How Do I Know When My Pet Needs Emergency Care?

veterinary emergenciesWe have all been there.  It is midnight on a Saturday and something is not quite right with yourself/your child/your pet.  But is it urgent enough to warrant emergency services or can it wait until Monday morning?  Pet emergency centers have staff on hand that can help you decide whether you need to bring your pet in and are happy to talk through the symptoms with you. If you are debating whether to phone your regular veterinarian or wait, here are handy guidelines:

  • Vomiting/diarrhea:  If these things occur more than once or are accompanied by blood or any signs of illness such as fever, lethargy, or anorexia, it is better to have your pet checked out.  Dehydration can occur quickly, especially in small or young animals.
  • Wounds:  Anything that is bleeding, has a discharge, or is deeper than a superficial scrape should be checked out immediately.  This includes punctures and burns.
  • Urine troubles:  Blood in the urine or difficulty/straining to urinate is an emergency that should be addressed as soon as possible.
  • Fever:  A rectal temperature that is greater than 103oF warrants investigation.
  • Not eating:  Anorexia that persists for greater than 24 hours should not be ignored.
  • Breathing problems:  A pet that is panting, coughing, or otherwise seems short of breath should be looked at immediately.
  • Eye troubles:  Any sign of an eye problem such as squinting, tearing, or redness should not wait, as eye issues can turn serious at the drop of a hat.
  • Sudden lameness:  Not putting weight on a limb or a new lameness can indicate a serious problem.
  • Trauma:  Don’t wait after a pet is hit by a car or falls.  Even if it seems fine, there may be internal injuries that don’t show up until it is too late.
  • Ingestion of a foreign body or toxin:  If you are not sure if it might be a problem, don’t hesitate to call and ask.
  • Seizures:  If it is your pet’s first seizure, it is having back-to-back seizures or seizures are lasting longer than 3 minutes, your pet should be seen.
  • Trouble delivering puppies/kittens:  If your pet has been in active labor for longer than an hour without progress or if it has been greater than 3 hours since the last baby was delivered, your pet may need help.
  • “Just not right”:  When in doubt, call.  Signs of a problem can include (but are not limited to) a bloated abdomen, collapsing, weakness or lethargy, pale gums, pain, or a change in behavior.

Long story short, if your pet is experiencing a symptom on this list or you’re very concerned, don’t hesitate to call us!  We are here to help you when you need it most, and are happy to answer your questions and take care of your pet whenever needed.  If there is no need for immediate treatment and you can monitor the problem at home or you can wait to see your regular veterinarian, we’ll let you know that. Sometimes, though, seemingly minor problems can become serious quickly, so please contact us if you are concerned about your pet’s health. We’re here for you 24 hours a day.

All About Xylitol and the Danger it Poses to Your Pet

The emergency and critical care doctors at OVRS would like to remind pet owners how dangerous Xylitol, an artificial sweetener is for dogs and cats.  The emergency and critical care doctors have reported an increased number of pets being treated for eating xylitol, used as a sugar substitute in foods, including sugar-free gum, sugar-free mints, chewable vitamins, tooth paste and oral-care products. Xylitol is also available in a granulated form at your local grocery store for baking and beverage sweeteners.

Question: Why is xylitol so dangerous for dogs and cats?

Answer: Ingestion of xylitol primarily affects insulin release throughout the body. Insulin causes an increase of glucose (blood sugar) uptake into the liver, muscle, and fat cells resulting in decreasing blood glucose levels.

Xylitol strongly promotes the release of insulin from the pancreas into circulation leading to a rapid decrease of blood glucose levels. Hypoglycemia (low blood sugar) can occur within 30 to 60 minutes of xylitol ingestion with levels as low as 0.1g xylitol /kg body weight.

Hypoglycemia may compound further into liver toxicity, liver damage, and ultimately liver failure. Ingesting amounts of xylitol greater than 0.5 g xylitol /kg body weight increases the risk for developing liver toxicity.

Sugar-free chewing gum is the most common cause of dogs that present to the emergency room. However, the recent introduction of xylitol as a substitute for sugar in grocery stores has increased the potential for toxicity.

Xylitol is perfectly safe for people, but because of different metabolisms, it can be fatal for dogs and cats. A simple piece of cupcake or cookie could kill an animal if the danger is unknown and not addressed immediately.

Question: What are the signs my dog might have eaten xylitol?

Answer: Immediately after ingestion, vomiting may occur. Hypoglycemia (low blood sugar) develops within 30 to 60 minutes, resulting in lethargy and weakness. These signs may quickly develop into ataxia (trouble walking), collapse, and seizures. Prolonged blood clotting times as well as skin and intestinal hemorrhaging are clinical signs associated with liver toxicity that may develop within hours and warrant a very poor prognosis.

Question: What do I do if I think my dog has eaten xylitol? What is the treatment and prognosis?

Answer: If xylitol ingestion occurs, consult your veterinarian immediately. Inducing vomiting to remove the xylitol is imperative, but close monitoring of blood sugar levels and intravenous infusions of glucose (sugar) may also be needed depending on the amount ingested and how quickly the problem was recognized.

The prognosis for dogs with hypoglycemia is good with immediate and proper treatment, while the prognosis for dogs that have developed liver toxicity is poor. Large ingestions of xylitol (a relatively small amount of the product) that are not caught immediately can result in fulminant liver failure and death despite aggressive supportive care. This can occur in less than 36 hours in dogs that are otherwise young and healthy.

If your dog or cat is exhibiting any of the signs listed above of having eaten xylitol, please contact your regular vet or OVRS immediately.

The Dog Days of Summer

If you haven’t noticed yet, it is a little warm outside lately.  Did you know that pets can very easily become overheated?  And that heat stroke is a major cause for an emergency veterinary visit in the summer?  That doesn’t mean you and your pet can’t enjoy the outdoors, though.  Do the following to ensure that your pet stays out of the hospital this summer:

  • Never leave your pet in an enclosed area such as a car for any length of time, even just a few minutes.  Temperatures can rise quickly, resulting in severe heat exhaustion.
  • Always be sure your pet has access to fresh, cool water.  This may mean planning ahead and bringing a portable dish and water bottle dedicated to Fido.
  • Make sure your pet can get out of the heat if s/he wants to do so.  This may mean a shady spot in the yard or the ability to retreat indoors if the sun becomes too intense.
  • Try to do outdoor activities early in the morning or in the evening when temperatures tend to be lowest.
  • Be on the lookout for signs of overheating.  These may include heavy panting or difficulty breathing, drooling, and weakness.  Unchecked these can progress to diarrhea, vomiting, lack of responsiveness, and seizures.  If you think your pet is suffering from heat stroke, contact your veterinarian right away.

If you have any questions contact us or reach out to your primary veterinarian.

It’s Getting Hot, Hot, Hot!

For many of us, the heat of the summer means pool parties, barbeques, and sun tans.  For many pets, though, the heat can quickly lead to heat exhaustion.  Dogs and cats have an extra layer of insulation cannot always exchange heat as efficiently as we do.  In particular, “smush-face” breeds such as Pugs, Bulldogs, and Persians have a very difficult time.  This doesn’t mean that your pet can’t enjoy the sunshine, it just means that you need to take some extra precautions when the mercury rises.

Keep a close eye on your pet.  If you begin to notice very heavy panting or deep, fast breathing (hyperventilation), it is probably time to get into the air-conditioning.  Other warning signs can include increased salivation, lethargy or disorientation, and vomiting or diarrhea.  Unchecked these signs can quickly develop into seizures or coma.  Pets should be observed regularly if left outside unattended.  Never leave them in a car unattended.

Make sure your pet has what it needs.  Fresh, cool water should be available at all times.  If you are hiking or walking be sure to bring an extra bottle for Fido.  Your pet should have access to shade and the ability to get out of the heat if desired.  Consider getting a small wading pool for your pet to lounge in.

Don’t chance it.  If your pet is exhibiting signs of heat exhaustion, seek veterinary care immediately.

If you have any questions contact us or reach out to your primary veterinarian.

Keeping a Pet-Safe Garden

dog and cat in a gardenIt’s that time of year again, when warmer temperatures and longer days make us head outdoors to spend more time in the fresh air and sunlight. If you happen to be a gardener, it’s probably also the time that you’re just itching to start digging in the dirt, and you may be deciding what flowers and veggies you may want to plant. It’s important to keep in mind that although gardening can be a very rewarding hobby, it can also be dangerous for our furry friends. Luckily, creating a pet-safe garden is not very difficult. We just need to take a few extra precautions to ensure that our yards and gardens are as safe as they are beautiful.

Avoid Poisonous Plants

The most obvious way to create a pet-safe garden is to choose the right plants. Not all pet owners realize that a great many garden plants are toxic to dogs and cats. Popular varieties such as azalea, rhododendron, oleander, foxglove, lily of the valley, sago palm, tulip and daffodil all fall into this category. Pets that eat these poisonous plants can experience everything from an upset stomach and diarrhea, to seizures and liver failure. Be sure to  check the ASPCA’s comprehensive list of toxic plants before deciding which plants will make it into your garden.

While not toxic, it’s also a good idea to avoid trees, shrubs and plants that are likely to cause allergies. Many of the same plants that cause allergies in humans will affect your pet as well. Look for pollen-free plant species whenever possible. If you do select a plant with a high allergy potential, avoid planting it under windows that you’ll have open during the summer.  If you already have one of these trees or hedges in your yard, keep it heavily sheared so it will flower less.

Choose Your Mulch Carefully

Many gardeners use cocoa bean mulch—a by-product of chocolate production—in landscaping. It has an attractive odor and color that make it a popular choice, but cocoa mulch can pose serious problems for your dog. To be safe, opt for shredded pine, cedar, or hemlock bark instead. Also try to avoid mulch that has been treated with weed inhibitor or insect repellent.

Rethink Toxic Chemicals

Try to avoid the use of chemical fertilizers, pesticides or weed killers in your yard and garden. These pose a danger to dogs and cats because anything picked up on their paws could be licked off later. There are plenty of organic, earth-friendly products available as an alternative that are safe for both pets and humans. Ask your local gardening center for recommendations and they should be able to point you in the right direction.

Insecticides are often necessary to keep our gardens healthy, but their ingredients aren’t safe for our furry friends. The most dangerous forms of pesticides include snail bait with metaldehyde, fly bait with methomyl, systemic insecticides with the ingredients disyston or disulfoton and most forms of rat poisons. Again, a conversation at your gardening center may be able to provide you with some effective but natural alternatives.

Compost Piles and Worm Bins

These eco-friendly practices can be great for your garden, but be sure they’re not accessible to your pets. Dogs that view garbage and rotting food as a special treat may consider this a buffet, but it’s one that could make them sick.

Garden Tools

Just like toddler-proofing, be sure to keep all pruning shears, trimmers, tillers, rakes and other gardening tools picked up and stored safely out of reach of your pets.

Gardening is a great hobby, and with a little extra planning and effort, it’s not difficult to ensure that your hobby will be safe for your pet.