Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Monday, November 5, 2012

Ask the Vet: Pancreatitis by Kristel Weaver, DVM, MPVM




Over the holidays we frequently hospitalize dogs and cats with pancreatitis.  Even if your cute little one is looking up at you with big, sad eyes it’s better for them not to eat the greasy turkey leftovers.  This month’s article is all about pancreatitis.

What is pancreatitis and what causes it?
Pancreatitis results from swelling and inflammation of the pancreas. The pancreas not only produces hormones like insulin but also digestive enzymes.  These enzymes are normally inactive until they reach the intestinal tract.  But when the pancreas becomes inflamed they activate prematurely and digest the pancreas itself, causing a lot of damage.

How do I know if my dog has pancreatitis?
Dogs with pancreatitis vomit, aren’t interested in food, and have a painful belly.  They might show their abdominal pain by walking with a hunched back or stretching out in the prayer posture.  They might also be lethargic, have diarrhea, or a fever.  Your veterinarian will use a combination of history, examination, blood work, and ultrasound to diagnose pancreatitis.

How is pancreatitis treated?
Based on severity, pancreatitis is usually treated with a combination of fluids, pain medications, anti-nausea medications, and antibiotics.  Food is withheld for the first one to two days to “rest” the pancreas and give it a chance to heal.  Moderate to severe cases of pancreatitis require hospitalization on IV fluids, whereas mild cases might be treated as outpatients.  Severe pancreatitis can be fatal despite aggressive treatment. 

Are some dogs more predisposed to pancreatitis than others?
Yes, dogs with diabetes, hypothyroidism, Cushing’s disease, or high lipids are more likely to get pancreatitis.  Dogs that are obese or that eat a rich, fattening meal are also predisposed.  Dogs who have had a previous episode of pancreatitis are more likely to get it again.  Any dog can get pancreatitis and sometimes we cannot identify a reason why.


Do cats get pancreatitis too?
Yes!  Cats also get pancreatitis.  When cats have pancreatitis it is different from dogs in several ways.  First, they don’t usually have a history of eating a rich or fattening meal.  Second, they often have a chronic problem instead of a sudden attack.  Third, they are not typically vomiting and often only shows signs of a poor appetite and lethargy.  Diagnostics and treatment are similar for cats and dogs.

If you want to give your pet something special for the holiday buy a special treat from the pet store. It may be hard to resist those pleading eyes but your pet’s health is worth it! I hope you and your entire family have a wonderful Thanksgiving without an emergency visit to the veterinary hospital!



Dr. Kristel Weaver is a graduate of the Veterinary School at the University of California, Davis where she received both a DVM and a Master’s of Preventative Veterinary Medicine (MPVM).  She has been at Bishop Ranch Veterinary Center & Urgent Care in San Ramon since 2007.  She currently lives in Oakland with her husband and their daughter, Hayley. If you have questions you would like Dr. Weaver to answer for future articles, please email info@webvets.com

Thursday, July 5, 2012

Communication Enhances Medical Care: Treating Finnian by Janice Cain, DVM, DACVIM


Finnian's face before.
When Nancy agreed to adopt Finnian, a handsome and affectionate cat, from a rescue group, she knew she had a battle ahead. Finnian had been tentatively diagnosed with pemphigus foliaceus, an uncommon skin disorder that causes the skin to literally peel off, leaving painful scabs and crusts behind. At the time of adoption, Finnian's skin disease was under control, but he was having serious side effects to his medication, including diabetes, and his skin was so thin that it would easily tear. After several frustrating weeks of trying to manage his condition, Finnian was in trouble. I had treated Nancy's other pets in the past, so she brought Finnian to the Bishop Ranch Veterinary Center, to see if I could assist her with this challenge. 

 


Finnian's face after!
We have won and lost a few of the battles with Finnian's complicated illness. Nancy has been very faithful to bring him in for numerous recheck examinations, but at times his condition would change almost daily. We constantly needed to modify his mediations and doses. We found that through intense email communication, that we have been able to form a partnership that has been extremely successful. After a severe relapse of the pemphigus, and an amazingly nasty ear infection, we finally have achieved a balance of medications that are working. Between Nancy's diligent nursing care and my counsel regarding the medical management of his numerous problems, I am happy to report that Finnian has dramatically improved. 

The art of communication is the key to any successful relationship. Today's technology strengthens the bond between veterinarian and client, allowing us to successfully manage even the most challenging of medical conditions together.   



Dr. Cain graduated from the Veterinary School at the University of California, Davis in 1984. Following a residency there she became board certified in Internal Medicine in 1989. Her special interests are Internal Medicine, Oncology, Endocrinology, and Canine Reproduction. She is a nationally recognized expert in Canine Reproduction, and has lectured at veterinary conferences around the country. She lives in Pleasanton with her husband, 3 children and their dog.