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Rosie, ever passionate about animal behaviour, has edited some content from a Ceva article on travel anxiety. There are some helpful tips and strategies if you have a car phobic pet and we can also offer some additional product support using pheromone sprays and collars. 

In this newsletter John explains a relatively new surgical technique which we now offer for dogs with cruciate injuries - the TTA procedure and why we might recommend this for a dog requiring cruciate repair. 

Contents of this newsletter

01  Car anxiety

02  TTA surgery for dogs with cruciate injury

03  New Revolution Plus

04  What you need to know about kidney disease

05  Wee makes us happy!

06  Monitoring your pet's blood pressure

07  Top tips for correct antibiotic use

01 Car anxiety
dog in car

Why does my dog get anxious around the car?

It is quite common for younger dogs to experience motion sickness in the car, often because their balance has not fully developed mixed with the stress and/or excitement of new experiences. This is usually a phase they outgrow.

Triggers can include negative associations such as going to the vets or groomers, motion sickness; or just that it is a new and scary place.

Signs of car anxiety include drooling, panting, inability to settle, whimpering and/or vomiting.

What can I do to reduce my dog’s anxiety in the car?

  • Make car trips positive! Try to avoid car trips only involving places the dog may not enjoy like vet visits, boarding kennels or grooming salons. Instead take regular trips to a place your dog loves such as the dog park, a water hole to swim in or to a friend’s house to change it to a mostly positive experience and they might be more willing to jump in for a car ride.
  • Treats, treats & more treats! A great and simple way to make a new experience as positive as possible is to associate it with something most dogs love…… high value treats!! Break the process of car trips into baby steps whilst keeping them under threshold; meaning you only move on when is calm and coping with progression. These steps begin by just approaching the car and gradually increasing the criteria to placing treats inside the car to entice them in & help it feel like a safe place.
  • Crate Training: crates can be a great way of creating a “safe place” for your dog particularly in the car or in new environments. It can be your dog’s cosy little nook for inside the car & consequently help ease their anxiety.
  • Take it slow: gradually increase the length of journey times and reward for calm behaviour. You and your dog will soon be able to take pleasant long trips together.
  • Let them see what’s happening: some dogs enjoy being able to look out the window. Ensure they are safe & secure in the car and not being a hazard to you as the driver. There are great car harnesses on the market for this purpose and restraint is a legal requirement.
  • The exemption to the above rule is if your dog suffers from motion sickness; these guys are better in a crate which can be covered to avoid the visual aspect of travel.
  • If you have a long journey ahead, its best you do not feed a big meal before leaving then you can give treats here and there during the trip and reduce risk of vomiting.  

 

02 TTA surgery for dogs with cruciate injury
TTa sx image

Radiograph post surgery showing the titanium wedge and titanium bone plate in place

What is a TTA?

TTA is the abbreviation for tibial tuberosity advancement. This is a surgical procedure used to treat cranial cruciate rupture in the stifle, or knee, of a dog. This is a very common cause of hindlimb lameness in a dog.

Similar to sportspeople who injure their anterior cruciate ligament, dogs can injure their cranial cruciate ligament. During weight bearing, the cranial cruciate ligament stops the femur sliding backwards down the top of the tibia. Rupture of this ligament results in instability in the stifle, creating a “giving-way” feeling which causes severe lameness. Left untreated, generally inflammation progresses creating  damage to the cartilage and ultimately osteoarthritis.

The TTA aims to correct for the backward slope at the top of the tibia (the tibial plateau) by adjusting the angle between it and the patellar tendon so that it eliminates the tendency of the femur to move downwards over the sloped plateau.

The surgery involves cutting the tibial tuberosity using a specialised jig and bone saw, moving the tuberosity forward with advancement levers and inserting a titanium wedge which is secured in position using a titanium bone plate and screws. Each surgery is individually planned for each dog’s size and bone shape and specific implants are used.

Because the surgery doesn’t involve weight bearing areas of the leg, there is less swelling and pain following surgery compared to other methods of cruciate ligament surgery, and dogs are often up and about on the leg the following day.

Strict rest is important after surgery to allow proper healing, and then controlled activity is gradually introduced.

Andrew and John completed training two years ago to enable us to offer TTA  surgery at OVH. If your dog is lame and a diagnosis of cruciate injury is the cause this is an option that may be available. 

Many thanks John for explaining the what and why of this procedure. 

 

03 New Revolution Plus
Rev Plus Facebook tile

Looking for effective flea and tick control for your cat? We now stock Revolution Plus for Cats.

Revolution has been a trusted flea, mite and worm protection for cats for many years. Revolution Plus, a monthly top spot product, is an improvement on the original in the following ways

  • offers broader protection including PARALYSIS TICKS
  • lower volume non oily residue
  • faster action killing fleas within 6 hours

When you buy Revolution Plus you are entitled to loyalty rewards when purchasing through your vet - which means 1 free packet for every 4 purchased. 

Ask us about this new product when you are looking for effective flea, tick and worm control for your cat- 63618388.

04 What you need to know about kidney disease

When it comes to kidney disease, the statistics can be pretty scary. As many as 1-in-3 cats, and 1-in-10 dogs may suffer from some form of the disease in their lifetime.

The chronic form of kidney disease is often referred to as ‘the silent killer’ as it can sneak up on your pet and signs may be subtle and hard to notice. In other cases, kidney disease can come on quickly (classified as acute kidney disease) and might occur following the kidneys being exposed to a toxin or a certain drug for example.

Signs of kidney disease to watch out for:

- increased thirst
- increased urination
- weight loss
- lethargy
- vomiting

Measuring your pet's water intake over 24 hours and bringing us a morning urine sample are two things you can do to get the investigation process started.

The good news is that there is now a blood test available that can help with early detection of the disease. The result of this blood test is always evaluated with the results of a urine test, routine kidney blood tests, and with a blood pressure check. All of this information helps determine the stage of the disease and will ascertain which treatment, if any, is necessary.

Treatment may include diet modification and medication that can help reduce protein loss through the kidneys. This can all help slow the progress of this insidious disease.

If you are worried about your pet you should phone us for advice.

05 Wee makes us happy!

You might laugh at us but we love wee! Just a small amount of your pet’s urine provides us with valuable information about their internal health and can also help rule out diseases such as diabetes and kidney insufficiency.

After we have collected a sample of your pet’s urine, we will perform a few routine tests. These will include:

USG (urine specific gravity) - this helps us to determine how well the kidneys are working by measuring how effectively they are concentrating the urine. This is especially important when we are on the hunt for kidney disease as sometimes a change in USG can be an early indication of disease. This early stage of kidney disease may not be detectable with a routine blood test.

A urine dipstick also allows us to look for the presence of blood, protein and glucose. It can also indicate if a diabetic patient is severely unwell by detecting ketones.

In some cases, it may be necessary to examine the sediment of the urine under a microscope to look for particular cells that may indicate disease. White blood cells and bacteria can be detected on a sediment exam as can urinary crystals, a telltale sign of other urinary tract problems.

We often need to send urine samples to an external laboratory to run more specific tests. This may include one to determine if there is a true bacterial infection present. The laboratory will culture the bacteria and then run tests to determine what antibiotic is required to treat the infection. Another example of a laboratory test is one to measure the level of protein that is being lost by the kidneys. This can help stage kidney disease and greatly assists in determining if medication is indicated to treat the condition.

We may ask you to collect some urine at home and whilst this can seem a little overwhelming, there are a few tricks and tips that will make it a whole lot easier. We will be able to give you the best advice for your pet based on what we are looking for, just ask us for more information.

06 Monitoring your pet's blood pressure

At some point in your pet’s life, it will be necessary for us to measure their blood pressure.

An elevation in blood pressure (hypertension) can indicate an underlying disease. Hyperthyroidism in cats or Cushing's disease in dogs are just two examples. If hypertension is left undetected, the increased pressure of the blood flow can cause serious damage to organs such as the kidneys and even lead to blindness due to damage to the retinas in the eye.

Low blood pressure (hypotension) is typically something we get concerned about if your pet is undergoing anaesthesia and this can also cause damage to organs but is conversely due to reduced blood flow. This is why monitoring your pet’s blood pressure while they are under anaesthesia is so important.

Your pet's blood pressure will usually be measured using a fancy piece of equipment such as a doppler. It is essential that the correct size cuff is used on your pet's leg or tail for accurate results. Multiple measurements will also need to be taken to achieve an average reading.

Stress can sometimes affect the readings, so measuring blood pressure in a veterinary consult can sometimes be difficult! It is therefore important that we take things quietly and slowly during the measurement process.

If your pet is diagnosed with hypertension it is essential that the underlying disease is treated. Repeat blood pressure measurements may be required every 1-3 months depending on the response to treatment. In some cases, it may be necessary to give your pet medication to help lower their blood pressure and reduce any potential side effects associated with hypertension.

Ask us if you are worried or have any concerns about your pet, we are always here to help.

07 Top tips for correct antibiotic use

It is becoming more and more evident that one of the greatest threats to human and animal health is antibiotic resistance and the emergence of 'superbugs'. As veterinarians, we are taking steps to help prevent the world from a global catastrophe where common infections and minor injuries once again kill.

As a pet owner, you can do your bit too by familiarising yourself with the following recommendations for correct antibiotic use:

1. Antibiotics are only helpful in the presence of a bacterial infection. They cannot treat viral infections and are not needed in clean wounds

2. It is sometimes necessary to identify the type of bacteria present to help us choose the most appropriate antibiotic. This involves taking samples for culture and sensitivity testing at an external laboratory

3. Never start any 'leftover' antibiotics you have before you get your pet checked with us as they may be inappropriate or unnecessary

4. Always use them as directed and finish the course, even if you think your pet is 'better'. Stopping too early can lead to the development of resistant bacteria

5. Always give the prescribed dose and give them exactly as we have directed (don’t change the dose or dosing schedule as this can reduce their effectiveness)

6. Please don't ask us to prescribe antibiotics without a consultation. This is against the law!

7. A revisit may be necessary to check your pet and extend the course of antibiotics if necessary

If you have any questions or concerns please ask us for more information.