to struggle to sit/lay down. She eats well but is very very thin. I haven't taken her to the vets because she would be very traumatised. Is it time to consider putting her down? I can't tell if she is in pain but she struggles to do the basis cat things shes always done. Thank you . Is it possible to knock the cat out first with say gas before injecting them so she is less aware of what is happening?

Submitted: 18 days and 5 hours ago.

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Tuesday, 2 November 2010

£28 : Hi tried to get an answer but couldn,t contact you for some

From your description I am most concerned that you are describing a syncopal, collapse episode (as compated to a seizure).

Syncope (collapse) - This is the sudden finding of marked weakness but at times they remain conscious and they do not have twitching as seen in seizures.

This may be associated with anything from low blood sugar to heart disease.

Based on what you describe - I would recommend seeing your veterinarian as soon as possible for evaluation and several tests:

- Basic bloodwork to look at the glucose, organ values, and electrolytes to get an assessment of overall health and investigate a cause for these events.

- Further assessment would be a chest x-ray looking at the heart, an EKG looking for an arrhythmia or even an ultrasound of the heart, called an Echocardiogram if needed to see if there is heart disease. Especially with signs that occur with activity - it is important to evaluate the heart.

These episodes can be quite scary and getting veterinary evaluation is important to make sure there is not something more serious that needs treatment.

I hope this information helps!
_____________________________________________________________________
Please click "ACCEPT" if the information I have provided has been of help so I receive credit for my work. Bonuses are always welcome and Feedback is appreciated. Thank you.

The above is given for information only. Although I am a licensed veterinarian, I cannot legally prescribe medicines or diagnose your pet's condition without performing a physical exam. If you have concerns about your pet I would highly advise contacting your regular veterinarian.


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$38 : I have a seven year old golden retriever who has an allergy.

Nancy,

With the duration of this problem, I would urge you to consider asking for a referral to a veterinary dermatologist. I have a "3 visit" rule at my practice - if we can not diagnose or significantly improve a problem, or feel as though we are heading in the right direction, I recommend a referral.

Your vet should be very understanding of your request, and you can locate a boarded vet
dermatologist here:

https://www.acvd.org/

I'm very glad to hear that regular thyroid blood work has been performed, and that she is not hypothyroid. Hopefully regular liver/kidney labs are checked also - this will be important to rule out conditions that may cause her to be more sensitive or prone to infections, and also, to evaluate her overall health and see if she is healthy enough for medications that she may need.

With the discoloration, it will be very important that skin scrapings and tape preps are taken to rule out both demodex and malassezia (yeast). Especially with a history of ear infections due to yeast - I see many topical (skin) yeast infections. If left untreated, dark discoloration and eventually, thickening of the skin, can occur. More info:

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=466

If you can't control the yeast, even if you control the underlying allergy, it will persist. Yeast infections are typically very itchy.

Sometimes, a skin biopsy may be needed to rule out a deep bacterial infection, or demodex deep in the tissue, which can not be readily found. In addition, goldens are a breed that can have a genetic keritinization disorder, that may need special treatment to maintain.

I think a thorough exam, some sampling and microscopic evaluation, labs (if due) and a complete history about what was tried in the past and what was effective/not effective is in order.

Once this is done, your vet or specialist may wish to treat the infection and NOT make a food change, or may wish to start a food trial. However, unless the specialist has a high suspicion of food allergy, he/she may start with treating secondary infections - otherwise, it will be hard to know what is causing the improvement. Does that make sense?

Here are handouts on food allergies that I print out for my clients.They have a list of recommended foods and links to sites for home-cooking:

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=652

http://www.veterinarypartner.com/Content.plx?P=A&S=0&C=0&A=2499

I do recommend either home cooking or true prescription hypoallergenic diets for a 12 week trial - there isn't enough quality control/strict control on over-the-counter brands, and if the trial doesn't work - you won't know if it was due to the food, or if she does NOT have food allergies.

Please reply back if you need anything else, or if I can help in any other way. Allergies and secondary infections are typically complicated, and I'm sorry there aren't any quick fixes I can provide here. However, I am really hopeful that if you see a dermatologist, you could see a remarkable improvement.

Sincerely,
XX. X.

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Veterinarian

>10 years practicing veterinary medicine including exotics, fish, reptiles. Canine/feline specialist


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Monday, 1 November 2010

$38 : My parakeet is on the bottom of the cage. Appears weak, unbalanced,

Hi there,

Sorry to hear that your bird is having trouble.

Any time that a bird is not eating and spending its time at the bottom of the cage, this indicates potentially serious illness. Birds are masters at hiding any problem until it is advanced and severe, so by the time they are showing signs of disease, they are often very sick.

I would recommend that you have your bird seen by a veterinarian who is well-versed in bird medicine as soon as possible. In the meantime, you can try to get some fluids into the bird using a small medicine dropper, however if the bird appears stressed by this (open-mouth breathing, puffing feathers, stumbling, etc), do not continue.

One caveat. In a sick bird, simply the act of collecting the bird and transporting it to a veterinary clinic can sometimes be enough stress to kill the bird. Use slow movements and keep the bird in a warm, dark, quiet place before, during and after transport for best results.

Hope that helps!! Happy to answer more questions for you if you have any.

Thanks!
Dr. Paul

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Veterinarian

Small Animal Medicine and Surgery Internship, Veterinary Acupuncture trained, Wildlife and Exotics


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SG$58 : Dear Doctor, my cat's appetite started diminishing drastically

Dear sir,

just thought i'd update you on the results of my cat's ultrasound.

her kidneys have shrunken considerably: each is only 3cm wide, and her stomach lining has thickened, which means she has been dealing with acid and inability to excrete waste for quite some time. this is the cause of the nausea and unwillingness to eat.

since kidney failure is a natural thing and irreversible, my family has decided to let nature take it's course. i'll give her antacids and anti-ulcer meds to make her stomach comfortable while she starves, and if they make her feel good enough to ingest some food, it will be a miracle. but if it doesn't, we'll just keep her hydrated and let her go. if it's not now, it'll be later, or something else. and she seems like she doesn't want to fight another battle after her 8 month ordeal with periodontal disease. she seems accepting.

but i don't know how i will cope seeing her lose her liveliness, her fur as it falls out in clumps, and when her liver fails i've been told she'll start vomiting blood. i hope she can go peacefully, painlessly and beautifully on her own without needing my ''intervention''.

thank you for your help. all the best. i may ask you another question about another one of my 5 cats sometime. touchwood, haha.


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