Archive for the ‘Cats’ Category

My Cat’s been Diagnosed with Hyperthyroidism – What Next?

Hyperthyroidism is a relatively common condition that we see a lot of in middle-aged to older cats. As the symptoms can be quite subtle initially, it is often mistaken for ‘natural aging’ or perhaps a stomach upset.

At first, owners may even be pleased at the change they notice in their cat, who is suddenly more active than before and has a bigger appetite. However, over the weeks it may be noticed that they are acting hyper, have been very vocal and seem to be losing weight. A few loose poos in the litter tray may have been found and the water bowl may need filling more regularly too.

When presented to us in the veterinary clinic, we will check these kitties from nose to tail and look for some of the tell-tale signs of hyperthyroidism, such as a fast heart rate or a small lump in their neck region (a goiter). As a first step, we will recommend a general blood test, which will include a thyroid hormone check.

If your cat is hyperthyroid, blood results will show a thyroxine (thyroid hormone) level that is much higher than it should be, confirming our suspicions. As hyperthyroidism negatively impacts a cat’s quality of life and is a progressive disease, it is important to address it as soon as possible.

My cat has been diagnosed with hyperthyroidism – now what?

Thankfully, this is a very treatable disease and there are several different options available to owners. Which route to go down will depend on your cat’s age, their overall health and temperament, convenience, accessibility and finances.  Most commonly, hyperthyroid cats are managed with long-term medication. This is available in several forms, including tablets, oral liquids and even a cream that is applied to the ears. The medical management option is generally very safe and is achievable for most owners. Cats do require frequent re-checks and blood tests throughout their life, ensuring the dose of their medication does not need to be altered.

For some, daily medicine may not be practical. This is true for owners with busy lifestyles or for cats that are not particularly co-operative! Luckily, there are several other options available:

  • A surgery whereby the affected thyroid gland(s) is removed is a possibility and this procedure has high success rates. Owners will be advised of the potential complications of both the anaesthetic and the surgery itself. Though this surgery can be quite expensive, in middle-aged cats it will mean less money spent over time as there should be no need for any long-term medicine once the surgery has been confirmed a success.
  • Another potential treatment is Radioactive Iodine Therapy. This is a specialist procedure that is only available in certain referral centres and can be cost prohibitive to some. For most, a single painless injection of the radioactive isotope is all that is needed to solve the issue forever. Afterwards, all treated cats must stay in the referral centre in isolation for several weeks and handled minimally as they are classed as ‘radioactive’.

It’s important to note that even those owners who opt for the surgical route or for the radioactive therapy will have to first stabilize their cats using medication. Though it can be tricky to medicate some cats, our staff are more than happy to discuss the various options available and to demonstrate how to medicate. Items such as pill poppers and pill pockets can be real game changers.

On top of what has already been discussed, there is also a dietary treatment option available to manage hyperthyroidism. It is a safe and effective way to manage hyperthyroidism as it contains limited amounts of Iodine. The issue with this therapy is that if cats eat anything else (treats, food from the outside or food from the other cat’s bowl), it becomes ineffective. Cats with other medical conditions may not be appropriate candidates for this diet but for many, it is a convenient choice.

With hyperthyroidism being the most frequently seen hormonal disease in cats, it is a condition which we are very familiar with and which has many effective treatment options.

Whichever road you and your cat decide to go down, we will be here to help and guide you every step of the way.

Chronic Kidney Disease in Pets

Lots of cat owners know that kidney disease is a big problem for their feline friends, but it might surprise you to know that it is a problem in dogs too. Around 1 in 40 cats will be diagnosed with kidney problems, whilst in dogs, the number is much lower at around 1 in 100. This makes it one of the most common diseases we see in practice, so we thought we’d take the time to tell you a little more about it.

What is Chronic Kidney Disease?

Chronic Kidney Disease (CKD) is also known as kidney failure or renal failure- the end result of kidney damage over time. It is known as chronic because the damage is usually sustained over a long period of time, unlike Acute Kidney Injury which occurs very quickly. There is no way to prevent kidney disease specifically, although early diagnosis certainly helps. A yearly urine test in elderly pets can help to diagnose problems before symptoms start to appear- just ask our reception team for a urine collection pot.

Could my pet have CKD?

Animals with CKD often don’t show many symptoms at first, and pets can be in quite advanced stage of the disease by the time they are diagnosed. Older pets are more prone to CKD, and cats get it more commonly than dogs. Pets with heart disease, high blood pressure or severe dental disease are more prone to getting kidney problems. There is also an increased risk if your pet has had previous problems with their kidneys. The most common symptoms are an increase in drinking and urination, smelly breath, weight loss, and inappetence. However, other symptoms such as lethargy, vomiting and poor coat condition may raise suspicion of a problem.

If you think your pet is showing any of these symptoms, it’s highly recommended that you book an appointment with one of our vets.

How is CKD diagnosed?

We’ll definitely want to check your pet over to rule out other causes and confirm your suspicions. Clinical dehydration and kidneys that feel smaller or ‘knobbly’ are both evidence of a problem, but it’s also important to listen to your pet’s heart as heart disease and renal problems sometimes go hand in hand. As most of the symptoms of CKD are also symptoms of many other diseases, we’ll probably suggest a blood test to get more information. We can then check that the liver and other organs are normal. If the kidneys are struggling, we will see a rise in two chemicals in the blood- urea and creatinine. Combined, increases in these two chemicals suggest renal disease, especially if there’s other evidence. We may also see upsets in some enzymes and anaemia associated with renal failure. We also like to check a urine sample. Pets with CKD have very dilute urine because the kidneys are no longer concentrating the urine correctly. We can measure the concentration of urine, and if it is very dilute this lends further evidence to a diagnosis of renal failure. We might also send the urine to a lab for further investigation and check your pet’s blood pressure.

How is CKD treated?

Unfortunately, there is no treatment for CKD, but there are ways it can be managed. At first diagnosis your pet may be quite sick, so we often advise that we hospitalise them and put them on intravenous fluids (a drip). By doing this, we are trying to correct any dehydration and flush the toxins that have built up out of the system. This usually takes 24-48 hours.

If a pet is not too ill, or after they have been discharged from hospital, they are put on a home-management plan. The most important thing is to support the kidneys by providing a kidney-friendly diet. These diets are low in phosphorus and contain a moderate amount of high-quality protein. We will advise you on diet at discharge from hospital. Your pet may also be put on medication to lower blood pressure or stop too much protein being lost by the kidneys.

What is the prognosis for animals with CKD?

The prognosis is dependent on how ill your pet is, and how well they respond to treatment. There is no doubt that chronic kidney disease is life-limiting, but many pets can live for months or even years with the condition. The important thing to do is to monitor their quality of life and keep checking in with us to make sure they aren’t getting worse or there isn’t more we can do to help.

It’s also worth considering that some medications shouldn’t be given to animals with renal problems. Many medications pass through the kidneys and can damage them further if the kidneys are struggling to process them correctly. If your pet is on any medication that we don’t know about, such as store-bought flea treatments or supplements from an online pharmacy, it is best to check with us that they are still safe to give.

Where can I get more information?

If you want to know any more or have questions about your pet’s care, ask to speak to one of our vets. We’re always here to help you, help your pet.

Goddard Veterinary Group Wellness Screen – What are we looking at and why?

Blood testing is an incredibly useful method of gaining more information about the health of a pet. Our vets will often run blood tests when an animal is unwell to help find out the cause of their illness in order to treat them effectively. However, there are situations when it might be advisable to run blood tests, even if your pet does not seem unwell.

We all know the old adage ‘if only they could talk’. Unfortunately, as our pets cannot speak to us, it can be difficult or impossible for both owners and vets to pick up on the subtle early signs of some illnesses, which often cause no noticeable changes in a pet at home and may not even be detected by a vet physically checking over an animal. Many chronic (long term) diseases can be ‘subclinical’ for months to years, meaning they do not cause any signs of ill health. If we are able to detect disease at an early stage, there is often more that we can do to slow down how fast that disease progresses, and in some situations even prevent an animal becoming unwell at all. Blood tests are a quick and non-invasive way of being able to find out more.

What is included in the Goddard Veterinary Group Wellness Blood Screen?

  • Haematology: This part of the blood screen counts different cell types in the blood. Many diseases can cause levels of red or white blood cells to be high or low. For example, a low red blood cell count (anaemia) can be caused by a variety of conditions. The haematology can give more information than just numbers of a type of cell – the average size of the red blood cells can provide more about the possible causes of anaemia, for instance.
  • CHEM 10 blood biochemistry: This measures ten different values. These include blood protein and sugar levels, which can indicate if a pet is diabetic, for example. ALP and ALT are liver values which can be high in primary conditions affecting the liver but can also be high for a variety of endocrine (hormonal) disorders, such as Cushing’s disease, an over or underactive thyroid, or other diseases in the abdomen, which can have secondary effects on the liver. Urea and creatinine are also checked to screen for kidney disease.
  • SDMA: This is a new biomarker of kidney disease and is something we are able to include as part of the health screen. The other kidney values of urea and creatinine are only increased when 75% (three-quarters) of kidney function has been lost, whereas SDMA increases when just 40% of kidney function has been lost. Chronic kidney disease (CKD) is a very common problem in elderly animals, particularly cats, and this test means we can pick up reduced kidney function at a much earlier stage. Whilst kidney disease will progress with time, if detected early there are many measures our vets can recommend being instituted to slow this down, such as changes in diet or medication.
  • Thyroid hormone level (Total T4 or TT4) for cats over 8 years old: hyperthyroidism (an overactive thyroid) is a common problem in geriatric cats. The thyroid gland is located in the neck and produces thyroid hormone. An overproduction of this can cause many changes such as weight loss, increases in thirst and appetite, and changes in behaviour and coat condition. It can also lead to heart disease and increased blood pressure if left untreated, meaning it is best to pick up the disease at as early a stage as possible. The condition is easily manageable and there are many options for treatment.

We recommend you discuss with our vets whether or not your pet would benefit from a screening blood test. Examples of when we might recommend blood tests would be for animals that are more senior in age, on long-term medication that has potential to affect organ function, or for an animal that has unexpectedly lost weight.

There are limitations to blood tests, and it should be noted that not all health problems can be detected with these tests. In some instances, if abnormalities are flagged up on the screening blood test, our vets may recommend further tests, such as tests on urine if kidney disease is suspected, to gain more information.

But if you want to know what’s going on inside your four-footed friend, to pick up problems before they become disasters, give us a ring!

Can I Share Food With My Pet?

Our pets love to share our food. The act of hand feeding itself is a reward because of the attention. Also, the foods we offer often have high-fat content, making them super tasty. Having their own food in a bowl is much less attractive than a higher calorie feast that has been making the kitchen smell amazing while it cooks. Fat makes food more palatable and as we need more calories, our food is often much more tempting than theirs! The focus in human nutrition is to move away from pre-prepared foods and cook from scratch. Fresh ingredients with as much variety as possible (eating a rainbow every day) are hard work but yields long term health benefits. So, as we improve our own diet, we may feel that it would be better to feed our pets in this way rather than open a can or bag.

Unfortunately, it’s not as straightforward as that. We know a lot about our calorie requirements, which nutrients we need, in what proportions and what vitamins and minerals are essential, but these are all different for our pets. All these parts of formulating a complete and balanced diet to promote health and long life are unique. If we feed a diet deficient in a specific nutrient this is likely to cause illness. For example, both cats and dogs need a protein called taurine in their diet, they cannot make it from other proteins as humans can. So, a human diet is likely to cause a taurine deficiency. Unfortunately, taurine deficiency, which used to occur more commonly before pet foods were generally fed, is now on the rise again in animals fed unbalanced diets. It is a devastating deficiency as it causes heart disease resulting in heart failure. Early cases can be rectified and then heart disease managed, it can often improve on a balanced diet. Taurine deficiency can also cause serious eye problems.

A balanced diet also varies within a single species depending on what age the pet is. An adult animal will be a lot better at compensating whereas a younger pet needs specific nutrients in exact ratios which feed the growth of muscle and bone. A trend to feed meat only without any other ingredients sometimes means that a growing animal does not have enough calcium to form strong healthy bones. Although diseases like rickets are in the past for humans, we see it in young animals fed on diets without enough calcium. These puppies and kittens develop deformed limbs or fractures of their back or limbs.

These are just two examples of the problems that can arise from a diet that is not designed for the animal concerned. In this blog, we will briefly review the differing diet requirements of pets. However, if you have any concerns about the diet or health of your pet, come and see us. Together we can discuss all the needs and requirements of your individual pet and find a diet that optimises their health and enjoyment.

Calorie requirements vary between species. We may need roughly 1500-2000 calories daily, but a cat needs only 250-350 a day and a small dog under 400. So, the volume of food and calorie density is important. Obesity is very common in our pets. This results in joint disease, osteoarthritis as they age and can lead to diabetes, and liver disease in cats. When we are investigating diets, it can be best to feed a low-calorie density food, so they feel full, especially if we are going to add in the odd treat. Sometimes our pets can’t get as much exercise. For example, if the weather is terrible our cat won’t go outside and exercise as usual, or if we have surgery and can’t walk our dog. In this case, we need to reduce the calories they eat for a short time.

Protein is an important part of any diet. Cats need twice the amount of protein in their diet that we or dogs do. They are called obligate carnivores as they need animal protein in their diet to supply all the amino acids they need. Vegetarian diets can be formulated for dogs, but it is important that the diet includes a source of every one of the amino acids they need. The proportion of amino acids varies with age – for example, a growing pup needs much more arginine than an adult dog, to avoid liver problems. Fat is essential in the diet for certain fatty acids and fat-soluble vitamins which aid health and organ function. Carbohydrates need to be carefully considered in cat diets, some cats put on a lot of weight on high carbohydrate diets.

As cats are desert-adapted species, they have a low drive to drink. This can sometimes mean that they don’t feel thirsty and can become dehydrated or their urine becomes very concentrated. Some cats need some wet food in their diet to combat this. Otherwise, they can develop bladder stones. Many cats enjoy fresh water, and some will drink more if they have a water fountain.

Our small furry pets, rabbits, guinea pigs and rats love the odd high-calorie treat from us, but their dietary requirements are so different that we must take care not to make treats more than 10-20% of their diets. For rabbits and guinea pigs, it is important that the bulk of their calories comes from fibrous food so that their constantly growing teeth are kept in check. The small furry species have very small calorie requirements so can put on weight very easily, which prevents them grooming and can lead to skin problems.

We are always keen to provide the best preventative health care for your pet or pets and are always here to discuss their diet as part of keeping them well and happy. We can work together to choose the right diet that will contribute to a long and healthy life.

Do we need to fear the flea?

Do we need to fear the flea?

“All dogs have little fleas, upon their backs to bite ‘em,

And little fleas have littler fleas, and so ad infinitum!”

We often fondly imagine that the flea is a summertime parasite, and that in the depths of winter he disappears somewhere, leaving us and our pets in peace. Sadly, this is a profound mistake.

Why are fleas an all-year-round problem?

One simple answer – central heating. Fleas require a certain temperature for their life-cycle to continue, with the optimal being a little over 20C. Unfortunately, the optimal temperature for modern humans is also just over 20C, and so if we’re comfortable, probably so are our unwanted little house guests.

The adults are much less fussy of course – because they spend much of their lives clamped to a nice furry hot water bottle (called Rex, or Fido, or Puss) and can therefore endure surprisingly cold temperatures. However, if the house is warm, the flea larvae continue to develop into adults, and the infestation continues all year round.

But are they really a problem?

Most of the time, fleas are merely an irritant – their bites cause itching, but no more. However, the immune systems of many dogs and cats (as many as 40% according to some studies) see flea saliva as a dangerous foreign invader, and mount some degree of response to it. In approximately one in sixtydogs and cats, this alone is sufficient to trigger itching, scratching, discomfort and suffering as the pet develops Flea Allergic Dermatitis.

However, they pose other threats as well. Fleas may transmit Feline Infectious Anaemia to cats and are the main source of infection with the common Dog Tapeworm (Dipylidium caninum, confusingly enough a parasite of both dogs and cats).

Furthermore, in young puppies and kittens, a heavy infestation of fleas can even consume so much blood that the animal develops a serious anaemia, without enough iron in their blood to oxygenate their tissues.

To make the creatures even less friendly, the Cat Flea (Ctenocephalides felis) is far from fussy as to what, or who, it feeds on. While the Dog Flea (C. canis) is generally content to feed on its namesake, the Cat Flea will sample the blood of any warm-blooded mammal that is rash enough to come within jumping range. Cats, dogs, rabbits – even humans, they’re all just a buffet for the flea.

How do we kill them?

This great task is easier said than done. The adult fleas are relatively easy to kill – there are a wide range of medications available on prescription that are highly effective, and even over the counter drops are usually sufficient to decimate their populations.

However, the larvae are hard to find. Being soft, vulnerable, grub-like creatures, they hide themselves away in the dark, warm, sheltered places in your house – typically in the carpets and soft furnishings, the cushions and blankets, and in the dust between the floorboards. Here they feed and grow, until they are ready to pupate. Of all the fleas in your house, approximately 95% exist as eggs, larvae, or pupae hiding in the environment. This is why killing the adult fleas is insufficient – there will be another batch along in five minutes, and then another, and another.

Instead, we must be smarter than them. There are three main options for breaking the life-cycle of the flea.

Firstly, we can use environmental treatments – insecticidal sprays that kill the larvae where they cower. Unfortunately, however, the pupal or chrysalis stage is resistant to this – but we can fool them into emerging, by vacuuming the environment they lurk in. The warmth, air movement, and vibration trick the flea hidden inside into thinking that a tasty meal is walking past. Then, as they emerge, we hit them with the sprays, exterminating them.

Secondly, we can treat our pets with medications that make the fleas infertile or unable to reproduce. Indeed, many of these medications will also prevent even the larvae that have already hatched from growing to adulthood, as the larvae have the unpleasant habit of eating their parents’ and older siblings’ droppings.

Finally, we can use a modern drug that will kill the fleas so fast that they have no time to reproduce. In this case, the flea problem usually disappears with the fleas in a few weeks, unless the house is swarming with the little beasts, in which case it may take longer. 

What’s the best option?

For that, we strongly recommend that you speak to one of our vets or nurses. They will be more than happy to advise you on the best way of committing widespread insecticide and protecting your pets from the Fearsome Flea.