Friday, September 10, 2010

Parasites

Premal Darji ‎3 months old, mix breed female puppy, deworming up to date, but still worms in stools, round worms, tapeworms..almost daily in stools, appetite normal, other parameters normal...hav used almost all brands of drugs since has cum to me...prazi, albendazole, pyrantel, febental, febendazole, dewoming every 15 days now...since cuming to me, gave ivermectin also orally...no help...what else can b done...can such puppies b vaccinated..i fear shud not cum with gastro sum day...as climate really bad here..and pups immunity with so many worms will surly b on toss..can ne1 help..or shud continue deworming..

03 August at 10:14 · · · Flag
  • Amber Mishra likes this.
    • Premal Darji i will try to get the pic...not sent for examination as i cud c worms in the stools..sorry i didnt get medicine part..whch medicine did u tell..
      03 August at 10:26 ·
    • Amber Mishra Dr. Premal could u please post the pic of the stool??? gone for the stool test??? Can try piperazine for the round worms@ 44–66 mg/kg PO, administered once
      03 August at 10:26 ·
    • Saurabh Saxena for such heavy infested pups,i do deworm once in 3 days ;loose motion once but wid in a week after cont. 3 adminis it gets cleaned up and continue wid vaccinations
      03 August at 10:29 ·
    • Swarupmay Majumdar
      ‎1 adult worm inside the dog's GIT can passout huige no of egggs(Not sure how many), as long as the motion is regular these will flush out. If the dog has a habbit of not passisng stool regularly and very offen happens with food like NON veg completely or on cerelac, these eggs will hatch out as worms!
      Other reasons for not able to control worms can be the Fleas! as fleas survive on the intestinal worms!
      So Deworm with a board spectrum dewormer like Drontal plus or Cantel and look out for fleas and food and motion habbits
      03 August at 10:31 ·
    • Premal Darji no fles..all types of dewormers used..by previous dr.. as well as me..deworming given always with proper body wt..actully little more thn desired dose rate..at last gave ivermectin..waiting for pup to cum now...in 5-6 days time mayb..
      03 August at 10:38 ·
    • Sp Singh proper dosage ,specific dewormer (after fecal Exam) and if not possible use drontal plus weakly on three consecutive occasion),ectoparacitidal and knowledge of environment where puppy is kept may be helpfull
      03 August at 10:55 ·
    • Premal Darji no ectoparasites..for now..kept in flat..was brought from amritsar from sum breeder..initially had pot belly..now atlst that part is gone..growning also well..but will do as u say for now..hope sumthng works out soon..
      03 August at 10:59 ·
    • Gautam Unny drontal now nd repeat after 21 days, to break the cycle.
      03 August at 15:09 ·
    • Premal Darji sir i hav repeted in 15 days time..thrice..but will try everything again from the strt..hopefully with what i hav given last week ..i expect things r better now..hoping the owner cuming in smiling..
      03 August at 15:53 ·
    • Ajay Kesarwani Anyone to explain why this is happening despite regular dwrming.Drugs not effectiv or ther is a reason.
      03 August at 22:00 ·

Posted by at 1 comment:

Vegetarian cat

Premal Darji cat on vegeterian diet..what supplement needs to b added if cat is forced to stay on veg diet...????

03 August at 10:07 · · · Flag
    • Swarupmay Majumdar a cat is a complete non veg animal! he needs 40+ different nutrients compared dogs 20+ nutrients. So the list f nutrients to add is huge! Just add Some Aminoacid-Multivitain-fattyacid suppllements
      03 August at 10:26 · · 1 person
    • Sp Singh difficult question---- the cat will not live healthy for long.tell the owner to keep a goat as a pet ---lol
      03 August at 10:56 · · 1 person
    • Swarupmay Majumdar hahaha.....hope the cat owner never reads this!
      03 August at 10:59 ·
    • Premal Darji
      ha ha ha..that was a nice one...

      but many jain families who hav cats..really bad health..most of thm..excpt for 1s whch go out and satisfy thmselves with meat/fish meals..so was thinking if v cud add sumting tht can help this poor pets to survive and stay healthy..like taurine is one in my list..what else..can i add in thr..
      03 August at 11:02 ·
    • Premal Darji not ready to give pet foods..sum r on veg pedigree..i knw u dont beliv it..but u can imagine what health thy will b in..really feeling sorry for the cats..
      03 August at 11:04 ·
    • Swarupmay Majumdar no dog food should be given to cats! still better to give tham home made food than giving a dog food exclusively tailored for dogs
      03 August at 11:15 ·
    • Gautam Unny a rat a day could keep the vet away. cats in veg families often get their nutrients by hunting rats.
      03 August at 15:10 ·
    • Premal Darji
      ya...sum hc access to outside world..so thy do that..not a problm for thm...but what about cats indoors..thy keep getting sumthing or he other ..i m sure if i change the diet it wud change..but owners wont do it..so if i can add sumthing in thr diet..like multivitamins+ essential AA,+ nething that is required the most..except rat...thy will do that 4 sure evn if it means spending more on ths nutients thn a cat fud..evn i m against veg fud for cat..but for now..its not 1-2 cats i m talking about..thr r many whch r kept on veg fud here in subarbs in mumbai..
      common problms like loosemotions and stuff kip occuring..
      03 August at 15:21 ·
    • Gautam Unny then the provical syrup has lots of taurine etc and must be good for the cats
      03 August at 15:23 ·
    • Premal Darji r u sure provical has it..provical or proviboost..
      03 August at 15:25 ·
    • Gautam Unny must be provi boost and im quite sure
      03 August at 15:26 ·
    • Premal Darji ok..
      03 August at 15:26 ·
    • Sp Singh tell the vegetarian families that doctors are using propofol in humans babies and dogs too ---- which contain lacithin !!!!!!!!
      03 August at 23:01 ·
    • Premal Darji thr r hundreds of such things i can tell thm regarding things used by thm daily..but u knw thy wont understand..
      03 August at 23:05 ·
    • Charlotte Milazzo Oh my.... can you gently lecture them about species variations between felids and humans? Geez!!!!! I think that borders on abuse..... hopefully the cat gets outside to hunt! Poor cat!
      06 August at 21:31 ·
    • Charlotte Milazzo I once saw a lion/tiger cross forced to be a vegetarian... almost every bone in the body had a fracture.... it died in the exam room.
      06 August at 21:32 ·

Posted by at No comments:

Corneal injury

Swarupmay Majumdar A pug, 4 months female, wt 7kg, history of being unable to open his eyes for last 2 days.
PE: All parametrs normal. Eye exam: Cornea injured by blunt injury. ulceration and opacity to some extent. No FB noticed.
How do I treat it?
I have put it on Oral Amoxyclav, Prednisolone 1% eye bid, tear natural Bid , and Ciprofloxacin eye 5 times. any suggestions? Can I use Placentrix? if so how do I use it?

02 August at 14:00 · · · Flag
    • Gagan Gaudi u r saying corneal ulceration and still using prednisolone. stop prednisolone immediately if there is ulceration.
      02 August at 14:04 · ·
    • Swarupmay Majumdar ok. but how do I manage this case? can u suggest me plz
      02 August at 14:07 · ·
    • Gagan Gaudi go for ofloxacin eyedrops every 2 hrs. if there is pain go for diclofenac eye drops otherwise ofloxacin will take care in a day or two but stop steroids immediately it will worsen the case
      02 August at 14:08 · ·
    • Swarupmay Majumdar ok, thanks
      02 August at 14:09 · ·
    • Gagan Gaudi have to continue ofloxacin for a long period of a month or so
      02 August at 14:14 · ·
    • Rajshankar Tony Sarma
      Antibiotic drop, topical NSAID as Gagan says and tear replacement as necessary. Next question is "why did this happen"? Pugs are prone to a number of keratitis types - exposure, distichiasis, eyelid conformation problems leading to hair hitting eyes, etc. etc.

      Personally I use BID-TID fucithalmic and whichever topical NSAID is on the shelf. Not convinced about fluoroquinolones for basic conjunctivitis.
      02 August at 14:35 · · 1 person ·
    • Gautam Unny
      i dont like using predinisolone in cases of corneal injury. i avoid it like the plague. also my drug of choice in any eye case is doxycycline @ 10mg/kg.
      yes subconjunctivalplacentrix or even a drop of animals own serum injected sub cut below the eyes has terrific results.

      and never forget to tape the inner dewclaws and use a e collar.
      02 August at 15:41 · · 2 people ·
    • Rajshankar Tony Sarma Not tried placentrix, but serum works very well. Don't normally use it routinely, personally, but definitely an idea for difficult ulcers.
      02 August at 15:44 · ·
    • Amber Mishra please post the pic at Savin Doc...
      02 August at 17:27 · ·
    • Swarupmay Majumdar No Pic doc! I dont have camera at clinic!
      02 August at 17:28 · ·
    • Ankur Sharma
      We had a similar corneal injury case in a adult pug, resulting into ulceration, used gatifloxcin eye drops qid and ciplox ointment at night for about a 20 days+ Tab augmentin bid for 7 days... it has healed properly..

      Corticosteroids are contra-indicated in corneal ulcers, kindly dont use them
      02 August at 17:28 · · 1 person ·
    • Premal Darji serum is given subcut below eye or subconguntival...
      02 August at 18:20 · ·
    • Sajayan Sahadevan I suggest u give Augmentin bid for 5 or 7 days and Steroid in tapering dose(only parenterally since it has corneal ulcer) and multivitamin tab(should contain vit.A and vit C).In my opinion and exper, only corticosteroid eye drops should be avoided n corneal ulcer .I also suggest saline eye drops.Kindly inform the progress of the case and the treatment u choose ultimately.
      03 August at 05:36 · · 3 people ·
    • Peter Nolosco
      From your narration I could conclude this could be a case of superficial ulcer and pugs are more prone to Exposure keratitis due to its anatomical predisposition.
      I suggest to anaesthetise the animal and cauterize the ulcer edges with diluted povidone iodine using cotton tipped applicator then put temporary tarrsoraphy with slightly opened medial canthus for installing eyed drops.
      -Antiobiotic drops preferably neomycin - polymyxin - bactracin drops (broad spectrum very effective)
      -1% Atropine eye drops
      - Autogenous serum
      and the above can be installed in to the eye through the slight opening in the medial canthus after tarrsoraphy daily at 3 to 4 hr interval with atleast 10 minutes gap between each topical medication for 2 weeks.
      Tarrsoraphy has to be removed after two weeks to evaluate the condition.
      Oral vitamins will be additional supplement.
      Tarsoraphy is essential to avoid keratoconjunctivtis sicca.
      03 August at 10:21 · · 2 people ·
    • Rajshankar Tony Sarma
      Augmentin... This is an interesting one. Augmentin given PO systemically will reach the eyelids, but to achieve bactericidal concentration at the cornea (where the ulcer is) is unlikely unless there is significant neovascularisation - which itself we will want to remove eventually. Topicals are therefore more reliable.

      Saline is reasonable to moisten the eye, but is removed almost instantly - true tear replacements will last at least 2 hours and are therefore preferable if available.

      Furthermore, there is an ongoing concern with augmentin in referral institutes where TID intravenous augmentin is a regular approach. Augmentin is a time-dependent antibiotic, therefore its rate of bacterial kill is dependent on the time for which the antibiotic is above the minimum inhibitory concentration for the bacterium concerned. Should it fall below MIC regularly through therapy, then you are at increased risk of encouraging development of resistant isolates.

      As such, are there any studies to show how long augmentin is above MIC in the various tissues in the dog after a single injection? Answer is no. The TID dosing strategy is an extrapolation from human medicine.

      Furthermore, it has been shown that intra-operatively, a 20mg/kg IV bolus of augmentin has a half-life of 1hr in the dog. As such, it is repeated every 1-2 hours intraoperatively.

      Now, it strikes me that if it is needed every 120minutes intraoperatively, then to recommend giving it every 8 hours, we need to know what MIC we are trying to achieve with each dosing strategy, or have a study showing how long the levels persist for after IV injection. Neither are available for our patients.

      I therefore prefer PO dosing, or in well-hydrated patients, depo (q24hrs) dosing of a longer-acting formulation such as synulox - at least I know how long my antibacterial effect will last!
      03 August at 10:27 · ·
    • Rajshankar Tony Sarma
      Peter - do you routinely treat that aggressively at first consultation? It'll definitely work (and I agree on tarsorrhaphy in pugs!); I've usually played it more conservatively and gone for the approach you describe if no improvement is seen after 5-10d.

      I guess the argument is that in a pug, more persistent problems are possible therefore more aggressive management can be considered?
      03 August at 10:31 · ·
    • Swarupmay Majumdar Synulox is no more avl in india. Agumentin inj is no way near Synulox.
      But leave aside pugs, how do we really handle Corneal ulcerations or injuries?
      03 August at 10:42 · ·
    • Sp Singh
      Why leave pugs --- let the discussion continue doc.
      I use tobramycin q3h (for me frequency of installing eyedrops matters a lot)and saline wash.serum is a good option for chronic ulcers ---no matter what you do it take long time for the ulcers to heal so do not get shaken by the owners impatience and start an aggresive treatment for early results.
      03 August at 11:08 · · 1 person ·
    • Rajshankar Tony Sarma
      ‎^I think the key there is "chronic ulcers". I'd always be aggressive and do a keratotomy / serum for a long-standing ulcer; in most breeds, an acute ulcer can be managed with analgesia / antibiotic topicals alone over 7 days.

      Deep/melting ulcers and chronic ones are a different matter; in a pug, the exposure factor also means healing may be slovenly as for "indolent" ulcers in boxers etc. Thinking about it, for acute superficial ulcers, I usually warn the owner of the possible problems in healing, but start with topicals only over a week; if no improvement is seen, I'll GA and debride, serum etc.

      We have an ophthalmologist, so see a lot go to surgery as referrals; however checking through the first-opinion practice records, only 5 have gone through to anaesthesia in the last year - and we get at least 3 acute corneal ulcers per month. Speaking to ophthalmology and first opinion, consensus is that treating with topicals and analgesing alone is a reasonable first step as long as there are no underlying problems.

      This brings us back to the pug example. On that, the jury is out - suggestion is that it can be managed either way as long as the owners know that with ga/serum etc, it may be overkill; or with basic management it may not heal.
      03 August at 13:07 · ·
    • Swarupmay Majumdar This is not so bad case, I think this was not requiring the operation. but should have not used th predni!
      I will be able to tell about him in 2 days
      03 August at 13:13 · ·
    • Rajshankar Tony Sarma I should add that the ophthalmologist's view is that most pugs could do with some eyelid surgery!
      03 August at 13:58 · ·
    • Gautam Unny the best way is to do a tarsoraphy very early in mild cases but rarely do clients ever agree. in worse cases i prefer making corneal flaps with tarsoraphhy but there again somehow clients are afraid when it comes to eye surgery
      03 August at 15:17 · ·
    • Swarupmay Majumdar Update: Just seen the pup! Wonderful, he is fine, condition improved by 80%. We stopped the Pednisolone as advised and now continuing with Tear natural and ciproflozacin eye drops. will update u agin on Satday
      04 August at 16:07 · · 2 people ·
Posted by at No comments:
Subscribe to: Posts (Atom)