Monday, 15 July 2019

Pet of the month hall of fame -Max

Max is our brave pet of the month after a dog attack left him with a nasty injury. 

Vet Celia was on duty when she received a telephone call from Max's concerned owners and arranged  to immediately see him. It was apparent that he'd sustained a large wound on his back. Celia assessed Max's condition by firstly evaluating his airway, breathing and circulation. She listened to his heart and lungs and checked his limbs and abdomen for signs of trauma. Although Max had received nasty bite wounds to the skin and soft tissue layers, they had not damaged any vital structures in his neck or chest and his condition was stable. Celia clipped the large wound on his back and discovered that Max also had some smaller puncture wounds. The puncture holes on the skin are often only a small portion of the significant damage that may have occurred to the muscles and tissues underneath the skin. Max would need to be monitored for further signs of swelling and bruising. Celia cleaned and flushed the wounds and prescribed Max some pain relief medication and antibiotics. Because a dog's mouth is full of bacteria, a bite  can introduce infection into the wound and underlying tissue. With the risk of infection high, Celia decided to initially treat the wound as open (not stitched). This allows any infection to clear before deciding if surgery is required to close the wound. Max's owners bathed his wounds at home and gave him his antibiotics as instructed by Celia, but at his check up a couple of days later, Celia was concerned about some swelling under the skin. She suspected that the infection was progressing so she introduced a combination of different antibiotics to help fight it. 

After another few days, Celia assessed Max's wounds again and at this stage she could see that some of the skin tissues were beginning to die. Necrosis (tissue cell death) can occur after a serious injury or infection. Despite this, there was also some promising progress. Max's owners had done a wonderful job of cleaning his wounds and giving him his medication and Celia could now see some healthier underlying tissue developing. The infective discharge had cleared up. The next step was for Celia to give Max a general anaesthetic so that she could surgically repair the wounds. 

Celia needed to remove the necrotic, damaged tissue and assess the remaining tissue health - a procedure called debridement. An area of dead space can form with these types of wounds. This is where the skin is pulled away from the underlying tissue creating a space in which fluid can accumulate under the skin. Celia inserted a drain; a latex rubber tube that allows fluid to drain out of the wound. Celia then closed the healthy wound edges together using walking sutures, a stitching technique that helps to reduce tension of the skin.

Max recovered well from the general anaesthetic and was allowed home the same evening. Unfortunately the drain came out so we needed to observe the wound for signs of swelling that could indicate the formation of a seroma. A seroma is fluid (serum) that has accumulated in a dead space in the tissue. It is the product of tissue inflammation and the body's defence mechanisms.

Max's owners did really well to keep him rested and his wound clean whilst it healed .After ten days, Celia was very pleased with how well Max's wound had healed and removed his stitches. However, she could see that the area looked puffy. With no signs of infection, Celia diagnosed a seroma. She opted to leave it alone rather than intervene as often the body will slowly reabsorb the fluid and it will eventually shrink and disappear.
Max was kept quiet and rested for a further 10 days and his owners ensured that he remained bright and comfortable.

After another 10 days, Celia checked Max. It was brilliant news -  she was able to sign him off as his wound had completely healed! Max had really missed his walks and it was great that he could now start to enjoy them again. 
After six weeks of treatment, we are so happy to see that Max has recovered.

For his patience and bravery, this lovely boy is our much deserved pet of the month! 

Saturday, 22 June 2019

Feeling the heat!

While people regulate their body temperatures by sweating, a dog goes about it in a different way! Dogs do not sweat in the same way that people do, although they do produce very small amounts of sweat from the pads of their paws (as do cats). The main way in which dogs regulate their body temperature is by panting, which draws cooling air into the body to drop the core temperature, and also by drinking water, which again hydrates and cools the body. 

What is heat stroke?

Heat Stroke (hyperthermia) is a condition that occurs at a point where an animal can no longer regulate their body temperature or cool themselves down. Their temperature becomes dangerously raised. It generally occurs in the summer months when the outside temperatures are high. Dogs that are overweight or ones that have a thick coat are particularly vulnerable as are short nosed breeds such as a Pug, Boxer, Pekingese and Bulldog.

Situations that can quickly lead to heat stroke;
  • Too much exercise or vigorous play during the hotter parts of the day.
  • Not drinking enough water or lack of access to drinking water. 
  • Being out in direct sunlight and unable to find shade. 
  • Being enclosed in a car, shed or other overheated enclosure where the temperature is hot.

Preventing heat stroke

It is vital to monitor your pet closely when it is hot to see how they are coping with the heat. Some of the precautions to take during the summer include:

  • Not walking your dog or encouraging vigorous play during the hottest part of the day;  walk in the early morning and the evening when the weather is cooler.
  • Ensuring that your pet has access to clean, fresh water at all times. Take water out on dog walks with you so that you can give them a drink.
  •  NEVER leaving your pet shut in a car, shed, conservatory, caravan or other small space for any amount of time, even for just a few minutes. Your pet can become dangerously overheated. 
  • Making sure that your pet can get out of direct sunlight if needed, ensuring that they have access to cooler, shaded areas - some dogs insist on lying in the sun, discourage this!
  • Groom your pet regularly. A healthy, groomed coat helps your pet to regulate their body temperature and cope with the heat in summer.
  •  Remember that some dogs, particularly those with white fur or pink skin may be prone to sunburn -  take this into account when taking them out in the sun. Cats with white ears are also prone to getting sunburn on the ear tips.  You can buy pet safe sun cream - always read the label.
  • Keeping your pet indoors in a cool well ventilated room or providing shade for them to retreat into during the hottest part of the day is advised.

Identifying heatstroke in dogs;

Even if you take all possible precautions and do what you can to help your dog keep cool, it is important to be able to identify the symptoms of heatstroke in the early stages in order to take prompt action. Heatstroke can quickly progress to become a life-threatening emergency.

During the early stages of heatstroke your dog may appear restless and generally unhappy, but can appear listless and lethargic too. They will also be panting excessively and for a prolonged period of time, or panting recurrently without apparently getting any relief. As heatstroke progresses, their gums will become red and tacky, and they might be foaming at the mouth or salivating excessively. A high body temperature and elevated heart rate also accompany heatstroke in dogs. Heatstroke often progresses very quickly, and can soon advance to confusion and disorientation, collapse and fitting. The dog may also vomit or lose control of their bowels and bladder.

     Heatstroke is a veterinary emergency, and not a condition that can be left to resolve itself.

     What to do;
  •      Immediately move your dog to the shade or indoors to a cool area.
  •      Slowly apply cool or tepid water (not ice cold as this can be counterproductive), either directly or with wet towels to the stomach, inner thighs, armpits,  head, neck and footpads. (Do not cover the dog with the towel as this can cause them to warm up).
  •      If a hose pipe is available, use a fine, gentle spray to wet your dog.
  •     Offer your dog water to drink but don't let them drink too much at once. Small sips are ideal. However, don't force them to drink.
  •      If you have a fan, direct it onto your dog.
  •      CALL YOUR VET for further advice and to arrange for your pet to be checked, (even if they appear to be recovering). 

     Cats and the heat

    Cats will generally cope better with hot temperatures. They usually seek out somewhere cool to rest. Cat paw pads have sweat glands and this is how they cool down. Cats also lick the fur over their bodies to distribute saliva that will evaporate to cool them, much like sweat would do. A heat stressed cat will pant and this should not be ignored.

A cat can succumb to heatstroke and show similar symptoms to a dog. Again it is vital that you move them to a shady, cool area and apply a cool wet towel/flannel to the groin, paws and neck. Offer small amounts of water to drink. CALL YOUR VET.

   Rabbits and Guinea pigs

Don't forget your small furries! Rabbits and Guinea pigs are unable to sweat, they must

have plenty of shade and good airflow. 

Position enclosures/hutches in a cool place out of direct sunlight such as under a tree and create more shade by adding a tarpaulin or a towel. Provide more shady spots within the enclosure using a cardboard box with a couple openings cut into it for added ventilation. Provide fresh water at all times in both a drinking bottle and ceramic dish.

Signs that a rabbit or Guinea pig is hot include lethargy, breathing heavily, puffing, a  wet nose, drooling , weakness, reluctance to move.

Immediately move them to a cool area and apply cool water to their ears, groin and feet. Offer them water to drink.

     Click the link for some tips on summer outdoor bunny care
      (courtesy of www.rabbit

Ensure that rodent cages and bird cages are kept out of direct sunlight and are not left in a conservatory. Make sure that your pet has access to fresh water at all times. 

Wildlife - Don't forget to leave a dish of water out for wildlife visiting your garden.

Disclaimer: The contents of the Arden House Animal Hospital website are for informational purposes only. The content is not intended to be a substitute for professional veterinary advice, diagnosis, or treatment. Always seek the advice of your Veterinary Surgeon with any questions you may have regarding your animal’s medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.




Tuesday, 4 June 2019

Rabbit awareness at Arden House!

We are supporting rabbit awareness week by offering a whole month of free rabbit checks with a vet between Monday 3rd June - Saturday 29th June!
πŸ‡Please call and book an appointment! πŸ‡

This year's Rabbit Awareness Week theme is 'Protect and Prevent' raising awareness around Rabbit Viral Haemorrhagic Disease 2 (RVHD2).

Rabbits are normally vaccinated annually against two diseases, myxomatosis and rabbit viral haemorrhagic disease ( RVHD1).

RVHD2 is a new variant of the RVHD1 virus which causes internal bleeding and like RVHD1 is often fatal. 

Therefore, the best way to protect your rabbits is to vaccinate them! 
We recommend that rabbits are vaccinated against myxomatosis- RVHD1 followed by an additional vaccine for RVHD2,  given two weeks later. 
🌟 To help try and get more bunnies vaccinated against RVHD2, we have a 20% discount on this vaccine throughout June ( cost £24.00). 🌟

Examining your rabbit;

Your bunny's wellness visit will start with one of our vets asking you questions about diet, behaviour, past medical problems. This is also the time you will be asked if there are any new problems that have arisen, concerns, or questions you may have. All of this information will be entered into your pet's digital medical record.
After all of your questions have been answered, the physical exam will start. The vet will look at the following things:

  • Teeth - Do the front teeth meet correctly? Are they overgrown?  Are the teeth being effectively worn down by chewing? Using an otoscope with a long speculum, the molars (back teeth) will be checked for sharp points called spurs.The vet will also check the lips for any sores, abrasions, drooling, or swelling.
  • Eyes - Are the eyes bright and without discharge? They will be checked for signs of swelling, infection, or tear duct obstruction.
  • Nose - Is the nose clear of discharge? Are there any signs of breathing problems ( wheezing, coughing , sneezing)? 
  • Ears - Are the ears clean and healthy? If there is ear debris, it will be checked for mites, yeast, or bacteria. The ear will be swabbed and the material examined under a microscope.
  • Skin and coat - Is the coat clean and glossy? Are there any patches of hair loss dandruff or inflamed skin? Is the rabbit itchy? Are there any lumps or bumps? Are the nails too long? 
  • Heart and lungs - is the rabbit's heart rate and rhythm normal? What is the breathing rate? Using a stethoscope, your rabbit's heart and lungs will be listened to. 
  • Bottom check - Is the rear end clean, dry and free from faeces? 
  • Abdomen - The vet will feel the abdomen to evaluate size and shape of internal organs. Are there any signs of pain or discomfort? 
  • Weight - What is the rabbits body condition score ? Are they a healthy weight for their size and breed? 

Rabbit awareness week (RAW) presents a great opportunity to learn more about rabbits and how to correctly care for them. The following link provides some great information on all aspects of rabbit care and rabbit health. Do also contact our veterinary team here at Arden House who will be happy to answer any questions you may have. 

Please note;
Your bunny should be seen urgently by a vet if they haven't eaten in the last 12 hours.

Sunday, 12 May 2019

Scratching the surface of skin disease

When itchy pets scratch a lot it can be painful and upsetting for them as well as distressing for their owners. All pets will scratch to relieve themselves of a temporary annoyance such as debris caught in the coat or an insect climbing on the skin. Some pets simply enjoy a good scratch without there being any cause for concern.

Itching becomes a problem when a pet scratches to such an extent that it causes damage to the skin. They will often chew and lick at the irritation too.

There can be many causes of skin problems in our pets. Some animals suffer from a combination of causes that can make diagnosis and treatment more challenging.

Here is an overview of the most common conditions;

1. Parasites

a) Fleas are the most common cause of itching in pets.
One of the first questions the vet will ask is whether your pet is regularly treated for fleas and will look through your pet's coat for evidence of these parasites. Fleas are visible as small brown parasites moving through the coat. Often flea dirt will be noted before fleas themselves. 
Fleas can be controlled by regular use of effective products prescribed by your vet. 
Some animals develop allergies to fleas; see section 'allergies'.

b) Mites; There are several types of mites that can affect our pets but those listed below are most commonly encountered;

  • The Sarcoptes scabiei canis mite causes sarcoptic mange  which is a very uncomfortable skin disease seen in dogs. These mites will burrow into the outer layer of the skin causing intense itching and irritation. The skin becomes  inflamed with excessive scale and crusting and starts to lose  hair. The intense itch often leads to further injury through  excessive scratching. The most commonly affected areas are the face, ears, muzzle, hocks, elbows and chest, but the  disease can extend over the entire body.

Sarcoptes scabiei mite
(microscopic view)

The mite is  contagious and is primarily spread through direct contact with  an infected animal. The mite also affects foxes who can  indirectly spread the mite to dogs via the environment, as the mite can survive off of the host for a number of days.
If Sarcoptes is suspected, the vet will take some skin scrape samples to examine under the microscope. The presence of a mite or their eggs on a slide confirms a positive diagnosis, but a negative skin scraping does not rule out sarcoptic mange. Because these mites burrow deep into the skin and an animal only needs to be infected by a few to show significant symptoms, a skin scrape does not always pick up the mites. In these cases, a presumptive diagnosis may therefore be made, based on clinical signs.
Cats rarely get sarcoptic mange, however if they do the most common form is notoedric mange caused by the mite Notoedres cati.

Sarcoptes mites can be transferred to humans, but because humans are not a natural host for the mite the condition tends to be short lived. (Consult your doctor for advice should you be concerned). 

  • The Demodex Canis mite is confined to dogs. These mites usually live in small numbers deep in the hair  follicles without causing any problems. In some cases the mite can take over, leading to a condition called  Demodicosis or Demodectic mange.
    This is typically  seen in puppies and young dogs less than two years  old  due to their growing/immature immune systems. It  can also occur in older dogs who have a weakened  immune system caused by illness. The  most common  symptoms are patchy hair loss around the  face and forelimbs, (localised) or generalised hair loss, skin redness and crusting. Demodex mites are transmitted to puppies from their mother during the first few days of life.

    Demodex mites
    (microscopic view)

Since the mite is found on virtually all dogs, exposure of a normal dog to one with demodectic mange is not dangerous. 
Your vet will take skin scrapes samples to be examined under the microscope. The finding of larger than normal numbers of Demodex mites in skin scrapings confirms the diagnosis.

Demodex Canis mites are host specific meaning they only live on dogs and aren't transferred to humans and cats. Humans and cats each  carry their own species of Demodex but are less likely to encounter problems. 

  • Ear mite; or 'Otodectes Cynotis' can affect pets of all ages but  are more often found in puppies and kittens. They affect the ear canals causing the pet to shake its head or scratch at their ears. A dark brown waxy material can build up in the ears. Ear mites are extremely contagious and can be passed to other pets in the household ( but not humans!).

A microscopic view of
Otodectes Cynotis

Though ear mites are extremely small, they are not so small that they cannot be spotted by the naked eye. Using an otoscope (instrument for inspecting the ear), the vet will look closely at the inside of the ear to see if there are any tiny dots moving around. A sample may be taken and looked at under a microscope to allow the mites to be identified. 
  • Cheyletiella mite; or 'walking dandruff' are most commonly encountered on rabbits and guinea pigs but can affect dogs and cats too. Though humans are not a natural host for this parasite, the mite can live on people for a while. The mites cause irritation and a characteristic dandruff type flaking of the skin.

A microscopic view of Cheyletiella

Cheyletiella mites tend to be larger than most mites, but can still be quite difficult to find.

They don’t burrow under skin but hide within the keratin coat of the skin’s epidermis or outermost layers. Moving skin flakes (walking dandruff) may or may not be visible to the naked eye. Samples of dandruff caught on sticky tape can be examined for the presence of mites or their eggs.

  • Seasonal harvest mites ('Trombiculodis') is a small orange mite most commonly encountered in the late summer. It can cause intensely itchy reactions on your pet and is often found in small crevices, such as between the toes or in the folds of the ears. They often cluster together so on inspection, orange dots are visible on the pet's skin.

Harvest mites between a dog's toes

Although parasites can be troublesome, the good news is that they can be controlled and cured! We have a variety of medications that are highly effective.

2. Allergic skin disease

Allergies (or hypersensitivity) among our pets are extremely common and may be evident as rubbing around the face and ears, or constant ear infections. You may see them chewing and licking their paws or generally scratching all over or rubbing themselves against furniture or along the floor ( Dogs). The skin is prone to infection.

In cats, itchiness is again a sign and they begin to over-groom as they lick and bite at the irritation. This results in damage to the hair and the appearance of bald patches - often over their thighs, back or tummy. They can develop a red and crusty rash commonly seen around the head, neck and base of the tail. 

  • Flea allergic dermatitis - This is an allergic reaction to a flea bite and is the most common cause of allergy in both dogs and cats. The animal is actually allergic to the flea saliva and doesn't need to have many fleas to suffer a reaction to them. The associated itching and inflammation can lead to excessive scratching and chewing at the skin which damages it and leads to secondary bacterial or fungal infections.
Routine, effective flea control is essential to treating flea allergy dermatitis.

  • Atopy (atopic dermatitis) - Environmental allergens are inhaled or absorbed across the skin barrier and trigger an allergic reaction in the skin. Causes of allergies generally fall into two categories, seasonal and non-seasonal. The seasonal allergies tend to flare up at certain times of the year, whereas the non-seasonal allergies are a continual year round problem.
Common allergens include pollen (from flowers, weeds, grasses and trees), mould spores, house dust/ house dust mites and hair dander from other animals, but there can be a long list of potential triggers. 
Dogs are more prone to atopy than cats.

Typically symptoms of atopy develop between the age of six months - three years of age but we do see it in animals that are older too. Any breed of dog may be affected but some are more prone to developing it than others. Some breeds most commonly affected include terriers; especially West Highland White Terriers and Staffordshire Bull Terriers, Labrador Retrievers, Golden Retrievers and German Shepherds. It is common for pets with atopic dermatitis to develop ear infections and secondary bacterial and yeast infections.

There is no single specific test to diagnose atopic dermatitis. Essentially, it is a clinical diagnosis based on history, physical examination,  ruling out other pruritic (itchy) skin diseases and response to treatment. Our vets may recommend tests such as skin cytology  (to look for bacteria or yeast), skin scraping (for mite identification), or cultures (for fungal causes).If allergens are suspected, the vet may discuss serum testing (blood testing) and/or intra-dermal (skin) testing that can determine what the animal is allergic too.

Management options: 

Depending on the severity of your pet's symptoms and the length of the specific allergy season,  one or more of the following treatments will probably be required;
  • Anti-inflammatory therapy. Treatment with anti-inflammatory drugs such as corticosteroids, or with antihistamines, will quickly block the allergic reaction in most cases. Essential fatty acids can improve the response to steroids and antihistamines in some cases. 
  • Immune modulators (dogs). This type of medication changes the way the skin reacts to allergens leaving it less reactive and itchy. It makes the skin less sensitive so that it doesn't get itchy in the first place. 
  • A non-drug treatment with high efficacy and safety is available for dogs in the form of an injection.  It can be used in conjunction with any other treatment but in many dogs it will probably be the only treatment needed. It is a biological medication (a protein, not a chemical) that works like a dog's own immune system to block the signals that trigger itch. Injections are usually given every four weeks.
  • Immunotherapy. If either intradermal skin testing or blood testing for atopy has been performed and specific allergens have been identified, immunotherapy may be recommended. This involves administering an allergy vaccine by injection to desensitise your pet to the allergen .Allergy vaccine therapy is typically life-long once started.
There are other things that may be added into long-term treatment of atopic dogs in addition to one of the main treatments.

1. Avoidance of allergens – such as avoiding dusty areas or country walks at certain times of the year ( but this is not easy! Also pets can be allergic to multiple allergens!)
2. Shampooing to wash allergens from the skin and to keep the skin hydrated and free from scurf. The vet will recommend the best shampoo to use to suit your pet's needs. 
3. It is always essential to prevent secondary bacterial infections (pyoderma) and yeast infections (Malassezia) with medicated shampoos and tablets prescribed by your vet.
4.Local treatment using other drugs e.g. in ears or on feet when these areas are particularly problematic for an individual.
5. A nutritional supplement of essential fatty acids ( EFAs)  to support the skin cells and help to maintain coat health. 

All sufferers and their symptoms are unique, and there is no one treatment that fits all. Your vet can talk through the options tailored specifically to your pet. 

Atopic dermatitis is an incurable condition but it can be successfully managed. The aim of treatment is to control symptoms and make the pet comfortable. Regular visits to the surgery are often required so that the vet can monitor your pet's progress and ensure that they are receiving the right treatments in relation to your pet's symptoms.

  • Adverse Food Reaction. Animals can develop reactions to particular proteins in food, although anything and everything can cause a reaction. The reaction triggers an adverse response of the immune system to an ingested molecule found in a food source. This immune system reaction often takes months or even years to occur before your pet begins to show signs of a food allergyTo develop a food allergy, an animal must have had prior exposure to the protein so it may be a food that the animal has been on for years. Apart from itchy skin, a small proportion of pets may also show signs relating to the gut, such as vomiting, diarrhoea or an increased frequency of defaecation.

The ideal test to diagnose or rule out a food allergy is a strict food elimination diet. Feeding a dog or a cat with a food sensitivity a new diet containing solely new ingredients ( or novel proteins), can eliminate this over-exaggerated response by the immune system and alleviate signs of the food allergy. There are special hypoallergenic prescription diets available that contain hydrolysed protein - this is where the protein has been broken up into pieces too small for the body's immune system to recognise. The diet needs to be fed solely for at least 8 weeks to see an  improvement.

Food intolerance is an abnormal response to an ingredient but it does not involve the immune system. The symptoms however can be very similar to those of a food allergy.

3. Infections

  • Bacterial skin infection
Pyoderma is more common in dogs but cats can also be affected. They can be simple or complex infections. Simple infections are ones that occur following a one-time or simple event, e.g flea infestation or scratch to the skin surface. Complex infections are usually secondary to underlying skin conditions such as allergies, parasites, hormonal conditions or diseases that compromise the immune system. The skin is weakened and bacteria that naturally reside in the skin minding their own business, multiply, resulting in infection

Skin fold pyoderma is an infection of the surface layers of the skin. It occurs where two layers of skin fold over one another, creating a warm, moist environment with poor air  ventilation,  where bacteria can flourish. This condition is more common in breeds of dogs that have loose skin and prominent skin folds such as bulldogs, boxers, spaniels & pugs.

Signs of pyodema include red irritated areas of skin, crusting of the skin, moistness, discharging spots and an unpleasant smell. 
Treatment involves regular, frequent use of a topical wash or cream prescribed by the vet. Antibiotic therapy may also be required. 
It is important to keep these areas as clean and dry as possible to prevent recurring problems (the vet will demonstrate how to do this). 

Moist dermatitis, also known as 'hot spots' is seen most commonly in dogs. They can appear suddenly, usually as a result of the animal scratching, biting or licking at an irritation. The sore area can increase in size in a short space of time - a small, red area of skin can quickly become a large, raw oozing lesion. It is important to bring your pet in to see the vet as soon as possible so that treatment can be started. Moist dermatitis is usually triggered by an underlying skin problem.

  • Yeast infection
Yeast is commonly found on the skin of dogs and cats, particularly in the ear canal, between the toes and around the anus. They have a mutually beneficial relationship with the bacteria found upon the skin surface. The yeast organisms are opportunistic; this means they take advantage to grow and infect the skin when the conditions are right. When the number of yeast multiply, inflammation of the skin occurs. This tends to happen more often in dogs and is less common in cats.
Infections can occur in high humidity (e.g Summer), after swimming or as a secondary infection to allergic skin disease. Dogs with floppy ears and skin folds are at risk, but all dogs can be affected. Yeast infections cause itchy skin with hair loss, reddened areas and thickening of the skin. Skin lesions are usually accompanied by an offensive smell. Yeast is a fungus and infections are usually treated using ear ointments and medicated shampoos. 

If you notice that your pet is itching or scratching more than normal, bring them in to see a vet. They will obtain a history of your pet's symptoms and perform a full health check before examining your pet's coat, skin and ears. Depending on the results from the examination, your vet may recommend further tests to determine the cause of the itch. 

Once a diagnosis is made, the vet will devise a treatment plan and schedule regular appointments as required to monitor your pet's progress. 

Call us for further advice or to book an appointment with a vet. 

Disclaimer :The contents of the Arden House Animal Hospital website are for informational purposes only. The content is not intended to be a substitute for professional veterinary advice, diagnosis, or treatment. Always seek the advice of your veterinary surgeon with any questions you may have regarding your animal’s medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.