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Summer | 3 months ago
My Border Collie 2 Years Old Recently Started Staring At Shadows. She Will Just Sit And Stare …

My border collie 2 years old recently started staring at shadows. She will just sit and stare for hours. When the light moves and the shadow is in a different spot she will move with it. What could be going on? I can’t get her to play or cuddle or anything once she starts staring.
I took her to the vet for bloodwork and everything came back normal.

2 Responses

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  1. Laura

    This sounds like an obsessive behavior. I would be working on training and mental work daily in the hopes this can be curbed.

  2. Krista Magnifico

    Hello,
    I would also ask your vet about the possibility of focal seizures and whether a referral to a neurologist might be helpful.

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Sandy | 3 months ago
What Products, If Any, Can You Recommend For A Dog That Is Urine Marking In The …

What products, if any, can you recommend for a dog that is urine marking in the house.

A little background which I think is important.. My grandson adopted 2 dogs a couple of years ago from Tall Tails Rescue about a year apart. They were both very shy with strangers (almost fearful) but have come around somewhat. Back in May my grandson had to move back home and lives in the lower level of the house. Leo and Diesel have adapted well thanks to my daughter who has gotten them into a routine. However, Diesel is urine marking in the house. Right now there is only one recliner downstairs because Diesel chewed the sofa down to the frame. He has also chewed blankets and an area of her wood molding.

I guess I should mention that he is a hound dog (not sure if pure bred) and he is neutered. He has been checked by a vet and there does not appear be anything wrong with him physically. Not sure if this is important but both dogs are by themselves for a good part of the day. My granddaughter lets them out at lunch time before going to college.

Diesel obviously has a behavior problem and probably needs professional help which they cannot afford at this time.

In the interim do you have any suggestions?

Are any of the otc products effective (either plug-ins, supplements, etc.)?

Thank you

1 Response

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  1. Laura

    Is he marking or is he emptying his bladder? If the former, that’s a training issue. I would go back to square 1 with housebreaking – leash him to a person when he isn’t crated, and take him out every hour. When he cannot be supervised, he should be crated. Reward the desired behavior and correct any signals that he’s going to mark. With him leashed to a person, he can’t wander off to mark anywhere, and any unwanted behavior should be much easier to prevent.

    If he’s emptying his bladder, that could be a urinary problem, and he should be checked out.

    Regarding the other naughty behavior, I’ll bet he’s bored. He should be getting daily mental and physical work. Again, crate to prevent unwanted behaviors when unsupervised.

    For either situation, clean all areas with enzyme cleaner. Nature’s Miracle has worked well for us.

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Genesis | 3 months ago
Hello! I Was Listening To A Lecture On Animal Nutrition, And It Brought Up The Topic …

Hello! I was listening to a lecture on animal nutrition, and it brought up the topic of grain-free diets. I used to feed my dogs the blue wilderness grain free diet. But is grain free safe for my dog? Should my dogs have grain in their diet? They are currently eating team dog and that has grains in it. Thank you!

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  1. Krista Magnifico

    Hello,
    I avoid grain free. I don’t think there is likely any benefit to it while there is still a risk of heart issues. So I just don’t recommend it. Why worry about something that is avoidable?

  2. Laura

    There appears to be a link between diets using legumes to boost protein and dilated cardiomyopathy. Whatever you feed, I would avoid anything with peas or other legumes high in the ingredient list.

    Furthermore, if I’m feeding kibble, I have seen actual stool changes between grain free and grain inclusive. The latter seems to produce smaller, more solid stool than the former. My dogs have all done better on grain inclusive. I have found Purina’s Pro Plan to be the best for my specific dog’s gut – she has had almost no loose stool since we started her on it.

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Nikki | 3 months ago
My Dogs Eye Keeps Getting Gooped Shut. I’ve Had Many Dog In My Life And …

My dogs eye keeps getting gooped shut. I’ve had many dog in my life and never seen this, reminds my of pink eye in people but his eyes aren’t pink. I’m going to call the vet tomorrow I thought it was maybe allergies at first with the weather changing but now I’m thinking it’s something more…. Anybody have any ideas?

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  1. Krista Magnifico

    Hello,
    I do think the vet visit is the best idea. Someone needs to look at the eye (get the eyelids to open just enough to allow a visualization of the cornea) to see if that is the source of the problem. You also need some pain meds and an ophthalmic antibiotic I think. Please go asap. Damage to the cornea can have serious consequences, including loss of vision, and they can get very bad very quickly.

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Joseph | 4 months ago
My Dachshund Is Having Back Issues And I Heard About A Procedure Call PLDA That Might …

My dachshund is having back issues and I heard about a procedure call PLDA that might help my dog’s condition. Is this procedure safe for my dog ? I’ve seen write-ups on the internet about it, but no new reports on it since the early 2010’s. Is this still a viable answer to my dog’s condition? Ay help would be greatly appreciated . Thank you.

Joseph Kuzma

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  1. Krista Magnifico

    Hello,

    I’m sorry to hear about your dog. I don’t know any patients or veterinarians who have had this procedure. This would have to be answered by a neurologist or surgeon

  2. Joseph Post author

    Thank you for replying. I was just wondering why nothing has been written about it for 10 to 15 years. I live in Connecticut . I found a vet in Pennsylvania who performs the procedure, but I have to wait for my dog’s pain to be relieved before the procedure can be performed. I will call my vet on Monday and ask their opinion. Thank you, again for your reply.

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Christy | 4 months ago
I Was Wondering If The Tibial Plateau Leveling Osteotomy Is A Good Treatment For A Very …

I was wondering if the Tibial plateau leveling osteotomy is a good treatment for a very active female Akita-husky mix, approximately 2.5 years old? Tater has been spayed, and didn’t react to that procedure well. She “guarded” her abdomen and haunches for over a year. We have moved, so have access to a different vet. Her primary vet office is Price’s Creek (Ohio), who referred her to Medvet for the surgery. I can’t remember the vet who we had Tater’s consultation with at Medvet.

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  1. Krista Magnifico

    Hello,
    If you are confident with the diagnosis of a cranial cruciate ligament injury then I do believe that a TPLO is the best way to treat this. As far as your choice of surgeon you can certainly ask your vet or a trusted member of your community for advice.

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Pam | 4 months ago
Hi Krista My Almost 11 Year Old MC Potcake (who Has Too Many Beings Lipomas To Count) …

Hi Krista
My almost 11 year old MC Potcake (who has too many beings lipomas to count) recently had his senior blood work and urinalysis – everything was normal except an elevated ALP.

The urine was a free catch sample at 4 pm and it was very dilute. This prompted me to remember that he has been drinking a little more (summer) as well as eating a lot of watermelon – and to remind me that he has also had an increased appetite over the last year. I did a specific gravity on a morning urine sample after he had no access to water overnight and he was able to concentrate his urine at 1.025

He has chronic seasonal allergies so his inner thighs have a dark pigment change – this has been present for years – there are no other derm changes and I don’t see a pot bellied appearance but the vet is considering Cushing’s. They suggested an abdominal ultrasound first followed by a low dose suppression test. I would rather do the dex test first before an ultrasound. I’m not sure that I’m convinced that Cushing’s is likely but something may be going on.

Of more concern is that this previously healthy dog coincidentally, a few days after the blood work, had an episode of vertical nystagmus and ataxia – very brief – less than 30 seconds. He’s been fine ever since but its only been a few days – I have been told that vertical nystagmus is less common with Senior Vestibular disease and possibly more likely a central lesion.

any thoughts that you have would be appreciated !
Pam

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  1. Krista Magnifico

    Hello,
    For cases like this I usually recommend the following.
    Ask about diet. See if anything could be influencing water intake. I do a very thorough exam. This includes anal glands. Then I repeat the blood work a few months later (if not drinking or peeing excessively). If the pet is believed to be drinking and urinating more then I think that X-rays, abdominal ultrasound (by a proficient vet) and LDDT are warranted. I don’t have too much preference on order because they usually all need to be done. The biggest thing to talk about before starting all of these diagnostics is that the client must be willing and able to treat for cushings before we start the expensive procedure of diagnostics.

    Good luck

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Carla | 4 months ago
A Question For Krista Magnifico: Hello! Hoping To Get Some Advice On Recommended Next Steps For …

A question for Krista Magnifico:

Hello! Hoping to get some advice on recommended next steps for my cat, Sammie, who is being evaluated for IBD vs. small cell lymphoma.

Sammie is 17 years old and is overall quite healthy! Throughout the time I’ve had her, she’s had a history of vomiting a ~once per week or two (sometimes more frequently). Vomit is usually clear, foamy. No other GI issues or health issues otherwise. She is active and energetic, and has not had any health issues until ~1 month ago when I noticed she stopped eating as much as she previously did. She stopped eating her dry food altogether, and seemed to become quite picky with her wet food. I initially thought her teeth may be bothering her because of the avoidance of dry food, so I brought her to the vet.

Vet found that she had lost a couple of pounds, unintentionally. Based on presenting symptoms, vet thought she might have a GI pathology so ordered an abdominal U/S:

Ultrasound, Abdominal Study Outcome:
Kidneys: overall normal size but mild reduction in detail and small mineral foci. Trace pylectasia noted w/out ureteral disension.
GI: Avg SI thickness normal. Mild corrugation is noted in some regions and some ileus (luminal fluid distension up to 4 mm w/ reduced
peristalsis) noted w/out obstruction. No discrete abnormalities appreciated throughout the small intestines.
Caudal abdominal nodes are prominent to mildly enlarged and rounded w/ smooth texture. One irregular cystic structure noted near right
kidney. The mesentery around the ileus segments is mildly hyperechoic.
A:
Intestines most consistent w/ enteritis
Nodes: r/o reactive vs other
Cystic strucure: r/o benign mesenteric vs inflamed node
Kidneys have evidence of chronic disease.

Here are her prior labs:
PRIOR LABS:

7/15/24: Wt loss 0.28 lb; PCV: 40/7.6; Chem18: BUN 41, creat 1.7, K+ 4.3, phos 4.2
U/A: USG 1.019, pH 6.0, rare wbc/rbc; no bact/cryst; cobalamin: 437; folate: 11.2

2/13/24: Wt loss 0.8 lb; CBCcomp: hct 44, diff wnl (clots in sample; rec. resubmit)
Chem25: BUN 40, creat 1.3; T4: 2.8; SDMA <10
U/A: USG 1.025, pH 6.0, rare wbc, no rbc/bact/cryst, rare fine gran casts.

1/19/23: Wt loss 0.4 lb; CBC: (hct 40, diff wnl); Chem25: (BUN 32, creat 1.3)
T4: 1.8; U/A: USG 1.051, pH 6.5, 1+ prot, rare wbc, no rbc/bact/cryst

11/19/21: CBC: (hct 46, diff wnl); Chem: (BUN 34, creat 1.5); T4. 1.9; DGGR lipase 9
U/A: USG 1.053, pH 7.5, rare amorph. crystals, no wbc, no rbc

6/17/22 Wt loss 0.16 (as desired); USG 1.040; SDMA: 11

Most recent A&P:
A:
1) Intestines most consistent w/ enteritis (IBD vs SCLSA); ileus likely cause of decreased appetite.
2) Nodes: r/o reactive vs other
3) Cystic strucure: r/o benign mesenteric vs inflamed node
4) Kidneys have evidence of chronic disease ; in keeping w/ previous lab findings.
P:
1) Rx: metoclopramide 5 mg: 1/4 tab po every 8-12 hrs.
2) Continue vit B12 as Rxed.
3) picked up Mirataz but hasn't started it yet. Rec. give. metoclopramide for 2-3 days and then if not improved appt, start Mirataz.
4) to consider presumptive pred tx vs ex-lap for biopsies.

Sammie is seeming to eat better with the metoclopramide.

My question:
Is pusuing an ex-lap for biopsy recommended vs. empiric tx for IBD with steroids vs. empiric tx for SCL with steroids + chlorambucil.

Thank you!!!

2 Responses

Comments

  1. Krista Magnifico

    Hello,
    Well let’s all take a collective moment to applaud the work up!! I say this because that’s a breath of fresh air!! I think that a couple things warrant a little further discussion.

    First it sounds like your GP has done a very thorough job,,, but,, done it all in house. Which in some cases is the best we can do. But. Have you been offered a referral to an internal medicine feline practitioner? If you can find someone who is BOTH great. If not go to whoever you can get in with.
    Next have rads been done? And assessed by a radiologist? At least for thorax?
    I know it might sound crazy but also check anal glands. Some of these older cats are so uncomfortable they stop eating
    Add an appetite stimulant. There are numerous options.

    Ask for an internal medicine consult via your lab services. It’s a phone call and It’s free. It has been helpful in some cases. Ask them about budesonide vs. prednisolone if you are going to start treating for INS. Which to be honest I would do over a biopsy for a cat this age with these potential differential diagnoses.
    I also add vitamin B12 and cobalaquin and immuquin to these guys. The other medication I like is cerenia and learning how to give SQ fluids at home for the kidneys. You also need a phosphate binder ( I think?, please inquire), we use naraquin. Maybe ask about azodyl too.

    … and I know it sounds like I am spouting out a lot of meds… but I gave my older cat solensia when she was a nightmare of unhappiness and it really helped.

    And let’s not forget pain meds. Every (EVERY!!! ) single patient deserves them. I like gabapentin 50-80 mg as needed.

    Please keep m posted. Very best of luck.
    Krista.

  2. Carla Post author

    Dear Krista,

    Thank you very much for your response!

    Sammie is eating much better since starting metoclopramide. She is finishing all the wet food we give her, and chases after me when I am preparing it for her! She’s also having bigger sized BMs. We also have her on a weekly injection of B12 for her borderline low levels.

    One point to clarify – we are lucky that Sammie’s vet is a feline-only practitioner. Based on discussions with her, she seems to recommend proceeding with the ex-lap for the biopsy and that cats “bounce back” quite quickly after the procedure. We are hesitant, however, given it seems quite invasive.

    At this point, we are deciding if the is worth it, or just to empirically treat her with steroids for presumed IBS (vs. SCL). Based on your input, it seems you would err on the side of not doing a biopsy in a cat of her age?

    Thanks,
    Carla

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Parham | 4 months ago
4 Year Old Male Cat With Urinary Blockage

Hello

My name is Parham Parsa, I found your page on youtube and have read your blog, and for once I saw someone that is actually talking about blocked cats and is raising awareness to this issue and I wanted to thank you for it.

My cat Mercury (4.5 years old, 18lbs) is currently in the hospital for another urinary blockage and I genuinely don’t know what to do, this is his third visit, first time he got blocked was about a year and half ago and he was on the death’s door, his blood work was extremely elevated, he was lethargic and in visible pain. His regular vet unblocked him and transferred him to a vet hospital for further care, this visit cost me about $5K, and after that he was put on a strict urinary diet. Second time was 3 months ago where we noticed him being in pain and struggling once again and we took him to an ER vet and he was unblocked again, despite my persistence of leaving the his urinary catheter in, they took everything out, and send him home that very night, thankfully he remained unblocked until last night. His vet told me that since he is keep getting blocked he should just get the PU surgery and all but refuse to see him, so I took him to the Metropolitan vet hospital and their estimate for getting him unblocked and doing the PU surgery was 7-8 thousand dollars which is wildly out of reach for me at the moment. After reading your blog I have decided that if I find a second job I can afford to have him unblocked and kept in the hospital for observation for a night or two but I don’t know what I can do after that. If you have any suggestion regarding an affordable PU surgery or any other suggestion I am all ears. I’m really sorry for the long email, and looking forward to hearing back from you.

I just got off the phone with his vet at Metropolitan and after they took some X-Rays they saw some large stones in his bladder which they suspect could be the reason for his repeated blockages, and recommended a cystotomy and they said that the balance would stay at 7-8 thousand dollars. As of now my plan still remains to have him unblocked and watched for couple of days but I don’t know what I should do next.

PS.. I have attached a couple of pictures of him to this post. He is genuinely the sweetest and the friendliest cat I have ever met and the idea of me having to say goodbye to him just because I can’t pay for his treatment is is something I cannot imagine.

2 Responses

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  1. Krista Magnifico

    Hello,

    I’m so sorry to hear about your cat. So many of these cats have a similar situation and it leaves their families with such a huge dilemma about what to do and how to afford all that might lie ahead.
    My advice at this point would also be to do the PU surgery and to remove the stones. If you are close to us I would be happy to see him and see if there is anyway we can help. Please call the clinic and leave your number. I will call you back.
    Dr Magnifico

    1. Parham Post author

      Thank you, Dr Magnifico, I will definitely call the office first thing in the morning. And again I want to thank you for bringing awareness to this problem. Your articles about the blocked cat were such a huge help for me in dealing with this issue.

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Francesca | 5 months ago
I Have A Very Special And Painful Case I Need Help With, I Have Tried Several …

I have a very special and painful case I need help with, I have tried several different veterinarians with no diagnosis or prognosis so far. It may be a long shot, but I was hoping you could help me shine a light on this.

In April I found an extremely skinny stray cat and took him in. I first thought he was malnourished from lack of food for being in the streets, but 4 months in his case keeps unfolding.

He is likely older than 15 years old, but he’s a happy cat with a lot of energy and mobility. He weighs 3kg but he’s a big cat, you can feel every single bone in his spine, although you can’t see them that easily because he has long hair. He’s completely affectionate, loves to be pet, and asks very politely for attention and food all the time.

All we know about his past is he is neutered, he had some teeth surgically removed and he tested negative for FIV and FeLV.

He had a huge appetite when I first took him in, he would eat 100g of food in one meal and ask for more right after. He would sometimes ‘cough’, it sounded like he was choking on some kind of fluid, it doesn’t happen in sequences, but it happens almost every day until today.

He always drank LOTS of water and produced a lot of urine as well. His feces at the beginning were really solid with some mucus.

After a month, he continued to eat plenty and hadn’t gained any weight, that’s when he started to throw up. It started happening a few days a week, usually after spending several hours without eating he would throw up a clear frothy fluid with no content, and then it progressed to twice every day regardless of when he had eaten.

We suspected it could be diabetes or hyperthyroidism, but the labwork didn’t confirm either, it showed regular kidney function with small liver function alterations.

We then introduced prednisolone (2,5mg/day) and changed his diet from a mix of natural home-cooked protein, hypercaloric wet food, protein supplements, and dry food to exclusively Royal Canin Hypoallergenic while waiting for Royal Canin Gastrointestinal Hydrolyzed Protein to arrive in Brazil, keeping Omega 3 (fish oil) 500mg/a day in his diet.

Vomits went away for a while. He kept drinking lots of water and peeing a lot, but his feces got softer (not liquid).

He had periods where he lost his appetite, which we treated with mirtazapine, he reacted after 6 days.

We performed an ultrasound and discovered that basically all his internal organs were compromised. He has severe alterations everywhere. Still, the best specialists I could find couldn’t tell me what was causing it and offer a course of treatment that didn’t involve opening him up to collect tissues for a biopsy.

I personally think it is absurd that a doctor could look at this frail elderly cat who obviously can’t resist anesthesia without serious risks and say that surgery is the only way to go, all to find out for sure if we’re dealing with a lymphoma or an infection. I’m looking for someone to advise me on the most effective course of action. Of course, I aim to reverse his condition, but I understand that given his age and how advanced it is, it might not be an option.

He is currently at 3kg, eating exclusively Royal Canin Gastrointestinal Hydrolyzed Protein with fish oil, and taking prednisolone every day for a month now. His appetite is healthy, he still drinks a lot, pees a lot, and poops regularly but softer. He eats an average of 5 small meals.
Vomits are back down to a few times a week, usually early in the morning before his first meal, and always a clear liquid. He goes and eats right after throwing up so I get the impression he is not nauseous.
He doesn’t seem to be in pain overall.
He’s not gaining any weight regardless of all my efforts.

That is why I’m giving this a shot and trying to get your attention. I hope you have more resources and knowledge that could help me figure out appropriate next steps to give this little guy the best fighting chances I can.

On this link you’ll find a translation of his bloodwork and ultrasound. I had chat GPT translate it for me so forgive me if there are errors.
Link: https://docs.google.com/document/d/1yqcen-TYzyvfBYU-J4t1tCHola1E2otDGDa1H7V032Y

I appreciate any support you can lend me, his name is Valentim which means brave and strong, and I want him to win this fight.

1 Response

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  1. Krista Magnifico

    Hello,
    It sounds like you have done a pretty thorough work up. The places I think that you should look into are;
    Repeat the blood work. It sounds like hyperthyroidism. I always check a free T4 on top of the thyroid T4. I also check a urine. If you haven’t sent a fecal to the lab too.

    After that the ultrasound and X-rays are where I look.

    You are still at the place where the diagnosis is eluding you. That’s where you need to focus.

    PS. Just for the record I don’t love starting pred until you have a diagnosis. It can obscure your diagnostics.

    Good luck. I hope this helps.