Saturday, July 11, 2009
Going against the vet: Cancerous dog 5 years later still going strong
“In March 2004 we adopted a 50 lbs mixed breed dog. Three months later our vet removed a tumor from under her tongue. When the lab report came back, it said that the she (the dog) had a malignant melanoma with “high potential for local recurrence as well as metastasis.” We were told she would likely not survive a year.
A local animal hospital recommended that they remove her lower jar along with most of her teeth, a move that they said might give her an additional nine months.
When I expressed horror at causing such stress to an animal for such short term results, they told me they routinely perform at least one of these operations a week.
Needless to say, I turned them down and our dog has been going strong for the past 5 years.
Still I wonder whether such procedures aren’t more cruel than helpful and whether they actually aimed at making a hefty profit for animal hospitals at the expense of well meaning owners.”
Dr. Fox responded as follows:
“Certain cancers are far more common in dogs than they are in humans.
Vaccines may play a significant role in immune system dysfunction, resulting in cancer.
There are many other cancer causing chemicals in our food, water and home environments, which are contaminating cats and dogs at much higher levels than people.
Potent antioxidants that neutralize free radicals and help boost the immune system, supplements like zinc, magnesium, Vitamins C and D, selenium retinoic acid (from Vitamin A), fucoidan (from brown seaweed) and herbal teas are some of the low cost nutraceuticals and herbs fro treating cancer and cancer prevention.
I prefer this approach to your dog’s type of cancer rather than radical surgery. Good for you and your dog for refusing the surgery.”
This article just happened to show up in the paper while I am contemplating to publish a number of comments on cancer in the nearest future.
For this particular case, I join the Dr. in his applause. Since he did not really get into the last question the dog owner had, I guess for political reasons, here is how I see it: Of course it has a lot, if not all to do with the hospital generating revenue. Whom are we kidding here? The profit greed doesn’t stop in front of the hospital doors. I don’t believe anymore that behind the hospital doors are all Saints having nothing but our very best on their mind. I believe all they have on their minds is our wallets, or better yet, how they can assist us in emptying it. This applies to both, people and animal hospitals. Just a couple days ago I was watching the news on BBC and a discussion they had on the health care reform our President is pushing for. They interviewed a government rep and she was quite candid: One of the major problems with the hospital bills is that many doctors are owners of hospitals and equipment. And if they don’t, they get all kinds of incentives to make sure these hospitals stay busy and profitable. This does not just apply to the hospitals, it applies to the pharmacy industry as well. That is just the factual truth in many, I am not saying all cases.
The sad thing is, we all are aware of it, from Joe Doe, the dog owner next door to the dog owner in the White House, our President (and not just our current one, every past one as well). And what happens? Absolutely, positively nothing. Whether it is people or our companion animals, let’s just keep messing them up even more so they keep generating revenues for the health care industry. Who cares about the actual health of a living creature? The problem is that the majority of health care professionals in many cases don’t consider it anymore as their responsibility to make sure they make us or our animals healthy, they have been programmed to make sure they make us come back for more. You can’t blame them either, let me repeat myself: That’s what they are being trained or programmed for.
Sunday, June 28, 2009
Beware of Internet recommendations: Holistic or conventional?
“Holistic Dog Nutrition
Cancer, foreign antigens, allergies, skin disorders, and other problems result from holistic dog nutrition. Holistic dog nutrition is a topic of consternation for some and wonderful to others. No one can really agree, but there are definite rights and wrongs to a dog’s nutrition schedule. Each dog requires a certain amount of amino acids for their body type, size, and genetic code. Meats have plentiful doses of amino acids that build proteins for skin, eyes, bones, neural development, and muscular maintenance. Plant food is not recommended because dogs naturally eat this to throw up. They use it as an emetic. Therefore, dogs need a lot of meat and no vegetable foodstuffs. Holistic dog nutrition also deals with nutrient supplements like treats laced with vitamins and minerals. However, these aren’t recommended because synthetic, inorganic minerals and vitamins can become instigators to cancer. The best diet is a raw or cooked meat diet. Look at hyenas, wolves, and other wild dogs for an answer to why your dog doesn’t have a lot of energy, motivation, or enterprise. Follow the natural rules of the wild with your dog’s daily diet.
You may be thinking that by adding vitamins and exercising your dog more is enough to keep them healthy. But it isn’t enough. You may have to change your dog food as well. In order to get a full evaluation of your dogs’ health, you will need to ask the vet for a full blood work up. When the results come in and you want to switch to holistic remedies, talk to your vet about holistic dog nutrition.
Your vet may not think that your dog needs the holistic dog food but you may. Do yourself a favor and listen to what your vet has to say. Holistic dog nutrition is a new trend that people are talking about, listen to what the vet says. Some dogs because of certain healthy issues or even their weight should not be on anything but regular or special dog food. Your dog’s health should be the most important thing and not what the greatest thing in the holistic field is.
Your dog may benefit from holistic dog nutrition, but if you make the switch and change the diet, they may not get to the food right away and they may get sick from you changing their diet so fast. Try to incorporate the holistic information that you have learned and see how your dog takes to it. In the meantime, read as much as you can about holistic dog nutrition before you radically change your dog’s diet.” –end of quote
So what exactly are we supposed to do? Listen to our vets only? Granted, I always recommend to consult your vet. But that does not mean that I support the idea of that you listen to the vet exclusively. Especially not since in these days our pets are suffering from diseases and illness in pandemic dimensions. Pandemic is what I call it when over 60% of all companion animals are having health problems. That just can’t be right. And the holistic movement, if you want to call it this way, is trying to change that. While the veterinarian community obviously does not show too much interest in such a change, for obvious reasons: The way it is now is much more lucrative. Therefore, to me, the comment above does not make any sense whatsoever. Contrary, I’d say it is a very good example of what I have been warning of on this blog before: Don’t take everything you read for granted.
For the site itself, there is hope though. On another page, about dog food, they say:
“The quality of dog food varies greatly. A conscientious owner should use common sense and research to find the better products. A good start would be to select a dog food with a meaty protein source and no by-products; it shouldn't contain corn or wheat. Avoid products listing grain as the first ingredient, and avoid products that use meat by-products like bones, feet, and intestines, chemical preservatives like BHA and BHT and difficult-to-digest grains like corn, wheat, gluten and soy. These grains are sometimes listed as a protein source in place of meat. If you have to feed a kibble, choose one of the holistic brands that use human-grade ingredients.
Many health problems, like allergies that cause itchy skin, are simply caused by a poor diet and improper allocations of the wrong kinds of food. It is recommended that you switch brands, and start making note of the ingredients until you notice an improvement. Many holistic dog food brands offer hypoallergenic formulas with recommended ingredients such as duck, venison, and rabbit that are easily digested.
The dog food you choose to feed your pet should meet the nutritional needs, and it will make a difference in both you and your pet's happiness, determining how often you visit a vet. Purchase only high-quality dog food types suitable for your dogs.”
I guess it is not quite as hopeless as I thought, let’s just wait until they make up their mind.
Friday, June 19, 2009
Veterinarian on What a vet should recommend: Small Animals Benefit on Whole Foods Diet
“I returned to my alma mater, Ohio State University, in May 2007 to attend an American College of Veterinary Nutrition symposium. Three veterinary nutritionists spoke on such topics as “Optimal Nutrition for the Healthy Pet,” “Nutrition Myths and Mistakes,” “Raw Food Diets” and “Home-Cooked Meals: Avoiding a Dining Disaster.”
Advice from Dr. Tony Buffington, the nutritionist at Ohio State, made the biggest impression on me. He said that when making a judgment on what food to recommend, the practitioner should not rely on pet food brochures, websites or even the food labels themselves because all these resources can be misleading.
He recommended that we take a careful diet history of each patient we see and make note of its general health. Only by correlating health with diet can a veterinarian truly judge the nutritional value of a food. I have made a startling discovery based on this sound expert advice: The healthiest pets in my practice eat a variety of “real” foods, including raw diets.
By real foods, I mean the kind of food Mother Nature intended carnivores to eat–the diet our patients evolved eating for 5 million years.
Imagine if after your exam, your doctor plopped a bag of kibble on the table and told you that you were to only eat a bowl of it for every meal, every day, for the rest of your life. No fruits, no vegetables, no meats. Surely you would be skeptical of the nutritional completeness of such a recommendation.
Yet many of us make this same recommendation for our patients every day. Are the basic tenets of nutrition for our patients and us really that different? According to research and my clinical experience, they are not.
A recent study highlights the importance of whole food nutrition for people: “There are 8,000 phytochemicals present in whole foods. These compounds differ in molecular size, polarity and solubility, and these differences may affect the bioavailability and distribution of each phytochemical in different macromolecules, subcellular organelles, cells, organs and tissues. … The vitamin C in apples with skin accounts for only 0.4 percent of the total antioxidant activity, suggesting that most of the antioxidant activity of fruit and vegetables may come from phenolics and flavonoids. … We propose that the additive and synergistic effects of phytochemicals in fruit and vegetables are responsible for their potent antioxidant and anticancer activities, and that the benefit of a diet rich in fruit and vegetables is attributed to the complex mixture of phytochemicals present in whole foods.”(1) Likewise, current veterinary research shows the health benefits of whole foods for dogs: “The data indicate that the consumption of any type of vegetable > three times a week was associated with a 70 percent to 90 percent reduction in risk of developing TCC in Scottish Terriers.”(2)
Of course, a totally vegetarian diet is far from appropriate for dogs and cats, but the concept that they benefit from whole foods is obvious. In fact, the modern understanding of small-animal nutrition concedes that supplementing commercial foods with fresh foods, including meats and vegetables, provides vital nutrients.(3) The emphasis here is on “whole foods” because, according to multiple studies, the processing of food destroys many nutrients and important phytochemicals.(4-10)
Variety is not only the spice of life, it is essential for vibrant health for humans and pets alike. Animals may become sensitive to the foods they are fed most often, so periodically changing the diet can help pets avoid food allergies. Plus, rotating foods presents to the body a smorgasbord of nutrients in various forms.
Any one diet may be lacking or excessive in specific factors when fed long term. According to Dr. Buffington, “The recommendation to feed one food for the life of an animal gives nutritionists more credit than we deserve.”(11) The notion of finding a food that a pet likes and feeding it for life is obsolete.
I have found that when an animal’s system becomes accustomed to variety in the diet, it does not develop diarrhea with every change as might be expected. At first the changes need to be made gradually, but over time a smooth transition can be made swiftly.
Over a decade of recommending raw food for many of my patients and feeding it to my own pets, I have found that the concern over pathogenic bacteria and parasites is overblown.
I see many fewer cases of diarrhea in my raw-fed patients than in those fed strictly processed pet food. In my experience, dogs and cats fed a rotating diet that includes raw food are the healthiest. Careful and non-judgmental questioning of your clients might just yield the same results.”
To further strengthen his argument for a raw food diet, Dr. Knueven also provides a brief history of a live example, a patient he treated at his office:
“Louie was a neutered, male Newfoundland mix who came to me at the age of about 3 years with a terrible case of generalized demodicosis. He also had severe pruritus.
Before coming to me, Louie had been treated with several rounds of antibiotics as well as Ivermectin and at one point prednisone, all to no avail.
Louie had generalized alopecia and scabs and scales all over his body. His skin reeked of the typical rancid-fat smell of chronic dermatitis. He could barely open his eyes from the blepharitis. A skin scraping confirmed demodicosis.
Let’s face it, when it come to demodex, the problem is not the mites; it’s the pet’s immune system. The course of action was simple; I switched him from a standard processed dog food to a raw food rotational diet plus a whole food multivitamin. At no time under my care was he on any antiparasitic medications.
Louie did not recover overnight. It took about a year for his transformation to fully manifest. “
Contribution by Dr. Doug Knueven, D.V.M. has been practicing alternative veterinary medicine since 1993 in Beaver County, Pa. He just released his second book, “The Holistic Health Guide: Natural Care for the Whole Dog.” He is a consultant for Nature’s Variety.
Foot notes/references:
1. Liu H.R., “Health benefits of fruit and vegetables are from additive and synergistic combinations of phytochemicals.” American Journal of Clinical Nutrition, 2003; Vol. 78, No. 3, 517S-520S2. Raghavan M., et al, “Evaluation of the effect of dietary vegetable consumption on reducing risk of transitional cell carcinoma of the urinary bladder in Scottish Terriers.” Journal of the American Veterinary Medical Association, 2005; Vol. 227, 94-1003. Remillard R.L., Paragon B.M., Crane S.W., et al: “Making pet foods at home,” in Hand M.S., Thatcher C.D., Remillard R.L., Roudebush P.(eds): Small Animal Clinical Nutrition, ed 4. Topeka, Kan., Mark Morris Institute, Walsworth Publishing Co., 2000; 163–182.4. Angelino P.D., et al, “Residual alkaline phosphatase activity in pasteurized milk heated at various temperatures-measurement with the fluorophos and Scharer rapid phosphatase tests.” Journal of Food Protection, 1999; 62(1):81-855. Severi S., et al, “Effects of home-based food preparation practices on micronutrient content of foods,” European Journal of Cancer Prevention, 1998; 7(4): 331-335 6. Yadav S.K. and Sehgal S., “Effect of home processing on ascorbic acid and beta-carotine content of spinach (Spinacia oleracia) and amaranth (Amaranthus tricolor) leaves,” Plant Foods for Human Nutrition, 1995; 47(2): 125-1317. Dawson D. and Waters H.M., “Malnutrition: folate and cobalamin deficiency,” British Journal of Biomedical Science, 1994; 51(3): 221-1308. Schroeder H.A., “Losses of vitamins and trace minerals resulting from processing and preservation of foods,” American Journal of Clinical Nutrition, 1971; 24(5), 562-5739. Garrison and Somer, “The Nutrition Desk Reference,” Keats Publishing, 1995; 66-14510. Ghebremeskel K. and Crawford M.A., “Nutrition and health in relation to food production and processing,” Nutritional Health 1994; 9(4) 237-25311. Smith C.A., “Changes and Challenges in Feline Nutrition,” Journal of the American Veterinary Medical Association, 1993; Vol. 203, 1395-1400
Wednesday, June 17, 2009
Hot Spots, Rashes & Infections: Holistic skin and coat care
Rashes and Skin Infections (Infectious Dermatitis)
Bacterial, fungal and yeast organisms are notoriously obnoxious skin and coat pathogens. They can cause skin infections, rashes and other problems in otherwise healthy dogs. Bacterial dermatitis rarely occurs spontaneously. Normal healthy skin has tremendous numbers of a variety of bacteria present all the time. If something upsets the normal balance, such as antibiotics eliminating one or two types, the remaining types proliferate. Any contact with grass, plastic, an abrasion or moisture, or parasitic invasion can bring down the skin’s defensive barriers and opportunistic bacteria then have their way. Fungal infections first appear as one or more small areas of hair loss that may be reddened or inflamed. As infection progresses, crusts may form on the area of hair loss, the patches increase in number and size, and large portions of skin may become involved. Yeast, a type of fungus, can irritate an already diseased skin surface. Yeast infections typically create greasy, odorous and inflamed skin in affected dogs. Symptoms may include blackening of the skin, dry flaky skin or greasy type grit on the skin. As the condition worsens, a bad yeasty smell or odor may accompany this, and the dog will experience severe itching, leading to endless biting, chewing and hair loss.
Parasites and Mange
Skin Problems Caused by Parasites (Fleas, Ticks, Mange Mites and More) A parasite is an organism (a flea, for example) that spends a significant portion of its life in or on the living tissue of a host organism (your pet) and which causes harm to the host without immediately killing it. Some parasites are relatively innocuous, some are not, and some can cause serious skin problems. Fleas, Flies, Chiggers, Ticks, and Gnats When a pet parent sees her dog scratching and biting at itself, the first thing she thinks is “Oh no! Fleas!” Chiggers, deer flies, and gnats (sometimes called No-See-Ums) can be considered nuisances and generally do not create remarkable systemic skin problems. But repeated exposure to fleas can trigger a hypersensitivity to the bite of even a single flea, leading to an allergic response, and ultimately to hot spots or worse. Tick bites seldom trigger an allergic reaction, but can leave a slow-healing lesion.
Mighty Mites and MangeMites are microscopic creatures resembling tiny spiders. Among the species that attack animals are members of the Sarcoptic mange mites (family Sarcoptidae), which burrow under the skin. Demodex mites (family Demodicidae) are parasites that live in or near the hair follicles of mammals, including humans. Cheyletiella mites look like tiny spiders under a magnifying glass and are often called “Walking Dandruff” because upon close inspection it seems like little flakes of dry skin are actually moving about. Sarcoptic mites are very nasty critters. Called scabies or red mange, infestations of these mites are highly contagious and produce intense itching, reddening of the skin, thinning of the hair (alopecia) and development of crusts and scabs. Bacterial skin infections commonly occur in the inflamed, irritated skin. Sarcoptic mite infestation, or mange, is frequently misdiagnosed as allergic dermatitis by even very competent and experienced veterinarians. The mites burrow right down into the skin where they are virtually undetectable by skin scrapings. Sarcoptic mites prefer skin with little hair, so they are most numerous on the ears, elbows, abdomen and hocks. As the disease spreads, hair is lost and eventually the mites occupy large areas of skin. Sadly, many dogs are treated with cortisone or prednisone for a supposed allergic dermatitis when in fact these Sarcoptic mites are the cause of the pruritic or inflamed skin, and the unnecessary cortisone eventually makes the condition worse.Then there are Demodectic (or Demodex) mites, which cause another kind of mange. These mites are found in small numbers in the hair follicles of normal pets. In stressful situations, however, they proliferate, and large numbers inhabit the skin and hair follicles. The good news is that Demodex mites can easily be seen on a skin scraping viewed under the microscope. The less good news is that generalized demodicosis is serious and often difficult to treat. Large areas of the body may be affected, and often the affected areas are also infected by bacteria. In these cases, the skin is red, crusty and warm, and has many pustules. It may bleed easily and has a strong, rancid odor.
Why Not Steroids?
Corticosteroid drugs, called "steroids" for short, are potent chemical substances that can reduce swelling and inflammation quickly. Common corticosteroid drugs used to treat skin issues in dogs include cortisone, hydrocortisone, prednisolone and prednisone. These compounds reduce itching by reducing inflammation. In other words, these drugs treat the symptom of itching, but can do nothing about the underlying cause of the itch. Unfortunately, they also affect every organ in the body. Prednisone is the most potent anti - inflammatory and anti-itch steroid and is often used for treating allergies in dogs. It is usually reserved for dogs with moderate to severe skin allergies, or skin diseases that are difficult to diagnose. These medications are often over prescribed without a positive diagnosis and without careful monitoring, and the pet owner can be unaware of the potential seriousness of the side-effects.
Whether a dog has hot spots or mange or allergies, often it’s the secondary infections that cause the worst itching. If steroids are given to treat the symptoms of itching, the bacterial or fungal secondary infections will be given a boost, and will get much worse very quickly. The reason for this is that cortisones depress lymphocytes, a type of white blood cell, making it easier for bacterial infections to occur and then to proliferate unchecked. In other words, steroids can compromise, or crash, your pet’s natural immune system. When this happens, your dog will lose hair and his skin will become black with a terrible odor and insane itching. Traditional medicine can no longer help him when the disease reaches this stage, and your vet is likely to recommend euthanasia. Even holistic, naturopathic veterinarians may recommend treatment with small amounts of corticosteroids to give some affected pets relief during the flea season. However, these treatments may be dangerous to your pet if prolonged and only offer temporary relief of symptoms at best.
These treatments may include topical medications, soothing baths, ointments and sprays, oral antihistamines, or steroids. Caution: If you are sent home with a prescription for cortisone, or your dog has been given “a cortisone shot to stop the itching”, your dog may ultimately be worse off than before if the true diagnosis happens to be an unrecognized case of Sarcoptic mites!
We carry at our on-line store a holistic series of products coming from a company called DER Magic. I have tried their products and experienced success with both, our cats as well as our dogs, this stuff really works. You know I don’t like to advertise the products we carry at the on-line store. But sometimes I just can’t help it and feel, if in general it really helps your companions, why not passing on a recommendation. Other stores do it too, even vets make their very specific recommendations when it comes to food, treats and remedies and illness cure. Coming back to DER Magic Skin & Coat Care: This company, as so many within the holistic circle of pet food, treat and supplement suppliers, was started because it’s founder, Dr. Adelie Ritchie, also proud owner of a couple Shih Tzus, tried to figure out how she could help her pups, who often were in need of a quick fix for bug bites, rashes, hot spots or other dermal boo-boos. The doctor’s original prototype product was formulated many years ago, back when Dr. Ritchie was breeding and showing Yorkshire Terriers and teaching organic chemistry at a community college in Florida. At the time, her prize show dog developed a serious skin disease and then progressively got worse under standard veterinary treatments, to the point where her vet suggested euthanasia to put the dog out of her misery. Shenanigan was her name and she had thick black skin by this time, smelled horrible and cried constantly. Back then, as is still the case today, there just weren't any good choices out there for veterinary treatments that weren't loaded with cortisone, steroids, antibiotics or strong chemicals, and even those treatments were not effective enough to save Shenanigan's life. This is when Dr. Ritchie got to work on formulating an effective topical treatment with natural, herbal and organic ingredients. Shenanigan got dunked, slathered, gooped, and drenched in potions, all somewhat effective, but not quite enough. Finally, after a few trials, the prototype DERMagic Hot Spot Lotion was born, and Shenanigan's relief was visible and immediate. She stopped crying and scratching, and her hair was sprouting again within 48 hours of the first treatment. Within six months, she was again in full coat and was parading herself proudly around the show ring. Over the years, Dr. Ritchie used her formulations to treat dogs and cats and horses belonging to family members, friends, and her colleagues in the dog show business, but it was not until much later that a good friend challenged her to make her great products available to every pet owner facing skin problems with their beloved companion animals.
Today, Dr. Ritchie offers a well rounded program of just a few, but extremely effective holistic skin and coat care products. All of them constantly receive very positive recognition in the pet oriented and related media including for example Animal Wellness Magazine to name just one. The line includes a complete 4 step skin care system, a hot spot salve, lotions, soap bars, Dead Sea aromatherapy bath salts and of course shampoos and conditioners.
Besides the very powerful fact that they simply work, what I like the most about Dr. Ritchie’s products is that she enables me to offer yet another effective solution within a well rounded holistic program, from food and treats to supplements and skin & coat care, all together designed to successfully help our customers in their efforts to get rid of their pet’s allergy problems.
Related to today’s comment, here is how Dr. Ritchie (who also by large contributed today’s comment) addresses the task on hand: DER Magic products stop infections associated with parasitic infestations, and kill certain parasites outright. They kill bacteria, yeast and most types of fungus, fast, and are the first line of defense against hot spots. Aside from being immediately effective at relieving itch, fighting fungal and bacterial infestations and promoting healing of affected areas, these products are safe and free from corticosteroids.
Tuesday, June 16, 2009
Travelling and nutritional needs
With new sights and smells, travel can be both exciting and overwhelming for us pets. Going into “foreign territories” is stressful at times even for well adjusted pets and can lead to drastic appetite changes. Animals are instinctively cautious about eating in unfamiliar surroundings and this lack of appetite cannot only affect bowel movements and energy levels, but even a pet’s overall health. For your peace of mind and your pet’s comfort, preparation is the key in traveling.
In times of high stress, hormones produced by the body can give animals poor appetites. So eating for calories is often the main nutritional focus. Make every bite count and travel armed with a tasty diet of foods that are just too good for a pet to pass up. Ideally this would be the pet’s normal diet to minimize any other stressful changes. But if that doesn’t work, the following suggestions might come in handy:
Foods that are higher in protein and fat are generally more palatable than foods higher in carbohydrates. Therefore, selecting a high protein and low carbohydrate food is a simple solution. For many brands, carbohydrate levels are not typically listed on packaging, but they can be easily calculated by adding all the percentages for protein, fat, moisture, crude fiber and (if available) ash and subtracting the total from 100%. The remainder is an approximation of the percent of carbohydrate in the food. Dry foods with less than 18% carbohydrates for dogs and 12% for cats would be considered low in carbohydrates. Canned dog and cat food with less than 2% carbohydrates would be considered lower in carbohydrates. Increasing fat and protein also allows us pets to get more calories per bite of food and helps boost our immune systems.
Hydration is also imperative for travelling pets to avoid overheating. One way to keep a pet hydrated is to provide frequent access to fresh, cool water. Another convenient way to help with hydration is to feed canned food. The greater water content in canned food, up to seven times as much as in dry food, can help to meet our water needs. In addition, canned wet food to some of us is just more tempting than dry foods.
Providing treats at different points on a trip is another great way to reassure pets and letting them know that travelling is fun. Selecting treats that are easily stored and that come in a variety of shapes and flavors can make giving treats both easy for you and enjoyable for your pets.
In the end, the more comfortable and satisfied we pets are during a trip, the more enjoyable the entire experience will be for everybody.
Friday, June 12, 2009
EPA scrutinizing Flea and Tick Products
The magazine reports that according to an EPA spokesman this all comes because of the recent increase in reported incidents: In 2008 44,000 plus potential incident cases with registered products were reported. By federal law, all EPA registrants are required to submit reports of possible adverse reactions if they are possibly related to the use of the registrant’s products. These reports are to be submitted regardless of whether the product was or was not used according to manufacturer’s instructions.
Flea and tick products are available in a variety of application media, such as spot-on’s, sprays, collars and shampoos, however, according to VPN, most EPA reported incidents are based on spot-on products, which is what the evaluation seems to be focused on.
Active ingredients in those products include amitraz, cyphenothris, dimotefuron, etofenprox, fipronilimidicloprid, metaflumizon, permethrin, pyriproxyfen and S-methoprene. The EPA according to the magazine claims, that the adverse reactions reported ranged from skin irritations to seizures and unfortunately in some cases were even fatal.
VPN further reports that the evaluation started out at mid April of this year with a few products from about 7 different manufacturers, but by now was by the EPA extended to include all EPA registered spot-on flea and tick products. The EPA on its website provides a complete list of all registered products.
I visited the agency’s website and apparently “Since the chart previously located on this page reflected only a portion of the numerous pet spot-on products available, EPA felt that pet owners and consumers might be led to believe that only those products listed were the focus of concern. In fact, EPA is intensifying its evaluation of all spot-on products and is providing a more comprehensive list of these products.”
At this point I feel that it is also important to reiterate that “EPA is not initiating a product recall of these products nor is the Agency suggesting that the products not be used. EPA recognizes the importance of the products in effective flea and tick control. EPA’s objective at this stage is simply to advise consumers and pet owners to exercise caution when using the products and to monitor pet behavior following their use, as some animals have experienced adverse reactions following treatment.”
Here is the agency’s view on all of this:
“Pets may experience adverse reactions from flea and tick control products, including spot-on treatments, sprays, collars and shampoos. However, the majority of reports to EPA are related to flea and tick treatments with EPA-registered spot-on products. Spot-on products are generally sold in tubes or vials and are applied to one or more localized areas on the body of the pet, such as in between the shoulders or in a stripe along the back.
Flea and tick products can be appropriate treatments for protecting your pets and your family’s health because fleas and ticks can transmit disease. While many people use the products with no harm to their pets, EPA recommends that pet owners take precautions when using these products. People should carefully follow label directions and monitor their pets for any signs of an adverse reaction after application, particularly when using these products for the first time. Also, before use of these products on weak, aged, medicated, sick, pregnant or nursing pets, or on pets that have previously shown signs of sensitivity to pesticide products, EPA recommends that a veterinarian be consulted.”
Additional safety tips are available for taking care of fleas and ticks on your pet.
As VPN writes, it is all a “Matter of Perspective: One needs to temper the 44,000 potential incidents with the available units for sale in the field, said Mark Newberg, director of corporate affairs at Central Life Sciences of Schaumburg, Ill. In that context, he said, the number of adverse reactions turns out to be very small.
“And of those 44,000, I’m going to guess that the lion’s share are mild or moderate reactions,” he said.
Newberg said he believes that many of the reports involve consumers applying the product incorrectly. For example, he said, because of the ailing economy, some consumers buy a product for a larger animal and mete it out over several months instead of buying the proper dose.
“It may sound like something that everybody is preaching, but (it comes down to) the label directions,” Newberg said. “Nowhere on the label directions do you see, ‘Split up doses.’ It says very clearly, ‘Do not use these products on cats’ when they are designed for dogs. I don’t know how much clearer you can be.”
What more can be done?
“That’s exactly what the EPA meeting is for,” Newberg said. “Once we put the cards on the table, we will have the opportunity to look at the adverse reactions. Maybe there will be a sub-meeting or subgroup that puts together a task force to look at labeling. … They may come back after the meeting and say these instructions are very clear and maybe change the way adverse incidents are reported, so that numbers don’t skew one way or another.”
Whatever the result, Newberg said he is anxious to work with the EPA on this issue.”
Here are some reactions coming from the manufacturers mentioned in the VPN article: “Common misuses include pet owners applying a spot-on product dose that is inappropriate for the pet’s size and applying a product designed for a dog on a cat and vice versa, said Hal Little, DVM, director of field veterinary services for Merial Ltd. of Duluth, Ga. That is why following instructions and working with a veterinarian are so important, he added.
“The veterinarian is a very important gatekeeper,” Dr. Little said. “Clients should be working with their veterinarian, asking questions, talking about directions and about the products.”
Merial maintains that while the EPA noted a “sharp increase” in the number of reported adverse events associated with spot-ons, company records do not indicate such a case for Frontline.
“The number of adverse events reported per volume of sales has remained consistently low since the introduction of Frontline in 1996,” Little said. “Over 1 billion doses of Frontline have been sold, so there is extensive experience with the product in marketed use.”
Merial and other spot-on product manufacturers are working with the EPA. A meeting was to be held in May in conjunction with the Canadian health department, which has identified similar concerns.
Fort Dodge Animal Health of Overland Park, Kan., is working closely with the EPA to identify and resolve any issues related to ProMeris for dogs, spokes-man Ryan Noonan said.
“Before ProMeris for dogs was released to the market in 2007, it went through extensive clinical testing,” Noonan said. “Because ProMeris is a new product, there may be more questions related to its use, as compared to other available spot-on products that have been on the market for a number of years.”
Mark Levin, vice president of technical affairs at Sergeant’s of Omaha, Neb., said he thinks the increased number of reports can be tied to the fact that products traditionally sold through the veterinary channel are being sold over the counter.
“The one item we feel we at least need to get on the table … is that when (veterinary products) are sold to a consumer and the consumer has an issue with that product, they take it and the animal back to the vet,” Levin said. “The vets don’t necessarily report those adverse events back to the manufacturer. Whereas for our over-the-counter products, if a consumer has a problem with our product, they call us directly and we respond with those numbers to the EPA.”
In regard to reports of incidents involving Sergeant’s products, Levin said those numbers are low.
“We don’t feel good about even one case, and we constantly look at any opportunity that we can to improve our products across the board,” he said.
For example, Levin said the company has found cases in which consumers used the wrong size product or used the product on the wrong species. Levin said the company also found cases in which household pets licked each other shortly after application.
Melinda Fernyhough, DVM, Ph.D., manager of Scientific Affairs for Hartz of Secaucus, N.J., agrees that reading the label carefully is important.
“Hartz wholeheartedly en-dorses the EPA advisory’s call to action to pet owners regarding the importance of carefully following label directions and making informed decisions when selecting and using spot-on flea and tick pesticides,” Dr. Fernyhough said. “As the EPA states: ‘The pesticide label is your guide to using pesticides safely and effectively.’”
Fernyhough said that EPA-reported adverse effects for Hartz UltraGuard products for cats decreased in 2008 from 2007 and those for Hartz UltraGuard for dogs maintained the same low ratio of reported incidents to sales.”
While I was browsing around at the EPA’s website I followed the link “Taking care of fleas and ticks on your pet “ , where among other advice the agency makes a point of how to properly use flea and tick control products:
“To help minimize incidents that may be caused by product misuse, EPA is reminding consumers to always carefully read and follow all instructions on the label for these products and these Safety tips for pet owners:
Consult your veterinarian:
Before use on weak, aged, medicated, sick, pregnant, or nursing pets, or on pets that have previously shown signs of sensitivity to pesticide products; and
If your pet experiences an adverse effect.
If you use a spot-on product or any other pesticide on your pet, carefully read and follow the product label.
Use flea and tick control products only on the animal specified by the product label, for example, dog products for dogs only and cat products for cats only.
Follow any label prohibitions against use on weak, aged, medicated, sick, pregnant, or nursing pets, or on pets that have previously shown sensitivity to pesticide products.
Apply only the amount indicated for the size of the animal being treated.
Do not apply to kittens or puppies unless the product label specifically allows this treatment. Pay attention to the age restrictions for puppies and kittens on the label.
Monitor your pet for side effects or signs of sensitivity after applying the product, particularly when using the product on your pet for the first time. Do not apply spot-on’s to pets known to be sensitive to pesticide products.
If your pet experiences an adverse reaction, immediately bathe the pet with mild soap and rinse with large amounts of water.
Keep the package with the product container (such as individual applicator tubes). Also keep the package after treatment in case adverse effects occur. You will want to have the instructions at hand, as well as contact information for the manufacturer.
Besides spot-on’s, there are other pesticides registered for flea and tick control on pets. These include shampoos, collars, dust, and sprays. Consumers should apply the same precautions when using these products as recommended for spot-on’s. Pet owners may also wish to consult their veterinarian for advice and recommendations.”
Advice for Reporting Incidents
Keep the package with the product container (such as individual applicator tubes). Also keep the package after treatment in case adverse effects occur. The package contains the product label, which includes important information such as the EPA registration number and contact information for the manufacturer.
Report any adverse effects to the manufacturer, who is required by law to report it to EPA. Contact information can be found on the product label. In addition, you may report the incident to the National Pesticide Information Center (NPIC), 1-800-858-7378
Encourage your veterinarian to use NPIC’s Veterinary Pesticide Adverse Effects Reporting portal at http://npic.orst.edu/vet to report any incidents. This portal is not for use by the public.”
Updated information on the agency’s progress is frequently being made available at http://www.epa.gov/pesticides/health/flea-tick-control.html
Thursday, June 11, 2009
Pet nutrition in Layman’s terms: Part 1 Nutrients and Protein
To provide good information is one of my goals with this blog. At numerous times I have published on this blog comments and articles about pet nutrition in general. The problem is that many of those articles sometimes get very technical and can be confusing to some of us, others again maybe based on opinions or written for a certain purpose, like for example in order to sell a certain type or brand of food. What I have been missing is simple explanations, kind of written in Layman’s terms and understandable for everybody, easy to read and short and quickly getting to the bottom of things. That was until now when recently, while doing my daily research work, I came across a course, which I decided to publish here with slight modifications. The site itself looks to me like it has not been maintained for quite a while, the last time its copyright notice was updated was in 2005 and many parts of the site are no longer accessible or corrupted. We don’t have to worry about the age of the info, nothing has changed about the basics. The Australian pet food manufacturer Advance created the self study course in cooperation with the Waltham Centre for Pet Care and Nutrition. Waltham, since 1965 has contributed to the advancement of global knowledge on nutrition for companion animals and now has over 600 research and development personnel all over the world. They continuously study in detail the nutrition and behavior of companion animals in a non invasive environment. Their studies cover many specialist areas including veterinary medicine, dietetics, biochemistry, animal behavioral science and breeding science. While this initially all sounded too science oriented to me, it turned out they came up with a pretty cool “crash course” and I decided to share what I was able to salvage here on this blog. As a result I hope I will be able to come up with a simple series designed for those of you who want to learn more about pet nutrition. A series suitable for breeders, vet nurses, pet store retailers, animal trainers or any pet owner who simply wants to learn more about feeding their dog or cat. Today let’s get started with Nutrients and Protein.
Nutrients
Our companion animals, just like we pet owners or as a matter of fact any living creature require food in order to grow, stay alive and live healthy. Food can be defined as either solid or liquid. When ingested, food supplies any or all of the following: Energy providing materials used by the body to produce movement, heat or other forms of energy, material for growth, repair or reproduction and substances necessary to initiate or regulate the processes involved in the aforementioned categories.
The components of food, which have these functions are called nutrients. The food ingested is commonly referred to as diet. Nutrients, which are required by an animal and cannot be synthesized in the animal’s body are called essential nutrients and must be provided for the body via dietary sources, i.e. food.
Diets containing no essential nutrients at all or only in insufficient quantity are considered inadequate. Feeding inadequate diets long term can and will most likely result in suboptimal performance or even in disease.
This series will take a closer look at the basic nutrients, their structure and their functions within the animal’s body. Today we are getting started with Protein.
What is protein? Proteins are very large molecules made up of hundreds of simple, single units called amino acids, bound together by peptide bonds. A wide variety of different proteins are found in nature, with each made up of strings of hundreds or thousands of amino acids, like the beads in a necklace. There are only about 20 amino acids typically found in proteins, but these may be arranged in any combination to give an almost infinite variety of proteins, each with its own characteristic properties. Functions of proteinAll animals need protein in their diet. Proteins are essential components of all living cells where they have several important functions including regulation of metabolism as enzymes and some hormones and a structural role in cell walls and muscle fiber. Protein is continually being lost in feces, hair, skin and sweat, so there is a constant turnover of protein in the body, even in adults. Of course a growing body needs large amounts of protein for building new tissues. Additional protein is required during periods of growth, pregnancy, lactation and for repair of damaged tissue, such as wound healing. Protein is essential for the body's defenses against disease, including the formation of antibodies. Proteins are also a source of energy in the diet. A Cat's and dog's coat is made primarily of protein. Protein is required for the normal growth of hair and epidermal cells, for skin pigmentation and for sebum production. In a dog, this may account for an amazing over one quarter of the daily protein requirement. Essential and non essential amino acidsAmino acids are classified as either essential or non essential. Essential amino acids cannot be synthesized by the body in sufficient amounts and must, therefore, be provided in the diet. Non essential amino acids are equally important as components of body proteins, but they can be synthesized from excesses of certain other dietary amino acids or other sources of dietary nitrogen. The amino acid profile of a protein determines the proportion of essential and non essential amino acids. Animal proteins generally have a more balanced amino acid profile, with a greater proportion of essential amino acids, and better digestibility than plant proteins. As a general rule, the more egg, fish, poultry and meat protein a food contains, the better it meets the animal's needs for amino acids. This does not mean that pets should be fed entirely on meat, milk and eggs, but the diet should be carefully balanced with amino acids if cereals form a large part of the diet.Protein quality
It all comes down to this simple formula: Amino Acid Profile + Digestibility = Protein Quality Not all the nutrients in food can be digested and absorbed, so the amount of protein an animal needs in its diet also depends on how easily it is digested by the animal. Digestibility is a measure of the how efficiently the nutrients in a food are digested and absorbed into the body. The digestibility of proteins varies from 50 to 95%. This means that between 5 and 50% of protein in food remains undigested and is not available to the animal. Plant proteins generally have lower digestibility than animal proteins. The protein in high quality pet foods usually has a digestibility of over 75%. However over processing of prepared pet foods can reduce their digestibility. The protein cycleWhen foods containing protein are eaten and digested, the amino acid necklace is progressively cut into smaller pieces by specific digestive enzymes in the gut, until eventually the whole structure has been dismantled either into single beads or pairs of beads called peptides. Protein can only be absorbed from the gut into the bloodstream in this simple form. Once absorbed into the bloodstream, most of the beads are taken in by the body's cells and reassembled in a different order to build the protein structures which the body needs e.g. hair protein or muscle tissue. Therefore after a dog digests a meal containing beef protein, the components of the protein are pulled completely apart and rebuilt into new dog proteins, leaving no trace of the original beef protein in the dog's body. The urea cycleExcess protein is not stored in the body. Instead the left over protein is used to produce energy in a system known as the urea cycle. This process creates a waste product called urea, which must be eliminated from the body via the kidneys. Unlike fats and carbohydrates, proteins contain nitrogen molecules, and urea is one of the few safe forms in which nitrogen can be eliminated from the body. Protein deficiencyProtein deficiency can result from either insufficient protein in the diet or from a shortage of particular amino acids. Signs of protein deficiency include poor growth or weight loss, rough and dull hair coat, anorexia, increased susceptibility to disease, muscle wasting and emaciation, oedema and finally death. Deficiency of a single essential amino acid results in anorexia and subsequent negative nitrogen balance. Protein excessDietary protein in excess of the body's requirements is not laid down as muscle but is, instead, converted to fat and stored as adipose tissue or fat. Feeding excess protein is a relatively inefficient and expensive source of energy in the diet. Concluding key points: Protein is an essential component of the body: Tissues and body fluids, hormones, enzymes and anti bodies. The arrangement, sequence and proportion of amino acids in each protein give it unique properties. There are about 20 different types of amino acids, of which 10 are essential, since they cannot be made in sufficient quantity in the body. Protein quality is a function of the protein source and its digestibility. Excess protein is not stored, but broken down to produce energy in the urea cycle. Protein deficiency causes poor growth, lack of appetite, loss of coat condition and impaired immune function.
How does it all relate to our pets?
Dogs cannot survive without protein in their diets. Dietary protein contains 10 specific amino acids that dogs cannot make on their own. Known as essential amino acids, they provide the building blocks for many important biologically active compounds and proteins. In addition, they donate the carbon chains needed to make glucose for energy. High quality proteins have a good balance of all of the essential amino acids. Studies show that dogs can tell when their food lacks a single amino acid and will avoid such a meal. Dogs are known to selectively choose foods that are high in protein. Whether this is simply a matter of taste or a complex response to their biological needs for all 10 essential amino acids is not known. However, dogs can survive on
a vegetarian diet as long as it contains sufficient protein and is supplemented with vitamin D.
As carnivorous animals, cats derive most of their protein from meat, fish, and other animal products. Some animal-based protein is easier to digest than plant based protein and is better suited to the cat’s digestive system. Dietary protein contains 10 specific amino acids that neither cats nor dogs can make on their own. Known as essential amino acids, they provide the building blocks for many important biologically active compounds and proteins. In addition, they provide the carbon chains needed to make glucose for energy. High quality proteins have a good balance of all of the essential amino acids. Deficiencies of single essential amino acids can lead to serious health problems. Arginine, for example, is critical to the removal of ammonia from the body through urine. Without sufficient arginine in the diet, cats may suffer from a toxic buildup of ammonia in the bloodstream. Although not the case for dogs, the amino acid taurine is a dietary essential for cats. Taurine deficiency in cats causes a host of metabolic and clinical problems, including feline central retinal degeneration and blindness, deafness, cardiomyopathy and heart failure, inadequate immune response, poor neonatal growth, reproductive failure, and congenital defects. Found abundantly in many fish, birds, and small rodents, taurine is either absent or present only in trace amounts in plants. Strict vegetarian diets are not appropriate for cats
unless supplemented with nutrients essential for cats that are not found in plants.
Protein requirements for pets:
Are usually expressed in grams. For example, a kitten weighing 1.8 lbs requires 10 grams, an adult cat weighing 9 lbs 12.5 grams and a nursing cat mom weighing 9 lbs having 4 kittens needs 41 grams of protein daily. A 12 lbs puppy, expected to weigh 33 lbs at maturity needs 56 grams, a mature dog weighing 33 lbs needs 25 grams, a pregnant bitch regularly weighing 33 lbs and expecting 6 puppies 69 grams and a 33 lbs nursing mother with 6 puppies needs, yes, 158 grams of protein daily.
Figuring Grams of Essential Nutrients from Pet food labels
Pet food labels generally do not list amounts of essential nutrients in grams. However, all pet food labels must state guarantees for the minimum percentages of crude (referring to the specific method of testing the product, not to the quality of the nutrient itself) protein and crude fat, and the maximum percentages of crude fiber and moisture. To convert these percentages to grams, simply multiply the crude percentages times the weight of your pet’s daily portion. For example, if you feed your cat one 6-oz (170-gram) can of food per day, and the food contains 8% crude protein, the grams of protein would be 0.08 x 170 =13.6 grams.
Note: For weight conversions use these conversion tools
Sources:
Advance Pet Foods
Nutrient Requirements of Dogs and Cats, National Academies Press
Wednesday, June 10, 2009
Do puppies need supplements?
And as much as these puppy owners are concerned about the right food, as often they wonder if it is necessary to supplement the puppy food. The variety of supplements for all life stages being offered these days has become quite impressive and picking the right ones is almost as much a science as choosing the right food. There is also a great number of supplements specifically aimed at and formulated for puppies. So say the labels, whether this is true or not I would like to discuss another time. Reason why I make this statement is that in a press release I just recently read a warning coming from www.ConsumerLab.com: “Problems with Multi vitamins and Vitamin Water: ConsumerLab.com Uncovers Defects in Over 30% of Supplements Selected for Testing and Finds Most Children's Multivitamins Exceed Tolerable Limits “ Aside from criticizing people products, the release also include a paragraph about “Problems with Pet Supplements: In addition to supplements for people, ConsumerLab.com selected two pet supplements for testing, but neither passed. One contained only 46% of the vitamin A and 54.7% of its claimed minimum amount of calcium. Another was contaminated with 6.45 mcg of lead per tablet. This is several times higher than the amount of lead (1.41 mcg) ConsumerLab.com found to be in this same product in 2007. Contamination limits for dogs are not well defined, but, as reference, the FDA notes that children should not be exposed to more than 6 mcg of lead per day and, as noted above, California requires warning labels on supplements for human use that contain over 0.5 mcg of lead per day. “
Therefore, a healthy portion of skepticism may be in order. However, for today and now, let’s just assume the supplements, especially the high quality ones are what they promise to be and to do. The question here is, are they really necessary? Generally opinions among researchers, vets, breeders, pet owners and members of the pet product industry vary widely, just as they do with everything else.
My typical answer usually is simple: If you feed your healthy puppy a high quality food such as the ones we offer at our store, you don’t need to supplement. Of course, as always, double check with your vet and see what he/she has to say. Sometimes they may recommend supplementing with products supporting normal health like fatty acids or probiotics. Keep in mind, every puppy is different and individual needs may vary.
Sometimes it may be necessary to supplement for short periods of time. One example comes to my mind: When the puppy joins the family for the first time it may be too excited to eat correctly, so it may need a little support there. But that is seldom the case. I have yet to see a puppy, which doesn’t get excited about food and gets so side tracked by its surroundings that it doesn’t satisfy its seemingly endless hunger. After all every puppy is a fast growing body and that fast growth needs a lot of fuel.
Actually I could finish right here. You got your answer: Feed the right diet and you don’t need to supplement. But that would be too easy. There are always those of you who do for what ever the reasons may be not feed the best available food or for example feed diets approved for all life stages. In those cases you have different needs. What is to be included in the “right” puppy food to make sure that it does not to be supplemented?
If you recall any of this blog’s previous comments about feeding a puppy you will remember fatty acids, like Omega-3 to provide DHA and EPA (docosahaexenoic and eicosapentaenic acid) for enhanced mental functions, vitamins to build a strong immune system and minerals to support proper skeletal growth. This is just to name a few.
I came up with an idea: Looking for details as to what should be the ultimate supplement? One supplement comes to my mind, which I definitely call the ultimate. You guessed right: Mother’s milk. This is the super premium fuel for all of the youngster’s needs and optimal growth and development. But what makes it so valuable?
It contains proteins with the appropriate amino acid composition needed for growth. These proteins include colostrum which provides immunoglobulins important in building a strong immune system and vitamins, minerals, hormones, complex sugars and growth factors to promote proper development.
Fats included in mother’s milk help to increase resident time in the stomach to optimize digestion of proteins and other nutrients. Healthy fats also make puppies less likely to develop allergies. The fats in mother’s milk also include medium chain triglycerides (MCT). Because bile and enzyme secretions from the liver and pancreas are not fully functional during the first few weeks of a puppy’s life it is important that the fats ingested are easily digestible. MCT require less bile and enzyme for digestion and are transported from the stomach and small intestine to the liver to be utilized for energy more rapidly than other fats, which must pass through the lymphatic system. MCT’s also increase the absorption of amino acids, fat soluble vitamins and some electrolytes.
Then there are omega 3 fatty acids, which are important for the formation of cell membranes, proper enzyme function, development of brain, eye and nerve cells, healthy liver function and energy and protein production.
Lecithin is necessary for the formation and maintenance of cell membranes, nerve transmission and normal brain and liver functions plus additionally it increases resistance to disease.
And finally, probiotics or intestinal micro organisms play a vital role digestion and overall health by improving nutrient availability, synthesizing enzymes and vitamins, enhancing the immune system and regulating bowel function.
Best of all, it is available as a supplement, typically in powder form to be sprinkled onto the regular food or mixed with water into a liquid formula.
Just as important as the question do you need supplements, is the question how much of them. Be careful, some vitamins and minerals can be dangerous if given in too high of a dose. Example: Calcium if given excessively or at the wrong ratio with phosphorus can lead to musculoskeletal disorders, especially in large breed puppies.
My last word of advice to those of you who believe for economical reasons they cannot afford feeding their puppies a higher priced, high quality food: Do the math and add up your lower priced, low quality food and the dollars you will have to spend on supplements: The bottom line is most likely that you are better off feeding the better food to begin with. And this does not even consider the intangible risk of possibly having health issues with your puppy down the road at later ages.
Saturday, June 6, 2009
Allergies in Dogs: Holistic Skin & Coat Care
Contact Allergies
Fleas are a common source of contact allergies. Other common contact allergens include grasses, hay, plants, and trees. Toxins and chemicals (pesticides, carpet cleaners, etc.) provide additional potential sources for contact allergies for both outdoor and indoor pets.
Let’s take a closer look at flea bite allergies: Flea bite allergy is the most common allergy affecting dogs. In spite of common belief, a normal dog experiences only minor skin irritation in response to flea bites. Even in the presence of dozens of fleas, there will be very little itching. On the other hand, the flea-allergic dog has a severe, itch-producing reaction to flea bites. This occurs because the dog develops an allergic response to flea saliva. When the dog is bitten, flea saliva is deposited in the skin. Just one bite causes intense itching. This type of reaction is not to the flea itself but rather to proteins in its saliva. Dogs most prone to this problem, interestingly enough, are not dogs who are constantly flea ridden, but those who are exposed only occasionally! A single bite can cause a reaction for five to seven days, so you don't need a lot of fleas to have a miserable dog. The dog's response to the intense itching is to chew, lick, or scratch. This causes hair loss and can lead to open sores or scabs on the skin, allowing a secondary bacterial infection to begin. The area most commonly involved is over the rump (just in front of the tail). Many flea allergic dogs also chew or lick the hair off of their legs. In most parts of the country, the problem is seasonal. It is most severe in summer and fall in areas of the country that have cold winters. In warm climates where fleas are active year-round, they are a year-round problem, intensifying during summer. Veterinarians may recommend treatment with small amounts of corticosteroids to give some affected pets relief during the flea season. However, these treatments may be dangerous to your pet if prolonged and only offer relief of symptoms at best. The most important treatment for flea allergy is to get the pet away from all fleas. Therefore, strict flea control is the backbone of successful treatment. Unfortunately, complete flea control is not always possible for pets that live outdoors in warm and humid climates, where a new population of fleas can hatch out every 14 to 21 days.
Food Allergies are generally due to ingredients in your pet's food or treats. Symptoms of food allergies include itching and/or noticeable digestive trouble. A food allergy can be a reaction to almost any ingredient such as soy, wheat, yeast, or beef. Food allergies are so common that pet food manufacturers have invested millions of dollars in research, development and promotion of diets to help dogs with food allergies. I have been and keep addressing food allergies many times within this blog and refrain from more details in today’s comments.Inhalant Allergies
With inhalants, pollen is the most common type of allergen, but cigarette smoke, air fresheners, smog, or other airborne pollutants can also be problematic.
Allergic Dermatitis (Skin problems caused by allergies)Regardless of what causes the problem, this condition is common, it can last a life time, it is a challenge to diagnose and once identified it can be resistant to attempts at treatment. Dogs with inhalant dermatitis will lick and chew at their paws and scratch their face, eyelids and ears. Others may erupt in hot spots or their skin may redden and be intensely itchy all over.
The list of symptoms is endless, but severe itching is the common ailment. Diagnosis of allergies is difficult, time consuming, very costly, and often inconclusive. As a result, allergies are seldom properly diagnosed, and instead, the symptoms are treated in hopes of relieving the pet’s discomfort. These treatments may include topical medications, soothing baths, ointments and sprays, oral antihistamines, or steroids. Caution: If you are sent home with a prescription for cortisone, or your dog has been given “a cortisone shot to stop the itching”, your dog may ultimately be worse off than before if the true diagnosis happens to be an unrecognized case of Sarcoptic mites! A key point to remember is this: There is no cure for allergies! What we can do is avoid the food, material or parasite that is triggering the immune response, and treat both the symptoms and the resulting infections to restore the skin to good health.
We carry at our on-line store a holistic series of products coming from a company called DER Magic. I have tried their products and experienced success with both, our cats as well as our dogs, this stuff really works. You know I don’t like to advertise the products we carry at the on-line store. But sometimes I just can’t help it and feel, if in general it really helps your companions, why not passing on a recommendation. Other stores do it too, even vets make their very specific recommendations when it comes to food, treats and remedies and illness cure. Coming back to DER Magic Skin & Coat Care: This company, as so many within the holistic circle of pet food, treat and supplement suppliers, was started because it’s founder, Dr. Adelie Ritchie, also proud owner of a couple Shih Tzus, tried to figure out how she could help her pups, who often were in need of a quick fix for bug bites, rashes, hot spots or other dermal boo-boos. The doctor’s original prototype product was formulated many years ago, back when Dr. Ritchie was breeding and showing Yorkshire Terriers and teaching organic chemistry at a community college in Florida. At the time, her prize show dog developed a serious skin disease and then progressively got worse under standard veterinary treatments, to the point where her vet suggested euthanasia to put the dog out of her misery. Shenanigan was her name and she had thick black skin by this time, smelled horrible and cried constantly. Back then, as is still the case today, there just weren't any good choices out there for veterinary treatments that weren't loaded with cortisone, steroids, antibiotics or strong chemicals, and even those treatments were not effective enough to save Shenanigan's life. This is when Dr. Ritchie got to work on formulating an effective topical treatment with natural, herbal and organic ingredients. Shenanigan got dunked, slathered, gooped, and drenched in potions, all somewhat effective, but not quite enough. Finally, after a few trials, the prototype DERMagic Hot Spot Lotion was born, and Shenanigan's relief was visible and immediate. She stopped crying and scratching, and her hair was sprouting again within 48 hours of the first treatment. Within six months, she was again in full coat and was parading herself proudly around the show ring. Over the years, Dr. Ritchie used her formulations to treat dogs and cats and horses belonging to family members, friends, and her colleagues in the dog show business, but it was not until much later that a good friend challenged her to make her great products available to every pet owner facing skin problems with their beloved companion animals.
Today, Dr. Ritchie offers a well rounded program of just a few, but extremely effective holistic skin and coat care products. All of them constantly receive very positive recognition in the pet oriented and related media including for example Animal Wellness Magazine to name just one. The line includes a complete 4 step skin care system, a hot spot salve, lotions, soap bars, Dead Sea aromatherapy bath salts and of course shampoos and conditioners.
Besides the very powerful fact that they simply work, what I like the most about Dr. Ritchie’s products is that she enables me to offer yet another effective solution within a well rounded holistic program, from food and treats to supplements and skin & coat care, all together designed to successfully help our customers in their efforts to get rid of their pet’s allergy problems.
To return to today’s topic and in conclusion, always, at the very first sign of itching, look for broken skin, a bite, a sore, or any irritation, and apply DERMagic Hot Spot Lotion or Hot Spot Salve to kill the infection and prevent the irritation from getting worse. In most cases, this is the only remedy you will need. Both products are safe, free from corticosteroids and also are immediately effective at relieving itch from flea allergies, fighting the associated fungal and bacterial infestations, and promoting healing of affected areas.
Tuesday, June 2, 2009
Puppy Diets: Growth oriented food formulas offering advantages?
As one owner of a pet food store puts it: “Over the past couple years we have been seeing the use of unique ingredients in more and more products. They include alternative meat protein sources and different sources of nutraceuticals, not just in puppy, but in food for all life stages.”
Whether formulated for small or large breeds, many of these puppy blends contain a rich variety of ingredients mirroring the trends in the adult food market. They contain unconventional protein sources, such as for example fish, rabbit, venison and others. They are grain free or made with low allergenic fibers, such as quinoa, barley or millet.
“There is definitely a movement toward higher quality, natural diets for puppies” reports a co-owner of a pet food manufacturing business. “More food makers are including DHA, prebiotics and probiotics and all puppy formulas now have vitamins and minerals added to make them a complete and balanced diet for puppies.”
A puppy’s growing body requires more and different nutrients than the one of an adult. Manufacturers are catering their formulas to meet those dietary needs. AAFCO requires that manufacturers put a so called nutritional adequacy statement on their labels clearly stating whether the food is for growth and lactation (same requirements)), for adult maintenance or all life stages.
Today’s blends available to puppy owners however go already beyond that. They contain specific ingredients, such as for example fatty acids for proper brain and eye formation and for healthy puppy development. Dr. Joseph Wakshlag, DVM, PhD, Dipl. ACVN, Assistant Professor of Clinical Nutrition at Cornwell University’s College of Veterinary Medicine in Ithaca, NY says: “Omega-3’s and -6’s are considered essential for puppies by the National Research Council. Essential Omega-6’s are linoleic acid and Omega-3’s are eicosapentaeonic acid or EPA and docosahexaeonic acid or DHA.”
Puppy diets also contain optimal balances of calcium and phosphorous for healthy bone development. They both help to build strong bones. They have not only to be in the right amounts, they also need to be at the correct ratio. This is particularly important for large breed puppies as they tend to go through a very fast growth phase and during that growth phase their bones need to be developing correctly.
Puppy formulas also come enriched with nutraceuticals such as glucosamine and chondroitin. As one vet at a pet food manufacturer says: “We began adding sources of glucosamine and chondroitin to our large breed puppy food. We use it in the senior formula because we know that many seniors have arthritis problems and glucosamine and chondroitin are known to be beneficial to those dogs. We thought it would be beneficial to start the large breed puppies out on them too to prevent some of these skeletal issues.”
The question arises: Do all of these ingredients support puppy health? According to Dr. Richard C.Hill, VetMB, PhD, MRCVS, Waltham Associate Professor of small animal internal medicine and clinical nutrition at the University of Florida College of Veterinary Medicine in Gainesvill, FL, “… they do. The most important thing to prolong a puppy’s life span and to reduce the incidence of disease is to restrict access to food so they remain in a lean body condition. Not skinny, but lean.” He refers to a life span study published in the journal Nutrition back in 2003. This study confirmed a link between body fat and the development of chronic health conditions. It also confirmed a link between the length of time a dog was overweight and that dog’s longevity and how early in the life the subject’s health conditions developed.
Each puppy based on activity level, metabolism and environmental factors may need more or less food to maintain the ideal body weight. Dr. Hill explains how to assess a puppy’s body condition: “The puppy should have a waist visible form the sides and above and an owner should be able to feel the ribs without having a layer of fat over them. A good way to describe this is: If you rub your hand over the top of your knuckles, that’s too thin, and then, when you rub your hand over the top of your closed fingers, that’s about what it should be. If you rub your hand over the ball of your hand on the other side, over the meat of your hand, that’s too fat. If your puppy is getting a little pudgy, cut back on the kibble.”
So here you have it in a nutshell. But, you may ask, with so many puppy formulas on the market my seemingly eternal question remains unanswered: Which one is the best for my pup? I agree, at times the sheer number of products can be overwhelming and confusing. As GM of our retail store I am confronted with that problem every day. How many choices do we offer? Wouldn’t we be better off only offering one choice, let’s say the one, which we determine as to be the best choice? That would not be the solution. First, who are we to come up with such a judgment? Second, even if we could make that judgment, who is to say that it would be the best choice for your very individual pup? That is why we offer so many. Sorry, at the end, the choice is yours. Only you can and will have to make that decision. We do however try to support your efforts by educating our customers, by providing as much information as we possibly can find and generate. With that information our customers can become educated consumers having the tools they need to make the right choice. Puppies are full of energy and playful enthusiasm. Let’s make sure they grow up under the right conditions, which include a diet which makes the most sense.
Sunday, May 31, 2009
Blood in stool: Part 2 Digested Blood: Melena
There are two variations of this problem. hematochezia and melena. Hematochezia is the presence of bright red and fresh blood in the feces, while melena is the passage of dark, tary and black feces. Melena is actually the passage of old, digested blood from bleedings which have occurred higher up in the intestinal tract. The causes, diagnostics and treatments for hematochezia often differ from those for melena. In part 1 of this series we discussed hematochezia, today we will talk about melena.
In medical terms, melena or melaena refers to the black, "tarry" feces that are associated with gastrointestinal hemorrhage. The black color is caused by oxidation of the iron in hemoglobin during its passage through the ileum and colon. Melena is different from fresh blood in the stool (hematochezia). It may represent a severe, life threatening illness, and should not be ignored. It must especially be addressed if it persists or worsens.
Melena develops when bleeding occurs into the stomach or small intestines. The bleeding must be high in the intestinal tract in order for the blood to be digested and become discolored. In contrast, hematochezia or bleeding into the colon or rectum appears as fresh blood in the stool.
Melena usually indicates the presence of significant upper gastrointestinal disease, although occasionally other diseases, such as clotting disorders, ingestion of blood, etc. unrelated to the gastrointestinal tract may present with melena. The classic appearance of melena is black, shiny, sticky, foul smelling feces with a tarry consistency. Melena may be seen as the only clinical sign, although other systemic signs often accompany it. Ingestion of blood must be ruled out, including swallowing blood from the oral cavity or respiratory tract, and licking blood from a wound. A careful history and thorough physical examination of these patients is essential. The presence of melena generally warrants hospitalization, extensive diagnostic testing, and supportive care. It is best to determine the underlying cause and treat the specific problem.There are many potential causes for melena to include infectious agents, certain drugs, cancer, foreign bodies in the stomach or intestines, infiltrative and inflammatory gastrointestinal diseases, ingestion of blood, bleeing disorders or coagulopathies, metabolic and other diseases that cause gastrointestinal ulceration, perioperative hemorrhage, which is bleeding associated with surgery on the intestinal tract, gastrointestinal ischemia or lack of blood supply and as an uncommon cause, ingestion of heavy metals.To determine if your pet is suffering the disease, watch out for dark, almost black stools, diarrhea, vomiting, pale gums, other areas of bleeding or bruising on the body, weight loss, poor appetite and excessive drinking or urinating.
To diagnose melena, a thorough history and physical examination are often helpful in determining if melena is present and in suggesting an underlying cause. To determine the exact cause, an extensive battery of tests is often required to identify or isolate the specific cause. Such tests may include:
Complete blood count (CBC) to evaluate for the presence of infection, inflammation and anemia associated with some diseases that cause melena, a biochemical profile to rule out metabolic causes of melena and to evaluate electrolyte and protein levels, urinalysis to evaluate the kidneys, the hydration status of the patient and the presence of blood in the urine, fecal examination for parasites and fecal culture for bacteria, abdominal and chest X-rays to identify foreign objects or tumors and to evaluate for the presence of fluid/blood or metastasis/spread of tumor in the lungs, serology for certain infectious diseases, coagulation profile and platelet count to assess blood clotting, abdominal ultrasonography, upper gastrointestinal barium series, endoscopy, dietary recommendations vary depending on the cause; however, a bland diet that is easy to digest may be recommended.
Avoid all gastrointestinal irritants like corticosteroids and aspirin drugs. Drugs that block the production of stomach acid and coat the stomach may be recommended. In severe cases, hospitalization is warranted for intravenous fluid therapy, blood transfusions, and supportive care.As the above diagnostic tests are underway, your vet may start symptomatic therapy, especially if the problem is severe. The following nonspecific, symptomatic treatments may be applicable to some pets with melena. They may reduce the severity of symptoms and provide some relief to your pet. However, nonspecific therapy is not a substitute for definitive treatment of the underlying disease responsible for your pet's condition.
Temporarily discontinue all oral liquids and food, especially if the animal is also vomiting. This allows the GI tract to rest and may facilitate healing of the lining of the GI tract. Gradual reintroduction of small amounts of bland food may then be instituted if the clinical signs have subsided. Subcutaneous or intravenous fluid and electrolyte therapy may be necessary in some patients with melena to correct dehydration, acid base, and electrolyte abnormalities. Blood transfusions may be indicated in the patient that becomes anemic from the melena. Plasma transfusions and vitamin K therapy may be indicated in patients with coagulopathies. Drugs that decrease acid production by the stomach may expedite the resolution of melena, especially if it is secondary to gastrointestinal ulcers. Gastrointestinal protectants and adsorbents or bind harmful substances may be considered. Protectants containing bismuth should be avoided because they often turn the stools black and can make it difficult to determine whether the melena has resolved. In some cases surgical intervention is recommended, especially when a bleeding ulcer, gastrointestinal tumor, foreign body, or malpositioning of the stomach/intestines is diagnosed.
Most of this information I found in an article written by Dr. Bari Spielman for the PetPlace.com.
While I am not a vet and you most certainly need to follow your vet’s advice, I personally would prefer an alternative treatment over the conventional “throw some hard core meds at the problem” solution. Natural remedies can be great alternatives. They are very effective and safe to use as well. Look out for homeopathic medications with powerful herbs. Apart from giving the right medications make dietary changes. Highly processed food affects your pet’s health badly. As a first line of defense, you may try giving your pet a bland diet that consists of rice as well as potatoes and substitute these foods for its regular food. The best solution is raw, unprocessed food and plenty of water to drink. And maybe you want o look for a vet fit in holistic animal care.
Note: Blood in stool: Part 1 Fresh Blood: Hematochezia
Blood in stool: Part 1 Fresh Blood: Hematochezia
There are two variations of this problem. hematochezia and melena. Hematochezia is the presence of bright red and fresh blood in the feces, while melena is the passage of dark, tary and black feces. Melena is actually the passage of old, digested blood from bleedings which have occurred higher up in the intestinal tract. The causes, diagnostics and treatments for hematochezia often differ from those for melena. Today we will talk about heatochezia and address the ladder one in part 2 of this series.
To determine if your pet is suffering from hematochezia, here is what you should watch out for: Bright red blood in the feces, straining to defecate, an increased number of bowel movements produced, possibly no other clinical signs, possibly other systemic signs of illness, such as excessive drinking, urinating, vomiting and diarrhea, lethargy, poor appetite, weight loss
The presence of hematochezia may be a symptom of either a minor problem or a potentially more serious problem in the animal. If happening at once, hematochezia may be a minor and transient event. Repeated or persistent occurrences of hematochezia obviously are more serious and should not be ignored. There are several possible causes.
Hematochezia is often a sign of lower gastrointestinal disease. In some cases it is an indication of a minor, transient problem. In other cases it is indicative of a serious underlying disease that can become an emergency requiring intensive therapy. Hematochezia may be the only clinical sign seen, or it may be accompanied by other signs, especially straining to defecate. Obtaining a detailed history and through physical examination are essential when evaluating these patients.
The most common potential causes of hematochezia are usually associated with the gastrointestinal tract. Yet in some other cases, the cause is completely unrelated, like for example clotting disorders or coagulopathies. It is important to determine the cause of the disease as different treatments may be required.
A great number of infectious agents may result in hematochezia. They include viral infections such as panleukopenia, also called feline distemper and a contagious viral disease, bacterial infections such as Salmonella, protozoal agents such as coccidiosis (one-cell organisms living in the intestinal tracts), and intestinal parasites such as hookworms and roundworms.
Dietary intolerance and indiscretion from eating spoiled food, overeating, ingesting foreign material, supposedly especially bones, a sudden change in diet, or supposedly eating people food may cause inflammation of the lower bowel and hematochezia.
Dietary allergy to certain food substances, such as to particular proteins, lactose, high fat content, and certain food additives may also cause colon inflammation or colitis with hematochezia. Masses of the colon, rectum or anus may cause bleeding and produce hematochezia. They include benign or polyps and malignant or cancerous tumors.
Persistent hematochezia is a common sign of inflammation of the colon, sometimes also referred to as colitis. Many of the causes of hematochezia listed above also cause colitis. Colitis can also occur for unknown, immune related or poorly defined reasons and may require a colonic biopsy to identify the type of the inflammation present.
Trauma of any sort can cause hematochezia. Examples include bite wounds to the anal area, fractures of the pelvis that disrupt the colon or rectum, the passage of sharp ingested objects like for example bones, needles, tacks, etc. and the insertion of instruments or materials into the rectum like for example examination scopes, enema syringes, etc..
Bleeding disorders or coagulopathies of the body may result in bleeding from the lining of the lower bowel. There are numerous types of bleeding disorders that may occur in animals. Examples include ingestion of rat poison that contains anticoagulants, in rare cases inherited clotting disorders, even less common decreased numbers of platelets, disseminated intravascular coagulation (DIC) from massive infections or organ failure and severe liver disorders.
Intussusception or the telescoping of one part of the bowel into another secondary to foreign bodies, tumors, or parasites can cause hematochezia.
Stricture (narrowing) of the anus or colon, secondary to previous trauma, inflammation, cancer or a foreign body may result in bleeding, especially as stools are passed.
Chronic or intermittent constipation and attempted passages of dry, hard stools may result in hematochezia.
Anal sacculitis (inflammation of the anal sacs) or anal sac abscessation can change the consistency of the fluid in the anal sacs to a bloody liquid. This liquid may coat the stools as they are defecated. Anal sac diseases are uncommon with cats but more often found in dogs.
Proctitis is inflammation of the rectum and is often associated with colitis.
Diagnosis:
Obtaining a complete medical history and performing a thorough physical examination are necessary in order to create an appropriate diagnostic plan for the patient with hematochezia. The physical examination often includes a digital rectal examination. In addition, the following tests may be recommended: A complete blood count (CBC) to evaluate for the presence of infection, inflammation, anemia, and altered numbers of platelets. A biochemical profile to assess the overall health and function of various abdominal organs, and to help rule out other disorders. A urinalysis to evaluate the kidneys, the hydration status of the patient, and the presence of blood in the urine. Multiple fecal examinations for parasites bacteria, protozoa, and the presence of blood invisible to the bare eye . A coagulation profile to assess the ability of the blood to clot. Abdominal radiographs or x-rays to evaluate the abdominal organs and assess for the presence of a foreign body or tumor. Furthermore, your vet may recommend additional tests, based on results of the above tests and the clinical signs exhibited by the animal. These ancillary tests are selected on a case by case basis and include: An abdominal ultrasound evaluates the size, shape and texture of abdominal organs and helps to determine the presence of tumors. Organs, lymph nodes, and masses can be sampled with a needle or biopsy instrument with the guidance of ultrasound. This test may require referral of your pet to a specialist in veterinary internal medicine or veterinary radiology to perform the procedure. Bacterial fecal cultures may be recommended in those cases where a bacterial cause is suspected. Colonoscopy or a lower GI endoscopy may be of benefit in the patient with hematochezia. Colonoscopy involves the passage of a viewing scope into the lower bowel to visualize the lining of the colon and to allow biopsy of any abnormal tissue. Colonoscopy is performed under general anesthesia and may require referral of your pet to a specialist in veterinary internal medicine to perform the procedure.
As supportive care treatment of the symptoms may be necessary while diagnostic testing is underway, especially if the animal is severely ill or blood loss is dramatic. The following supportive measures may be instituted as needed to reduce the severity of symptoms or stabilize the animal. Intravenous fluid and electrolyte therapy may be indicated in severe cases of hematochezia, especially if there are concurrent systemic signs of illness like vomiting, dehydration or lack of appetite. Treatment for shock may be undertaken in weak or collapsed animals. Food and water may be withheld for 24 hours or more. Antibiotics may be started via injection.
With mild cases or nonspecific cases of hematochezia, symptomatic therapy may be tried. Typically such therapy is aimed at reducing inflammation within the lower bowel and decreasing exposure to materials that are difficult to digest or pass in the stools. Symptomatic treatments are not a replacement for specific therapy. With any serious or persistent hematochezia, it is important to perform diagnostic tests that allow a specific cause to be identified, and then specific therapy is instituted. Examples of symptomatic measures include the following: Changes in diet may be recommended and may include a trial of either a moderate or high fiber, low fat diet or a hypoallergenic diet. Thoroughly de-worming the pet is often recommended, regardless of whether the fecal examination confirms parasitism. In some cases intestinal parasites are present, but they are difficult to detect on routine fecal screenings. A broad spectrum de-wormer may be recommended. Antibiotic therapy may be recommended because these drugs alter the bacterial counts in the lower bowel and may have some mild anti-inflammatory properties. Motility modifying drugs that change the rate of movement of food through the intestines may be helpful in some cases.Once a diagnosis is made, then specific therapy may be instituted. Specific treatments are sometimes combined with supportive and symptomatic treatments to ensure the hematochezia resolves. Depending upon the cause, the following may be considered: Common treatments used for colitis include dietary changes and oral antibiotic or antibacterial like for example sulfadiazine and sulfadimethoxine medications. Corticosteroids may be indicated in some forms of immune related colitis. Treatments for clotting disorders may include Vitamin K therapy, and transfusions of either blood or plasma. Masses of the colon or rectum are surgically removed whenever possible. Intussusceptions often require correction via require abdominal surgery. The presence of colonic foreign bodies, such as bones, metallic materials, etc., may sometimes necessitate cleansing enemas or manual removal with the animal under general anesthesia. A variety of treatments exist for rectal strictures and anal sac disease.
Most of this information I found in an article written by Dr. Bari Spielman for the PetPlace.com. What I am personally not happy about is the more in depth treatment by the vet with antibiotics and cortisone shots and similar measurements. While I am not a vet and you most certainly need to follow your vet’s advice, I personally would prefer an alternative treatment over the conventional “throw some hard core meds at the problem” solution. More natural remedies can be a great alternative for antibiotics. They are very effective and safe to use as well. Look out for homeopathic medications with powerful herbs like berberis vulgaris, cantharis, and staphysagris. These medications can treat bacterial infections like no other medication can and prevent recurring infections as well. Apart from giving the right medications make dietary changes. Highly processed food affects your pet’s health badly. The best solution is raw, unprocessed food and plenty of water to drink. And maybe you want o look for a vet fit in holistic animal care.
Note: Blood in stool: Part 2 Digested Blood: Melena
