Ask the Vet's Pets
A weekly newspaper column about pet health care
Caregiver Info

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Caregiver Information -
Diseases & Disorders

Learn more about your pet's diseases and other conditions by reading Ask the Vet’s Pets letters below. For help with other pet care topics, click on Preventive Care and Toxins & Other Hazards .

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Cat Arthritis

Dear Christopher Cat:
Dexter, our ancient cat, no longer jumps onto the bed. He barely can crawl onto the couch, and he has trouble climbing the steps. Do cats develop arthritis? How can we help him?

Christopher Responds: Yes, older cats, like humans and dogs, can develop arthritis, often called degenerative joint disease by veterinarians.
      Treatment options are many – but not perfect. If Dexter is overweight, help him lose the excess to ease the burden on his joints and back.
      Start him on a glucosamine-chondroitin product like Cosequin for Cats, available without a prescription. It will protect his joint cartilage, nourish joint fluid and provide a mild anti-inflammatory effect.
      Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) are controversial because of their longer duration of action and higher risk of side effects in cats than dogs.
      The veterinary drug companies are developing NSAIDs that may be safer for cats, but until they merit Food and Drug Administration approval, talk with your veterinarian about the advisability of giving Dexter an NSAID approved for dogs.
      Steroid anti-inflammatory drugs, such as prednisolone, may provide some help, but they generally are not prescribed for prolonged periods because of the high risk of side effects, including diabetes.
      Other options are acupuncture and pain relievers that have no anti-inflammatory effect.
      Acetaminophen, the active ingredient in Tylenol, kills cats, so don’t give Dexter any pain reliever that contains acetaminophen.

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Collapsing Trachea

Dear Daisy Dog: Mattie, our toy poodle, has been coughing a lot. Our veterinarian diagnosed collapsing trachea. Would you explain this disease and its treatment?

Daisy Responds: Collapsing trachea is marked by a dry, honking cough, especially during times of excitement and when dogs pull against their collars.
      The disease is most common in small-breed, overweight, middle-aged to older dogs.
      I am a svelte standard poodle, the largest of the poodle varieties, so it’s not a disease I have to worry about.
      My healthy trachea, or windpipe, is a tube composed of strong cartilage rings, each with a small gap bridged by muscle tissue.
      Mattie’s cartilage rings are abnormally soft, so when she breaths hard, the rings flatten, the gap widens and the stretched muscle protrudes into her trachea.
      This narrows the inside of her trachea and causes the characteristic honking cough.
      To minimize the cough, Mattie should switch from a collar to a harness that puts no outside pressure on her trachea.
      If Mattie is one of the many overweight poodles I see when I’m out walking, she should lose weight, because fat inside the chest pushes on the trachea.
      Medications typically prescribed for dogs with collapsing trachea include cough suppressants, bronchodilators and antibiotics when an infection occurs.
      If you smoke, do so outside, away from Mattie. Indoors, the particles in smoke settle to the level where Mattie undoubtedly spends her time – between the couch and the floor – where they can irritate an already compromised trachea.
      Most dogs do well with this approach, but if it’s not effective for Mattie, your veterinarian may suggest surgery.

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Cardiomyopathy

Dear Christopher Cat: My cat was at the vet's last week for his annual physical. My vet said she heard a couple of "dropped" heartbeats. She didn't hear any heart murmurs and couldn't find anything else wrong. Is this something to worry about?

Dear Reader: Your cat may have cardiomyopathy, a group of heart (cardio) muscle (myo) diseases (pathy).
      The most common is hypertrophic cardiomyopathy, in which the muscular wall of the heart becomes thickened. It may get so thick internally that the chamber cannot hold enough blood to adequately nourish the body on each beat. And a thickened heart muscle does not beat as forcefully.
      Another type, dilated cardiomyopathy, is associated with thinning of the heart muscle wall. It rarely occurs now that cat food is fortified with sufficient taurine (an amino acid) to meet cats' relatively high needs. This is why my mom won't let me steal Daisy’s dog food.
      Cardiomyopathy changes the shape and thickness of the heart walls as well as the conduction of electrical impulses through the heart. These electrical impulses, measured on an electrocardiogram (EKG), signal the heart to beat.
      Dropped or skipped beats occur when the electrical signal is not conducted through the heart correctly. They may result from cardiomyopathy, other kinds of heart problems, or even from disorders which originate outside the heart.
      Ask your veterinarian for a referral to a veterinary cardiologist who can do an EKG and an echocardiogram (to look inside the heart at the walls and valves) to diagnose the problem. Only then can effective treatment be initiated.

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