Ailments of the lower urinary tract in cats

catCats are frequently brought to the veterinarian because they are having difficulty urinating, which may be accompanied by urinating outside of the litter box, urinating more or having blood-tinged urine, writes veterinarian Roxanne Vandermeer. A common issue is idiopathic feline lower urinary tract disease, writes Dr. Vandermeer, who points out that other conditions, such as cystitis, urinary tract infection and cancer, must be ruled out before diagnosing FLUTD. Any cat straining to urinate should be evaluated by a veterinarian who will perform an exam and an analysis of the cat’s urine and may recommend further testing. Fitness Goop (4/3)

One of the most common reasons cats are taken to their veterinarians is because they are straining to urinate. In addition to the straining, these cats are often showing other clinical signs like increased frequency of urination, urinating in inappropriate places and passing only small amounts of urine at a time. Sometimes the owners also report noticing blood or a red/pink discoloration to the urine. All of these signs can be seen for multiple different reasons including bladder stones, crystals in the urine, cystitis (bladder wall inflammation), urinary tract infections, urethral plugs, trauma, neoplasia (cancer) and idiopathic (cause unknown) feline lower urinary tract disease (FLUTD), to name the most common.

The majority of cats presenting with the above-mentioned clinical signs fall into the idiopathic FLUTD category. Before a cat can be said to have idiopathic FLUTD the other recognized causes of urinary tract disease have to be ruled out. Even after extensive work up and diagnostics more than half of these cases yield no specific cause and can thus be classified as idiopathic FLUTD.

In order to diagnose a cat with lower urinary tract disease your veterinarian will want to do at least a physical exam and a urinalysis. Additional testing that may be indicated include: a urine culture, blood work, x-rays and ultrasound imaging.

Treatment of feline lower urinary tract disease depends on the underlying cause, if one can even be identified.

Bladder stones either need to be removed surgically or may be amendable to dissolution with an appropriate therapeutic diet depending on what the stones are composed of.

Some crystals in the urine can be normal but if they are found at abnormally high levels or if an abnormal type of crystal is identified then diet modification may be all that is needed to resolve the problem.

Cystitis (bladder wall inflammation) in cats is usually idiopathic, in other words we can’t identify a specific cause. It’s believed that stress plays a major roll in its development and that is why we often see a flare up of cystitis in cats that have recently moved to a new home or if a new family member/pet/roommate has come into the picture. Minimizing stress, optimizing litter box hygiene, encouraging water intake, diet modification, changing the type/location of the litter box and litter can all be beneficial. This can be a painful condition and these cats are often given some pain medication initially. Weekly subcutaneous (under the skin) injections of medication that promotes the protective lining of the bladder can be given once per week for at least 4 treatments.

Bacterial urinary tract infections (UTI’s) are actually quite rare in young to middle aged cats. Cats appear to be innately more resistant to bacterial UTI’s than dogs due to their differences in anatomy and the higher concentration of their urine. Urine also has substances that inhibit bacterial colonization. A urinary tract infection can be diagnosed via a urine culture and then treated with an appropriate antibiotic based on the culture results.  Urinary tract infections are more common in older cats that have other conditions that predispose them to UTI’s such as diabetes or kidney disease.

Urethral plugs are usually composed of either crystals or a proteinaceous substance and can cause a life-threatening blockage of the urethra (the duct by which the urine is conveyed out of the body from the bladder). This obstructive form of feline lower urinary tract disease is seen almost exclusively in male cats.  If you notice your male cat straining to urinate but producing no urine you must get him to a veterinarian immediately. The veterinarian will have to sedate or anesthetize your cat to remove the blockage and hospitalize him for at least 24 hours to make sure that he does not re-obstruct. 50% of these cats will have a recurrent obstruction in their lifetime.

Trauma to the urinary tract can be sustained in many ways, the most common of which is cats that are hit by cars or that fall off balconies. A bladder rupture requires surgical intervention whereas less severe trauma may be amendable to more conservative medical management.

Cancer can affect the urinary tract and needs to be properly characterized and staged before the best treatment options can be determined.

Idiopathic feline urinary tract disease, which is the most common form of disease affecting the lower urinary tract in cats, is treated in much the same way as cystitis. Diet modification, pain medication, stress reduction, anti-inflammatory agents, glucosaminoglycans (promote the protective lining of the bladder), and litter box hygiene are all used to treat and manage this disease. This can be a very frustrating disease for owners and veterinarians alike because of the lack of an identifiable cause and the high rate of recurrence despite treatment.

Contest seeks “America’s Favorite Veterinarian”

Do you think your veterinarian is the best? The American Veterinary Medical Foundation is looking for nominees for its “America’s Favorite Veterinarian Contest.” Clients are encouraged to nominate their veterinarians through the AVMF Facebook page, where they can submit photos and a short story—250 words or less—on why their veterinarian deserves to be America’s favorite. The winner will be announced July 21 during the AVMA Annual Convention in Chicago. The winning veterinarian will receive a named donation and the nominating client will receive a $250 cash prize. Both will receive a free night’s stay in Chicago, plus travel expenses for those outside the area. The veterinarian will also receive complimentary registration to the convention. The contest is open through June 1.

 

Tough questions for pet owners about money, life and loss

man with catAdvances in veterinary medicine and pets’ status as family members in many households mean people are willing to go to great lengths to treat illnesses in their animals and prolong their lives, but some observers say the trends raise important and tough questions about resources and the difficulty many people have with facing end-of-life issues — for their pets and themselves. “Death is part of the cycle of life, and we have to accept that,” said veterinarian Phillip Nelson, dean of the College of Veterinary
Medicine at Western University of Health Sciences. The New York Times (tiered subscription model) (3/25)

I COULDN’T begin to add up the number of times my husband and I have had the Talk. We know illness and death are two of life’s certainties. And we’ve taken care of the issue when it comes to ourselves. We’ve signed medical directives saying we want no extraordinary measures taken to extend our lives if we become incapacitated to the point that we’re a burden, emotionally and financially, to our families.

 But when it comes to our pets, the Talk never resolves anything.

Luckily our two 14-year-old cats, 8-year-old Border collie and 3-year-old Labrador retriever are all in fairly good health. We haven’t had to make decisions about whether to spend thousands of dollars, possibly tens of thousands, to save or extend their lives. But those decisions are coming, and despite our efforts to have the Talk, we have no idea what we’ll be willing to do to keep them around as long as possible.

That so many more technological advances are available now than there were 10 years ago means pet owners have more ethical and financial choices to make. “In the last 30 years there’s been an increase in specialty veterinary medicine,” said our veterinarian, Dr. Woody Walker of La Cañada Pet Clinic, north of Los Angeles. “And the technology is amazing. Whatever we can do in people, we can do in pets.”

Pet owners, who represent 68 percent of United States households, spent a collective $53 billion on pets last year, according to the American Pet Products Association. That’s for everything from medicines and operations to toys and food.

No one has a figure for how much people spend on end-of-life care for their pets. But it’s safe to assume that the number mirrors ours; for humans, 90 percent of medical spending occurs in the last 10 percent of life. The choices involved in keeping pets alive can be as numerous, expensive and emotionally thorny as they are with people.

Lisa Sobieri of Greenwich, Conn., knows the choices all too well. The 49-year-old married mother of two lost two dogs to kidney disease in the last three years. The first, Kiefer, an American Eskimo, died just before turning 15, only after the family had spent several thousand dollars on chemotherapy for bladder cancer and then other drugs to keep him comfortable as his kidneys failed.

“I guess when you go into it you don’t really know how much you’re going to spend,” she said. “So it keeps kind of adding up, and you don’t really know. We were thinking, O.K., there is a limit, but when it’s $500 here or $1,000 there, you don’t really see it adding up that fast.”

After Kiefer died, the family got Perry, a 6-month-old golden retriever. When Ms. Sobieri took the dog to the vet to have him neutered, a routine blood test showed Perry had a genetic kidney disease. “I actually didn’t believe them,” she recalled. “I said, ‘No, you’re looking at my other dog’s file by mistake.’ ” Unfortunately, they weren’t. The vet sent Ms. Sobieri to a veterinary oncologist who said Perry probably would not live more than three years.

“I was thinking, Well, we’re such great dog owners that we’re going to defy that, give him all the medications and diet, experimental treatments, and he’s going to live longer,” Ms. Sobieri said. The family decided against a kidney transplant, which would have cost a minimum of $25,000 just for the operation, an amount she said would have taken money away from the children’s college fund. There was also no guarantee it would work. But they still spent, by Ms. Sobieri’s estimates, tens of thousands of dollars to keep Perry comfortable for the duration of his life, with pet insurance picking up the rest.

Many pet owners struggle with whether to buy pet insurance, because it has a mixed track record. Consumer Reports, in its August 2011 issue, said the insurance was “rarely worth the price.” Pre-existing conditions are usually excluded from coverage; routine care, like annual checkups, is sometimes not included in plans; and premiums can rise significantly as the pet ages.

The Sobieris, though, said their insurance, provided by Embrace, was invaluable and made their decision-making just a little easier. Still, Ms. Sobieri said, “We did some pretty good damage on the credit card toward the end.”

The puppy lived only an additional 18 months. And Ms. Sobieri said she now wondered if the money would have been better spent as a contribution to research to find a cure for the disease, even though they cherished the extra year and a half they had with Perry.

Domesticated cats may still hear the call of the wild

Many behaviors we see in our domesticated felines speak to their wild ancestry, as evidenced by similar behaviors in lions, tigers and other big cats, writes wildlife cameraman Simon King. Cats’ habit of rubbing against their owners at mealtime mirrors lions’ social behavior, and felines sleeping on high perches in the home resemble African leopards, who dine and doze on tree branches high above potential threats on the ground. The Huffington Post/The Blog

Have you ever wondered why your pet cat rubs up against your legs, kneads your thighs with its forepaws or sleeps on top of a wardrobe? These, and many other behaviors, can be attributed to the tiger lurking within your pet tigger.

A recent report conducted by feline experts Whiskas has established close links between domestic cat behavior and behaviors exhibited by their wild big cat cousins.

The report also revealed some startling statistics about the way cat owners relate to their pets.

Over a thousand owners were involved in a survey that investigated regularly observed behaviors around the home and garden and also asked how owners responded to their pets. Some of the results were startling!  Over 95% of cat owners considered their pet as part of the family. And a surprising one in 10 admitted to preferring having a cuddle with their cat than with their partner!

Many cat owners maintain that stroking their pet reduces feelings of stress and this has been born out by empirical study that correlates a reduction in blood pressure among people who regularly look after and show affection to their pets.

One of the most tangible illustrations of owners recognizing the similarities between domestic cats and their wild counterparts is when it comes to naming them, with Tigger and Tiger being among the favorites!

As someone who has spent a great deal of the past 30 years watching and filming the big cats of the world, chiefly in Kenya and India, I was asked to analyze some of the most regularly witnessed domestic cat behavior to see if there were indeed any patterns which echoed that of their big cat cousins.

A common observation was that of cats rubbing against their owners’ legs with their temples, cheeks and flanks, especially as meals were being prepared. The cat is in fact scent marking, using special glands in their face and sides, and in so doing they are reinforcing a ‘family’ scent.  Very similar behavior can be seen in lions, particularly when subordinate females or youngsters greet more dominant animals in the pride. As the subordinate lion approaches it lowers its head slightly, often raises its tail and then pushes its head into and along that of the more dominant colleague. The importance of establishing a clan or family scent for these sociable cats is key to the avoidance and diffusion of aggression. And woe betide any intruder that does not bear the familiar smell! When your domestic cat scent marks you it is showing its confidence and comfort in being close to you and at the same time recognizing your dominance in the relationship. In short, it’s a cat compliment.

Many owners observed their pet cat choosing to rest on a high point like the top of a cupboard, and some said that their cat preferred to eat from a bowl that was raised above ground level. This again is echoed by one of their big cat cousins, the African leopard, which in parts of its range regularly climbs trees to rest and may haul meals up into the branches too. This is a defence strategy, avoiding contact and conflict with other predators, especially hyenas and lions. When your pet cat seeks a high point it is responding to an ancestral urge to get out of the way of trouble that may lurk on the ground.

Padding, or kneading with the forepaws is another behavior often witnessed in pet cats, especially when they are lying comfortably on their owners’ laps. This action stems from infantile behavior, when nursing kittens rhythmically knead their mothers’ mammary glands to stimulate milk flow. Over thousands of years of domestication we have encouraged cats to maintain much of their kitten-like relationship, with ourselves playing the role of surrogate parents, and it is this that leads to the perpetuation of this padding behavior. The same can be said of play behavior, with many pet cats remaining very playful with their owners well into adulthood, a pattern of behavior that generally wanes soon after adolescence in wild cat populations.

So much of the charm of living with a cat can be attributed to the close connection many have with the wild side of their character, whilst continuing to surprise and amuse us with their sense of fun, trust and independent character.

Natura Pet issues recall of several brands of food for cats, dogs

Natura Pet has issued a recall of dog and cat foods available under the EVO, Innova, Healthwise and California Natural brands, driven by concerns about possible Salmonella contamination. The contamination was detected by the FDA, and no human or animal health problems have been reported, the company said. Food Poisoning Bulletin

Dear Natura Family,

As pet parents and dedicated pet health advocates, it pains us to inform you of the first recall in our company’s 21-year history.

During a recent random sampling, the FDA confirmed the presence of salmonella in one of our products. We take this extremely seriously, because your pets are like ours – they’re part of the family – and we aren’t taking any chances. As a result, we have voluntarily recalled a number of our products as a precautionary measure. Fortunately, there have been no reported animal or human health issues associated with these products, and we have confirmed that this is not a widespread issue.

Natura was founded on the commitment to provide the healthiest natural pet food in the world. As Natura employees who live this commitment every day, words cannot express our disappointment with this finding. We place quality as the cornerstone of our products. It is a process of ongoing improvement, and we will continually review and raise these standards. Unfortunately, salmonella and other contaminants pose a great challenge to the food industry, and no company is immune.

We want to assure you, our valued customers, that we are more committed than ever to animal and human safety. We have fully investigated and identified the cause of this incident. Our production is ongoing, and you can continue to feed any Natura products outside of this incident with confidence.

We know that trust is earned. This incident further fuels our passionate commitment to your pet’s health and safety. We promise to demonstrate this commitment through our actions now and in the future.

See below for details on the recall products. If you have a product included on this list please contact us at https://www.naturapet.com/about/contact-us or (800) 224-6123.

Sincerely,     Employees of Natura Pet Products

 

Affected Products

Please download the appropriate PDF to see which products are affected by the voluntary recall. Innova EVO California Natural HealthWise

Press Information

Download Press Release (PDF)

Boomers fuel spending on pets

Americans’ affection for their animals continues to fuel a booming pet products industry. Owners are on track to spend $55.5 billion on their furry friends this year. Growing spending on pets has its roots in the 1950s and ’60s, when baby boomers became the first generation to routinely grow up with animals kept in the home, experts say. Today, boomers are filling their empty nests with companion animals. The Columbus Dispatch (Ohio)

This year, Americans will spend an estimated $55.5 billion on their pets, a little more than the gross domestic product of Bulgaria.

And Americans probably will spend even more next year, just as they have every year for the past two decades.

Little wonder, then, that these are boom times in the pet industry. In one example, Petsmart reported it sold $1.9 million worth of goods and services in the fourth quarter alone.

“It’s an industry that continued to grow during the recession,” said retail analyst Chris Boring, principal at Boulevard Strategies. “In Ohio, the number of dog licenses issued is growing faster than the birth rate.”

The reason for such unstoppable growth can be traced to the baby-boom generation and its humanization of pets, Boring said.

“They grew up in the 1950s and ’60s, and one of the most-popular TV shows for families was Lassie,” Boring said. “Every little kid begged his folks to buy a dog.”

As a result, “the baby boom generation was the first generation, really, that commonly had household pets,” Boring said. “Prior to that, most domestic animals were kept outside. Cats were kept in barns or on porches, and dogs had dog houses out back.

“Now that baby boomers have become empty nesters, they’re adopting pets in record numbers. I think it’s to fill an emotional need when the last child leaves home.”

They’re not only adopting pets in record numbers, but spending more on each pet, said Dave Bolen, CEO of Pet Supplies Plus, which just opened two more stores locally — one in Grove City and one in Delaware — bringing its Columbus total to seven. The 280-store chain has been doing business locally for about 25 years.

“The people who shop our stores don’t own pets. The pets own them,” Bolen said. “It’s true. The pets run the household. If you go to our stores, you’ll note that all of the signage is the pet talking to you. Our marketing is the same thing, it’s all in the voice of the pet. The pet’s the boss.”

As might be expected, food is the highest annual expense for most pet owners, according to the American Pet Products Association. Owners on average spend $239 on food for dogs and $203 on food for cats. Overall, pet owners will spend a total of $21.3 billion on food this year.

But it’s not just quantity of food. Pet owners — or “parents,” as they’re known in the industry — are going after high quality in their food, too. “That’s a really big deal, organic food,” Bolen said. “It very much follows the trend in natural food in the human space.” In response, his company offers 33 brands of pet foods that don’t contain synthetic additives, artificial preservatives, fillers or animal byproducts.

Pet Supplies Plus is hardly alone in the move toward organic pet food.

In the Short North, “a particularly pet friendly area,” Boring said, Three Dog Bakery touts that its “all-natural dog food” is something that owners “can feel good about sharing with their furry family members.”

Pet People, another national chain which has its divisional headquarters in Columbus, also touts its “high quality, natural, wholesome, and nutritious pet foods and treats.”

The big spending doesn’t end with food. Pet owners are also spending more on human-style fashion gear, grooming and boarding. The American Pet Products Association expects pet owners to spend $5.5 billion on grooming and boarding services this year.

At the prompting of one franchise owner who noticed the rising demand for grooming, Pet Supplies Plus began offering a self-service dog wash, Bolen said. “Sometimes trying to give a larger dog a wash in the home is hard. It’s much easier to do in the dog wash.”

Among the offerings at Posh Pets Boutique in the Short North, for instance, are “the newest organic cotton crocheted toys” and “new winter styles to keep your favorite pet toasty!”

“They’re at a point where they can afford to spoil their pets — and they do,” Boring said. “People are cooking special meals for their dogs, and then there are some of these places where, you call it boarding, but it’s more like plush hotels. It’s almost like anything you can apply to humans can apply to dogs. And it is usually dogs. Cats don’t really care. I say that as a cat owner.”

The pampering even extends to psychological considerations. One product, Neuticles, “allows your pet to retain his natural look, self-esteem and aids in the trauma associated with altering.” Pet owners have bought more than half a million of the prosthetic testicular implants, which sell for about $1,000 a pair.

“I saw a cat stroller the other day for some ridiculous price,” Boring said. “My first question is, what cat would let you put it in a stroller?”

“Dr. Google” is not an expert on pet cancer

It’s not uncommon for owners to search online for answers to their heart-wrenching questions when a pet is diagnosed with cancer, but they should proceed with caution, writes veterinary oncologist Joanne Intile. A trained veterinary oncologist is the best resource for owners with pets who have cancer, notes Dr. Intile, but she says veterinarians must approach all communication regarding cancer diagnosis, treatment, prognosis and even Internet research with patience and compassion. PetMD.com/The Daily Vet blog

The Internet can be a dangerous place for owners of pets with cancer. The sheer amount of virtual information available immediately at one’s fingertips is astonishing; bordering on overwhelming.
As an example, a quick search of the phrase “canine cancer” in a popular search engine returns over 3,240,000 hits. “Canine lymphoma” yields over 1,050,000 hits, while “feline lymphoma” reveals a mere 565,000 hits. How can an owner sift through all those pages and discern the “good from the bad” when it comes to learning more about their pet’s diagnosis?

When a diagnosis of cancer is made, owners are often placed in the difficult position of having to make decisions regarding diagnostic tests and treatments for their pet, frequently with limited information. This can lead to a feeling of helplessness and depression, or even defensiveness at times. I think it’s natural to turn to the Internet as a source of information, self-comfort, and self-education.

What I’m not so sure of is when exactly did entering phrases or words into a search engine begin qualifying as “research?” Having endured many years of rigorous academic training, when I think of actively researching a topic, it conjures up images of pouring over textbooks and critically reviewing clinical studies. To me, it means learning objective facts and studying information for accuracy of content, not clicking on random websites and reading unsubstantiated opinions backed typically by emotion rather than truth.

It is not unusual for owners to come to their first appointment armed with notes, printouts, suggestions, and/or questions they have garnered from searching their pets’ diagnoses on the Internet. My visceral reaction is typically one of tempered insult. I’m the one who endured many years of education and training and have several years of experience working as a clinical medical oncologist, yet I often joke in some cases that the (in)famous “Dr. Google,” who never went to vet school, once again has managed to usurp my recommendations. It’s challenging for me to remember that the intentions behind my clients’ questions or suggestions are typically pure. Owners simply lack the medical knowledge to review the Internet information accurately, but they really only want the best care and best treatment options for their pets.

I’ve discussed before how I understand that a diagnosis of cancer can be emotionally provoking for owners, and a common frustration many will express is their complete lack of control over the situation. Owners cannot alter progression of the disease once it occurs, they are simply told, “Here are the facts and here are the recommendations.”

An example would be an owner focusing on nutrition and diet after a diagnosis is obtained. What food their pet ingests is one of the few things pet owners can control in an otherwise uncontrollable situation. It is also one of the most Internet-searched topics owners will discuss with me during an appointment. Unfortunately, the lack of evidence-based information supporting nutrition as playing a role in the outcome for animals with cancer makes it difficult to make solid recommendations.
This isn’t to say I can’t relate to the need to try to learn as much as possible about a diagnosis, and I’m aware of how daunting terminology related to science and health and medicine can be for individuals not trained specifically within those subjects. The vocabulary is unfamiliar, anxiety provoking, and even uncomfortable for some. Equally as challenging on my end is determining how to present complicated diagnoses and treatment options in terms the average non-medically inclined individual can understand. Despite my best efforts, even with the most medically educated clientele, I know the emotional aspects surrounding a diagnosis can create barriers to truly understanding the technicalities.

Following initial consults, I provide owners with an in-depth written summary of all the points discussed during the appointment. I believe this is something unique to the veterinary profession. Think about the last time your human MD counterpart provided you with a written summary of any aspect of your visit. Even with the information literally in hand, it’s not uncommon for owners to specifically ask for websites they could use to better understand all the topics I’ve discussed. I’m not sure I will ever understand the need to turn to non-validated sources of information when it comes to learning about health and disease, but I do understand my obligation to being able to point people in the right direction.

Therefore, I generally recommend websites directly affiliated with veterinary schools, professional veterinary organizations, and websites run by respected and prominent veterinarians and advocate such pages as resources for owners seeking additional information. I also have no problem discussing the pros of seeing another medical oncologist for a second opinion when appropriate.

I think one of the main reasons I enjoy being able to write weekly articles for petMD is because I feel it is my small way of contributing factual information about veterinary oncology on the Internet. Though I’m still frequently challenged by owners about something they read on a website or through an online forum, I try to maintain patience when these topics come up.
I take comfort in knowing there are good resources for pet owners, and that I play an active role in keeping truthful information available to a large-scale audience, one week at a time.

Is your veterinarian America’s Favorite Veterinarian?

If you think your veterinarian should be recognized by the AVMA at this year’s AVMA Annual Convention, nominate him or her for the American Veterinary Medical Foundation’s America’s Favorite Veterinarian contest by writing about him or her on the organization’s Facebook page. The winning veterinarian and the client each receive $250 cash, as well as travel and lodging for the award event in Chicago. The winning veterinarian also receives free registration to AVMA’s conference.

Is your veterinarian your hero? Would you like to see your veterinarian honored at the upcoming convention of the American Veterinary Medical Association by the American Veterinary Medical Foundation?

The story you tell may be dramatic, a veterinarian saving a pet’s life….or might be a story of compassion, how end of life was handled. Maybe your story is a bit off-beat, about a veterinarian helping a turtle to win a race.

You can enter your story in the contest, America’s Favorite Veterinarian, conducted by the American Veterinary Medical Foundation. Any story about any veterinarian, if the story touches you – it will likely touch the judges. Those judges will narrow the entries to a final 12 – then it’s up to you to vote.  So, appropriately, America will chose America’s Favorite Veterinarian.

Clients are encouraged to nominate their veterinarians through the Foundation’s Facebook page. Submit a photo of the animal alone, with themselves, or with the veterinarian, along with a short story—250 words or less—on why the veterinarian deserves to be America’s Favorite Veterinarian.

The winning veterinarian will be honored at the AVMF Impact and Partner Breakfast July 21 during the AVMA Annual Convention in Chicago. The winning veterinarian and the nominating client will each receive a $250 cash prize. In addition, each will receive a free night’s stay in Chicago, plus travel expenses for those outside the area. The veterinarian will also receive complimentary registration to the convention. Perhaps, best of all – you can thank, you can celebrate your veterinarian in a public way.

The contest runs through June 1.  Nominations will be presented to a panel of judges: Dr. Bernadine D. Cruz, a chair of the former AVMA Council on Communications; Ginger Brainard, chair of the America’s Favorite Veterinarian Task Force; Kimberly Topper, from the AVMF board of directors; Dr. Susan Giovengo, senior director of Central Garden & Pet Co. and myself, and this is a great honor for me. Tell your friends. Share this post. And write about your veterinarian.

Everything the non-profit American Veterinary Medical Foundation does is designed to benefit veterinary medicine, promote animal well being, and enhance research, so that we will be even better prepared to deal with difficult problems of animal health today and in the future. The AVMF also facilitates the rescuing of animals in times of disaster.

Understanding antibiotic-resistant bacteria in pets

Methicillin-resistant bacteria occur in humans and animals and don’t respond to the usual spectrum of antibiotics, writes veterinarian Mary Ann Crawford. The human culprit, methicillin-resistant Staphylococcus aureus, only occurs in pets as the result of reverse zoonosis, so pets with this bacteria will trigger an investigation into the health of their human companions, Dr. Crawford points out. The methicillin-resistant bacteria of concern in animals is Staphylococcus pseudintermedius, and although it’s unusual, transmission to humans can occur, so gloves, hand-washing and hand sanitizer should be used to prevent transmission, Dr. Crawford notes. The Record (Hackensack, N.J.)

Q. My neighbor’s dog has a wound that is being treated with antibiotics but it is not healing. I have heard lots of information about the bacteria called MRSA being such a terrible thing. Could this be affecting my neighbor’s dog?

MRSA stands for methicillin resistant Staphylococcus aureus. Resistance means that a bacterial infection is not able to be treated effectively by the most commonly used antibiotics. MRSA is a type of bacteria that may affect people but can also be transmitted to animals. It is known as a “reverse zoonosis,” meaning a condition that would travel from a person to an animal, rather than the other way around. When animals have an infection cultured that reveals the MRSA bacteria, we want to question the owners about any infections the people may have in the household.

We do not mean to imply that animals don’t get resistant bacterial infections, because they do, although it is not common. The Staph bacteria affecting animals is called Staphylococcus pseudintermedius (SP), rather than Staphylococcus aureus (SA). There is a methicillin resistant form called MRSP. It is an easily transmissible bacteria from animal to animal, and gloves should be worn when treating any open wounds or known areas of infection. It would be very rare for a person to acquire an infection of MRSP, but anytime there is an open wound present either in an animal or person, the area should only be touched with gloves. Hands should also be cleaned with soap and water after being in contact with the dog or person, followed by an alcohol based disinfectant such as Purell.

We identify bacterial infections by obtaining a sample of the infected area and sending it to a laboratory for identification (culturing). The laboratory also provides us information about which antibiotics the bacteria are susceptible to. The laboratory informs us if the bacteria are a resistant strain such as MRSA or MRSP, and this helps guide our treatment recommendations for therapy. Since the wound has not been responding, your neighbor should consider returning to their veterinarian where they will likely consider culturing the infected area.

— Mary Ann Crawford, DVM

Protecting pets from household toxins

Pets are exposed to the same potentially harmful substances as the humans they live with, possibly to a greater extent because they are smaller and closer to the ground, according to this article. Simple changes can reduce pet — and human — exposure, including vacuuming frequently and keeping potentially harmful substances such as medications in a safe place. Emergency veterinarian MeiMei Welker discusses the harms of slug bait, rodenticide and marijuana poisoning, while veterinarian Marli Lintner explains the uniquely sensitive nature of birds to home toxins, such as fumes from nonstick pans, due to their respiratory systems. The Oregonian (Portland) (3/1)

We think that our indoor pets are safe from predators, cars and disease, but our homes may be exposing our pets – and ourselves – to risks of a different realm.

Everything from the mattresses we sleep on to the motes of dust on the shelves may contain flame retardants or other chemicals, says Laurel Standley, an environmental consultant and author of “#ToxinsTweet: 140 Easy Tips to Reduce Your Family’s Exposure to Environmental Toxins.”

Standley began studying the effects of household toxins in pets after she, her mother and sister all lost pet cats to cancer.

She grieved the losses but Standley, who earned a doctoral degree in chemical oceanography, also grew concerned about what made them sick in the first place.

She worries about the prevalence of chemical flame retardants known as polybrominated diphenyl ethers (PBDEs) found in many electronics, polyurethane foams, carpet padding, furniture, mattresses and other common household items.

“Each time we sit down on couches with foam cushions, dust particles fly out and fill our homes with dust containing flame retardant chemicals,” Standley says.

The products are being phased out after growing concern about their health effects. Last month, California Gov. Jerry Brown proposed new standards to reduce use of fire-retardant chemicals in furniture and baby products.

Some studies have associated hyperthyroidism in cats to the presence of PBDEs, including one published in February 2012 in the Journal of Toxicology and Environmental Health.

“Proving cause and effect is extremely difficult,” Standley says, “But that’s not an excuse to not protect our pets.”

Plastics also contain harmful chemicals, including bisphenol A and phthalates that have been associated with reproductive and other endocrine effects.

Some of these chemicals have been restricted from children’s products (such as the Multnomah County ban on sippy cups and baby bottles made with BPA).

“The same chemicals haven’t been regulated for dog or cat toys,” says Jennifer Coleman, outreach director at Oregon Environmental Council. “They could still have an impact on endocrine systems.”

Like infants, pets are also smaller than adults, metabolize more quickly and are closer to the ground. This makes them more vulnerable to harm from many of the products humans use, she says.

One way to reduce their exposure is by replacing plastic food bowls with those made from stainless steel, ceramic or glass instead, Standley suggests.

The fish in those food dishes can also be toxic; fish living in polluted streams can accumulate toxic substances in their systems, she says.

Even the plastic liner of the cans they come in may leach BPA.

Pigments and dyes are also likely to contain chemicals, so look for toys without a lot of color or bleaching, Coleman advises.

“My strategy with my own dog is to do the simple things that make the most sense to me,” she says.

She avoids vinyl and PVC plastic and opts instead for those made from rubber or fabric, such as tug ropes and stuffing-free toys. Even tennis balls can be toxic; the ones designed for dogs often contain lead.

Of course, some toxins will make your pet sick sooner rather than later.

At DoveLewis, veterinarians see some toxins more often than others. Metaldehyde slug bait ingestion can cause major muscle tremors that can be fatal, as well as liver problems, says staff veterinarian Dr. MeiMei Welker.

The emergency animal hospital also sees a fair number of dogs sick from marijuana ingestion, while rodenticide toxicity – suspected in the death of a prize-winning Samoyed recently– is a near-daily occurrence.

There are several kinds of rat bait, but the anticoagulant rodenticides are slower to act and allow more of a window of time to administer the antidote.

If your pet consumes poison of some sort, it’s best to bring the packaging to the veterinarian so he or she can treat it most effectively.

Other common toxins seen at DoveLewis include raisins and grapes; the sugar substitute Xylitol; Easter lilies; chocolate; ibuprofen and naproxen (Aleve); and acetaminophen.

The canary in the kitchen

Birds are uniquely sensitive to their environment; there’s a reason the phrase “canary in a coal mine” became so popular.

They’re very sensitive to aerosols, and their respiratory systems are very different than ours, says Dr. Marli Lintner of the Avian Medical Center.

Bird lungs are designed to breathe in very clean, thin air, so breathing in some toxic inhalants can kill them immediately or make them very sick.

“Any sort of fume that makes your nose tingle or your eyes water is bad news for the birds,” Lintner says.

Fumes from nonstick pans pose one of the biggest threats to our feathered friends.

Once the pans overheat – usually when the temperature reaches above 530 degrees Farenheit – a gas called polytetrafluoroethylene is released, says Dr. Deborah Sheaffer, staff veterinarian at the Audubon Society of Portland.

They can die very quickly, so if you see your bird panting or having trouble breathing, you should take it to the veterinarian immediately.

Lead poses another common avian household hazard. Paint, stained glass window frames, curtain weights, costume jewelry; foil from champagne bottles; and old bird cages can all be toxic.

“When people have pet birds, they really need to be cognizant of what’s around them,” Sheaffer says. “They’re curious and inquisitive and they like to chew on things.”

This may be a lot of information for you to chew on too. Just remember that making your home safer for your pets makes it safer for humans as well.

Offering your pet toys made from fabric or natural rubber instead of vinyl and PVC plastic can help reduce their exposure to harmful chemicals.Jennifer Coleman

How to help reduce toxins in your home

Vacuum frequently, preferably with a cleaner fitted with a HEPA filter, even on tile or wood floors (the goal is to not sweep dust up from the floor).

  • Eliminate carpet wherever possible; the less carpet you have, the easier it is to control dust.
  • Use rugs made of natural fabrics, such as cotton, wool or jute.
  • Vacuum your couch regularly.
  • Dust with a simple damp rag. Dry dusting can stir dust back into the air.
  • Replace plastic food dishes with those made from stainless steel, ceramic or glass instead.
  • If you have birds, avoid using nonstick pans whenever possible.
  • Don’t expose birds to smoke or household aerosol products such as harsh cleaners, perfumes, hairspray, etc.
  • Keep pets off the countertops and secure medications and other toxins safely in cupboards.
  • If you’re afraid your pet ingested something he shouldn’t have, call the Pet Poison Helpline at 800-213-6680 (consultations cost $39).
  • Don’t try to make your pet vomit; in some cases it could make the situation worse.

 

 

 

Resources:

 

 

 

 

The most common toxicity cases at DoveLewis last year include:

 

  • Total toxicity: 512
  • Food toxicity (chocolate, grapes, salmon, Xylitol, raisins, Methylxanthine, alcohol, mushrooms): 121
  • Plant toxicity: lilies (19) and marijuana (125) = 144
  • Medication: 161 (includes NSAID, Albuterol, Cholecalciferol, Ibuprofen, Phenlpropanolamine, Acetaminophen, Ivermectin, Vitamin D, Metronidazole)
  • Household: 71 (includes Anticoagulant Rodenticide, Metaldehyde, Bromethalin, Ethylene Glycol, Zinc Phosphide, OrganoPhosphate)
  • Flea product toxicity: 15

Monique Balas