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megan | 5 years ago
My Vet Thinks My Cat Has A Nasopharyngeal Polyp But He Needs To Go Under Anesthesia …

My vet thinks my cat has a nasopharyngeal polyp but he needs to go under anesthesia so he they can know for sure and get it out, but he was also listening to my cats heart and said he has a grade one mitral heart murmur and that he needs to have xrays and ultrasounds and such done to make sure his heart is ok before going into surgery because they said his heart could fail while under anesthesia and he could die. My dad said they we should just go ahead with the surgery without spending $550 extra dollars because he doesn’t think he has anything serious wrong his heart considering it was only a grade one heart murmur and my cat was already very nervous about the car ride and being at the vet and that could have caused his heart rate to be off a little. Would it be necessary to look into his heart further or just go ahead with the surgery considering it would only be a 20-60 minute surgery? Would a cat with any type of heart conditions die during surgery? What should I do next?

1 Response

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  1. Krista Magnifico

    Hello,
    These cases often arise in my practice. Hears how I address them. I present my findings of the physical exam to my client and discuss recommendations and suggestions to provide the best care possible. Ideally all cats with heart murmurs should have echocardiograms Especially before anesthesia. But based on a cost of about $600 most people decline to do it. It doesn’t change the need for removing the polyp so we typically do the procedure with as many precautions as possible but not knowing everything we would like to because we don’t have the heart scan to know what’s going on in that department. We veterinarians want all of our patients to be as safe and receive the best care possible. But in a lot of cases this isn’t feasible so we do the best we can knowing that we don’t have all the information we would like. Talk to your vet and find the place everyone is comfortable. If you have a bet that isn’t willing to work with you based on budget or diagnostics ask for a referral or seek a second opinion.

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deehoeck1 | 5 years ago
I Have A 10-1/2 That You (Dr. Morgan) Has Seen Over The Years. Lilly Started Sneezing …

I have a 10-1/2 black lab that you (Dr. Morgan) has seen over the years. Lilly started sneezing yesterday and last nite and today she has had a nose bleed. What could be causing this? Thank you!

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  1. Krista Magnifico

    Hello,
    There are lots of reasons pets sneeze. Allergies, foreign material inhaled (Like a piece of grass) into the nostrils, infection and even cancer are all possible. In general sneezing or longer than a few days duration causes rupturing of the delicate covering of the nasal turbinates (the internal tissue of the nose). When you over stress this tissue it starts to breakdown and causes bleeding. I use the analogy of blowing your nose for days when you have a head cold and then notice blood in your tissue/Kleenex. If the sneezing persists please call for an exam so we can help identify what the cause might be. Then we can help with treatment options. For right now try to increase the humidity on your home with a humidifier or running a hot shower and coding your pup Inside the bathroom With you. I have also seen some dogs have nose bleeds due to tick disease but usually not precipitated with sneezing. De Morgan is here tomorrow if you would like to call the clinic to set up an exam.

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Sarah Weber | 5 years ago
9 Year Old Female Healthy And Happy Lab Seen For A Full Physical And Check Up A …

9 year old female healthy and happy lab seen for a full physical and check up a week ago. Hip/knee mild pain not really improved on Dasuquin. Also new onset of itchy feet (pet is chewing and this happens yearly) from season allergies.
Recommended and started on Gallaprant for a week trial in conjunction with Fish oil 2000mgs daily. Started on gabapentin 3 days ago 300mg bid……Haven’t see any improvement yet.
For the feet, Benadryl 75mg po bid for the past 5 days, which is somewhat effective but wears off quickly. Neo predef foot powder, which helped in the past, unavailable, therefore started on prescription foot bath solution bid. Unfortunately, Foot bath is clearly not decreasing the chewing.
My main concern is that as of this morning, she is now in discomfort with what appears to be an upset stomach. Refused to eat breakfast which has NEVER happened before (even with previous GI illnesses). Not sure which medication might be causing this?

2 Responses

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  1. Krista Magnifico

    Hello,
    I think that you are talking about Molly? If so I will talk to dr Rossi tomorrow morning and have her call you to discuss what’s going on. For today I would stop both the galliprant and the gabapentin. You can give the Benadryl every 8 hours for now. Also try to get her in the bath tub and soak her feet in cool water. I will have the clinic call you now. We are open until 3 today.

    1. Sarah Weber Post author

      Hi! Yes this Molly. I just spoke to Dr. Aaron and we came up with a plan. I appreciate that you asked her to call me! Thanks so much!

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Jodi | 5 years ago
Hi Dr. Magnifico! Curious On Your Thoughts On Gabapentin For Pain? I’ve Read Mixed Reviews. …

Hi Dr. magnifico! Curious on your thoughts on gabapentin for pain? I’ve read mixed reviews. My pup has a painful back leg. Originally she saw a vet at our practice who thought is was due to Lyme because she had tested strong positive and did not feel a drawer sign when checked. We did antibiotic treatment and the lameness got better for the most part. She would have some days where you could see it was bothering her. Then a few months later she was back to not bearing weight on it. Saw a different vet this time at our practice and this vet said he felt the drawer sign and said he felt it was injured CCL and reccomened a surgeon. Surgeon said would need to have x-rays to confirm which I haven’t had the money for. So we did pain meds (gabapentin and tramodyl) and rest for about a month and lameness went away again. She’s been good for about a year up until the past month or two and the vet gave gaba again. When she’s on it, she looks sleepy and scared. I’ve never had an issue giving pills with her in cheese on lunch meat or something but now she tries to spit it out. It’s like she knows what it’s going to do to her. I’ve read mixed reviews. I’ve also read it’s more for nerve pain? So I’m not sure if it’s actually relieving her pain or not. I’ve also read the reciptors that tramodyl targets, dogs don’t have? Curious on your opinion on all of this. I would like to see if she’s still a candidate for surgery even though it’s been some time but I need to come up with the funds for that so I’m trying to help her in the mean time. I give her vitamin supplements for her joints. I don’t want her on pain meds all the time but want something that gives her some relief on those bad days without making her feel drugged up.

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  1. Krista Magnifico

    Hello,
    I actually use gabapentin a lot. I have discontinued using tramadol for many reasons. I also think that if you aren’t seeing benefits and/or seeing adverse side effects that there are other options to discuss. I think the first problem is that you lack a definitive diagnosis. I would try to start there. Then ask about other treatment options to see if they have less adverse side effects? I would also make sure your pets weight is ideal. You are on a good reputable food and a joint supplement. Also moderate impact free exercise. Please talk to your vet about all of these. Good luck .

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Sharon Kim | 5 years ago
My Male Cat Is 2 Yrs Old And He Has A Small History Of Urinary Issues. He …

My male cat is 2 yrs old and he has a small history of urinary issues. He went in for not being able to pass urine in May 2019. Vet #1 suggested prescription wet food(hills c/d multicare) and perineal urethrostomy. While he was hospitalized with a catheter and IV fluid therapy I did my research and the surgery seemed risky and I wanted a second opinion. After my boy was discharged I went to vet #2. Vet #2 reviewed urinalysis and bloodwork and didn’t see reason for surgery at the moment as cat was passing urine okay. Vet #2 said to continue with the food and gave dasuquin supplements.
Fast forward to present day April 2020 almost 1 year later he’s still on the c/d wet food, hasn’t had any blockages since. I want to change his diet to Open Farm which is a higher quality food and I am a bit nervous. Should I get another urinalysis or bloodwork done before making the transition? Is it necessary to make an appointment and ask my vet? The c/d is ranked below average for nutrition and ingredients from what I have read and I don’t want to be paying for food that’s not the best but it has a high price tag! I currently feed him 1 can/day and add salmon oil.

3 Responses

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  1. Sarah

    Good morning????What does your vet say about the food change? Is this food a recommendation from them? If your cat is doing well with their current diet, I personally would stay, unless of course the vet feels change is necessary. Just coming from the mindset that it is working so I wouldn’t mess with anything. I know that lately there are a lot of pet food brands vying for our attention- some of them are valid, but a lot of designer pet foods are just flash. The fda does have a list of information on pet food and regulations as well as a listing of pet foods that consumers might want to be wary of (ones that have been linked to cancers, heart disease, etc.) that might interest you. Very best of luck to you both ????????

  2. Laura

    I’d LOVE to be able to switch my cat back to his normal food, but the veterinary diet he’s on is keeping him as healthy as possible. I pay more to keep him healthier.

    Yes, you need to ask your vet about this. Don’t change foods without their involvement.

  3. Krista Magnifico

    I agree with Sarah and laura. You are sooo lucky that your cat has done so well and soo tempting fate and a 2500 PU surgery if you change food. Stick with what works. I have seen this happen too many times to ever recommend changing diets.

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Jenn | 5 years ago
Our 4 Month Male Lab/husky (a Patient At JVV) He Has Episodes Of “attacking/biting”. Today …

Our 4 month male lab/husky (a patient at JVV)
He has episodes of “attacking/biting”. Today he went after my 5 year old grandson. Bit him in the leg. Not provoked. He also has biting episodes at night. My daughter, his mom, puts him in a hold and he calms down. CN u offer advice how to train him to stop. This is scary. Thank you

2 Responses

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  1. Sarah

    Good morning-
    I am sorry this is an issue. I would first start with a vet exam to rule out any medical issue. Then I would search out a reputable behaviorist to help you with training. It will be time and money well spent. In a serious case like this, a behaviorist is very helpful. Very best of luck to you all. I hope your grandson is ok.

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Morgan Duff | 5 years ago
I Have A Chocolate Lab Chewing Her Fur Raw All Over Her Body

I have a chocolate lab chewing her fur raw all over her body

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  1. Krista Magnifico

    Hello,
    It is time to call your vet and ask for help. Itching can have a huge multitude of causes and there is not one answer to every cause. I would start at the vets office and look for the easy things like fleas. But it could be allergies, infections, disease, mange, etc etc. it is a long list. The sooner you get to the vet the cheaper, quicker and easier your dog will be feeling better. I would strongly recommend you start at the vets. It’s much cheaper in the long run

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Sophia | 5 years ago
Hi Dr. Mag, I Came Across Some Of Your Videos On YouTube And That Brought Me …

Hi Dr. Mag, Gatsby and I need your help.
I came across some of your videos on YouTube and that brought me to your blogs and finally here to Pawbly.com I feel so fortunate to have found your videos you seem so knowledgeable and more importantly empathetic. The care you have for animals truly shines through. I feel so helpless When it comes to my little guy Gatsby. He is 8 years old and has been very healthy all his life, But within the last six weeks we have been experiencing some urinary issues. I did think he had a blockage because he was unable to urinate for close to 24 hours, he seemed lethargic and did not want to eat. I took him to the vet first thing in the morning and he was given an x-ray which did not show any signs of kidney stones. He was given fluids under the skin, an antibiotic shot and sent home with 5 days dosage of Prozasin. The vet diagnosed him with feline lower urinary tract disease, yet he did not take any urine samples because he said that Gatsby’s bladder was very small and he was unable to collect a sample. He did not take any blood either. Within a couple days Gatsby was again exhibiting the same symptoms so I asked around for personal referrals and took him to a different vet. This vet said the same thing, Gatsby’s bladder was very small, but he kept him for a few hours to collect urine and did perform blood analysis and lab work. This was a Saturday and the vet suggested I switched him to a prescription urinary diet and informed me I would receive lab results that Monday. When the vet called all of his lab work came back clear, no infection, no signs of crystals, no signs of cystitis, kidneys functioning properly and he does not have diabetes. The vet suggested I keep him on a prescription diet and suggested that he lose weight because he is a big boy at 15 pounds. This was about a month ago and Gatsby has had two more episodes since. He is licking himself a lot. He travels to his box many times and is only producing small dots of urine, he has on a handful of occasions exhibited inappropriate urination, but only during these flareups which tend to last 2 to 3 days. I’ve called the vet to discuss Gatsby’s condition and his solution is to have the surgery performed. I have read a lot of literature, watched a lot of videos and have taken him to two different vets to try and find answers and help for him. It hurts me to see him struggling. He is on a wet food only diet, I do not feed him any dry food or dry treats. I have tried a urinary health chew which he receives once a day. I have noticed that he has not been drinking water as he used to prior to these episodes. I have a water fountain for him I’ve tried fresh water in different types of bowls, I’ve tried water with ice, he’s just very resistant to drinking water now. Any advice or guidance you can provide would be greatly appreciated.

2 Responses

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  1. Krista Magnifico

    Hello,
    I think part of the problem is that no one is really sure of his diagnosis. Straining can look like a lot of other things too. I always check the gi system and the urinary system for a cat displaying litter box issues. What that means is that I do a rectal exam. I check the colon the feces (send to the lab) and anal sacs. I also check a urine sample. I even do a urine culture and sensitivity of I can’t find the source of the problem. I think your diet plan is good but I would also encourage play and exercise. It helps the gi system and the weight loss which always helps the urinary system. Think of it like a “whole cat” approach to finding out what is wrong. The other piece of advice I have is to find a feline only practice. I just think they do a better job with cat issues when people feel they haven’t gotten the answers they need at a general vets office. Don’t give up! Your cat is trying to tell you there is a problem. Keep digging! Good luck. Let me know what happens.

    1. Sophia Post author

      Thank you Dr. Mag for your response! I forgot to mention that the first vet did do a rectal exam and he said that he cleaned out the buildup from his anal sac. I know there is a better term for it but I don’t have his paperwork in front of me. But he did show me What was cleaned out and he said the color and look of it was fine. I really like that suggestion of an all feline facility. Yes you’re right I have to do better with play and exercise he does have a harness and leash but will just plop on the floor lol, We did live in a different home and for the six years of his life he was able to go outside and play. He is now strictly an indoor cat. I am always so fearful of a blockage because I know how fatal it can be. Can you give me some peace of mind and let me know what signs I should look for to signal that it is a true emergency because like you said the symptoms tend to overlap and I don’t want to overexaggerate yet miss critical signs because there is a thin line.

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Sharon Gainer | 5 years ago
I Have A 13 Year Old (best Estimate Because He Was A Rescue) Chi That Needs A …

I have a 13 year old (best estimate because he was a rescue) Chi that needs a dental. He has CHF and takes 2.5mg of Enalapril daily, as well as 12.5mg of Lasix daily. Is it safe for him to have a dental?

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  1. Sarah

    Good morning- I would talk to your vet performing the cleaning or surgery (not sure what type of dental you are referring to). Your vet is familiar with your pet and the overall health and can assess any risks with you.

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Leah | 5 years ago
How Do You Determine If Your Dog Needs A Dental Exam? My Dog Is Over 10 Years …

How do you determine if your dog needs a dental exam? My dog is over 10 years old and has always had bad teeth. He is a Yorkshire terrier mix. I knew he would need several teeth extracted but we were not advised that he must have this done by x date. It’s been about 6 months. He has now had two teeth fall out and has another big tooth loose. I do not mind paying for a vet visit if necessary but I wasn’t sure if this was simply part of old age. Should we switch from dry food to wet food? He has a little redness in his mouth, no swelling, no signs of pain.

4 Responses

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  1. Sarah

    Hi there- I would call to make an appointment with the vet in the morning. Especially as teeth have already rotted out. There is a good chance that there may be some infection going on that could easily spread. Best to get things taken care of right now and not chance anything bad.

    1. Leah Post author

      Thanks for the response. I’m glad I asked.

  2. Krista Magnifico

    Yep! It’s time for a dental cleaning and extractions of all of the bad (diseased) teeth. Taking care of it now will spare your pup pain, infection and possible complicating diseases like heart disease. It’s never too late to do it! Best of luck!