Tuesday, 12 February 2019

All you need is love - and a healthy heart!



With February being the month of love we think it is a good time to talk about heart health. We would also like to invite our clients to bring their pet in for a


 FREE heart check with a vet.





The check up includes a complete physical examination. The vet will use a stethoscope to listen to your pet's heart and evaluate the sound and rhythm, strength and heart rate. Your pet's pulse will be assessed. The vet will also listen to your pet's breathing rate and lung sounds. Should the vet detect any abnormalities such as a heart murmur or abnormal rhythm, they may recommend further tests.


The offer is available until 31st March - please book an appointment!


Tests commonly used to identify the cause of symptoms are:

💜 Echo-cardiogram  (ultrasound scan of the heart )
💜 Chest x-rays
💜 Electrocardiograph  ( ECG)
💜 Blood pressure monitoring
💜 Blood tests.

Should your pet require any of the above heart related tests, this will be at a 10% discounted rate.

The science part.

Just like humans, an animal's heart acts like a pump to push blood around the body. The heart's pumping power lies in its muscles. These are normally thick and powerful, helping the blood reach as far as the outer extremities of the body. The right side of the heart sends blood to the lungs where it picks up oxygen. The left side of the heart pumps the blood around the bodyInside, the heart is divided into four chambers. In between the upper and lower chambers are the heart valves, which open and close in sequence to make sure that the blood flows in the right direction.


Matters of the heart!

💖The normal heart rate of a dog is between 60 – 140 beats per minute. The smaller the dog, the higher the heart rate!
💖A cat’s heart rate is between 110-180 beats per minute.

💖The heart is part of the circulatory system, along with the lungs and blood vessels. 

💖The heart acts like a pump to drive the blood around the body. With each heart beat, it delivers blood rich in oxygen and nutrients to all the vital organs and tissues, keeping our pet's fit and healthy.

Heart disease
                                                     
It is estimated that heart disease can affect up to 10% of dog and cats in the UK. Some heart diseases may be present when the animal is born (congenital), however the majority develop in adulthood (acquired). Heart disease can also be secondary to another condition such as high blood pressure, thyroid disease, infection and anaemia.


Dogs and cats are most commonly diagnosed with one of three heart conditions:

*Degenerative valve disease (Endocardiosis) -

This is the most common heart disease of dogs.
This leads to degeneration and thickening of the heart valves. The mitral valve is mostly affected and as such the condition is also known as mitral valve disease. The heart valve becomes leaky and allows blood to flow in the wrong direction through the heart. It most commonly affects small breeds as they reach middle-older age, however it may be detected in the Cavalier King Charles Spaniel at a younger age.

*Dilated cardiomyopathy -

The heart muscle becomes weak and stretched, decreasing the heart’s ability to pump blood through the body. It typically affects medium - large breed dogs.

*Hypertrophic cardiomyopathy -

This is more common in cats. The heart becomes thickened, making it difficult to pump the
blood properly through the body.     


Heart disease can be present in our pets for a long period of time before they show any signs of a problem. The body is good at compensating for any slight changes to blood flow and heart contraction early on, until eventually clinical signs develop. This is why it is important that your pet has regular visits to the vet, at least annually, as early detection of heart disease will help make it easier to manage.



New studies have shown, in some cases, starting heart medication before the signs of heart disease develop can delay the onset of symptoms.


Some of the signs of heart failure you could see at home may include:
*A decrease or reluctance to play or exercise
*Lethargy, being more tired than usual
*Difficulty breathing or shortness of breath, especially with exercise or excitement

*Rapid/fast breathing  - often noticeable when the animal is resting.
*Poor appetite
*Weakness
*Restlessness - taking several attempts to get comfortable.
*Coughing 
*Weight loss (Spine is more prominent as are the bones of shoulders and hips)
* Swelling of the abdomen - becoming 'pot-bellied' in appearance. This is due fluid build up as the heart begins to fail.
* Pale gums rather than the normal pink.

(These symptoms can also be seen in other diseases, which is why it is important that if you notice any changes in your pet's health or behaviour,  you bring them in for a health check).

                                                                                             
While there is not a cure for heart disease, the aims of treatment are to slow down the progression of the disease, manage the symptoms and help maintain the pet's normal quality of life;  the earlier this treatment is started the better. 


Regular check- up appointments are essential to ensure that any changes in the animal's condition are identified early and medication adjusted or introduced accordingly.                          
   














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     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.
                                           

Friday, 8 February 2019

Twinkles - Pet of the Month - Hall of Fame ( October 2018)



Thirteen year old Twinkles is October's pet of the month after successfully completing a weight management programme. Twinkles' weight had crept up to 7.2kg ( in August 2017) and at home he was lethargic and lacklustre. With there being an increased risk of developing health issues such as diabetes, heart disease and arthritis, vet Cathy advised that Twinkles be put onto a diet and exercise plan under the supervision of senior nurse Dayna. At his first visit to our 'podgy pets' club, Dayna assessed Twinkles' body condition score and weight.



Regular and accurate weighing of cats is important, however, the weight of the cat is only part of the story. The weight of a healthy adult cat can actually be quite variable - from less than 3kg for a small cat to more than 6kg for a large cat. On a 9 point scale where 1 is underweight and 9 is obese; cats should ideally maintain a body condition score of between 4 and 5. Dayna measured Twinkles score as 8/9. As a result, Dayna decided that Twinkles would benefit from being placed onto a prescription diet food called Satiety that is precisely developed to provide optimum protein, energy and other nutrients for adult cats following a weight loss programme. It is also designed to help satisfy hunger.

Switching a pet to a new food should be done gradually as a sudden change in diet can cause a dietary upset or refusal to eat the unfamiliar food.Twinkles preferred wet food and adapted very well to his new diet. Dayna gave Twinkles' owner exact instructions on how much food to feed him each day and recommended that the daily amount be divided into 3 - 4 separate servings so that he wouldn't have to wait too long between meals. To help keep his begging at bay, Twinkles was allowed a measured amount of dry satiety biscuits that his owner placed into food puzzles to encourage him to work for a treat and bring out his foraging instinct.


Dayna arranged to see Twinkles evey 2-3 weeks so that she could monitor his progress and adjust food quantities accordingly. This is very important as she didn't want him to lose weight too quickly - losing weight rapidly can cause health complications. On the other hand losing weight too slowly can be disheartening. Dayna set a target for Twinkles to achieve at each visit to ensure his weight loss was at a gradual controlled rate and it was very rewarding to see him progressing in the right direction. Twinkles' owner encouraged him to exercise by providing him with toys to get him moving. His activities included catnip mouse stalking and fishing rod toy chasing! After 5 months (January 2018), Twinkles weight was 6.05kg and his body condition score, 6.5/9. Along with the physical changes in his body shape, Twinkles was more active ande surprised his owner by jumping up onto the back of her arm chair, something he hadn't attempted to do in the past.


Twinkles has continued to do well and in October he reached his target weight of 5.5kg - an amazing total weight loss of 1.7kg! He has rediscovered his inner kitten - from a cat that wanted to sit all day, he is now more mobile and playful! Being less able to groom himself effectively when he was overweight, Twinkles coat was dull, but it is now noticeably shiny and soft . 
Twinkles name could not be more apt, he is such a star and a much deserved pet of the month! Also, a big well done to his owner for her dedication to Twinkles weight loss success.           

Friday, 1 February 2019

Arthritis Awareness





With the colder winter weather some of us will be noticing our joints are feeling more achy and the same will be true of our dogs and cats. Cool weather can leave joints especially stiff and tender, meaning an increase in discomfort for pets suffering from arthritis or even highlight that you pet is suffering from the condition.






What is it?

Osteoarthritis, or degenerative joint disease, is the inflammation of the joints caused by wear and tear of the cartilage and the other associated tissues. Cartilage covers and protects the ends of the bones in a movable (synovial) joint. The cartilage has no nerves so when it touches the cartilage of another bone, there is no pain.



When the cartilage wears away, the bone is exposed. The bone does have nerves so when the two bone ends in a joint touch each other it results in pain and inflammation – signals that arthritis is present. In degenerative joint disease we also see small bony projections (osteophytes) form on the bone that is close to the joint. This adds to the pain. This type of arthritis is progressive, meaning it continues to get worse. 



What causes it?


Osteoarthritis is either age related as a result of wear and tear on the joint, or secondary to another problem within the joint, such as hip dysplasia, a ruptured cruciate ligament or trauma.



Signs of arthritis

Arthritis by its nature develops gradually so animals tend to learn to cope with the discomfort without showing any obvious pain. As a result some dogs and cats can appear to be very stoical about the pain from arthritis- often it is only once the pain has been treated that owners realise how much their pet was suffering.


Signs of arthritis in dogs include;
                   

🐶Sitting down on walks.                                 
🐶Slowing down on walks
🐶Stiffness, especially getting up after rest 
🐶Reduced activity
🐶Hesitancy to climb steps
🐶Difficulty jumping into the car
🐶Change in character (restless, anxious withdrawn, clingy, grumpiness)
🐶Limping
🐶Quiet - spending less time playing with family; which can be mistaken for a sign of 'aging'
🐶Excessively licking over a joint
🐶 Swollen joints
🐶Painful joints                                                                   
                                                                                                                                                                

Signs of arthritis in cats include;


     


🙀Reluctance to play and exercise
🙀 Lose ability to jump up to, or down from heights.
🙀Sleeping more                              
🙀No longer grooming themselves
🙀 Irritable/grumpy when stroke
🙀 Grumpiness
🙀 Crying when picked up
🙀Difficulty stepping into litter tray
🙀Difficulty stepping through the cat flap






We recommend a visit to see one of our vets if any of these signs (or other changes) are noticed in your pet.


How is arthritis diagnosed?


Your vet may suspect that your pet has arthritis from the signs you describe and by performing a thorough health check. The vet will manipulate the joints gently to check for swellings, heat, evidence of pain, range of movement and crepitus (a grating feeling when the joint is manipulated). Sometimes it is necessary to take an x-ray to find out what is going on in the joints. This usually requires a sedation or general anaesthesia and a separate day appointment is arranged for this.



How is osteoarthritis treated?



The goal of treatment is to decrease pain, minimise lameness, improve mobility and provide a good quality of life for affected patients. Arthritis cannot be cured.




Weight control: Dogs and cats that suffer from chronic pain caused by conditions like osteoarthritis often become inactive, which can result in obesity. Controlling your pet’s weight will lighten the load on arthritic joints and make it easier for them to move around. We appreciate that reducing the weight of an animal that finds exercise painful is not easy. Please speak to a member of staff about our weight clinics which are run free of charge. We will be happy to give ideas regarding diet, weight targets and design exercise strategies to suit your pet, as well as providing help and support whenever required.



Exercise is essential because it contributes to strengthening the muscles that support joints. Moderate amounts of low-impact exercise each day will improve joint mobility and can help get a lethargic, arthritic pet active again. Dogs will benefit from such activities as walking and swimming (hydrotherapy) ; cats can profit from play that keeps them moving without excessive jumping. Consult your veterinary surgeon about what amount and type of exercise would be best for your pet. Also, be aware that your dog or cat’s arthritis pain may be more severe at certain times than others. If this is the case, let your pet take a break from his or her exercise routine for a few days, until the painful flare-up subsides.



Medications known as non steroidal anti-inflammatory drugs, (NSAID), are often prescribed to reduce the pain and inflammation associated with arthritis. Their efficacy is well documented. Any reduction in pain at the lowest possible dose will allow for an improved quality of life and limit any possible unwanted side effects. Before use, your pet will be assessed for their general health and regularly monitored whilst on any medication. Please ask your veterinary surgeon for more information. Please note: It is NOT safe to give your pet human anti-inflammatory (NSAID) medicines.




Diet and Nutraceuticals.

There are particular diets such as the Royal Canin Mobility that can really improve the signs of arthritis. It contains both nutrients that help with the inflammation, including anti-oxidants, and helps with weight management. Do speak to your vet.


Joint supplements (nutraceuticals) are also found to be very good in some cases. These nutritional supplements are especially useful in the early stages of the disease or when recovering from a joint trauma (including surgery). They can be used solely as a preventative measure too. These supplements often include ingredients such as glucosamine and chondroitin that are useful in supporting the health of the cartilage and surrounding structures.

The regulation of such supplements is limited and as such the quality may vary greatly from one manufacturer to another. One should always use those recommended by your vet.





Making a few adjustments to your pet’s environment can help to keep them more comfortable and mobile. A few suggestions are;


  • Make sure that you provide a well padded cosy bed, out of draughts. Ensure that it can be readily accessed.
  • Allow your cat to reach their favourite places easily by placing a box or item of furniture as a launch pad.
  • Make sure that your cat can reach their litter tray easily and check that the sides aren't too tall; that they are able to step into it comfortably.
  • Reduce the need for your pet to have to climb the stairs.
  • Allow easy access to food and water without the need for your cat to jump up.
  • If your dog appears unsteady when out walking or has difficulty on uneven surfaces, a harness may offer them additional support by distributing any pressure from the lead over a larger area. This means that you may be able to assist them in keeping their balance making it easier for them to walk on uneven surfaces or going up or down stairs.
  • If you have laminate, wood or vinyl flooring that your dog is slipping or sliding on, you could consider the use of rubber backed mats, particularly where your dog would lie down, turn or stand to eat, to help them grip the floor.
  • If your dog is having difficulty reaching their bowls on the floor, you could consider raising the bowls a little off the floor or there are a variety of raised bowls on the market, to find a more comfortable height for them to eat and drink at.
  • Consider a ramp to aid your dog getting into and out of the car.


Your pet's well-being

Spend some time cleaning and grooming your pet. Check their claws to see that they aren't becoming overgrown. Encourage play and interaction to provide exercise and mental stimulation. 
Have regular check up's; it's important to maintain communication with your vet to ensure that your pet is enjoying their senior years.



Consider alternative therapies




Hydrotherapy (which involves your dog swimming in a purpose-built pool) helps to build muscle mass to better support joints. Swimming is low impact and so tends to be more comfortable for dogs with stiff joints. Other therapies, such as acupuncture, could be considered.

Your vet will be able to discuss which therapies will be most appropriate for your pet and where you will be able to find them locally.

                                                         

In conclusion; 

Once arthritis has started, it cannot be cured, but if we notice the signs early and manage it carefully, we can slow down the progression of the disease, greatly reduce the symptoms and so improve your pet's quality of life.



   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.