Laurie Anne Walden, DVM Chip, snack, and cereal bags pose a suffocation risk that pet owners might not know about until it’s too late. Dogs and cats have died after putting their heads in snack bags and other food containers. Of the various types of food containers, plastic and Mylar-lined bags are the biggest suffocation hazards. When an animal with its head in a bag inhales, the bag tightens around the head, cutting off airflow. The animal might not be able to remove the bag on its own. Death can occur in just a few minutes. Preventive Vet conducted an online survey about pet suffocation and received 1354 responses from 2014 through 2018. The responses from pet owners whose pets died or almost died of suffocation are summarized here. Most common culprits:
Where pets got hold of the bags:
More than one-third of pet owners were home when their pet suffocated. Of the owners who were away from home, 18% were gone for less than 15 minutes. Animals of all sizes are at risk. According to the survey responses, more than half of the dogs who suffocated were larger than 30 lb, and some were over 60 lb. Prevention Simply being aware of the risk is a big part of keeping your pets safe. A lot of us have probably left chip and other food bags where our pets can reach them. Here are some steps you can take:
More Information Pet suffocation awareness, Preventive Vet website: https://www.preventivevet.com/pet-suffocation Prevent Pet Suffocation website: https://preventpetsuffocation.com/ Photo by Yulia Khlebnikova In March and April 2021, outbreaks of Salmonella infection linked to wild songbirds, ground turkey, and small turtles were reported, and several brands of dog and cat food were recalled because of possible Salmonella contamination.[1,2] Dogs and cats are at risk of illness from salmonellosis. However, healthy adult animals infected with these bacteria often become carriers with no symptoms. Salmonella are zoonotic—they spread between humans and other animals—so a major concern with Salmonella infection in animals is that it increases the risk for people. Sources Animal Carriers Salmonella are spread through the feces of infected animals. These are some of the animals that carry Salmonella and expose people to infection:
Contaminated Food and Water People and animals are most often infected with Salmonella by eating food or drinking water contaminated with feces. Handling contaminated food is also a risk if you don’t wash your hands thoroughly afterward to avoid bringing the bacteria to your mouth. Potential sources of Salmonella infection in humans, dogs, and cats include the following:
Environmental Sources Animals carrying Salmonella shed the bacteria into their environment. Animals that seem completely healthy can be Salmonella carriers. It’s safest to assume that Salmonella are present anywhere an animal of a high-risk species spends time: reptile habitats, terrariums, aquariums, chicken coops, animal pens, and so forth. Bedding and water tanks or bowls (especially in reptile and amphibian habitats) can also be contaminated. Bird Feeders and Birdbaths Wild songbirds aren’t just Salmonella carriers; sometimes they get sick and die of Salmonella infection. The type of Salmonella that birds carry, S typhimurium, is contagious to people and other animals. Cats who hunt birds or hang out under bird feeders and birdbaths can be infected. Symptoms Many adult dogs and cats exposed to Salmonella don’t get sick but can still spread the bacteria. Puppies, kittens, stressed animals, immunosuppressed animals, and animals with other diseases are more likely to become ill with salmonellosis. Symptoms include lethargy, loss of appetite, vomiting, fever, and diarrhea. The infection can be fatal in fetuses and newborns. Salmonellosis in cats infected by birds is called songbird fever. Symptoms are similar to salmonellosis in other animals: vomiting, bloody diarrhea, lethargy, and loss of appetite. Treatment As with most diseases, specific treatment depends on the individual animal’s needs. Salmonella can develop resistance to antibiotics, so animals with mild symptoms might be treated only with supportive measures. In some cases, the choice of antibiotic is based on results of culture and antimicrobial sensitivity tests.[5] Prevention Be aware that raw meat pet diets are a common source of Salmonella. The CDC recommends these measures to prevent Salmonella infections:
References 1. Reports of selected Salmonella outbreak investigations. Centers for Disease Control and Prevention. Accessed April 20, 2021. https://www.cdc.gov/salmonella/outbreaks.html 2. Recalls, market withdrawals, & safety alerts. US Food & Drug Administration. Accessed April 20, 2021. https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts 3. Salmonella infection. Centers for Disease Control and Prevention. Accessed April 20, 2021. https://www.cdc.gov/healthypets/diseases/salmonella.html 4. Kukanich KS. Update on Salmonella spp contamination of pet food, treats, and nutritional products and safe feeding recommendations. J Am Vet Med Assoc. 2011;238(11):1430-1434. doi:10.2460/javma.238.11.1430 5. Marks SL, Rankin SC, Byrne BA, Weese JS. Enteropathogenic bacteria in dogs and cats: diagnosis, epidemiology, treatment, and control. J Vet Intern Med. 2011;25(6):1195-1208. doi:10.1111/j.1939-1676.2011.00821.x 6. Salmonella outbreak linked to wild songbirds. Centers for Disease Control and Prevention. April 1, 2021. Accessed April 20, 2021. https://www.cdc.gov/salmonella/typhimurium-04-21/index.html Image source: Shenandoah National Park (photo by N. Lewis, NPS) Laurie Anne Walden, DVM Dog bites are physically and emotionally traumatic and can also have serious consequences for the dog. National Dog Bite Prevention Week, the second full week of April, is a good time to learn more about dog bites. Why do dogs bite? Dogs bite as an instinctive response to provocation. Even friendly, tolerant dogs can bite under the wrong circumstances. A dog might bite a person in situations like these:
Which dog breeds are likely to bite? Trick question! Any dog can bite if provoked. Assuming that a dog is aggressive because of its breed is unfair to responsible dog owners and (in the case of breed bans) potentially unsafe for the dog. It’s even more dangerous to assume that a dog won’t bite because it looks like a breed people think of as “friendly.” It’s almost impossible to tell the breed heritage of a mixed-breed dog just by appearance anyway. A dog’s body language and facial expressions are better indicators of bite risk than its (apparent) breed is. These cues can be subtle, but learning to tell if dogs are feeling anxious, afraid, or aggressive can help keep you safe. Who’s at risk of being bitten? At least half of the people bitten by dogs in the United States each year are children, according to the American Veterinary Medical Association. Older adults are also at higher risk. Most people with dog bites are bitten by their own dog or another dog they’re familiar with. How can I keep myself and my kids from being bitten? These measures can reduce the risk:
What can dog owners do? Socialize puppies and newly adopted dogs so they’ll be comfortable with different people and new situations. Dogs who are well socialized are less likely to feel nervous or threatened when they encounter new people and unfamiliar environments. Obedience training using positive reinforcement also builds trust between dogs and their owners. Be sure your dog’s rabies vaccination is up to date. Monitor your dog’s health; pain and illness reduce a dog’s tolerance for being touched and handled. Don’t let your dog run free outdoors, and follow your local leash laws. If your dog is nervous around unfamiliar people, be sure he has a place to get away from visitors to your home. More information
Photo by Ralu Gal Laurie Anne Walden, DVM Over-the-counter (nonprescription) nasal sprays and eye drops can pose a serious risk to animals that ingest them. The problem ingredients—imidazoline decongestants, phenylephrine, and xylitol—are common in products to treat allergies, colds, flu, and red eyes. If your pet chews a nasal spray or eye drop bottle, call your veterinarian or an animal poison control hotline immediately. This type of poisoning is a medical emergency. Even small amounts of ingested product can be dangerous. Pet poison hotlines (consultation fees apply):
Imidazoline Decongestants Decongestants in the imidazoline class are found in many nasal sprays and eye drops that reduce nasal congestion and eye redness. Some of the drugs in this group are oxymetazoline, naphazoline, tetrahydrozoline, tolazoline, and xylometazoline. A few of the many brands that contain imidazolines are Afrin, Clear Eyes, Mucinex, Opcon, Privine, Sinex, Visine, and Zicam. Imidazolines affect the heart, circulation, digestive system, and nervous system. They decrease nasal congestion and eye redness by narrowing small blood vessels in the nose and eyes. Symptoms of imidazoline poisoning appear as soon as 15 minutes after ingestion of a large amount or a few hours after ingestion of a small amount. The symptoms last from about 12 to 36 hours and include the following:
Animals with imidazoline poisoning need to be hospitalized for treatment and monitoring. Reversal agents for imidazolines are available. Phenylephrine Imidazolines and phenylephrine have similar effects on the body. Like imidazolines, phenylephrine acts as a decongestant by shrinking small blood vessels in the nose. Phenylephrine is available in oral forms, nasal sprays, eye drops, and hemorrhoid creams. Two brands of nasal spray that contain phenylephrine are Little Remedies and Neo-Synephrine. Ingestion can cause vomiting, agitation, hyperactivity, and increased blood pressure.[2] Xylitol Some nasal sprays, including some with labels reading “natural saline,” contain xylitol. One example is Xlear nasal spray. Xylitol is harmless in humans, but in dogs it causes a dangerous, rapid drop in blood sugar and can also cause liver damage. The best approach is to keep all remedies (prescription, nonprescription, and “natural”) out of reach of pets and never assume that a product that’s safe for children is also safe for animals. References 1. Almgren C. Clear eyes, dry nose, no problem? Wrong! Intoxications due to eye drops and nasal sprays. Pet Poison Helpline webinar. November 14, 2017. Accessed March 21, 2021. https://www.petpoisonhelpline.com/webinar/november-2017-intoxications-due-eye-drops-nasal-sprays/ 2. Khan SA. Decongestants (toxicity). Merck Veterinary Manual. Updated August 2014. Accessed March 21, 2021. https://www.merckvetmanual.com/toxicology/toxicities-from-human-drugs/decongestants-toxicity Photo by Diana Polekhina Laurie Anne Walden, DVM Some bugs carry dangerous diseases or have venomous stings. But what about insects that our pets catch and swallow? Most are harmless, but a few are unsafe for pets. As warm weather arrives, keep an eye out for insects that can cause trouble if they’re eaten. Pesticides and insecticides can also be toxic to pets. Keep these products out of your pets’ reach and use them only according to the manufacturer’s instructions. Dogs and cats are most likely to get a toxic dose if they’re sprayed with the product or eat a significant amount. A pet that eats a single pesticide-covered insect would ingest a little bit of the product, but the amount would probably be too small to cause a problem (call your veterinarian if you’re unsure or if your pet shows any symptoms). Caterpillars Caterpillar hairs can be irritating to the touch, and some types of hairs release a toxin. Fur typically protects dogs’ and cats’ skin from the stings of caterpillar hairs. If a pet eats a caterpillar, though, the hairs can irritate the mouth and throat. Symptoms include drooling, pawing at the mouth, shaking the head, vomiting, and trouble swallowing. Processionary caterpillars (found in Europe, North Africa, and Asia) produce a toxin that causes an especially severe reaction.[1,2] Fireflies Fireflies are highly toxic to lizards, amphibians, and birds. Ingestion of a single firefly can kill a bearded dragon. Fireflies contain lucibufagins, which are chemicals that cause heart damage in susceptible species.[3] Asian Lady Beetles Asian lady beetles (Harmonia axyridis) look a lot like ladybugs, but unlike ladybugs they gather in large numbers and come inside houses in cold weather. As a defense mechanism, they secrete an irritating chemical compound. One published report describes a dog with oral trauma similar to chemical burns caused by 16 Asian lady beetles stuck to the roof of the mouth.[4] Blister Beetles Blister beetles (family Meloidae) produce a toxin called cantharidin, an irritant that causes blistering on contact with the skin, mouth, or digestive tract. Cantharidin poisoning is most common in horses that eat alfalfa hay contaminated with blister beetles. Exposure can be fatal to horses. Other species, including dogs, cats, rabbits, and people, are also susceptible to cantharidin poisoning.[5] Walking Sticks The insects known as walking sticks (order Phasmatodea) use camouflage as their main defense mechanism, but some of them also secrete a chemical that can burn the eyes or mouth. Anisomorpha buprestoides, a stick insect found in the southern United States, can aim this secretion directly at the face of a predator. Severe eye damage has been reported in humans and a dog.[6] Bombardier Beetles Brachinus beetles are called bombardier beetles because they secrete a toxic chemical that they aim at predators in what is usually described as “explosive discharge.” This chemical irritant is released at a boiling temperature.[7] Although I did not find any research reports of bombardier beetle poisoning in dogs or cats, I can’t imagine that eating one would be a comfortable experience. References 1. Bad bugs, bad bugs: what you should do to keep your pets safe. ASPCA. August 1, 2018. Accessed March 5, 2021. https://www.aspca.org/news/bad-bugs-bad-bugs-what-you-should-do-keep-your-pets-safe 2. Fuzzy green poisoners: caterpillar toxicosis in pets. ASPCA Pro. Accessed March 5, 2021. https://www.aspcapro.org/resource/fuzzy-green-poisoners-caterpillar-toxicosis-pets 3. Treating firefly toxicosis in lizards. ASPCA Pro. Accessed March 5, 2021. https://www.aspcapro.org/resource/treating-firefly-toxicosis-lizards 4. Stocks IC, Lindsey DE. Acute corrosion of the oral mucosa in a dog due to ingestion of multicolored Asian lady beetles (Harmonia axyridis: Coccinellidae). Toxicon. 2008;52(2):389-391. doi:10.1016/j.toxicon.2008.05.010 5. Schmitz DG. Overview of cantharidin poisoning. Merck Veterinary Manual. Updated June 2013. Accessed March 5, 2021. https://www.merckvetmanual.com/toxicology/cantharidin-poisoning/overview-of-cantharidin-poisoning 6. Thomas MC. Featured creatures: twostriped walkingstick. University of Florida Entomology & Nematology. Publication No. EENY-314. November 2003. Accessed March 5, 2021. http://entnemdept.ufl.edu/creatures/misc/walkingstick.htm 7. Schaller JC, Davidowitz G, Papaj DR, Smith RL, Carrière Y, Moore W. Molecular phylogeny, ecology and multispecies aggregation behaviour of bombardier beetles in Arizona. PLoS One. 2018;13(10):e0205192. doi:10.1371/journal.pone.0205192 Photo by Kazuky Akayashi Laurie Anne Walden, DVM Coccidia are tiny parasites that live in the intestines. Coccidia infection is common in dogs and cats, most often affecting puppies and kittens. Infection can cause severe disease and even death, especially in young animals, although some infected animals have no symptoms at all. Coccidia are protozoa, which are single-celled organisms. They are not worms, and deworming medications do not remove coccidia. Different species of coccidia infect different animals. Coccidia that infect dogs and cats are in the genus Isospora. Other types of coccidia infect other mammals (including humans), birds, fish, reptiles, and amphibians. Unlike some parasites, coccidia that infect dogs and cats are not contagious to humans. Coccidia are host specific: they cause disease only in their own host species, not in animals of other species. Dogs with coccidia spread the disease to other dogs but not to cats or humans. Cats with coccidia spread the disease only to other cats. Transmission Coccidia that infect dogs and cats are transmitted through feces. Dogs and cats are usually infected by swallowing contaminated soil or other contaminated substances in the environment. They can also be infected by eating a small animal (like a rodent or insect) that serves as a transport host or vector for Isospora organisms. Coccidia in the feces are not infective right away. The life stage that passes out of the body in the stool is immature (nonsporulated). After a few hours in the environment, this stage matures to the sporulated stage, which can infect other animals. Sporulated coccidia can survive in the environment for a year.[1] Symptoms After sporulated coccidia are swallowed, they release other stages that invade cells of the intestines. Damage to the intestinal cells is responsible for the symptoms. Puppies, kittens, and adult animals with compromised immune systems are at most risk for serious illness. These are some of the symptoms:
Diagnosis Coccidia are diagnosed by examining a sample of feces under a microscope. Sometimes infected animals have false-negative test results (no coccidia seen even though the animal is infected), so animals with symptoms might need repeated fecal tests to diagnose the cause of illness. Coccidia can also be found in the feces of animals with no symptoms. Treatment Coccidia infection is treated with medication from a veterinarian. Complete treatment may take a few days or a few weeks, depending on the severity of infection. Sanitation of the environment reduces the chance of reinfection during treatment, especially for animals in group housing. Medications that remove hookworms, roundworms, and other common dog and cat parasites do not affect coccidia. Heartworm, flea, and tick preventives also do not remove or prevent coccidia. Prevention Because coccidia in stool aren’t infective for a few hours, removing feces from the environment regularly (at least once a day) helps prevent infection. Keeping cats indoors reduces or eliminates their exposure risk. Preventing dogs and cats from hunting rodents and other animals also reduces their chance of infection from transport hosts. All dogs and cats—and especially puppies and kittens—should have periodic fecal tests by a veterinarian. Reference 1. Coccidia. Companion Animal Parasite Council. Updated October 1, 2016. Accessed February 19, 2021. https://capcvet.org/guidelines/coccidia/ Photo by David Clarke Laurie Anne Walden, DVM Periodontal disease (disease of structures that support the teeth) is one of the most common medical problems of dogs and cats. This condition, which leads to bone loss around the tooth roots, causes the teeth to loosen and fall out. Although periodontal disease can be painful, animals often don’t show any outward symptoms until the disease is advanced. Periodontal disease may also increase the risk of heart, liver, and kidney problems. Regular dental care at home and periodic dental cleanings under anesthesia are the best ways to prevent periodontal disease. Causes Periodontal disease is caused by bacteria in the mouth—or more specifically, the body’s immune response to bacteria. Oral bacteria produce plaque, a sticky substance that coats the teeth. If not removed, plaque hardens into tartar. Bacteria, plaque, and tartar near the gumline activate the immune system, causing inflammation. The earliest stage of oral inflammation is gingivitis, or inflammation of the gums. Periodontal disease is more severe inflammation that affects the bone and other tissues around the tooth roots. Gingivitis is reversible with professional dental cleaning (including under the gums) and home dental care. Periodontal disease, which destroys the structures holding the teeth in place, is not reversible. The biggest risk factor for periodontal disease is the presence of plaque and tartar on the teeth. Other things that increase the risk are genetics, older age, crowded teeth, thin bone around the teeth (for example, in toy dog breeds), poor nutrition, and possibly medical conditions that reduce resistance to infection.[1] A study of 109 otherwise healthy cats found that all of them had some degree of periodontal inflammation.[2] Symptoms Dogs and cats can have remarkably bad dental disease without showing any symptoms of discomfort. Unpleasant mouth odor might be the only symptom that pet owners notice. Because periodontal disease affects the tooth roots, it’s hidden from view in the early stages. It’s more obvious once bone has been lost to the point that the tooth roots are exposed or teeth start falling out. The symptoms, if any, begin with symptoms of gingivitis and get worse as the inflammation becomes more severe:
Diagnosis Very advanced periodontal disease causes changes that can be seen on oral examination of an awake animal. Diagnosing earlier stages and assessing the extent of the disease require examination with the animal under anesthesia. The diagnosis is made by examining the entire mouth, probing the gums to find pockets of inflammation/infection, and taking dental radiographs (if available) to get a look at the tooth roots and the surrounding bone. Treatment and Prevention Gingivitis and early stages of periodontal disease are managed with dental cleaning under anesthesia followed by home dental care. Anesthesia is necessary because plaque and tartar must be removed from the parts of the teeth under the gums. Scraping tartar off the teeth of an awake animal is not enough. It makes the teeth look better, but it does nothing to treat the real problem and can make things worse by delaying a more thorough cleaning. Teeth with later stages of periodontal disease are treated surgically. The procedure used depends on the stage of disease and the condition of the bone. Sometimes a tooth can be saved with an endodontic procedure like a root canal, but in many cases extraction of the tooth is the best option. Plaque starts to form on teeth again soon after a dental cleaning, so regular home dental care is ideal. Brushing the teeth with pet (not human) toothpaste is the standard of care for animals that allow it. Many other products to help remove dental plaque are available. See the blog post on dental home care for some ideas and talk to your veterinarian about products that would work for your pet. References 1. Wallis C, Holcombe LJ. A review of the frequency and impact of periodontal disease in dogs. J Small Anim Pract. 2020;61(9):529-540. doi: 10.1111/jsap.13218 2. Girard N, Servet E, Biourge V, Hennet P. Periodontal health status in a colony of 109 cats. J Vet Dent. 2009;26(3):147-155. doi: 10.1177/089875640902600301 Photo by Chris Smith Laurie Anne Walden, DVM On January 11, 2021, the US Food and Drug Administration (FDA) issued an alert about certain Sportmix pet foods recalled because of high levels of aflatoxin. At the time of the alert, 70 dogs had died and more than 80 were sick (not all of them officially confirmed as having aflatoxin poisoning).[1] Other pet foods have been recalled in the past because of aflatoxin. For a list of foods included in the current recall, see the FDA alert: https://www.fda.gov/animal-veterinary/outbreaks-and-advisories/fda-alert-certain-lots-sportmix-pet-food-recalled-potentially-fatal-levels-aflatoxin Cause Aflatoxins are produced by molds (Aspergillus species) that grow on grains like corn. Animals are exposed by eating contaminated animal diets or moldy corn, peanuts, or other foods. Food doesn’t have to look moldy to be contaminated with aflatoxins. Because commercial dog food is typically the main component of a dog’s diet and dogs usually eat from a single bag of food until it’s finished, even low levels of aflatoxin in the food can accumulate in the body and cause symptoms.[2] Symptoms The liver is the main organ affected. Liver damage causes nonspecific digestive tract symptoms. Severe liver damage reduces the ability of the blood to clot and can lead to central nervous system problems. Death occurs quickly in some animals with aflatoxin poisoning. Symptoms include the following:
Diagnosis The symptoms of aflatoxin poisoning aren’t specific and could have a number of causes. Diagnosis begins with history, physical examination, and blood and urine tests. If test results show liver damage and a toxin is suspected, the next step is obtaining a complete history of everything the animal has been exposed to, including all foods and treats. Food samples and possibly tissue samples from the body can be sent to a laboratory to test for aflatoxin. Treatment Treatment consists of supportive care and management of problems (like blood clotting disorders) caused by liver failure. Specific treatment depends on the individual patient’s needs. What You Should Do The FDA recommends that pet owners take these steps:
See this FDA page for information about reporting possible problems with pet food: https://www.fda.gov/animal-veterinary/report-problem/how-report-pet-food-complaint Watch for pet food recall alerts in the news and on social media. The FDA posts recalls on the FDA Recalls Twitter account: https://twitter.com/FDArecalls References 1. FDA alert: certain lots of Sportmix pet food recalled for potentially fatal levels of aflatoxin. US Food and Drug Administration. Updated January 11, 2021. Accessed January 22, 2021. https://www.fda.gov/animal-veterinary/outbreaks-and-advisories/fda-alert-certain-lots-sportmix-pet-food-recalled-potentially-fatal-levels-aflatoxin 2. Martínez-Martínez L, Valdivia-Flores AG, Guerrero-Barrera AL, Quezada-Tristán T, Rangel-Muñoz EJ, Ortiz-Martínez R. Toxic effect of aflatoxins in dogs fed contaminated commercial dry feed: a review. Toxins (Basel). 2021;13(1):E65. doi:10.3390/toxins13010065 3. Aflatoxin poisoning in pets. US Food and Drug Administration. Updated January 8, 2021. Accessed January 22, 2021. https://www.fda.gov/animal-veterinary/animal-health-literacy/aflatoxin-poisoning-pets Photo by Jornada Produtora Laurie Anne Walden, DVM Many over-the-counter (nonprescription) cold and flu medications contain ingredients that are toxic to dogs and cats. Keep all medications out of reach of your pets, and check with your veterinarian before giving a pet any medication—even remedies that are safe for children. Cold medications are often sold as combination or multisymptom products containing more than 1 active ingredient. If your veterinarian recommends giving your pet a nonprescription medication, read the product label carefully to be sure it contains only the medication your veterinarian has approved. Ingestion of some cold and flu products (especially oral decongestants, nasal sprays, eye drops, and pain relievers) is a medical emergency in animals. If your pet is exposed, contact a veterinary clinic or pet poison hotline:
Oral Decongestants Decongestants are often added to allergy medications and combination cold and cough remedies. If your veterinarian has recommended a nonprescription antihistamine for your pet, be sure that the product you use does not contain a decongestant. Look for label wording like congestion, stuffy nose, runny nose, multisymptom, or sinus pressure; these probably mean that the product includes a decongestant. Names of products containing decongestants might end in D (for example, Claritin-D and Mucinex D) or PE (as in Sudafed PE). Pseudoephedrine and phenylephrine are the most common oral (by-mouth) decongestants. Both are dangerous for animals. In the United States, pseudoephedrine is sold without a prescription but with restrictions: it’s sold only in limited quantities, is usually kept behind the pharmacy counter or in a locked cabinet, and requires that the buyer show identification. If you’re not sure of the ingredients of your cold medication, knowing whether you took it from an open shelf or had to ask the pharmacist for it will help you figure out whether it is likely to contain pseudoephedrine. Pseudoephedrine stimulates the cardiovascular system and certain nervous system pathways. It reduces nasal congestion by shrinking tiny blood vessels in the nose. It has a very narrow margin of safety in animals, meaning that a small dose can have serious consequences for a dog or cat. Symptoms of pseudoephedrine toxicity include the following:
The time of symptom onset depends on the formulation. With immediate-release products, symptoms can begin within minutes of ingestion. With extended-release products, symptoms might not appear for several hours.[1] Phenylephrine is an ingredient in oral cold remedies, hemorrhoid creams, nasal sprays, and some eye drops. Animals are exposed by swallowing the product. The most common symptom is vomiting; other symptoms are similar to those of pseudoephedrine toxicity. Phenylephrine is not as toxic as pseudoephedrine at low doses.[2] Nasal Sprays and Eye Drops Oxymetazoline, tetrahydrozoline, naphazoline, and xylometazoline are imidazolines, a class of decongestant used in nasal sprays and eye drops (examples are Afrin and Visine). Animals—usually dogs—who chew the bottle and ingest the liquid can develop vomiting, lethargy, incoordination, slow heart rate, tremors, and coma. Imidazoline ingestion can be fatal.[3] Some nasal sprays contain xylitol, a sweetener that is safe for humans but toxic to pets. Plain saline nasal rinses with no ingredients other than water and salt should be safe if accidentally ingested, but don’t squirt them up your pet’s nose. Pain Relievers Combination cold and flu products commonly contain pain relievers, most of which are unsafe for dogs and cats. Acetaminophen is extremely toxic to cats even at low doses. It causes liver failure, damage to hemoglobin in red blood cells, and death. It can also cause liver damage in dogs. Ibuprofen and naproxen are in a class of pain relievers called nonsteroidal anti-inflammatory drugs. In dogs and cats, these medications can cause stomach ulcers, digestive tract bleeding, kidney damage, and liver damage. Cough Suppressants and Cough Drops Dextromethorphan is an antitussive, or cough suppressant, included in many cough remedies and combination cold and flu products. Animals who ingest dextromethorphan can develop vomiting, lethargy, rapid heart rate, and seizures.[4] Potentially toxic ingredients in cough drops include xylitol, which causes a dangerous drop in blood sugar in dogs, and benzocaine, which can cause upset stomach and possibly damage to red blood cells. “Natural” Remedies In high enough doses, zinc can damage red blood cells. Essential oils like menthol, camphor, and eucalyptus oil can cause skin reactions if applied topically. If swallowed or absorbed through the skin, these oils can cause symptoms ranging from vomiting to nervous system problems. References 1. Pseudoephedrine toxicity in pets. ASPCApro. Accessed January 9, 2021. https://www.aspcapro.org/resource/pseudoephedrine-toxicity-pets 2. Wegenast C. Toxicology brief: phenylephrine ingestion in dogs: what's the harm? DVM360. November 1, 2012. Accessed January 9, 2021. https://www.dvm360.com/view/toxicology-brief-phenylephrine-ingestion-dogs-whats-harm 3. Imidazoline. Pet Poison Helpline. Accessed January 9, 2021. https://www.petpoisonhelpline.com/poison/imidazoline/ 4. Dextromethorphan ingestion in pets. ASPCApro. Accessed January 9, 2021. https://www.aspcapro.org/resource/dextromethorphan-ingestion-pets Photo by Shlomi Platzman Laurie Anne Walden, DVM Pancreatitis, or inflammation of the pancreas, is common in dogs and cats. Although some cases are relatively mild, pancreatitis is painful and can cause severe disease and even death. Pancreatitis can be triggered by eating a high-fat meal or table scraps, so be very cautious about sharing holiday food with your pets. Pancreatitis is categorized as acute (a short course of disease that can be reversed) or chronic (long-term disease caused by permanent damage to pancreatic cells). These categories can overlap. Animals with repeated episodes of acute pancreatitis can develop chronic pancreatitis, and animals with chronic pancreatitis can have flares of acute disease. In cats, the chronic form is more common than the acute form.[1] The pancreas, which is located near the stomach and small intestine, produces digestive enzymes and insulin. Because of the anatomic location and functions of the pancreas, pancreatic disease doesn’t always happen in isolation. Diseases of the liver, bile duct, and small intestine affect the pancreas and vice versa. In cats, simultaneous inflammation of the liver, small intestine, and pancreas is called triaditis.[2] Chronic pancreatitis is associated with diabetes mellitus and deficiency of digestive enzymes. Causes The cause of pancreatitis in dogs and cats is often not found. However, some risk factors make pancreatitis more likely:
Symptoms The symptoms of pancreatitis vary according to disease severity and are not specific; many disorders can cause the same symptoms. Symptoms are usually more severe with acute pancreatitis than with chronic pancreatitis. Other disorders that accompany pancreatitis also contribute to the symptoms. These are some of the symptoms of acute pancreatitis:
The symptoms of chronic pancreatitis are often vague and can be mistaken for other disorders. Animals with chronic pancreatitis might have these symptoms:
Diagnosis Diagnosing pancreatitis can be tricky, especially in animals with vague symptoms or multiple organ systems affected. Baseline bloodwork and urinalysis don’t necessarily give a diagnosis but help assess the patient’s overall health and reveal associated disorders. A diagnosis of pancreatitis is typically made with a combination of blood tests for pancreas-specific factors (like serum amylase, serum lipase, canine and feline pancreas-specific lipase, pancreatic lipase immunoreactivity, and trypsin-like immunoreactivity) and ultrasonography of the abdomen.[4] Treatment Animals with acute pancreatitis usually need to stay in the hospital for at least a few days. Treatment can include intravenous fluids, pain management, antiemetics to control vomiting, tube feeding, possibly antibiotics, treatment of the underlying cause (if known), and treatment of associated disorders. Patients are monitored closely for complications like organ failure and blood clotting disorders. Animals with recurrent acute pancreatitis, chronic pancreatitis, or triaditis might need long-term diet modification.[2,5] Prognosis The prognosis depends on disease severity. Patients with mild disease tend to recover well, but the prognosis is guarded for animals with severe pancreatitis. References 1. Watson P. Pancreatitis in dogs and cats: definitions and pathophysiology. J Small Anim Pract. 2015;56(1):3-12. doi:10.1111/jsap.12293 2. Simpson KW. Pancreatitis and triaditis in cats: causes and treatment. J Small Anim Pract. 2015;56(1):40-49. doi:10.1111/jsap.12313 3. Lem KY, Fosgate GT, Norby B, Steiner JM. Associations between dietary factors and pancreatitis in dogs. J Am Vet Med Assoc. 2008;233(9):1425-1431. doi:10.2460/javma.233.9.1425 4. Xenoulis PG. Diagnosis of pancreatitis in dogs and cats. J Small Anim Pract. 2015;56(1):13-26. doi:10.1111/jsap.12274 5. Steiner JM. Pancreatitis in dogs and cats. Merck Veterinary Manual. Updated October 2020. Accessed December 22, 2020. https://www.merckvetmanual.com/digestive-system/the-exocrine-pancreas/pancreatitis-in-dogs-and-cats Photo by Sebastian Coman Travel |
AuthorLaurie Anne Walden, DVM Categories
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April 2024
The contents of this blog are for information only and should not substitute for advice from a veterinarian who has examined the animal. All blog content is copyrighted by Mallard Creek Animal Hospital and may not be copied, reproduced, transmitted, or distributed without permission.
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