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Diabetes Mellitus – Not only for those with opposable thumbs!

7/19/2022

3 Comments

 
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Photo credit: http://bearcreekvet.net/diabetes-in-small-animals/
​What is diabetes mellitus (DM)?
First, a quick overview - bear with us. The word diabetes comes from ancient Greek and means siphon, or running through (referring to the large volume of urine) and mellitus is Latin for sweet. The disease is appropriately named because diabetics are siphons for sweet urine. DM in animals works the same way as it does in humans. When you eat a meal, carbohydrates and sugars passing through your gut get absorbed to your bloodstream in the form of glucose.
Insulin is a hormone which signals your body to move glucose from your blood into muscles and organs to be either used for energy right away or stored for later use. In diabetic animals, insulin is either not present or not doing its job. This leaves too much glucose in the blood, where it can't be used. Hyperglycemia is the specific word used to describe having too much glucose in the blood. It is normal for an animal to be hyperglycemic right after a meal, especially one high in carbohydrates, but diabetes is characterized by “persistent fasting hyperglycemia.” An animal who is persistently hyperglycemic would have too much glucose in their blood regardless of when they last ate a meal. The blood glucose levels will get so high that glucose leaves in large quantities through the urine – hence sweet siphon – Diabetes mellitus.

 
How do I know if my animal has diabetes?
The three cardinal signs of diabetes in our furry friends are
-          Increased drinking
-          Increased urine output
-          Increased eating without weight gain

These symptoms alone are not enough to diagnose diabetes. Bloodwork and urine tests will confirm the disease. If this list sounds like your animal at home, bring them into your local veterinarian.  Pets will lose weight over time if the diabetes is not controlled. Some dogs can suddenly develop bright white cataracts and lose vision.
 
How do we treat Diabetes Mellitus?

Treating diabetes is a team effort, and you as the owner will be the most important member of that team! Insulin and diet modification are the mainstay of treatment. There are many different types of insulin which work in unique ways. Your veterinarian will develop a plan specific to your animal, but you are the one who will be carrying out this plan. In general, a diabetic food will have less simple carbohydrates to prevent a big spike in blood glucose after a meal. You will also perform once or twice daily insulin injections. Don’t worry! You do not need to be a trained nurse to do this correctly. The needle is super small, and your pet will hardly feel the poke. Your vet team will show you how to do this when your animal is diagnosed.
 
How do I know that the treatment plan is working?
The goal of treating diabetes is to avoid the clinical signs (increased drinking, urination, eating) while avoiding hypoglycemia (dangerously low levels of blood glucose). It may take a couple months to get there as we get used to the new diet and find the appropriate insulin type and dose. At home monitoring is very important in this process!
I would encourage every owner of a diabetic pet to keep a daily log of appetite, thirst (increased or decreased) and insulin dose. This is especially important for newly diagnosed and geriatric animals. Lucky for you (and us!), there are many innovative ways to monitor your pet’s diabetes from home. You can buy a litter additive that will change color if your cat is shedding glucose in the urine. Another great new monitoring tool is the FreeStyle Libre blood glucose monitor. For up to 14 days, your pet will have a tiny probe under its skin, continuously sampling the glucose. You will scan the patch with your phone every 8 hours or so and an app will send that data right to your vet! This product was originally developed for humans, so we know that the probe size and placement are not bothersome for everyday life.

To summarize… a well-controlled diabetic will have a stable weight, and eat, drink and pee a normal amount.
 
Quick note on HYPOglycemia…
Hypoglycemia is a term that describes too little glucose in the blood. Animals are much better at tolerating HYPERglycemia than they are hypoglycemia. They can live for quite some time with too much glucose in the blood, but too little can get dangerous quickly. Watch for general weakness, collapsing, trembling, and/or seizures. If you see any of these signs, rub honey or corn syrup on your pet's gums and call your vet immediately. Accidental insulin overdose can cause this sort of hypoglycemic shock.

Peter Jorgensen - Iowa State University DVM Candidate '25

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Best holiday gifts for pets

12/10/2021

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The whole family should enjoy celebrating the holiday season, including your furry, feathered, or scaled friends. However, as you browse pet stores or search online, you might wonder what to give your pets this year to help them ring in the season. Below, you'll find a handful of creative holiday gift ideas to keep your pet healthy and happy. 

Holiday Gift Ideas for Pets 

1. Puzzle Feeders
Keeping food out in bowls throughout the day may cause dogs and cats to overeat and become overweight. Luckily, you can slow them down and make meals more fun by providing them with puzzle feeders. These devices hold food in various compartments and require animals to manipulate them in certain ways to release kibble. In addition to making meals last longer, this can provide pets with extra exercise, as they must work to solve puzzles before eating. Puzzle feeders hidden around the house give cats the chance to use their natural hunting and foraging skills, leaving you with a more interactive content cat. They also have the advantage of separating you from being the only source of food so your hungry kitty is more likely to search the house for nibbles at 4am rather than wake you up. Got a pet bird? Hiding food in paper boxes, dried pasta, or stuck into cork can provide them some fun mental stimulation and keep them active.

2. New Beds
If your pet has sensitive joints or arthritis, it might be difficult or painful for them to lie on the floor. Instead, a new bed can make your dogs and cats feel more comfortable while resting and taking naps. If your furry friend enjoys sleeping in warm areas, a heated bed can match their body temperature and ensure they remain cozy. On the other hand, if your pet likes to sleep in cooler spaces, an elevated bed with a steel frame can create a breezy effect that prevents the bedding from becoming too warm.

3. Interactive Toys
Most pets enjoy playtime and the opportunity to spend time with their owners. As such, giving your pets interactive toys for the holidays can help them get the most out of playtime, while also getting extra exercise to maintain a healthy weight. These toys may also provide mental stimulation to improve cognition and prevent boredom while you're away from home for the holidays. For cats, you might choose products that simulate the hunting experience by popping toy "prey" out of various compartments, prompting your feline to chase and pounce on them. For dogs, digging toys featuring fabric flaps under which you can hide their favorite toys and treats will let them have fun foraging and retrieving them.

4. The gift of good health!
We are an animal hospital, after all - the most important gift on our list is a checkup! We can catch your friend up on any needed preventive care and look for any minor ailments that may have creeped up over the past few months. Itchy or dry skin, slowing down, drinking more - all of these can be helped with the right diagnosis and a plan that fits your busy schedule.

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Are cicadas dangerous for pets?

5/1/2021

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photo credit Renee Grayson
The 17 year cicadas are emerging in Cincinnati any day now - so what do pet owners need to know?
Brood X last emerged in 2004, and is due to emerge in the coming weeks after heavy rain once the soil temperature warms up. There can be over a million adult cicadas per acre in certain areas. The adults will emerge from the ground with one goal: to reproduce. They will shed their skin, leaving them hanging behind on tree trunks or walls. The males sing - loudly - to attract the females. Once they mate, the females will lay their eggs in small tree branches. The larvae will hatch, drop to the ground, and burrow down to wait for their turn to emerge 17 years from now.

Thankfully, cicadas don't eat much as adults, so most plants are safe from the insects. The only risk is to small tree branches that might be damaged by the larvae. Cicadas also don't bite or sting, so they're more of a nuisance than a pest to us humans.

Want to help scientists track the cicadas? Go to CicadaSafari.org or download the Cicada Safari app to document the cicadas near you!
Picturephoto credit Austin Kirk
So enough about the cicadas - what about our pets?

Dogs and less fastidious cats will try to snack on the cicadas and their shells.

Eating one or two cicadas is highly unlikely to cause any harm, unless your pet happens be allergic (very rare, but possible, just like some people are allergic to bee stings).

Supervise your pet outside, since the hard insect exoskeleton could cause choking.

Eating a lot of cicadas can lead to GI problems:
  • vomiting
  • diarrhea
  • intestinal obstruction
  • exposure to pesticides, depending on what was applied to the soil over the larvae

The bottom line - don't let your pets eat a lot of the cicadas, but don't panic if they grab a small snack.  Now is a great time to teach the "drop it" command if you haven't already - you'll have lots of chances to practice it in the weeks ahead! No time to teach a command? Spend 5 minutes a day getting your dog used to wearing a basket muzzle - they're roomy enough that your pooch can eat treats, drink water, and pant while wearing one, but won't be able to pick cicadas up off the ground.

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3 steps to treat allergies in pets

3/11/2021

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Spring brings warm weather, flowers, and allergies, and it's not just us humans who can be affected. Dogs and cats can have allergies to pollen, grasses, trees, food ingredients, and even to pet dander. So what can we do to help? ​
Allergy Symptoms:
  • licking paws
  • scratching at armpits
  • scooting rear on the ground
  • itchy face
  • red itchy ears
  • frequent ear infections
  • hair loss
  • watery eyes
  • redness around the eyes
  • sneezing with clear spray
  • coughing (usually dry, not productive)
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How to treat allergies:
Unfortunately, allergies aren't usually curable. They can be managed, but your itchy pet will likely need some help every time they get exposed to their trigger.

First step - reduce exposure
  • Give your pet a bath to take pollen off their skin. Most gentle pet shampoos will work as long as your pet doesn't have any red spots. If you see rashes, please see your veterinarian first. A good rule of thumb is to bathe once a week during itchy season.
  • Talk to your veterinarian about whether your pet might have a food sensitivity. Please, don't change your food before the appointment! Make a list of the foods and treats you have ever offered your pet to help your veterinarian pick the best trial diet.
Next step - treat infections
  • Yeast and bacteria can grow in inflamed, itchy skin.
  • They make the itch even worse, and can cause odor, crusts, and/or greasy fur.
  • Your veterinarian can diagnose these by looking under the microscope, and sometimes may need to culture bacteria to find the best antibiotics.
  • Treatments are usually topical (shampoos, wipes, ointments) and/or oral (pills).
Last step - relieve the itch
  • There are medications targeted directly at the molecules that signal itch in dogs. Apoquel comes as pills and Cytopoint is an injection given every 1-2 months as needed.  These revolutionary treatments have very few to no side effects and are very effective at making your pup more comfortable.
  • Steroids used to be the mainstay of anti-itch therapy. These decrease redness and swelling and are very effective at treating itch. They do come with some side effects, however. Dogs will often pant and pace or seem anxious, and can drink and urinate more. They will also be more hungry. Cats can develop diabetes from long term steroid use.
  • Antihistamines are less effective than either of the other two classes of medications, but are very helpful with sudden allergic reactions like insect stings. For mildly itchy pets antihistamines can relieve symptoms. Beware never to use the non-drowsy formula for your pets. Please talk to your veterinarian about safe doses of Benadryl (diphenhydramine, cats and dogs), Zyrtec (cetirizine, dogs), or ChlorTrimeton (chlorpheniramine, cats).

Is cure ever possible?
Certain pets can actually be cured of their allergies through a process called allergy immunotherapy.  Skin testing is the most accurate way to find out what triggers your pet's allergies. Blood testing is becoming more accurate every year. Once the allergens are known, injections are prepared with increasing amounts of those triggers to gradually desensitize your pet. The process takes about a year. 
Pets with food sensitivities (about a quarter of all allergic pets) can usually be controlled by limiting what they eat and avoiding the trigger food once we find out what it is. While not actually cured, these pets get to be comfortable without medications most of the time.
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Can pets catch Covid?

2/16/2021

1 Comment

 
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Photo credit: Big Ben in Japan www.flickr.com
We're almost a year into a global pandemic and starting to find out a few answers about this ever-changing virus. Here's what pet owners should know about Covid-19.

1. Yes. Dogs, cats, rabbits, ferrets, and hamsters can catch Covid-19. 
Several research studies of pets in homes where a family member has had Covid-19 have confirmed that pets can catch Covid-19 from their humans. Most of these pets are not sick, and their infections are only found because of lab testing. A few of them show mild respiratory signs that don't require treatment. Overall, it is very rare that a pet shows significant illness, but ferrets are the most susceptible of our pet species.  Some mink, which are closely related to ferrets, have died from the illness. 
What about other pets?  Thus far, birds and reptiles do not seem susceptible, but that may change in the future as more testing occurs.  Zoos have seen big cats and gorillas infected with the virus.

2. Can pets spread Covid? Maybe.

In laboratory settings, certain animals have spread the SARS-CoV-2 virus to others of the same species housed together. Cats, ferrets, and hamsters infected with the virus should be considered contagious to other cats, ferrets, and hamsters. Dogs do not seem to spread the virus to other dogs. ​

Most importantly, pets do NOT seem to be able to spread the virus back to people. No pet to person transmission has been documented at this time.
3. What should pet owners do?
Thankfully, you can protect your pet the same way you are protecting everyone else in your family. Follow CDC guidelines by wearing a mask, washing hands frequently, and continuing to social distance to decrease your risk of catching Covid-19.

Testing pets for Covid is only available with approval from the State Veterinarian or through university research studies. If someone in your household has Covid and your pet is showing respiratory signs, please call us.

If you have Covid:
  • Minimize your contact with your pets while you are infectious (usually 10 days from when symptoms appeared or when you tested positive, but follow your local health guidelines).
  • Wear a mask, and avoid kissing or hugging your pet.
  • Wash hands frequently.
  • Keep cats indoors, and keep dogs away from social situations like boarding, grooming, day care, or dog parks.

If your pet tests positive for Covid:
  • Isolate the pet away from other pets and people. 
  • Use bowls and bedding for that pet only.
  • Do NOT use disinfectants or sprays on your pet.
  • You should wear a mask and gloves while around your pet - but your pet should not wear a mask.
  • Clean and disinfect the room just as you would for a person in isolation for Covid.
Pets who test positive for Covid should be isolated until they test negative, or at least 14 days from a positive test. You do not need to relinquish a positive pet - they can rejoin the family after their period of isolation just like a person with Covid.
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Are poinsettias really poisonous to pets?

12/1/2020

7 Comments

 
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Poinsettias are widely believed to be poisonous to cats and dogs, but thankfully for all of us holiday decorators their toxicity is actually quite mild. Poinsettia sap can irritate the tissues of the mouth and stomach, but they will not cause any organ damage. 

What will you see:
  • If your pet chews on the poinsettia, they may experience drooling, mild ulcers in the mouth, or an upset stomach with some mild vomiting.

What to do:
  • If your pet is drooling or has any red spots in their mouth, rinse the mouth with lots of water and provide access to fresh clean water.
  • If your pet vomits, hold off food for at least 4 hours but continue to provide water. Offer a small amount of bland food for the first meal (like rice with cooked boneless skinless chicken or turkey), then go back to regular food if there is no further vomiting.

Are there real holiday hazards?

PicturePhoto credit C.W. Russell
However, there are some truly toxic plants that can cause more severe illness in our curious dogs and cats.

Traditional holiday plants to keep out of reach:
  • Mistletoe - can cause vomiting, diarrhea, low blood pressure, shallow breathing, and low heart rate
  • Lilies - please avoid these altogether if you own cats. They can cause irreversible kidney failure.
  • Amaryllis - can cause vomiting, diarrhea, depression, excess drooling, abdominal pain, and tremors.

Beware that some decorations can be dangerous:
  • Christmas trees - playful dogs and climbing cats can knock them over and injure themselves or others, not to mention break precious fragile ornaments. Secure your tree well, or use fencing to keep pets away. Don't allow your pet to drink the water out of the reservoir.
  • Tinsel - Cats require surgery to remove tinsel from their intestines every year. Please don't let that happen to yours!

​Foods:
While we're enjoying some extra treats this month, keep the following ingredients out of your pets' reach to avoid a trip to the vet:
  • onions - cause liver damage
  • grapes, raisins, currants - kidney damage
  • macadamia nuts - depression, weakness, tremors
  • xylitol (a no-calorie sweetener) - depression, collapse, seizures, coma
  • chocolate - vomiting and diarrhea, panting, hyperactivity, racing heart rate, seizures, tremors

If you have any concerns about what your pet just got into, call ASPCA Poison Control: (888) 426-4435

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What to do about separation anxiety

8/6/2020

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PicturePhoto credit: Sheila Sund

No one likes coming home to find a mess - whether that's an object torn to shreds, furniture damaged, or pee or poop to clean up. But chances are, your dog (or, very rarely, cat) isn't actually out to get you. He or she is more likely to be scared or nervous, and the mess is the symptom of that anxiety.

It's normal for pets to be unhappy when their owners leave. But most pets can settle down to nap while their owners are away. 

So what is separation anxiety? Separation anxiety is a medical condition where your dog experiences distress when left alone. These pets may cause harm to themselves or their environment in their need to escape or their drive to comfort themselves. 

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Signs of separation anxiety include:
  • Housesoiling - urine and/or stool 
  • Vocalizing - constant barking or whining
  • Panting excessively
  • Pacing and being unable to settle down
  • Destructive behavior - chewing up objects, furniture, parts of the home
  • Trying to escape

What triggers separation anxiety?
Any change in routine can trigger anxious behavior. This can include absence of a family member, like a new work or school schedule or a trip. The absence doesn't have to be long, and some pets will start to show anxious behaviors before the person even leaves. Moving is another stressful even that can trigger anxious behavior. Puppies can show anxiety when separated from their littermates, and senior dogs can develop anxiety in their old age.

How do you treat separation anxiety?
The first thing to do is consult your veterinarian. Your pet may have a medical condition that is causing the behavior change, and treating the problem may fix the behavior. Some examples include pets who are uncomfortable from arthritis, drinking, urinating, and panting more than usual because of Cushing's disease, or are hyperactive or aggressive from an overactive thyroid (cats). 
Once medical issues are ruled out, training starts. Many pets will also benefit from calming supplements and/or medications to allow their anxiety to subside enough that learning can occur.  

The first step in training is to provide your pet with proper exercise. A bored pet is more likely to get into trouble. A tired pet is more likely to rest until you come home. Make sure to stimulate your pet's mind as well as body with new games and activities.
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Now, start training your pet to "settle". This is a command that you train, just like "sit" or "stay". It means your pet goes to a designated spot like a bed or a crate and relaxes in place. At first, your pet will settle for a very short time. Gradually increase the length of time and the distance you move away before releasing your pet from the command. Use treats and positive reinforcement to keep teaching this command stress-free. Be patient! Once you can leave the room for a short time and return without your pet moving from their settle, you are ready to leave the house for a short time. When you come home, great your pet with the release word and a calm demeanor.  
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Severely affected pets need additional help beyond training. 
Solliquin or Zylkene are calming supplements that decrease the fight-or-flight response and allow learning to occur. Some pets will also respond well to hemp-based supplements - but be careful to avoid any THC, which is extremely toxic to dogs and cats.
Anti-depressants like fluoxetine or clomipramine are also very helpful to get the process started for some pets. Start with an appointment with your veterinarian to get your pet the help they need. 
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Is your pet at risk of getting sick in the heat?

7/7/2020

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It's blazing hot outside, so it's time to take a moment to make sure our four-legged friends are safe and comfortable. A new study of almost a million dogs in Britain confirmed what veterinarians have long suspected - older dogs, overweight dogs, and certain breeds are at increased risk of heat-related illness. 

Which breeds are at most risk?
  • Bulldogs, French bulldogs
  • Chow Chows
  • Dogue de Bordeaux
  • Greyhounds
Dogs and cats with flat faces are at increased risk because of their narrow airways. They have a harder time cooling off by panting, and dogs can't sweat to cool off like we do. 
Working dogs can also succumb to heat stroke because they are so eager to please. They will often continue running to the point of collapse rather than stopping to take the break they need. 
Older dogs can be more susceptible because of underlying lung or heart conditions that may be mild or asymptomatic during temperate weather and only show up in hot weather.
Overweight dogs are also more prone to overheating because their airways are narrowed by the excess fat and the excess weight acts like a marine mammal's blubber, trapping body heat inside.

Rabbits are also very susceptible to the heat. They can tolerate cold temperatures much more easily. Rabbits kept outdoors should have a shaded hutch, a fan to move air and open hutch sides to allow a breeze, and a frozen water bottle to lay on in addition to fresh drinking water.

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So how do you prevent heat exhaustion?

​If you have a dog or cat who is at risk of heat-related illness, avoidance is the key.
  • Permit access to air conditioning when possible, or shade with plenty of drinking water available. Use a fan to get the air moving.
  • Take walks during the cooler parts of the day.
  • Never leave your pet in the car without you. Pets have died when air conditioning gave out in the running car and the owners didn't notice until it was too late. A car without the air conditioning running can hit 100F in less than 10 minutes, even with the windows cracked.

Notice the signs of heat exhaustion early: 
  • Excessive panting
  • Glassy eyes
  • Mental dullness
  • Gums either blue-tinged or bright red
  • Loss of coordination
  • Trouble breathing
  • Collapse
  • Bruising​
​
If you think your pet is too hot:
  • Stop exercising immediately
  • Get indoors or into the shade
  • Provide water to drink (not ice)
  • Cool your pet by spraying them with water (cool to luke-warm, not ice-cold). Pay special attention to the paws, armpits, and groin for the most effective cooling.
  • Seek emergency veterinary care immediately if your pet is having trouble breathing, collapses, or if your pet isn't back to normal in 10 minutes

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Heartworm - deadly but preventable

6/11/2020

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Picturephoto credit Enrique Dans www.flickr.com
When is a mosquito bite more than just an itchy annoyance for your dog, cat, or ferret? When that mosquito is carrying a parasite called heartworm (Dirofilaria immitis). Found in all 50 states but most prevalent in the South and Midwest, heartworms are transmitted from one pet to the next by a mosquito.

Heartworms start as tiny microfilaria that can only be seen under a microscope. Over the next 6 months they lodge in the vessels of the heart and lungs and grow to be over a foot long. Adult heartworms can live in your pet for up to 7 years, and create thousands of baby heartworms that will be transmitted to other pets through new mosquitoes.

Picture2020 Heartworm Incidence Map

Heartworm disease is the syndrome caused by these worms living inside your pet. At the beginning, your dog will not show any signs of illness. Early signs of illness can include decreased activity, decreased appetite, weight loss, and/or mild cough. Over time, the heartworms can cause heart failure, kidney failure, or sudden death. Cats and ferrets can get severe disease from just a couple worms, and unfortunately there is no treatment for heartworm in these pets.
​

Dogs can be treated for heartworms with a medication called immiticide. This kills the adult heartworms and then your dog's immune system will gradually break down the worms. Treating heartworm is a very time-consuming and expensive process. It must be done gradually, because the dead worms can cause potentially fatal  clots. Your dog is absolutely NOT allowed to run during the months of treatment because exercise can dislodge a worm and cause sudden death. In order to decrease this risk, we start with a month of an antibiotic to weaken the worms prior to the immiticide and steroids to decrease the inflammation in the lungs following the American Heartworm Society Guidelines.

So, that's all the bad news. What's the good news?
The good news is that heartworm disease is completely preventable. There are many preventive medications available that stop the baby heartworms from developing into adult disease-causing worms. Adding in mosquito repellent provides another layer of protection.
  • Proheart12 is an injection for dogs given by a veterinarian that is 100% effective at preventing heartworm disease for 12 months.
  • Monthly oral preventions that combine extra intestinal parasite, flea, or tick prevention are tasty and easy to give to your dog. For example, Simparica Trio is an all-in-one chew that prevents heartworm, fleas, ticks, and treats some intestinal worms too. Interceptor and Sentinel get the most intestinal worms along with the heartworm.
  • Cats can be protected topically with Bravecto Plus every 2 months or Revolution monthly.
  • Ferrets can be protected topically with Revolution monthly.

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Photo credit Krzysztof Belczynski www.flickr.com
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Fleas and Ticks Don't Social Distance

5/7/2020

6 Comments

 
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Photo credit: Lee Haywood
It's hard to concentrate in the midst of a global pandemic, but spring is bringing back all the usual pests and our pets need protection. So to keep your pets safe from disease-carrying fleas and ticks, here's what you need to know - we've put it into the mnemonic that's top of mind these days.
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So by following the tips above you can keep your pets free of fleas and ticks this year - and give yourself one less thing to stress over. Questions about your particular pet? Just give us a call at 513-791-7912 and we'll be happy to discuss the best product for your individual situation.
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Montgomery Animal Hospital

7670 Montgomery Rd
Cincinnati, OH 45236
Phone: (513) 791-7912
AAHA, veterinarian, animal hospital, pet hospital

After Hours Care

Your pet care needs occurring after  business hours can be addressed by one of the local veterinary emergency hospitals.
  • MedVet (Fairfax): (513) 561-0069, 3964 Red Bank Rd.
  • C.A.R.E. Center (Sharonville/Montgomery): (513) 530-0911, 6995 E. Kemper Rd. 
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