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12/26/12

Causes of Liver Disease in Dogs

The signs of liver disease in dogs are not always specific at first. Early symptoms include loss of appetite, weight loss, vomiting and diarrhea. Vomiting is the more common. Drinking excessive water and urinating frequently may be the first signs to manifest.

The dog's liver swells in the early stages of liver disease. Over time, cirrhosis sets in, causing the cells of the liver die while leaving scar tissue behind. The scar tissue causes the liver to become rubbery and firm. Although cirrhosis is not reversible, it is possible for a dog's liver heal itself to the point of normal liver function before the disease becomes terminal. Recovery depends on early detection and discovering the underlying cause of the liver disease.

Causes of Liver Disease in Dogs

Diseases, chemicals, drugs and toxins can cause liver disease in dogs. Infectious canine hepatitis, leptospirosis and heartworms directly affect the liver. Diseases such as Cushing's syndrome anddiabetes mellitus can lead to liver disease. Primary tumors and metastatic tumors are two main causes of liver failure in dogs.

Chemicals that cause liver damage include carbon tetrachloride, insecticides, phosphorus, selenium, arsenic, iron and toxic levels of lead. Medications given in excess or over a prolonged time period can cause liver disease. Drugs that may damage the liver are anesthetic gases, antibiotics, antifungals, dewormers, diuretics, analgesics anticonvulsants, testosterone preparations and corticosteroids.

Canine Lyme disease still raises debate on definitive diagnosis

Canine Borreliosis or Canine Lyme disease (CLD), is a vector borne disease caused by the spirochete, Borrelia burgdorferi sensu lato. Four subgroups of the genus Borrelia have been identified with Borrelia burgdorferi sensu stricto being the most common isolate in the United States that consistently produces clinical disease in the dog. Two additional Borrelia species, Borrelia afzelii and a Borrelia species (Florida isolate) have been isolated from dogs with neurologic manifestations, uveitis, lymphadenopathy and joint disease. Surface proteins of the borrelia species are virulence factors that allow spirochetes to attach to mammalian cells. The first documented case in a dog was published in 1984 from an endemic area in Connecticut. Since that clinical description, the incidence of the reported disease in dogs has substantially increased.


Location as a primary factor Geographically, CLD is more prevalent in the three major endemic geographic regions in the United States associated with infections in man. In the year 2000, approximately 18,000 cases of human infections of Lyme disease were reported based on data from the Centers for Disease Control. Approximately 95 percent of human cases were from 12 states in the Northeastern-Mid-Atlantic and upper Midwest regions. The Western (Northern California-Oregon) is another region within the United States with a high incidence of cases in man. Studies on the seroprevalence of CLD appear to show a significant spatial pattern that is correlated with the incidence of Lyme disease in humans and with the abundance of tick vectors.

Lyme disease can afflict dogs as well as humans

A few weeks after a short stay at a dog kennel more than two years ago, Kathleen Drew’s 6-year-old golden retriever Cody stopped eating. The dog’s veterinarian suggested changing her diet and adding hamburgers into the mix to entice her.

As the dog started to lose weight, the vet suspected a urinary tract infection, treating that with an antibiotic. Vets at a local animal hospital who were consulted suggested problems with Cody’s kidneys. But tests and ultrasounds weren’t conclusive.

When Cody suddenly became very ill two months later, the family rushed the dog to the animal hospital, where vets hooked her up to IVs, ran more tests and injected her with antibiotics. None of it helped. The dog had developed severe kidney failure and soon died.

Only after an autopsy did the vets identify the culprit: Lyme disease, which can be particularly deadly to some dogs.

“The vets were as surprised as can be,” Drew said in a recent interview. “At the time, Lyme disease was just not something people thought about.”

Most recover, but some don’t


With its bull’s-eye rash, achy joints and flulike symptoms, Lyme is a concern for humans. Most dogs exposed to the disease show no signs of infection and recover on their own. But a small percentage run fevers, become lame, lose their appetite or, in rare instances, die. And some of America’s favorite breeds — golden retrievers and Labrador retrievers — seem to be particularly at risk.

“Lyme disease can b

An Overview of Lyme Disease in Dogs

Lyme disease has been recognized in Europe for nearly a century but was not described in humans in the United States until 1975. We have since learned that clinical disease also occurs in dogs and, to a lesser extent, in horses, cattle, and cats, while many wildlife mammals and birds become subclinically infected and serve as reservoirs for tick infection. During the 1980s the disease incidence in both dogs and humans increased dramatically; Lyme disease is now the most common arthropod-borne disease of humans in the United States, and one of the most common in dogs.

What causes Lyme disease?


Lyme disease is caused by Borrelia burgdorferi, a corkscrew-shaped bacterium of the spirochete group. Among the spirochetes, it is most closely related to B. hermsii, which causes tick-borne relapsing fever in the southwestern United States. Better known but more distantly related spirochetes cause such diseases as leptospirosis and syphilis.

How is the disease transmitted?


Deer ticks, hard-shelled ticks of the genus Ixodes, transmit B. burgdorferiby attaching to and feeding on various hosts. Other bloodsucking insects may be involved, but there is little evidence that they are importantvectors. The primary way in which an animal or human becomes infected is by tick bite.

All About Lyme Disease In Your Dog

All About Lyme Disease In Your Dog What To Do When Your Dog Tests Positive

What Is Lyme Disease ?


Lime disease is caused by a bacteria, Borrelia burgdorferi. It is a disease that can attack many systems in your pet’s body.

This bacteria is transmitted by certain ticks. Borrelia belong to a family of bacteria called spirochetes. They are not particular as to the species they attack.Borrelia burgdorferi has always been around – we just didn’t pay much attention to it until recently. It has been called Lyme disease ever since 1975, when an astute doctor recognized it in a cluster of children near the town of Lyme, Connecticut.


Lyme disease is carried by ticks. In the Northeastern US, that tick is usually the deer tick, Ixodes scapularis – the ones in the photo at the top of this page. On the West Coast, it is I. pacificus

Much of the information on the web concerns Lyme disease in people and many pet owners reading it online, equate the information to their dogs. However, Lyme disease will not affect your dog in the same way it affects people. People often develop a rash at the point where the tick attached as well as flu-like symptoms. In dogs the most common symptoms are joint pain and fever that usually do not start until 2-5 months after being bitten. A few dogs develop swollen lymph nodes and very, very few ever develop the heart and neurological problems seen in Lyme disease in humans. When lyme-positive dogs develop kidney problems, it is late in the disease process.

Dog : Periodontal Disease

What is periodontal disease?


'Periodontal' comes from two Greek words that mean 'around the tooth.' Periodontal disease is a series of changes that are associated with the inflammation and loss of the deep supporting structures of teeth.

How does periodontal disease develop?

If gingivitis is left untreated, it will progress to periodontal disease which is irreversible.


Food particles and bacteria collect along the gumline forming plaque. If plaque is not removed, minerals in the saliva combine with the plaque and form tartar (or calculus) which adheres strongly to the teeth. Plaque starts to mineralize 3-5 days after it forms. The tartar is irritating to the gums and causes an inflammation called gingivitis. This can be seen as reddening of the gums adjacent to the teeth. It also causes bad breath.

If the calculus is not removed, it builds up under the gums. It separates the gums from the teeth to form "pockets" and encourages even more bacterial growth. At this point the damage is irreversible, and called "periodontal" disease. It can be very painful and can lead to loose teeth, abscesses, and bone loss or infection.

What factors affect the development of periodontal disease?


Numerous factors play a role in the formation of plaque, tartar, and the development of periodontal disease. These include:


Kissing Your Dog Could Give You Gum Disease

It’s time once again to look to a 90s Romantic Comedy for sage advice to guide us through our every day lives.

In the words of Janeane Garofalo in the 1996 movie “The Truth About Cats and Dogs,” “You can love your pets, but just don’t LOVE your pets.”

Another lesson learned from this film: Be yourself. Don’t try to be Uma Thurman.

It seems the latest from the journal Archives of Oral Biology holds that kissing a dog straight on the mouth can actually exchange diseases between canine and human. It sounds crazy, I know, but Japanese researchers have found that this form of sharing affection with a pet could lead to gum disease.

These aforementioned researchers studied the plaque from 66 dogs and 81 humans. These researchers found this plaque from pet and owner alike at a dog-training school and an animal clinic in 2011. The researchers then took these plaque samples and began scraping them to find a specific species of bacteria (known as theperiodontopathic species) which is known to cause gum disease.

Periodontal Disease in Dogs

Periodontal disease is the inflammation of the tissues surrounding a tooth (essentially, the tooth's support system). It can affect as little as one or two teeth or as much as a dog's whole mouth. Left untreated, periodontal disease can lead to severe oral pain, loss of teeth, other dental diseases and a wide array of complications throughout the body. Proper dental care can prevent periodontal disease and is an important aspect of keeping your dog healthy.

Causes of Periodontal Disease in Dogs:


The development of periodontal disease is a gradual process that begins with the formation of plaque on the teeth. Bacteria in the mouth form plaque, a bacterial film that adheres to the teeth. Next, minerals in saliva harden the plaque into dental tartar (calculus), which becomes firmly attached to teeth. The plaque and tartar, both of which contain bacteria, spread under gum line. The bacteria secrete toxins and cause damage to the supporting tissues around the tooth, creating a pocket around the tooth.

Certain dogs seem to have a genetic predisposition to periodontal disease. This often relates to the dog's breed. Many small breed dogs, such as Dachshunds and Chihuahuas are especially prone to periodontal disease.

Signs of Periodontal Disease in Dogs:

The signs of periodontal disease depend upon the severity of the disease. They may also vary from dog to dog. The first thing most people will notice is halitosis. Contrary to what many people believe, dogs are not supposed to have bad breath. This is a sign of dental disease that should be addressed right away. Dogs with advanced periodontal disease tend to have especially foul breath.

As periodontal disease progresses, so does oral pain. Dogs may become reluctant or unable to chew food and treats. They may also lose interest in chew toys. Often, dogs will begin to salivate more than usual. The saliva may even be blood-tinged. Upon closer inspection of the teeth, you or your vet will notice gingivitis (inflammation/reddening of the gums) at the very least. As periodontal disease advances, teeth will eventually become loose.

Periodontal disease is diagnosed and numbered from one to four (based on severity). Grade I is the earliest form of the disease, when only gingivitis is present. Periodontitis (loss of bone and soft tissue around teeth) is present in grades II, III and IV. Grade IV is the most advanced stage, when loss of more than half of the tooth's supportive structures is noted.


Is Your Dog a Victim of Canine Gum Disease

Are you a dog owner? If so, you probably want the best for your dog which means giving him preventive health care to prolong life and improve health. Unfortunately, one area of health care that many pet owners neglect is care of their dog's teeth and gums. Canine gum disease is more prevalent than many pet owners believe. The startling statistics are that 85% of dogs suffer from some degree of canine gum disease. This is sobering indeed when you consider the consequences of untreated gum disease. Sadly enough, canine gum disease can not only lead to tooth loss, but can also give rise to an inflammatory process that can have unfavorable consequences for the entire body. In extreme cases, untreated gum disease can lead to chronic inflammation and death.

What are the symptoms of canine gum disease? Symptoms of gum disease in a dog can range from difficulty chewing or eating to persistent bad breath. Other signs include loose teeth, visible plaque at the roots of the teeth, bleeding gums, and pawing at the mouth. If left untreated, gum disease can progress to the point where your dog is unable to chew bones or even dry food. This can be quite distressing to a dog who loves to chew as a form of entertainment.


Fortunately, canine gum disease can be prevented with routine tooth brushing and regular dental care. It helps to avoid feeding your dog soft, canned food, instead opting for dry dog food which has more of a stimulatory effect on the gum tissue. Of course, dogs shouldn't be given table food, especially foods that are high in sugar content. Giving your dog bones designed specifically for cleaning teeth can also help to reduce the incidence of canine gum disease.

How often should you brush your dog's teeth to avoid canine gum disease? The simple answer is as often as possible. Although it's not always practical, a daily brushing is ideal to remove plaque that may have accumulated throughout the day.  Your dog should undergo a professional cleaning by your veterinarian about every six months.

What should you do if you believe your dog has the signs of canine gum disease? Your dog should be assessed by your dog's veterinarian who can schedule a deep cleaning for your dog along with scaling to remove inflamed, diseased tissue located along the gum line. With proper treatment, canine gum disease can be successfully controlled and your dog can enjoy his favorite bones and rawhides without pain and discomfort.

help a dog with Cushing’s disease

Question: My 11-year-old Dachshund, Hannah, has Cushing’s disease and the only comfort my veterinarian can offer her is radiation. I don’t believe that the quality of life my pet would have as a result of this treatment would be acceptable to me.

She drinks water by the gallon (if I don’t give it to her in an attempt to try to cut back, she sits and cries and it hurts me to see her so unhappy), so I give her the water, then she urinates anywhere she is, as long as it’s in the same room as her papers. I am constantly cleaning up wet floors and wee wee pads.


I am trying a homeopathic tablet, but it doesn’t seem to change anything. She has recently started to steal food from the cats and the other dog, and tries to steal food from my plate. (I have restricted her ability to steal from the other pets.)

Do you have any suggestions for ways I can help her?


Answer: I can sympathize with your situation with Hannah drinking and urinating too much (polyuria and polydipsia), along with excessive hunger (polyphagia). All are among the most common symptoms we see with Cushing’s disease due to an excessive amount of cortisol production from the adrenal gland(s). Other common problems include muscle weakness, hair loss, urinary or respiratory infections from a suppressed immune system, and a potbellied appearance from tremendous liver enlargement.

Cushing’s disease is usually diagnoses through hormone testing (ACTH stimulation or low dose dexamethasone suppression testing), before any treatments are administered. It is one of the most common endocrinopathies (glandular diseases) we see in older dogs. Because most of the dogs are older and often have concurrent medical conditions, the workup before treatment includes basic blood chemistry and urinalysis, chest radiographs, urine culture, abdominal ultrasound and blood pressure testing.

Pituitary dependent Cushing’s disease (PDH) is the most common form of the disease. In this form of the disease, a small tumor (microadenoma) exists in the pituitary gland. Occasionally Cushing’s disease is due to a tumor in the adrenal gland rather than the pituitary gland.

The most common treatments for Cushing’s disease are medical for PDH, and surgical for a single adrenal mass. In the rare instances of a pituitary macroadenoma, identified by MRI imaging, radiation therapy is recommended. Although it requires close monitoring, medical therapies are usually successful in controlling the symptoms of Cushing’s disease and improving the quality of life for both the patient and pet owner.

Lysodren (generically known as mitotane) has been the traditional medical therapy until recently. It directly destroys the part of the adrenal gland responsible for the production of cortisone.

I was involved in a multicenter study to test a drug called trilostane on newly diagnosed Cushing’s disease patients or patients who had not responded well to Lysodren. Trilostane — which was new at the time to the U.S., but had been used in Europe for many years — is an inhibitor of an enzyme called 3-beta-hydroxysteroid dehydrogenase. This enzyme is involved in the production of several steroid hormones, including cortisol. The FDA approved the drug in February 2009. It is marketed under the name Vetoryl. I use the trilostane almost exclusively to treat Cushing’s disease in dogs and have been extremely pleased with the results.

Although both drugs can have side effects and require frequent monitoring, most patients appear to handle trilostane better. I would consider seeking the advice of a veterinary internist as to the type of Cushing’s disease Hannah may have and the possible therapies to address it.

PDH due to a macroadenoma requiring radiation therapy would be extremely rare. I have not found holistic therapies to be of use in the management of this condition, but have been very pleased in the response of most patients to medical or surgical therapies.

Except in rare circumstances, diagnosis and treatment are not considered a medical emergency. Although fatal complications from Cushing’s disease can occur, the condition is usually a chronic one, and some patients may go for years untreated.

Best of luck with Hannah, and I hope she does well.
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