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Calming Pets Naturally with Acupuncture

We’ve been discussing natural pet calmers and have covered 7 different topics: calcium and magnesium, lavender oil, pheromones, melatonin, Chinese herbal formulas, flower essence remedies, and homeopathic medications. Now, let’s consider acupuncture. It may seem like a stinging idea rather than a calming interlude, but acupuncture is quite calming both in the short term and in the long term.

Among the most calming acupuncture points are:
• GB 20
• Ht 7
• PC 6
• B 18
• B 19
• LV 3
• LI 4

Your veterinarian can show you where these points are on your pet’s body, or use the book 4 Paws 5 Directions by Dr. Cheryl Schwartz.
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Calming Pets Naturally with Homeopathic Medications

We’ve been discussing natural pet calmers and have looked at calcium and magnesium, lavender oil, pheromones, melatonin, Chinese herbal formulas, and flower essence remedies. Now, let’s consider homeopathic remedies.

Safety of homeopathic meds
Homeopathic medications contain dilute amounts of an herb, plant, mineral or animal product that leaves its energy in the medication. Homeopathics are excellent choices for weak or debilitated pets because they don’t interact with any medications the pet may be taking. Thus, you don't need to worry about whether you'll need to change a dose of lasix that drains off fluid or digoxin that slows and strengthens the heart.

Another advantage of homeopathic medications is that they have little potential to cause harm. This is unlike antibiotics, prednisone, nonsteroidal anti-inflammatory drugs (NSAIDs), or even herbs--all of which can have detrimental effects as well as beneficial effects.

Because of their safety and their ease of use in pets taking multiple medications, we like to use homeopathic medications to calm pets.

Prescribe using pet's nature
To get the most effective homeopathic calming med, we select one that reflects the personality of the pet, as well as the situation. In some cases, however, we can calm pets by choosing generic homeopathic meds designed to treat restless and stress.

Which commonly used homeopathic remedies calm pets?
Among the calming homeopathic remedies are:
• Argentum
• Belladonna
• Cantharis
• Chamomile
• Kali bromatum
• Sepia
• Skullcap
• Valerian
• Zincum

Chamomile is one of my favorites for calming garden-variety, irritable pets.

Prescription homeopathics more effective than generic over-the-counter medsHomeopathic medications are available over-the-counter or over the internet, and are safe for most pets at low doses. The greatest benefit, though, comes from using homeopathics at high doses (which means multiple dilutions), which are prescribed by trained homeopaths.

What's coming?
In our next, last blog on calming agents, we’ll cover acupuncture points that help calm pets.
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Calming Pets Naturally with Flower Essence Remedies

We’ve been discussing natural pet calmers and have covered calcium and magnesium, lavender oil, pheromones, melatonin, and Chinese herbal formulas. Now, let’s consider flower essence remedies. These are excellent for weak or debilitated pets because they don’t interact with any medications the pet may be taking. Flower essence remedies have little potential to cause harm and are available over the counter or over the internet.

Here are examples of essences for single flowers and the behaviors they help calm:
• Cherry Plumb- destructive impulses
• Crab Apple- over fixated on trivial
• Heather- dislikes being alone
• Impatiens- irritability, mental tension, unable to cooperate
• Vervain- strain, tension, extremism
• Vine- inflexible, domineering

It’s possible to give flower essence formulas as a single remedy or to combine them and give 5 or 6 together. Many families may be familiar with common flower essence remedies, such as Bach Flowers or Five Flower Remedy. In my experience, www.SpiritEssence.com in Colorado has even more effective remedies.

In a future blog, we’ll cover homeopathic medications as calming agents.
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Calming Pets Naturally with Chinese Herbs

We’ve been discussing natural pet calmers, and we've covered calcium and magnesium, lavender oil, pheromones, and melatonin. Now, let’s consider Chinese herbal formulas for pets.

Many Traditional Chinese Medicine (TCM) herbal formulas are excellent calmers:

  1. Minor Invigorate Collateral Circulation (Xiao Huo Luo Dan) This medication is best for pets that have what we diagnose in TCM as blood deficiency, damp, stasis, or liver yin deficiency. Pets that benefit most from Minor Invigorate Collateral Circulation have pale or bluish tongues with a white coat. They often have a pulse that is slow & weak.


  2. Subdue Endogenous Liver Wind (Zhen Gan Xi Feng Tang) This medication is best for pets that have what we diagnose in TCM as liver wind. Pets that benefit most from Subdue Endogenous Liver Wind tend to have red, dry tongues. This herbal medication promotes Liver Yin.


  3. Dispel Stasis from Mansion of Blood (Xue Fue Zhu Yu Tang), which is also called Gentian Drain the Liver Decoction (Long Dan Xie Gan Tang This medication is best for pets that have what we diagnose in TCM as damp heat or blood stasis. These pets tend to have tongue that are coated, dark or slight lavender, and thin. Dispel Stasis from Mansion of Blood calms these pets by cooling and moving energy and blood.

These particular TCM formulas are very powerful and can be toxic if given to pets that don’t need them or if given to pets that need them for too long a time. Don’t use these herbs if your pet is pregnant. The usual dose is 1/2 ml/lb divided so that half is given in the morning and half in the evening.

In a future blog, we’ll cover flower essence formulas as calming agents. Usually, I don't promote products but in the next Caring for Pets blog, I'll tell you which flower essence products are little miracles and which I find ineffective.
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Calming Pets Naturally with Melatonin

We’ve been discussing natural pet calmers, such as calcium and magnesium, lavender oil, and pheromones. Now, let’s consider melatonin, which is available over the counter and has very little potential for causing harm.

Benefits of melatonin
Melatonin is a hormone released at night while pets sleep and helps make them calmer, helps increase their level of Growth Hormone, and helps their coats grow. Some researchers feel melatonin also helps pets with cancer stay healthy longer than those not receiving this supplement.

Pets must sleep in the dark
Pets are born with the ability to make their own melatonin while they sleep, but aging brains and the environment cause the brain to secrete less melatonin over time. One of the environmental factors that decreases natural melatonin production is sleeping in lighted rooms. Night lights, television screens, street lamps all provide light that is new to bodies that spent thousands of years evolving where only the moon and stars gave light at night. Pets that slept in dens and caves didn’t even have regular exposure to this low level of moon and star light. And now, pets sleep exposed to lights from television, street lamps, and hall night lights. It’s become impossible for them to make the melatonin their bodies require.

The pineal gland
The pineal gland makes melatonin. It sits deep in the brain behind the eyes, and some refer to it as the third eye. The pineal picks up light signals from the retina at the back of the eye. When the retina signals light, it doesn’t make melatonin. When the retina signals there’s no light, the pineal makes melatonin. Making melatonin is a slow process that takes several hours to start so that melatonin doesn’t increase in our pets’ brains for several hours after they’ve gone to sleep. Production is interrupted if they sleep for a few hours, then wander around and go back to sleep. Long hours of uninterrupted darkness and sleep are necessary for melatonin production.


Melatonin dosage
Melatonin is available over the counter, but please asks your veterinarian’s advise when using it. The normal dose is 3-5 mg orally at bedtime, but the does is increased when treating pets with skin disease or cancer.

What’s coming?
We’ve looked at several natural calmers (calcium, magnesium, lavender oil, and pheromones) and in a future blog, we’ll cover Chinese herbal formulas, homeopathics, and several other calming agents.
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Calming Pets Naturally with Pheromones

Dog Adaptive Pheromone (DAP) Calms Dogs and Feliway Calms Cats

We’ve been discussing natural pet calmers, such as calcium and magnesium, and lavender oil. Now, let’s consider pheromones.

What are pheromones?
Pheromones are natural chemicals that reach the oldest, most primitive part of the brain called the rhinencephalon. This area of the brain links to other areas that control behaviors such as aggression (limbic system) and to the hypothalamus and reticular activation system with cells that stimulate the desire to eat, sleep, and relax.

Who benefits from pheromones?
Because pheromones reach from the most primitive cells upward, and not from the most sophisticated thinking and planning cells downward, pets don't need to think about being calm or wanting to rest. Pheromones bypass the frontal lobes where thinking and planning occur. Bypassing the thinking areas makes pheromones ideal for changing behavior in:
  • pets that don't stop to think,

  • the young puppy or kitten whose frontal lobes haven't begun to work well,

  • the senior dog and cat whose frontal lobes are wearing out,

  • and pets so anxious they cannot think.

What's in DAP for dogs?
The pheromone DAP helps calm dogs by simulating chemicals a nursing bitch releases. Dogs feel secure and loved, as though they were puppies back in the nurse box with their mothers.

What's in Feliway for cats?
The pheromone Feliway helps cats relax because it contains chemicals similar to those on cats’ chins. Cats love to rub their chins with these marking scents on their favorite objects—including us. When Feliway is released into their environment, they feel as though everywhere around them were safe, familiar territority.

DAP and Feliway are available as sprays or as atomizers that can be diffused into the air.

What's coming?
In a future blog, we’ll cover the hormone melatonin, herbs, and other calming agents.
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Calming Pets Naturally with Lavender Oil

Lavender Oil Helps Calm Pets
We’ve been discussing natural pet calmers, and already discussed giving calcium and magnesium. Now, let’s consider one of the essential oils, Lavender.

Lavender is so effective as a calming agent that many humane societies use it to calm the homeless pets and decrease their barking.

Dogs travelling in cars also tend to have fewer problems with drooling, vomiting, and carsickness.

How to use lavender oil
Dilute all essential oils, including lavender, before putting them on the skin. It’s often better to mist the room, car or bedding, or to apply drops to the collar than to apply the oil directly to the skin. Use oils sparingly because pets smell them so much more easily than we do. Some pets are allergic to essential oils, and if the skin becomes irritated, stop using the oil.

In a future blog, we’ll cover other calming agents, including pheromones, herbs, acupuncture, homeopathy, flower essences, melatonin, and music.
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Calming Pets Naturally with Calcium and Magnesium

Calcium and Magnesium Help Calm Pets
Over the next few blog entries, we’re considering many different calming agents that can be used to help pets relax. An elemental start with calcium and magnesium.

Calcium and magnesium are excellent natural calmers. Use a ratio of 1:1, such as 80 mg Ca + 80 mg Mg Citrate. Use this dose two or three times a day for a 45-lb dog. If your pet is calcium or magnesium deficient, it can take a week or more of supplements before your pet is calmer and less restless.

Some pets should not have calcium and magnesium supplements.

  1. Don’t give calcium and magnesium supplements to large-breed pets that are not fully grown. These supplements can encourage bone growth that outpaces muscle growth and increase the tendency to develop abnormal hips and joints.


  2. Don’t give calcium and magnesium supplements to pets with bladder stones. We usually find calcium stones in pets that have acidic urine, Cushing’s disease, hyperparathyroidism, & cancer. We usually find Magnesium stones in pets that have alkaline urine or females with urinary tract infections. The dog breeds most likely to form stones (calcium or magnesium): Miniature Schnauzer, Shih Tzu, Lhasa Apso, Bichon Frise, & Yorkshire Terrier.
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Calming Pets Naturally

How often have you wanted to calm a pet? How about when :
· Driving in the car
· Going to the veterinarian
· Recovering from surgery
· There’s a party in the house and the pet is not invited
· A new pet joined the family and we need peace in the house

Over the next few Caring for Pets blog entries, let’s look at some great ways to calm pets without hitting them over the head with drugs:
1. Calcium and Magnesium
2. Lavender Oil
3. Chinese Herbs
4. Melatonin
5. Pheromones: Dog Adaptive Pheromone (DAP) for Dogs and Feliway for Cats
6. Homeopathy
7. Western Herbs
8. Flower Essence Remedies
9. Acupuncture
10. Music
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Pit Bull Breed Stereotypes--Getting the Right Diagnosis

Avoid Stereotypes

We’ve been discussing how difficult it is to get the right diagnosis for a pet’s illness and have identified 5 problem areas:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto one major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes, including breed or age

We’ve covered the first 4 problem areas in previous Caring for Pets blogs, and it's time to discuss the 5th problem that leads to misdiagnosis: Using stereotypes, including breed or age.

Aggressive dog breed assumptions
Many of us suspect one breed or another of being naturally nasty and aggressive. For some, that breed is one of the toy dogs, such as the Chihuahua. For others, including most journalists, the most aggressive breed is one of the “fighting” bully breeds, such as the Pit Bull Dog.

When we suspect dogs are aggressive by nature, we misdiagnose brain tumors and other organic problems because we think the breed always has behavior issues. On the other hand, if we assume breeds, such as the Labrador Retriever, are naturally sweet, we misdiagnose a genetic predisposition to behavioral aggression.

Feline stereotypes
We have stereotypic ideas about cats too. If we assume that Siamese cats are spiteful, we might diagnose a cat that urinates on the pillow as having behavioral issues and not diagnose its feline urinary tract disease (FLUTD). If, on the other hand, we think all Siamese are calm and even tempered, we may misdiagnose urine on the pillow as a bladder disease when it is a behavioral issue, such as separation anxiety. Did you think cats like being alone all day while we’re working? Oh oh. See how easy it is to have stereotypic ideas.

Senior pet stereotypes or ageism
The stereotype of stereotypes is that of the befuddled senior pet. We often assume a befuddled older pet is just blind, deaf, and dumb, but these pets may have nutritional deficiencies of iron and vitamins that lead to anemia and poor oxygenation. Their brains and sense organs cannot work without oxygen and they appear to be senile but that’s not their problem. If we’re stuck with stereotypic ideas regarding age-related behaviors, we’ll misdiagnose both physical and behavioral problems.

Realize when you have stereotypes

The greatest difficulty with letting go of stereotypes is that we often don’t realize we have them. Ignorance of our attitudes interferes with getting the right diagnosis for a pet as ignorance of facts does.

What we’ve covered
Over the last few Caring for Pets blogs, we’ve exam 5 major problems that lead to misdiagnosis, the last of which was holding onto stereotypes. This information shuold make it easier to work with your veterinarian to ensure that your pet gets the correct diagnosis.

If your pet is ill and is not getting better, search for a holistic veterinarian who can help. You’ll find holistic vets listed at these two websites: American Holistic Veterinary Medical Association and the Chi Instituteute. Holistic vets are trained to consider the whole animal. Your pet will appreciate their thoroughness.
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Ehrlichia and Lyme Disease--Getting the Right Diagnosis

Consider Illnesses from Other Locations

We’ve been discussing how difficult it is to get the right diagnosis for a pet’s illness and have identified 5 problem areas:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto one major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes such as breed or age

We’ve covered the first 3 problem areas; now, the fourth: Considering the problem only in light of what local pets develop. If we fall into this trap, we can misdiagnose pets that have Ehrlichia or Lyme disease.

“Arkansas” assumptions
In geographical areas that are thick with ticks, such as the southern United States, we have more tick-borne diseases, including Ehrlichia and Lyme disease. Because Ehrlichia and Lyme disease both cause joint pain, we may assume a lame pet from Arkansas has one of these problems. We’re especially prone to thinking a lame pet has Lyme disease or Ehrlichia if we run blood tests and find the pet’s blood has a rich supply of white blood cells programmed to attack the Lyme spirochete bacteria or Ehrlichia Rickettsia bacteria. The real problem with the pet may be hip dysplasia or cruciate ligament disease.

Urban assumptions
We make the opposite mistake if we have lame pets in urban areas of British Columbia Canada where ticks are rare. In urban BC, we may see a lame pet and assume it doesn’t have Ehrlichia and Lyme disease. We perpetuate this mistaken diagnosis by not running tests for these diseases and letting families know that the diseases are so rare in BC that we’ll save their money by not testing for them. Nobody wants veterinarians to run unnecessary tests, but we also don’t want a pet’s lameness to be misdiagnosed. If we limit our diagnosis to include only local problems that cause lameness, we may think the problem is hip dysplasia or cruciate ligament disease when the pet was rescued from Arkansas where it was exposed to both Ehrlichia and Lyme disease.

Take the time to get the diagnosis right
Getting the correct diagnosis often requires more than 15 minutes allotted for the typical office call. It can take longer because we need a thorough history of where the dog came from, how it has been treated in the past, just as we need a thorough history describing what is happening to it in the current living situation.

To help your pet get diagnosed correctly, be willing to pay your veterinarian time to ask all the questions necessary to identify problems that originate outside the local area.

What’s coming?
In the last several Caring for Pets blog entries, we’ve covered many problems that lead to misdiagnoses of illness in pets (Working with incomplete or misleading information; Being presented with a pattern of illness that isn’t normal or typical; Grabbing onto one major symptom and thinking that’s where the focus should be; and Considering the problem only in light of what local pets develop).

In the next blog, we’ll cover one more cause of misdiagnosis: Using stereotypes, such as breed or age.
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Vomiting and Anxiety--Getting the Right Diagnosis

Focus on the Entire Pet Rather Than On A Major Symptom

We’ve been discussing how difficult it is to get the right diagnosis for a pet’s illness and have identified 5 problem areas:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto one major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes such as breed or age

Today, we’re going to use the symptom of vomiting to discuss, the third problem: Grabbing Onto One Major Symptom and Thinking That’s Where the Focus Should Be.

What’s usually wrong when a pet vomits?
When we see a major symptom, such as vomiting, we may assume the problem is in the stomach; but the problem is often anxiety. Anxiety causes vomiting because the stomach is strongly influenced by the nervous system.

If we limit ourselves to a Western medicine approach to illness, we usually diagnose vomiting pets as having bacterial or parasitic infection and treat them for it. If the vomiting continues, we continue our diagnostic efforts and consider food allergies or inflammatory bowel disease. For these problems, we prescribe prednisone, prescription diets, and dewormers. Some pets will be helped by this approach, but many pets will continue to vomit.

Vomiting associated with anxiety rather than physical problems
With a holistic approach to vomiting, we also consider problems that originate in the psyche, such as anxiety, as potential causes of vomiting.

That anxiety can cause stomach problems is well recognized in Chinese medicine, and there are acupuncture points prescribed for problems that involve both the stomach and the emotions, such as PC 6 and ST 36.

Veterinarians trained in acupuncture and Traditional Chinese Medicine can help vomiting pets because they don’t focus on the major symptom of vomiting, but expand the focus to include the nervous system, behavior, and psychological problems. By looking beyond the stomach, we can make a diagnosis that leads to effective therapy.

Feline urinary tract disease (FLTUD) associated with anxiety
Vomiting is only one of the symptoms that pets develop when the underlying problem is anxiety. Feline urinary tract disease (FLTUD) is also caused by anxiety. If cats present with blood in the urine (hematuria) or blocked urinary tract and we focus on the urinary system, we do little to resolve this disease. We prescribe antibiotics, increased fluids, canned foods, but we will see the poor cat back in the office for reoccurring FLUTD. Anxiety is the underlying problem in most cases, and without looking at the cat’s mind as well as its body, we’ll misdiagnose the problem.

What’s coming on Caring for Pets blog?
We’ve discussed the three problems leading to misdiagnoses of illness in pets ((Working with incomplete or misleading information; Being presented with a pattern of illness that isn’t normal or typical; and Grabbing onto one major symptom and thinking that’s where the focus should be). In the next blog, we’ll cover another cause of misdiagnosis: Considering the problem only in light of what local pets develop.
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Swollen Testicles--Getting the Right Diagnosis

Look outside the normal. Consider abnormal or atypical illness patterns

We’ve been discussing how difficult it is to get the right diagnosis for a pet’s illness and have identified 5 problem areas:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto a major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes such as breed or age

We discussed the first problem in detail, and now let’s cover the second problem: being presented with a pattern of illness that isn’t normal or typical.

Let’s look at an achingly painful problem, swollen testicles.

Cancer is a common cause of swollen testicles
When an older male dog that has never been used for breeding develops swollen testicles, veterinarians usually suspect cancer and we put Sertoli cell tumors, seminomas, interstitial cell (Leydig) tumors, and mast cell tumors high on our list of potential problems.

Cancer affects half of all dogs
We think cancer is the most likely diagnosis because neoplasia affects half the canine population. That’s right. Our senior dogs have a 1 in 2 chance of developing cancer. In addition, 75% of tumors affecting the male urogenital tract occur in the testicles.

Veterinarians also think of cancer as a potential diagnosis because we tell every family with a male puppy: “We should neuter your dog because if your dog doesn’t have testicles, it won’t get cancer of the testicles.” Then, whenever we see an adult dog with testicles, we think: cancer.

Brucella can also cause swollen testicles
With swollen testicles in an unneutered male, we also want to know whether the dog has been used for breeding or whether it has lived in a breeding kennel. Breeding allows transmission of brucella, a bacteria that causes brucellosis. In males, brucellosis causes achingly painful testicular swelling. Historians think Napoleon had brucellosis and that’s why he looked so uncomfortable sitting on a horse.

Disregarding brucella as a diagnosis because it doesn't fit the pattern
If the family tells us that the dog was never used for breeding and has never been resident in a breeding kennel, we take brucella infection right off our list of potential diseases causing this dogs swollen testicles. What a mistake that can be: we’d be missing the atypical or abnormal case of brucellosis caused by food. Although food-borne brucellosis is uncommon in the United States, it is common in the Mediterranean and can occur when pets are fed unpasteurized sheep or goat cheese imported from this area. Who would have thought….

Swollen penis (balanitis) caused by Lyme disease
Another infection that has an atypical presentation as swollen penis (balanitis) is Lyme disease. Lyme disease usually causes joint problems, but it also causes balanitis in humans and should be considered in the differential list of diseases for dogs presenting with a swollen penis.
If we want to make the correct diagnosis for pets, we can’t get stuck on finding a diagnosis that fits the normal or typical pattern of illness. We should consider the atypical and abnormal, too.

What's coming: Focusing on one major symptom
In the past few Caring for Pets blog entries, we’ve discussed two major problems leading to misdiagnosis (Working with incomplete or misleading information and Being presented with a pattern of illness that isn’t normal or typical). In the next blog, we’ll cover another major problem leading to misdiagnosis: Grabbing onto one major symptom and thinking that’s where the focus should be.
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Keeping a Pet Diary--Getting the Right Diagnosis

Don't work with incomplete or misleading information

We’ve been discussing how difficult it is to get the right diagnosis for a pet’s illness and have identified 5 problem areas:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto a major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes such as breed or age

Today, we’re going to discuss how keeping a pet diary will help so that we don't misdiagnose a pet's illness because of the first problem: Working With Incomplete or Misleading Information

Poor Memory
One reason we may have incomplete or misleading information is that the family cannot remember the pet’s history. For example, if we’re trying to figure out why a diabetic cat cannot be regulated to maintain normal blood sugar levels, and the family cannot remember whether the cat is always fed before she’s given insulin, we have incomplete information with which to try and diagnose the unregulated sugar levels.

To help prevent incomplete information from contributing to a misdiagnosis, keep a pet diary and write down what’s important in your pet’s life. Diary information should include:
  • When it gets fed

  • What it eats

  • What stools and urine are like

  • When and what medications are given

  • When and what type of exercise it receives

  • When it gets sick

  • What you see that tells you the pet is sick: fever, lethargy, vomiting
Pet diaries help with every medical condition
If your pet is healthy, there’s not much work for you to keeping this diary, but if your pet has a chronic illness, such as epilepsy, diabetes, or feline urinary tract disease (FLUTD), there will be lots of useful information that you can list. Take your diary along when your pet needs a medical review, and it will help your pet get the right diagnosis and therapy.

Blood and diagnostic tests prevent misdiagnosis
Allow your veterinarian to take the blood and diagnostic tests necessary to identify the problem. Ask to have tests reviewed by pathologists and radiologists to ensure your pet gets the help of experts. And, realize that no test is perfect, so expect that 1 of 14 tests will be inaccurate.

What's coming?
We’ve discussed the first problem that leads to misdiagnosis (Working With Incomplete or Misleading Information), and in the next Caring for Pets blog entry, we’ll cover the second problem: Being Presented With A Pattern Of Illness That Isn’t Normal or Typical.
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Getting the Right Diagnosis for Your Dog & Cat—5 Problem Areas

When pets are ill, the first thing we want to know is what caused the problem. This sounds simple, but getting the diagnosis is so complex that it takes veterinarians 4 years of schooling to learn how to begin. That many years? Yup. And only to begin getting the diagnosis right? Yup. It’s hard to get the right diagnosis.

Here are 5 problems that make it difficult to get the right diagnosis:
1. Working with incomplete or misleading information
2. Being presented with a pattern of illness that isn’t normal or typical
3. Grabbing onto one major symptom and thinking that’s where the focus should be
4. Considering the problem only in light of what local pets develop
5. Using stereotypes such as breed or age

What can pet families do to ensure their pet gets the correct diagnosis? Let’s consider each of these 5 problems and in more detail over the next few Caring for Pets entries.
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Diagnosing Arthritis, Limping and Pain in Pets That Are Sitting Still

Would you like to be able to tell if your pet has arthritis, bone, muscle or nerve problems? We’ve already discussed what to look for while your pet is moving—head bobbing, bunny hopping, hip hiking—and where the lameness problem occurs based on these signs—but we can also look at your pet while it’s sitting and diagnose some joint problems:
  • Sits with legs off to one side—hip pain

  • Can’t bend the knee or sit squarely—knee problems, especially with the ligaments within the knee called the anterior cruciate ligament or ACL.

  • Leans onto one limb—protects the limb on the other side

  • Can’t extend the elbow—either the elbow is out of joint (luxated) or the triceps muscles along the back of the arm are torn

  • Holds front leg up and slightly out—the shoulder is dislocated (luxated)

  • Holds rear leg up and slightly out—the hip is dislocated (luxated)

If you see any of these behaviors in your pet, ask your veterinarian to evaluate it for pain, arthritis, or nerve problems.
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Arthritis, Limping and Pain in Pets

Would you like to be able to tell if your pet has arthritis, bone, muscle or nerve problems?

Here are some signs your pet has a problem and needs help:
  • Head bobs up and down—the shoulder, knee or forefoot has a problem
  • The foreleg swings out or paddles—the shoulder, elbow or infraspinatus muscles under the scapula are a problem
  • Hula sway to the rear end—both rear legs or hips have a problem

  • Bunny hopping—both rear legs or the hips have a problem

  • Hip hiking or tail winging—rear leg has a problem

  • The one leg takes a short step (short stride)—the other leg has a problem

  • The nails drag while walking—pain or problems with the nerves

  • The foot swings so high while walking that the foot pads are visible—that leg or foot have a problem

If you see any of these behaviors in your pet, ask your vet to evaluate it for pain, arthritis, or nerve problems.
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Common Liver Toxins

Dogs and cats are exposed to many toxic substances that harm the liver. Because a healthy liver is essential for life, pets should avoid liver toxins. This list details some common liver toxins and describes how pets might be exposed to them.

Acetaminophen or Tylenol
Pain & arthritis medication frequently used in humans. Some folks give this medication to pets to help their pain. It kills cats and harms dogs.

Aflatoxin
Aflatoxin is a toxin produced by Aspergillus mold. Because Aspergillus is present in the soil, crops are often infected. Although minute quantities of aflatoxin are allowed in crops, the molds grow to produce toxic amounts of aflatoxin when crops are stressed by bad weather. Plants commonly infected with Aspergillus mold that produces aflatoxin include: corn, maize, sorghum, millet, rice wheat, peanuts, soybeans, sunflower, cotton, almonds, and walnuts.

Aflatoxin is unrecognizable in the food because it doesn’t have an odor or an appearance that we recognize as moldy. For example, the FDA finds that aflatoxin is present in minute quantities in all commercial peanut butter. Aflatoxin is also present in packaged food containing grains and oils, such as dog kibble. Although we cannot recognize the toxin, many dogs and cats know it’s in the dog food and are reluctant to eat it.

Blue-green algae
Blue - green alga produces cyanotoxins and can be found in abandoned swimming pools and ponds full of nitrate fertilizer run-off. This is different than the algae we use to keep pets healthy, such as Spirulina.

Clay pigeons
Clay pigeons that are used for skeet and trap shooting are toxic to pets. Shooters don’t go out into the fields and pick up the busted clay pigeons, so they litter fields and can impact soil, wildlife, and pets used for hunting. Poisoning is caused by pitch that contains cresol and phenol. Pitch serves as a binder in clay pigeons, but non-toxic clay pigeons made without pitch are available.

Creosote
Roofing tar, tar paper, and wood preservatives contain creosote as a preservative. Pets that sleep on treated decks, in treated dog houses, or that crawl over tar paper rooms are affected. Creosote causes liver disease.

Copper
Pet supplements are often fortified with copper. For some dogs this is not a problem, but for others, even small amounts of copper are toxic. This occurs because these dogs have genetic predisposition that allows them to store copper but not to move it out of the liver. Thus, toxic levels of copper build up although the pet is receiving only a small amount of copper in the supplement. We cannot always tell a pet has a copper overload because blood tests don’t tell us what is stored in the liver, only what is carried in the blood. Some dogs prone to develop copper toxicosis are Bedlington Terriers, West Highland White Terriers, Labrador Retrievers, and Doberman Pinschers.)

Cycad palms
Cycads are palm plants with large seeds that grow where it’s warm, either in the sun or in the shade. The cycad palm nut contains a toxin that animals eat. Wild animals then become poisoned and carry the toxic substance in their fat. Dogs and cats that eat wild cycad-poisoned wild animals may also be poisoned. Some indigenous tribes use cycad nuts for food, but they soak the nuts so that much of the toxin is stripped from the nut.

Iron
Pet supplements are often fortified with iron, and iron is also present in some fertilizers and pesticides. Some dogs have genetic predisposition that allows them to store iron but not to move it out of the liver. Thus, toxic levels of iron build up although the dogs are ingesting only a small amount of iron in the supplement. We cannot always tell this is happening because the blood tests don’t tell us what is stored in the liver or bone marrow, only what is carried in the blood.

Lantana
Lantana is a flowering shrub that is so highly toxic that it is considered one of the ten most noxious weeds in the world. Usually, Lantana poisons grazing ruminants such as cattle and sheep, but it can be grown as a flower in shady, moist residential areas where it would be toxic to dogs and cats.

Mushrooms
Amanita and psilocybin mushrooms contain toxins that harm the liver and can cause death. Humans may use these mushrooms for mystical religious experiences because they cause profound central nervous system changes and hallucinations. Pets are already mystical. No mushrooms necessary.

Phenolics
Phenolics are chemical compounds that harm the liver and are found in everything from mouthwash to coal tar:
· creosol wood preserver
· coal tar,
· BHT food preserver,
· thymol in mouthwash,
· xylenol in antiseptics and disinfectants,
· cannabis found in marijuana,
· propofol an anesthetic,
· methyl salicylate found in oil of wintergreen.

Pyrrolizidine plants
Pyrrolizidine is toxic to the liver. Groundsel, rattlebox, and comfrey are plants containing pyrrolizidine. For pets, exposure to pyrrolidine is most often through comfrey used in wound and joint salves. Comfrey salves are OK for external use but are not OK if the pet licks the salve off.

Protect your pet
Unfortunately, liver disease is too common. Sometimes the effects of disease are subtle and difficult for us to detect, and other times, such as when exposed to high levels of aflatoxin in dog food, the effects are sudden and profound. Help protect your pet’s liver by avoiding toxins.
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Liver disease in dogs & cats

Did you know that the liver is as essential to pet health as the heart is? The liver is so important for dogs and cats that we routinely ask for blood tests when pets are ill. The blood tests show us the liver enzymes (ALP, ALT), bile acids, clotting factors, blood sugar stabilizers (glucagon), and jaundice factors (bilirubin).

Swollen liver (hepatomegaly)
We can also assess the liver by palpating the abdomen. A normal liver rests above the stomach and is protected by the ribs, but when a liver is swollen (hepatomegaly, hepato=liver, megaly=large or swollen), we palpate the edge swelling beyond the ribs.

Jaundice
Another way to tell a pet has a liver problem is that the body turns yellow (jaundice) because the liver isn’t processing bilirubin. It’s easiest to see jaundice when bilirubin tints the white part of the eye (the sclera) a pale or deep yellow. The skin and gums in the mouth can also have a jaundiced color. Just press the gum for a second to make the blood move out of the way and look at the color of the gums when not flushed with red. Yellow gums suggest liver problems.

Nasty pets
One way nature has of ensuring that we don’t miss signs of liver disease is that dogs and cats with sick livers become nasty. They hiss, snarl, and bite. Often, pets with liver disease are so nasty that we can’t get medications into them. These little terrors would benefit from herbs or supplements, but nobody with sense tries to put a pill into the mouth of a dog or cat with liver-disease . Instead, we choose to begin treatment with a homeopathic medication in the water.

Good pets
Some pets with liver disease cannot be mean no matter how sick their organs are. These pets are a delight to treat because we can use supplements and herbs that strengthen the liver. Our friend Jiggy, Chiclet’s buddy, is an example of a pet who remains wonderful despite liver disease.

Liver regeneration
The liver has the ability to regenerate so we’re rewarded when we treat these pets—whether they’re hostile or happy —because they respond and return to health. Among the holistic therapies that benefit the liver are acupuncture, homeopathy, SAMe, herbs and feeding organic liver.

Toxins prevent recovery
Supplements, herbs, and medications will not return pets to health if they are exposed to toxic materials and exposure continues during and after treatment. Although the immune system is trying to help protect the liver from toxins, it actually responds in such a way that the liver swells and becomes sicker. A swollen liver (hepatomegaly) doesn’t work well and can cause abdominal pain. A swollen liver also presses on the gallbladder and interferes with the flow of digestive bile into the small intestine. Thus, many pets whose immune systems are responding to liver toxins or liver insults cannot digest their food . Many are nauseated and have no desire to eat.

Liver toxins
The following are some of the liver toxins that dogs and cats are exposed to:
· Acetaminophen
· Aflatoxins
· Blue-green algae clay pigeons
· Copper
· Coal tar
· Iron
· Mushrooms
· Phenolics
· Plants, such as cycad palms & lantana
· Pyrrolizidine plants

We’ll go over this list in greater detail in a future Caring for Pets blog.
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