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Gastrointestinal endoscopy uses a flexible tube with a camera or viewing port to inspect the esophagus, stomach, proximal small intestine, or colon for evidence of disease-causing clinical signs characteristic of gastrointestinal disease. Foreign bodies can often be retrieved. Biopsies are taken of abnormal and normal tissue, as not all conditions cause gross changes to the stomach or intestinal surface. The endoscope cannot reach all areas of the small intestine, so other tests may be needed to diagnose disease in these areas. Endoscopic pinch biopsies are not full thickness so if diagnosis is not achieved with endoscopic biopsies, additional testing including surgical biopsies may be needed. 12-18 hours fasting and enemas are required prior to endoscopy depending on the area being studied.
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An electrocardiogram (ECG, EKG) is a test that is used to assess the heart. More specifically, an ECG measures the transmission of an electrical impulse through the heart. This test is not painful and is typically performed as an outpatient procedure. Analyzing the electrical impulses produced as the heart beats can help identify a number of different abnormalities within the heart.
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Atrial fibrillation describes very rapid contractions or twitching of the heart muscle, specifically in the atria. Most of the time, atrial fibrillation in dogs occurs secondary to heart disease. In some large breed dogs, atrial fibrillation occurs as a primary heart problem. Most dogs who develop atrial fibrillation have underlying heart disease, so the signs that are observed are related to that disease and may include exercise intolerance, cough, or difficulty breathing. Treatment varies depending on whether the dog has primary or secondary atrial fibrillation. Your dog will need to be monitored on a regular basis.
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Atrial fibrillation describes very rapid contractions or twitching of the heart muscle, specifically in the atria. Most of the time, atrial fibrillation in cats occurs secondary to heart disease. Sometimes, in large breed cats, atrial fibrillation will occur as a primary heart problem. Most cats who develop atrial fibrillation have underlying heart disease, so the signs that are observed are often related to that underlying condition, and may include exercise intolerance, cough, or difficulty breathing. Treatment varies depending on whether the pet has primary or secondary atrial fibrillation. Your cat will need to be monitored on a regular basis.
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Urate bladder stones are most commonly the result of a genetic abnormality in breeds such as dalmatians. Other causes include liver diseases such as portosystemic shunts. The most common signs that a dog has bladder stones are difficulty urinating and blood in the urine. Strategies for treating urate bladder stones in dogs include medical dissolution and removal. Dogs that have experienced urate bladder stones will often be fed a therapeutic diet for life. Dogs with liver disease will need to be treated appropriately prior to addressing urate bladder stone management.
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Calcium oxalate bladder stones are composed of a mineral called calcium oxalate. Cats are more likely to develop oxalate stones when their urine contains high levels of calcium and oxalate. Additionally, a low urine pH promotes the formation of oxalate stones. Bladder stones can cause significant inflammation and irritation of the bladder wall. Signs may include frequent urination, straining to urinate, blood in the urine, and urinating outside of the litterbox. Male cats especially are at risk of a life-threatening urinary obstruction. Treatment options and prognosis are discussed.
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One of the more common uroliths in the dog is composed of calcium oxalate crystals. Current research indicates that acidic urine high in calcium, citrates, or oxalates predisposes a pet to developing calcium oxalate urinary crystals and stones. The most common signs that a dog has bladder stones are increased frequency of urination, painful urination, and blood in the urine. Male dogs are more commonly affected and may be at risk of a life-threatening urinary obstruction. Treatment options and prognosis are discussed.
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Struvite bladder stones are one of the most common bladder stones in cats. In some cats, struvite bladder stones form because of a urinary tract infection. Signs of bladder stones typically include frequent urination, straining to urinate, blood in the urine, and urinating outside of the litterbox. If your cat is having urinary issues, your veterinarian will first recommend a urinalysis. Blood tests, abdominal X-rays, and ultrasound may also be recommended. Medical dissolution and surgical removal are two categories of treatment. Cats who have developed struvite bladder stones are likely to experience a recurrence later in life, unless the conditions that led to the formation of stones can be corrected.
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Cystine bladder stones appear to be the result of a genetic abnormality that prevents a dog from reabsorbing cystine from the kidneys. While bladder stones in general are somewhat common in dogs, cystine bladder stones are rare. Your veterinarian may be able to palpate the stones or may need to perform imaging studies such as a bladder ultrasound or a contrast radiographic study. There are two primary treatment strategies for treating cystine bladder stones in dogs: dietary therapy to dissolve the stones, or physical removal of the stones. Cystine stones have a high rate of recurrence, despite careful attention to diet and lifestyle.
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Struvite bladder stones are one of the more common bladder stones found in dogs. Struvite bladder stones usually form as a complication of a bladder infection caused by bacteria, and if the urine becomes exceptionally concentrated and acidic. The most common signs that a dog has bladder stones are blood in the urine (hematuria) and straining to urinate (dysuria). There are three primary treatment strategies for struvite bladder stones: 1) feeding a special diet to dissolve the stone(s), 2) non-surgical removal by urohydropropulsion (flushing out the stones) and 3) surgical removal. Dogs that have experienced struvite bladder stones will often be fed a therapeutic diet for life.