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Pain can be difficult to detect in older dogs. It is important for dog owners to recognize subtle signs of pain in their dog, such as slowing down on walks, unwillingness to play, reluctance to sit or stand, limping or weight shifting, and sensitivity to touch on being picked up. If any of these behaviors are observed, your dog should be evaluated by your veterinarian and a pain management plan devised.
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Hydrocephalus is an excess of cerebrospinal fluid (CSF) that has leaked inside the skull, leading to brain swelling. There are two main types of hydrocephalus in dogs: congenital and acquired. Small, miniature, toy, and brachycephalic breeds seem to be more affected. Signs, diagnosis, and treatment are outlined. Your veterinarian will discuss your pet's prognosis and treatment options based on its individual condition.
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Hygromas are fluid-filled non-painful swellings that develop suddenly over a bony prominence. They are the body’s reaction to repetitive trauma and usually a result of laying too frequently on hard surfaces. The best treatment is to ensure the prominence affected is well padded to allow the hygroma to recede. This can be accomplished by appropriate padding in the dog’s living quarters and by directly padding the affected area if possible. Rarely, hygromas become infected requiring antibiotics. Very few will need surgery to manage them. This would be recommended on an individual case basis.
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Hyperlipidemia refers to elevated levels of lipids (fats) in the bloodstream and can be due to several causes. Often times there are no clinical signs. Hyperlipidemia is confirmed using a 12-18 hours fasting sample. The pet's medical history and a search for an underlying cause is important for its treatment. If no underlying cause is found, your pet will need to start eating a low-fat, high-fiber diets, and may be started on the appropriate medications and supplements.
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Hyperthyroidism is a common condition in older cats caused by excess thyroid hormone release resulting in an increased metabolic state. Hyperthyroidism can cause weight loss despite a good appetite, increased water consumption and urination, vomiting, diarrhea, cardiomyopathy, and hypertension. Diagnosis is made by testing blood thyroid hormone levels. Several successful treatment options exist, including medication, thyroidectomy, radioactive iodine, and a prescription diet. The prognosis with treatment is generally good.
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Calcium is a mineral that is found in small quantities throughout the body and plays an important role in muscle contraction, transmission of nerve impulses, blood clotting, and bone growth. Hypocalcemia means that the level of calcium in the bloodstream is low. Early signs of hypocalcemia include restlessness, stiffness, weakness, irritability, muscle tremors and hypersensitivity (exaggerated responsiveness) to touch and sound. Calcium and phosphorus levels are closely inter-related and when phosphorus levels increase as a result of chronic kidney disease, calcium levels decrease. With hypocalcemia due to chronic renal failure, treatment is directed at lowering the serum phosphate concentrations by dietary restriction of phosphorus and administration of intestinal phosphate binders. Hypocalcemia may also occur with lactation in a nursing mother cat, low blood protein levels, pancreatitis, certain drugs and toxins, and as a post-operative complication following surgical treatment for hyperthyroidism. If the hypocalcemia is severe, immediate correction of the decreased levels will require calcium injections.
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The term hypocalcemia is used when the level of calcium in the blood is lower than normal. Calcium levels are controlled by a pair of parathyroid glands. Low calcium levels are associated with a number of serious disorders including antifreeze poisoning, inflammation of the pancreas, kidney failure, and parathyroid gland failure. In nursing female dogs, heavy milk production can lead to hypocalcemia and may result in seizures. Pets with hypocalcemia may show signs of muscle twitching, loss of appetite, weakness, and listlessness. Your veterinarian will perform diagnostic tests which may include testing total calcium, ionized calcium, albumin, and parathyroid hormone levels. Primary hypoparathyroidism can be managed with a medication plus nutritional supplements containing vitamin D and calcium.
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Hypokalemia is a term that refers to a low blood concentration of potassium. Potassium is an important electrolyte within the body and is vital for the normal function of muscles and nerves. Mild to moderate hypokalemia often does not cause clinical sigs, but severe hypokalemia can result in generalized muscle weakness, lack of appetite, and some cats may become constipated. The underlying cause of hypokalemia is often chronic kidney failure. Hypokalemia and its associated clinical signs may be quickly corrected by potassium supplementation. Depending on the cause, it may be necessary to continue supplementing potassium permanently.
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Hypokalemia is a term that refers to a low blood concentration of potassium. Potassium is an important electrolyte within the body and is vital for the normal function of muscles and nerves. Mild to moderate hypokalemia often does not cause clinical sigs, but severe hypokalemia can result in generalized muscle weakness, lack of appetite, and some dogs may become constipated. The underlying cause of hypokalemia is often chronic kidney failure. Hypokalemia and its associated clinical signs may be quickly corrected by potassium supplementation. Depending on the cause, it may be necessary to continue supplementing potassium permanently.
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Hypothyroidism is an abnormality of the thyroid gland leading to a reduction in the dog’s metabolic state. This can cause many systemic changes including weight gain, hair loss, lethargy, and susceptibility to infections – most noticeably of the skin and ears. Diagnosis is made by a series of blood tests. Treatment is oral thyroid hormone replacement and is lifelong. Clinical signs and blood hormone levels must be monitored regularly as thyroid hormone requirements can change.
