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  • Pyridostigmine bromide is given by mouth or injection and is used off label to treat symptoms related to myasthenia gravis. Give as directed. Dose-related side effects include drooling, diarrhea, increased urination, abdominal pain, muscle cramps, and increased tear production. Do not use in pets that are allergic to it or other bromides, or in pets that have urinary or gastrointestinal tract obstructions or blockages. If a negative reaction occurs, please call your veterinary office.

  • Pyrimethamine is an antiprotozoal tablet given by mouth and used off-label to treat certain parasitic infections. Common side effects include vomiting, low appetite, tiredness, and low blood cell counts. Cats are more likely to have more severe side effects. Pregnant women should handle this medication carefully.

  • Pythiosis is a waterborne infection that can infect the GI tract or skin of dogs. It can cause extreme weight loss, vomiting, diarrhea or skin lesions such as ulcerating nodules and draining tracts. This disease is more common in southern regions. Treatment involves surgical removal of all affected material if possible, including limb amputation if indicated. Different antifungal therapies have shown some efficacy and need to be continued long-term. Prognosis for resolution of pythiosis is guarded to poor.

  • Quality of life is a way to refer to and discuss the day-to-day life and lifestyle of a cat reaching the end of its life. A quality-of-life scale for cats can help owners and veterinarians work together to maintain a healthy human-animal bond. The scale looks at seven different categories including hurt, hunger, hydration, hygiene, happiness, mobility, more good days than bad. The scale can help clarify the decisions and anxiety related to your dog’s end of life care.

  • Rabies is one of the most devastating viral diseases affecting mammals, including dogs and humans. It is a fatal disease caused by infection with the rabies virus. Following a bite from a rabid animal, the disease progresses in stages. Vaccination is the cornerstone of rabies prevention.

  • Radiation is a type of energy produced naturally by the sun, earth, and rocks and artificially by machines. Although several types of tumors can be treated with radiation therapy alone (e.g., nasal tumors, brain tumors, and certain types of lymphoma), radiation therapy is most commonly used to destroy or limit the growth of cancer cells left behind (i.e., microscopic disease) after a tumor has been surgically removed. Side effects depend on the type and location of the tumor and its surrounding tissues.

  • X-ray images are produced by directing X-rays through a part of the body towards an absorptive surface such as an X-ray film or electronic sensor. The image is produced by the differing energy absorption of various parts of the body. Bones are the most absorptive and leave a white image on the screen, whereas soft tissue absorbs varying degrees of energy depending on the density, producing shades of gray on the image. Air on an X-ray is black. X-rays are a common diagnostic tool used for many purposes.

  • Most dogs care for their puppies with little need for human intervention; if they do not, then their caregivers need to step in. It is critical to maintain a warm environment and ensure they receive enough milk. Puppies’ weight should be checked daily in the first two weeks, and any prolonged crying should be investigated. Feeding can be supplemented with commercial milk replacer if needed. Further feeding and vaccination recommendations are discussed. Contact your veterinarian for specific recommendations.

  • Ranitidine is given by mouth or injection and is used off-label to treat ulcers and erosions in the stomach and upper small intestine, reflux, or gastrointestinal motility issues. Give as directed. Side effects are uncommon but may include stomach upset. Do not use in pets with a history of allergies to this class of drugs. If a negative reaction occurs, call your veterinarian.

  • A RAST test, or radioallergosorbent test, is a blood test that can be used to determine which allergens are causing a pet's allergies. This test is often performed as part of the workup for atopic dermatitis in dogs. The results of allergy testing are typically used to develop a hyposensitization plan for your dog, which helps desensitize your dog to allergens. Many dogs treated with hyposensitization, formulated on the basis of RAST results, experience a significant reduction in the signs of allergic dermatitis.

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