All posts tagged 'at health issues'

Lessons for Heartworm Awareness Month

Pug

April is National Heartworm Awareness Month, so I wanted to give everyone both a refresher and an update on this disease. Heartworms are transmitted via mosquito bites, meaning it is not transmissible directly from pet to pet. The tiny larvae are injected into the bloodstream, where they mature into fully grown adults. They live in the heart and large blood vessels. The mature worms produce larvae, which go back into circulation and can be picked up by mosquitoes, ready to transmit to another host, thus repeating a vicious cycle.

While dogs make for ideal hosts, cats can also be infected. However, canines experience the most severe form of the disease. If you are unsure whether your cat should be on heartworm prevention, speak with your veterinarian.

As you can imagine, foreign bodies the size of spaghetti strands can do a lot of damage in the heart. As the parasites disrupt normal heart and lung function, pets display signs of heart disease such as cough, low energy and coffee-colored urine. Treatment involves either surgery to physically remove the worms or injections of a drug called immiticide. Once a heartworm dies it can cause an embolus (a blockage) as it travels through the bloodstream, so patients are under strict cage rest to minimize treatment risks.

Bottom line, heartworm disease is a terrible thing and no one wants their companion animal to experience it. 

Here’s the good news … it’s completely preventable. Once the mosquito injects the larva into the bloodstream, it takes six months for them to mature into adult heartworms. During that time the larvae are susceptible to a variety of medications. Heartworm prevention is available in a number of forms: pills, injections and topicals. They are all prescription medications, so your veterinarian can advise you as to which choice is best for your dog or cat.

Buddies

If you have a dog or a cat, here are five important things you need to know about heartworm disease.

1. While heartworm disease is indeed more prevalent in the Atlantic and Gulf states, it has been diagnosed in all 50 states! Even if you live in a state with low incidences of the disease, all states have microclimates where heartworm flourishes. The American Heartworm Society tracks diagnosis information and publishes an incident map every three years. To see how many cases have been reported in your area, visit https://www.heartwormsociety.org/veterinary-resources/incidence-maps.

2. Dogs travel more than ever before. 2005 was a turning point in prevalence of the disease. Why? After Hurricane Katrina devastated the Gulf states, humane organizations rallied together to relocate homeless animals across the nation. Some of those dogs carried heartworm disease. Suddenly veterinarians who had never seen heartworm disease in their careers were diagnosing it for the first time.

3. All-natural remedies simply don’t work. I think by now you all know by know how much I value honesty and transparency. If you want to treat your pet for fleas with natural remedies, I will let you know that they simply don’t work as well as the medications I recommend, but I’m not going to fight you on it. Fleas don’t kill dogs and cats, though. Heartworm does. It is simply too devastating a disease to trust anything but the prescription medications that we know work. Anyone who claims otherwise is, in my opinion, displaying their ignorance and spreading poor advice.

4. Pets need monthly prevention to be adequately protected. A very common question is, "why do I need to give my pet monthly heartworm prevention pills if it takes six months for a larva to turn into an adult heartworm?" As the larva develops into an adult, it transitions through several phases. Not all of those phases are susceptible to our heartworm preventives. If we only dose heartworm prevention intermittently, there’s a chance we will miss our window for catching the larva at the susceptible stage.

5. Pets should be tested yearly. Yes, even pets on regular heartworm preventive. Why? Because sometimes things happen. You are late with a dose. The dog spits out the pill when you aren’t looking. Once your pet has adult heartworms, those preventives aren’t going to work. Will it harm your pet to give preventives with active heartworm disease? No, but it’s not going to cure it either.

Here’s the bottom line: we give you very conservative, comprehensive protocols for heartworm prevention because treating adult heartworm disease is so hard on pets. Some do not survive. Having a patient die during heartworm treatment is one of my more devastating memories. Trust me, better to be safe than sorry.

It’s impossible to give a comprehensive overview of heartworm disease in this short blog post, but that covers the basics. You might have questions about things you have heard about such as heartworm that is resistant to the normal medications, or about different protocols for treating heartworm disease. If you do, congratulations for being such an informed pet parent! Your veterinarian, as always, is the best source of information for you.

Enjoy your summer and maintain that prevention regimen!

Dr V
Dr. Jessica Vogelsang, DVM

Heart Health in Humans & Pets

canine-cuddle

When we think of February, Valentine's Day sucks up all the holiday energy in the room. With so much attention paid to the affairs of the heart, it's no accident that February is also Heart Health Awareness Month! And while the human heart plays the star role in these holidays, many of us care just as much (and maybe even more) about the healthiness of our companion animals' heart.

Most people have a basic understanding of the risks of heart disease in humans, but when it comes to canine and feline heart health, these areas remain a tad more mysterious.

In the following FAQs, we’ll look at some of the similarities between humans, dogs and cats, hopefully resulting a better appreciation of these amazing feats of biological engineering.

1. How Widespread is Heart Disease?

Humans: In America, heart disease is the leading cause of death for both men and women. Annually, about 610,000 people die of heart disease, accounting for a quarter of all deaths.

Dogs & Cats: Even though reliable statistics are not readily available for adult felines or canines, we do know that heart disease is not nearly as common as in humans. Only about 10% of dogs ever develop valvular heart disease. As with many maladies, risks for heart disease increase with age, especially for dogs over the age of nine (later for some breeds). Tracking heart disease in cats has proven challenging, as felines exhibit very few if any physical symptoms due to this condition.

2. What’s the Most Common Form of Heart Disease?

Humans: In adults, coronary artery disease is the most prevalent kind of heart disease. The main type involves accumulation of arterial plaque, which affects blood flow to the heart. As the layers of plaque thicken and harden, blood flow can be further restricted.

Dogs & Cats: The biggest difference here is that companion animals are not at-risk for coronary artery disease. While that’s good news, keep in mind they can face other medical conditions. For example, dogs can suffer from mitral valve disease or dilated cardiomyopathy (DCM). Mitral valve disease describes a condition where a valve on the left side of the heart fails to close properly. The problem with this is that blood pools into the left atrium, rather than exiting the left ventricle. Older, small breeds are more likely to develop mitral valve disease, a condition that can be aggravated by periodontal disease. DCM weakens the heart muscle so that it pumps less vigorously and regularly, a condition more common in large breeds. Cats, on the other hand, are more likely to experience hypertrophic cardiomyopathy (HCM). Here, the walls of the heart thicken, resulting in reduced muscle flexibility which decreases the volume of blood pumped. HCM is a genetic disease that is found in both pure and mixed breed cats.

kitten-big-eyes

3. What are the Symptoms of Heart Disease?

Humans: Symptoms vary depending on the disease, but patients with coronary artery disease often have chest pain, arm pain and shallow breathing. As the condition deteriorates, there’s a risk of heart attack.

Dogs & Cats: Dogs typically exhibit signs such as low energy, general discomfort, labored breathing and even a low-pitched, chronic cough. On occasion, they might actually pass out. Cats may also become lethargic, sleeping excessively or hiding for extended periods. It's also not uncommon for cats to lose their appetite. Some may even be at risk of blood clots, which in some cases may lead to pain and possible paralysis.

4. Is Exercise Equally Beneficial?

Humans: Yes, definitely! Exercise lowers the risk of heart attack and reduces stress, another risk factor for heart disease.

Dogs & Cats: The kinds of heart disease commonly found in cats and dogs can't be avoided through exercise. But, as with people, regular exercise will improve overall health and help prevent obesity in pets, which certainly factors on heart health.

boxer-paw-forward

5. One Thing Everyone Can Agree On - Eat Healthy!

It’s hard to overstate the importance of quality food for humans and for companion animals. While significantly more research has been done on the benefits of essential fatty acid supplementation in humans, the science demonstrates similar results for dogs and cats, too.

But how can you be certain that you and your companion animals are getting plenty of omega-3’s and omega-6's? By taking an ultra-refined supplement daily! To ensure you are getting the quality you and your pets deserve, choose an omega supplement that has an IFOS 5-Star Rating. This independent, third-party testing validates that you are getting a safe and effective supplement that you can feel confident giving to any member of your family! If you're in the market for a superior supplement, look no further than Life's Abundance Fish Oil Supplement for people and Ultra-Pure Fish Oil Supplement for dogs and cats!

Take care of your heart and it'll help take care of you!

Dr Jane Bicks  

Dr. Jane Bicks, DVM

Help Pets Stay Chill This Summer

smart-puppy-on-beach

As summer approaches, we’re going through our closets pulling out our t-shirts and shorts in preparation for fun in the sun. But what about our four-legged friends stuck in a permanent fur coat? Are they as affected by the midday heat as we are? (Spoiler alert: yes.) And is there anything we can do about it? (Also, yes.) Here’s the good news: beating the heat is as easy as ABC!

A. Always Plan Ahead

Remember, our companion animals are at our mercy when it comes to being out in the sun. While we can choose whether or not to take a midday hike or sit out in the backyard for hours, they have to go along with the decisions we make, even if it is uncomfortable or potentially dangerous for them. Heat stroke illnesses and deaths spike in the summer, stemming from three main categories:

Prolonged exercise in full heat is dangerous. People who take their pet out to walk or run during the hottest time of the day and don’t realize their pet is overheating. Limit your exercise times to morning and evening during hot months.

Leaving pets in cars. It’s a myth that cracking the windows makes the car cooler ... it doesn’t! Another common misconception is that the outside temperature needs to be high for pets to suffer. On a sunny 70 degree day, the interior can reach 90 degrees in 30 minutes. In 85 degree weather, the temperature can reach 120 in the same period of time! If you can’t bring your dog or cat inside with you on your errands, let them stay home. It simply isn’t worth the risk.

Too much activity and not enough water. I’ve seen pets get heat stroke just from playing in the yard on a warm afternoon. If you’re planning on staying outside with your dog, make sure he or she has plenty of water to drink, a shady place to retreat to, and maybe even a sprinkler or wading pool to cool down in.

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B. Beware the Signs of Heat Stroke

Heat stroke symptoms can begin once the body temperature exceeds 103 degrees F. While most of us don’t carry a pet thermometer around, watch for these specific warning signs:

  • heavy panting
  • excessive drooling leading to very dry mouth
  • extra-red tongue or gums
  • weakness or collapse

Brachycephalic breeds like bulldogs and pugs are especially prone to overheating, as are dark-haired breeds. Dogs and cats can and do die every summer from heat exposure, so if you suspect your companion animal is suffering heat exhaustion or heat stroke, go to the veterinary ER as soon as possible! 

C. Clipping: What About a Summer ‘Do?

Many people like to give their dog or cat a summer clip to help stay cool. If this is something you are considering, talk to your groomer to ensure it’s appropriate for your pet’s breed. Dogs whose fur grows continuously - such as poodles and Lhasas - do well with clips, while double-coated breeds such as Akitas and Chows do not. In some cases, a pet’s coat may actually help keep him or her cool, rendering a clip counterproductive. If you do opt for a trim, make sure there is at least one inch of fur remaining so your beloved pup or kitty doesn’t get a sunburn.

Although heat-related illnesses are scary and serious, the great news is that they are also entirely preventable. With just a little foresight and planning, our furry friends can enjoy the summer just as much as we do! Now get out there and soak up the rays!

Dr V Dr. Jessica Vogelsang

Vitamin E for Stressed Pets

domestic-short-hair

As a holistic veterinarian, I feel it is incredibly important to take the whole animal into consideration when it comes to nutrition. And, whenever practical, my preference is to provide nutrients, minerals and vitamins in their natural forms. In this post, I’d like to talk to you specifically about vitamin E, to review both the strengths and weaknesses of natural and synthetic forms.

Vitamin E is an incredibly complex and important nutrient that, among other things, functions as an antioxidant. Antioxidants are naturally occurring nutrients that promote health by slowing the destructive aging process of cells (a breakdown called “peroxidation”). In peroxidation, damaged molecules known as free radicals steal pieces from other cells, like fat, protein or DNA. The damage can spread, damaging and killing entire groups of cells. While peroxidation can be useful to destroy old cells or germs and parasites, when left unchecked, free radicals produced by peroxidation also damages healthy cells. Antioxidants can help to stem the tide of peroxidation, thus stabilizing free radicals.

Antioxidants like vitamin E are crucial to the health of companion animals of any age. They can improve the quality of the immune response and the effectiveness of vaccines in young pets, and help maintain a vital immune system in seniors.

Vitamin E occurs in one of two forms, either natural or synthetic. Natural vitamin E is a collection of eight chemically unique compounds that are derived from plants, including four tocopherols and four tocotrienols. More commonly used and less expensive, synthetic vitamin E is one compound – alpha-tocopherol.

For me, the choice of using natural or synthetic vitamin E in my formulas couldn’t be clearer, and neither could the evidence. The synthetic form of vitamin E is not as active or easily absorbed as the natural form of vitamin E. The molecular structure of vitamin E determines how well the body can utilize it. In human trials, researchers found that proteins in the liver specifically select the natural form of vitamin E and largely ignore the synthetic form.

In a Japanese study, scientists found that it took three times the amount of synthetic vitamin E to equal the blood levels of natural vitamin E. In the U.S., researchers found that body tissues and blood retained far higher levels of natural vitamin E versus synthetic. In addition, synthetic alpha-tocopherol vitamin E has only half the vitamin activity of the natural alpha-tocopherol vitamin E.

Why is there such a difference between synthetic and natural forms of vitamin E? The key to understanding how the body absorbs these two types differently lies on the molecular level.

best-buds-napping

The cellular structure of mammals more easily recognizes natural forms of vitamins. And cellular proteins and blood plasma bind to natural forms more readily than their synthetic counterparts. Unfortunately, synthetic vitamins are cheaper and, therefore, are more prevalent in many products on the market today.

So, how can you determine if the products you are using contain the synthetic or natural form of vitamin E? Simply check out the ingredient labels! Natural vitamin E is listed as a-tocopherol acetate, d-alpha tocopherol, d-alpha tocopheryl acetate or d-alpha tocopheryl succinate. Alternately, synthetic forms of vitamin E are labeled with a “dl-“ prefix.

Thank you for all that you do to make the world a better place for companion animals!

Dr Jane Bicks  Dr. Jane Bicks, DVM

REFERENCES:

Kiyose C, et al. Biodiscrimination of alpha-tocopherol stereoisomers in humans after oral administration. Am J Clin Nutr 1997 (Mar); 65 (3): 785-9

Burton GW, et al. Human plasma and tissue alpha-tocopherol concentrations in response to supplementation with deuterated natural and synthetic vitamin E Am J Clin Nutr 1998; 67: 669-84

Traber MG, et al. Synthetic as compared with natural vitamin E is preferentially excreted as a-CEHC in human urine: studies using deuterated a-tocopheryl acetate FEBS Letters 1998 (Oct 16); 437: 145-8

Yu W, Jia L, Wang P, et al. In vitro and in vivo evaluation of anticancer actions of natural and synthetic vitamin E forms. Mol Nutr Food Res. 2008;52:447-456.

Blatt DH, Pryor WA, Mata JE, et al. Re-evaluation of the relative potency of synthetic and natural a-tocopherol: experimental and clinical observations. Journal of Nutritional Biochemistry. 2004;15:380-395.

Weiss WP, Hogan JS, and Wyatt DJ. Relative bioavailability of all-rac and RRR vitamin E based on neutrophil function and total a-tocopherol and isomer concentrations in periparturient dairy cows and their calves. J Dairy Sci. 2009;92:720-731.

Lauridsen C, Engel H, Jensen SK, et al. Lactating sows and suckling piglets preferentially incorporate RRR- over All-rac-a-tocopherol into milk, plasma and tissues. J Nutr. 2002;132:1258-1264.

Sen CK, Khanna S, and Roy S. Tocotrienols in health and disease: The other half of the natural vitamin E family. Molecular Aspects of Medicine. 2007;28-692-728.

Hayek MG, et al. Dietary vitamin E improves immune function in cats. In: Reinhart GA, Carey DP eds. Recent Advances in Canine and Feline Nutrition, Vol III: 2000 Iams Nutrition Symposium Proceedings. Wilmington, OH: Orange Frazer Press, 2000; 555-564.