Is it common for puppies to wet themselves napping (or could it be a UTI or something else)? I have a 10 week old female chocolate lab. We take her outside to pee very frequently, but she sometimes wakes up from a short nap during the day and one side of her body is soaked.

My lab will be 11 in June. He was diagnosed with diabetes 4 years ago. We’ve never been able to regulate his insulin and have tried both human and dog insulin. He’s currently taking 31 units of vetsulin 2 times a day and has been for over a year. No matter what dose/medicine brand we try, his blood sugar is still really high (between 250-400)! Recently, he’s been throwing up a few times a week after eating or drinking. The vomit is white and clear and looks like its mostly slobber with only a very small amount of food. What’s causing this?

Charley is a 9 year old lab mix female, approx 70 lbs. She has always been an incredibly active dog. Over the last year or so we have noticed her slowing down and assumed it was wear and tear of her joints after being so athletic and active. We started her on anti inflammatories (ostimax) after speaking with our vet, and used it as needed. It seemed to help. Within the last 3 months things worsened and we began giving her the anti inflammatory daily, as well as gabapentin. Things worsened again, and we finally requested that xrays be taken. They found a partial tear in one back acl and a fully torn acl in the other, we aren’t sure when this happened. She is receiving an injectable (adequan) 2 x a week for a month, and is taking the anti inflammatory, a cbd chew and gabapentin. This regimen is new this week and she looks a little better but still prefers to be laying down, has a hard time standing up/sitting down. We try to walk a block and she stops to lie down (we never push her). She sleeps most of the day, assuming from the meds. She is a different dog, it’s heartbreaking. She still eats and drinks but we put her food in front of her now, and mix it with wet (to hide the pills), otherwise I don’t know how often she would eat on her own. Thoughts on how surgery will help? Recovery? Our consult with the surgeon referred by our vet isn’t until July 31st (there is a backup with Covid) so we are looking for other options and might have a spot with a local vet- we are hoping to not have to wait that long because she’s just not our Charley, and we don’t want to see her in pain any longer.
some notes from vet: Ambulates tender hind legs R+L . thickened stifles- toe touching both and small stride on gait . Sits
slowly and swings legs out to avoid flexing too much . Crepitous on flex/ ext R side- patellar groove . Rlat- chip prox tibia- thickened JC and irregular lat collateral. L side – joitn mouse caudal joint – thickened JC irrgular medial collateral lig mild drawer both

Pisoi is an indoor 18 year old male cat who is also allowed to spend as much time as he wants outside. Last summer he started to get from his left nostril a discharge, first clear mucus which despite an antibiotic injection (good for two weeks) became later a thick puss. The doctor’s supposition was: A) sinus infection; B) a foreign body in the nostril; C) cancer. The Doctor’s opinion is that more precise investigations requires anesthesia but due to the cat’s advanced age the doctor felt that he might not wake up from the anesthesia. It was prescribed Tobramycin Dexamethasone Ophtalmic and the puss became again a pretty clear discharge. He was eating and behaving normal. Everything remained in this state until two months ago when Pisoi began to snore, a sign that his left nostril was beginning to be affected. There was no discharge from his “healthy” nostril. After six days of doxycycline, his snoring became a little softer, then loud again. Another six days doxycycline, another week of soft snoring. Now he received doxycycline for 20 days. Already after four tablets he seams to be better but still 1) he cannot rest well because of heavy breathing and 2) his appetite is gone. Only ¼ tablet mirtazapine will make him to eat (really well).
Dr. Magnifico, I would appreciate it if you could see Pisoi as soon as possible, especially after I read what on this page what happened to Tony’s cat, Destiny.
We live in New Castle Pa, five hours and a half from you
Thank you very much,
Mihai

Hi Dr. Magnifico. We took Boogie to VRA in Gaithersburg, MD, a couple weeks ago, hoping to have the Radioactive Iodine Therapy done for his hyperthyroidism, but Dr. Conway said she did not think he was a good candidate for it and was very concerned with his constipation.

She did bloodwork, an ultrasound, chest x-rays and more. We took him there on 4/16 and again on 4/27. I asked her to send all results to you and I hope you have received them by now.
Dr. Conway said he has a tumor or mass on his kidney but no abnormalities found from the chest x-ray.
She quoted me $5,000-$6,000 (gulp) to do the surgery, but I can not remember if she said that was to remove the tumor from the kidney, or remove the entire kidney.
She also mentioned something about his blood being thicker? I really can not remember exactly what she said about that, but it didn’t sound good. It may have something to do with his red blood cell level being high due to the tumor on his kidney.

She said to cut back his methimazole to 1/2 pill every 12 hours. *Dr. Conway told me that his hyperthyroidism is very mild.
She also said raise his dose of cisapride 5 mg/ml from 1 ml every 12 hours to 1 ml every 8 hours (three times a day), and she said to raise his dose of lactulose to 3 ml every 8 hours.
I started all of the above on 4/17.

He has since sprained his leg and is limping. He’s been hiding under the bed more, but not completely. He will still come up on the bed to visit me once or twice a day, but just not as often as he used to, and is still coming up on the bed to sleep with me. I’m not sure if he’s not feeling well because of Dr. Conways findings, because of his sprained leg, or both, the reason he is under the bed more.

Here is the last email I received from Dr. Conways office on 4/29, after his ultrasound on 4/27:

1) His calcium results was fine and within normal limits. Dr. Conway suspects the prior calcium elevated was due to lab error.
2) His thyroid level is good on the lower dose of Methimazole – please continue as directed with this medication.
3) His blood cell count shows his red blood cell level is HIGHER – this is due to the tumor of his kidney. If you are not interested in pursuing surgery for Boogie, Dr. Conway’s recommendation would be an oncology consult to discuss any palliative care options.

Please let me know if you have any questions.
​
Julia Conny, RVT
Internal Medicine Lead Technician
Veterinary Referral Associates
301-926-3300

Dr. Mag, We have been clients of yours for several years, as four of our cats are all seen by you and your wonderful staff. We are begging you on hands and knees to please help our Boogie boy. He is only 12 years old and we are not ready for him to go. Can you please do the removal of the tumor or kidney? We realize it is a very risky surgery, but we would feel better knowing we did something, than not. We know you are a big advocate of doing everything you can to help bring pets back to health, instead of just giving up.
I’m in tears as I write this. Can you please look at all his records you have at your office asap, and also what Dr. Conways office sent you. Please, can you help our baby?

Terri and Steve

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?

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!

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?

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.

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.