Tuesday, October 28, 2014

Poisons and Your Pets

Did you know the ASPCA has a poison control hotline for pet owners? In my 3rd year of veterinary school, as part of a toxicology course, I was required to shadow at the Animal Poison Control Center in Urbana, Illinois. I found it to be very interesting and up until my experience there had no knowledge of the poison control center and the services they offer to pet owners. They have a hotline available 24 hours a day, 7 days a week, 365 days a year! Calls do require a $65 fee, but if your pet is microchipped there are certain microchip companies that will pay for calls to the hotline.

The poison control center is equipped with trained professionals that are standing by to answer your calls. What I found most interesting was the technology they utilize – computer programs that will allow them to enter a pet, its weight, along with the possible poison ingested and the amount, allowing calculation of how high a risk the pet is for toxicity for that particular ingestion. From there they can instruct you how to proceed which involves anything from just monitoring your pet for clinical signs of illness to inducing emesis (vomiting) to remove a recently ingested poison, to advising contact with your veterinarian as soon as possible.

In 2013, the ASPCA Animal Poison Control Center in Urbana, Illinois, handled nearly 180,000 cases exposed to possibly poisonous substances. Topping the list for the sixth year in a row were prescription human medications. Nearly 20% of all calls were from owners whose pets got into medicines intended for human use. You can visit the ASPCA Animal Poison Control website (www.aspca.org) for the top ten list of toxins of 2013.

Some common household toxins to be aware of if you have pets include chocolate, coffee, alcohol, avocado, macadamia nuts, grapes/raisins, yeast dough, raw/undercooked meat, eggs, bones, xylitol (which is discussed in more detail in a previous blog by Dr. Johnson), onions, garlic, chives, milk, and salt. Visit the website for additional information on these toxins as well as plants that can be dangerous to your pet.

It's a relief to know that if you are unsure if a substance your pet ingested is toxic you can always get a hold of someone for advice, and it is a lot more reliable than Dr. Google! The number for the poison control hotline is (888) 426-4435.

Tuesday, October 14, 2014

Holiday Season means delicious foods and... Pancreatitis

As the holiday season draws near, gathering with friends and family dominate many of our plans for the upcoming months. Many times, our furry family members are right there with us enjoying the festivities. But before you let your pet indulge on treats from the parties, be aware that it can put them at risk for serious consequences.



Pancreatitis commonly occurs due to increases of lipoprotein (complexes of lipid aka fats and protein) in the blood. These lipoproteins in the blood are increased when pets eat things like fatty steak, pork, bacon, greasy French fries, etc. Pancreatitis can also occur secondary to inflammation of the liver or bile duct causing lack of blood flow and trauma to the pancreas. High levels of calcium, toxins, or infectious disease can be other causes of pancreatitis. Certain breeds are affected more than others. These include the Miniature Schnauzer, Miniature Poodle, and Cocker Spaniel. The Siamese cat also seems to be at higher risk. The average age of dogs presenting with pancreatitis is 6½ years but it can happen at any age.



The gland secretes enzymes and digestive juices that help the body digest food. The pancreas also produces hormones that help regulate the glucose taken from food. Dogs typically present with gastrointestinal signs like vomiting and/or diarrhea. They can be sluggish, depressed, not want to eat, run a fever, be dehydrated, and have abdominal pain.



Diagnosis of pancreatitis often includes blood testing to rule out other organ involvement like the kidney or liver. Blood enzymes like lipase and amylase are often increased on a standard full chemistry. There is also more specific testing looking at enzymes that only come from the pancreas. Sometimes inflammation of the pancreas shows up on an x-ray but it’s just as important to rule out a foreign body in many cases.



Treatment of pancreatitis is based on controlling the signs being shown by the disease. If severe enough, it may be recommended that the pet stay hospitalized. Often times, they need fluids given either IV or under the skin. We give anti-vomiting medications by injection to calm the stomach. Pain medication is often important to keep the pet comfortable. If the pet is still vomiting or having diarrhea, we will fast the pet for 1-2 days to allow the pancreas to rest. After that time, the key is addition of small amounts of low fat food. Lean meats like drained, rinsed hamburger, chicken, or rice are good places to start. If the pet still won’t eat, sometimes we need to resort to a feeding tube to put liquid food directly into the patients stomach. Often antibiotics are included if bloodwork shows an infection or if we haven’t been able to confirm pancreatitis. Chronic or recurring pancreatitis requires long term administration of low fat food. If severe, diagnosis and complete treatment can get quite costly.



So, lets keep those pets happy and healthy over the holidays and I hope I don’t see any of you on emergency for pancreatitis.