Tag Archives: Heartgard

Why does Ocean County Veterinary Hospital always ask me to bring a stool sample??? ( Dr. Lorri Mitchell )

 Well, we may be squeamish discussing your pet’s bowel movements but it is a very important part of keeping them healthy and keeping the people they live with healthy too. Not all pets carrying parasites appear sick. They may have perfectly normal bowel movements and yet they can be harboring parasites that will continue to reproduce and eventually affect them by causing gastrointestinal signs such as vomiting, diarrhea, weight loss and / or poor hair coats. The parasites can cause inflammation or blood loss and use the nutrients your pet would normally benefit from for themselves. Some of the common parasites pets carry are zoonotic, meaning they can be spread to the people they live with.

 

What can be in the poop? The common parasites OCVH veterinarians look for are:

-Roundworms

-Hookworms

-Whipworms

-Tapeworms

-Giardia (a single-celled organism, not a worm)

-Coccidia (a single-celled organism, not a worm)

 

But, if you don’t see any worms his stool is fine, right? Wrong. Most parasites are diagnosed by finding their eggs in the stool sample after it has been mixed with a special liquid, spun down in a centrifuge and then examined under a microscope. (Illustrated left to right are Hookworm, Whipworm and Roundworm eggs.)

 

Occasionally, a worm load will be high enough that a puppy or kitten may actually vomit some worms up and then it is easy to see them at home. Or, in the case of the Tapeworm, segments of the worm may look like grains of rice stuck near the rectum/tail or where the animal has been resting. Sometimes these segments may appear like wiggling maggots on a freshly deposited bowel movement.

Roundworms!

How do pets get parasites? Most of them can be caught by ingesting infected feces from another animal or being in contact with contaminated water, grass and soil that contain parasite eggs or larvae. Hookworms and Roundworms can also be transmitted from nursing dog or cat moms to their babies. Hunting and eating prey can also spread parasites from wild animals to our pets.

 Some pets have higher risks than others, but even pampered pets can come in contact with parasites at the dog park, in the backyard or meeting someone on a walk and doing the usual dog greeting of examining each other’s hind ends! Special mention here to the Tapeworm which is unique. It is not spread by the above methods, but rather when your pet ingests an infected flea while grooming itself.

What should I do so this doesn’t happen in my house? Puppies and kittens should be dewormed for Hookworms and Roundworms starting at 2 weeks of age and then every 2 weeks until they reach an age to start monthly preventatives.

 

 

 

 

 

At least once a year bring a fresh stool sample to the office so it can be tested for the parasites above. The Companion Animal Parasite Council recommends stool testing 1-2 times a year for adult pets and 2-4 times for pets less than a year old. Use monthly dewormers. These are included in the monthly Heartworm pill your pet takes. Heartgard Plus prevents Roundworms and Hookworms. Trifexis Heartworm and Fleas medication treats those same worms and also prevents Whipworms. Revolution is a topical once a month Heartworm medication that will also prevent Roundworms and Hookworms too (both dogs and cats). Use monthly flea prevention (Vectra, Frontline, Trifexis, Comfortis, Revolution) to avoid Tapeworms. Regularly and frequently  clean up of feces in the litterbox or backyard. Don’t let dogs drink from standing water sources or eat grass during walks.

How do I protect the people in my house? What can I catch? Following the recommendations above is a big step towards reducing the parasite exposure of your pet and your home. Normal hygiene, like handwashing and not allowing pets to lick our mouth area or share food items, is also very helpful. Who is at the greatest risk for getting parasites? The little people in the house. The ones who don’t wash their hands unless told and who frequently put fingers in their mouths. The ones who may walk barefoot in the backyard. (Hookworms can crawl through our skin when they are in larval or baby worm stage.) Another risk factor for children are uncovered sandboxes that outdoor cats may use as a litterbox.

 

 

 

 

 

 

The parasites that are zoonotic are Hookworms, Roundworms and some Giardia. Signs can be hard to recognize until late in the game and by then can cause severe health problems.

Roundworm larva in eye

Hookworm migration through skin

 

 

 

 

 

Your biggest defenses against these parasites is making sure your pet takes monthly preventatives, has regular stool sample checks and by keeping your environment clear of feces and sandboxes in your yard covered. For more information go to CAPCVET.ORG or ask one of our doctors.

Lorri Mitchell DVM

Keep your Feline on the Mainline to Health! (by Dr. Iaquinto)

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As humans, it is recommended to see your family physician once a year for your annual check up. Now imagine only seeing your doctor every 4-7 years! Do you think some medical problems would have easily been prevented or managed better with more frequent visits? That’s the concern with our feline family members. Since cats age more rapidly than people and are very good at hiding ailments, it is recommended they have twice yearly visits.

 

Twice yearly visits to OCVH, FVH or NPVH allow our veterinarians to examine your cat’s mouth and thoroughly examine her teeth. By three years old, 85% of cats have some form of dental disease. We can give you a detailed assessment of her dental health and give you recommendations on how to maintain it. We will listen to her heart and lungs. We will identify any murmurs (abnormal blood flow) or arrhythmias (abnormal heart rhythms). This is very important as cats may not show any signs of heart disease until it is very advanced and then are at risk of sudden death. We will palpate her abdomen to assess organ size and any pain.  Lower urinary tract (bladder) disease is more prevalent in cats age 1 through 10, whereas upper urinary tract (kidney) disease is more prevalent in cats over 8 years old. We will check her weight and address any signs of obesity or weight loss. Overweight cats are more prone to diseases such as arthritis, diabetes mellitus, heart disease, constipation, and more. Weight loss may indicate metabolic disease, over active thyroid disease, or cancer. We will also assess her body condition, skin, coat, eyes, ears, lungs and neurologic health. Surprisingly 90% of cats over age 12 have some degree of arthritis! Most owners simply chalk it up to “slowing down” or “getting older” when actually these cats are experiencing pain. Many conditions are treatable with timely diagnosis and medical management.

During the physical examination the doctor will make recommendations for vaccines based on your cat’s lifestyle. The doctor may make recommendations for blood tests in senior cats or those that show changes from their previous visit. These tests allow us to address problems before they become too advanced or reduce your cat’s quality of life.  It gives us a chance to be proactive in preventing the complications frequently associated with medical problems. By investing twice yearly in exams, you may dramatically extend your cat’s lifespan and comfort.

Twice yearly visits also provide you with the opportunity to discuss any concerns you have with the doctor. It gives you a chance to share information with us as it pertains to your cat’s health and behavior. We value your insight! You are our eyes and ears in the home setting. By incorporating your observations with our medical findings and expertise we can help your cat live a longer and healthier life.

 

Erika Iaquinto DVM

 

 

The Facts About Heartworm (Dr. Zach Weiner)

It is that time of year again folks.  The sun is making itself known, the flowers are coming into bloom, and the birds are starting to sing.   Yes, spring is every so slowly returning to our neck of the woods.   For many of us this is a time of renewal.  It is a time to make a fresh start and enjoy the outdoors again.

I always look forward to getting outside and enjoying Mother Nature more, as the days get longer and the air gets warmer.  The outdoors man in me loves the thought of hiking at our many parks, fishing by the sea or at a pond, or just lying in a hammock out back and listening to the neighborhood song birds.  So don’t worry readers, I am sure to be out there with you all spring, enjoying the beauty that this great state offers.

Right beside me will be my faithful companion, Frisby.  My dear dog loves to sun herself outside and, even at her advanced age, enjoys the occasional jaunt to the beach or through the woods.  Since she is my best friend, I have made a commitment to keep her as safe as possible.  I know that I have to protect her from the dangers outside while allowing her to enjoy herself.  Yes, the dangers! While dogs in New Jersey are at risk of contracting Heartworm disease all year round, the warmer, wetter weather brings even more mosquitoes which increases the risk of infection.  Therefore, proper protection is even more important this time of year.  Hence, we come to the topic of today’s discussion, Heartworm disease.

I find the best way to discuss this issue is to address questions my clients have posed to me in the past.  As such, this blog will be structured in a question and answer format.

What are Heartworms and how do dogs get them?  Can other animals or people get them?

A Heartworm is a tiny worm that spends most of it lifecycle in dogs’ blood vessels and heart.  These parasites are different than intestinal worms and are spread by contact with mosquitoes.  Dogs can not directly infect you or pass these to other animals.  However, a mosquito that fed on an infected dog can spread the disease to another unprotected dog or cat. By being consistent with your Heartworm preventative (Trifexis, Revolution, Heartgard Plus, etc.) will protect your pet and will actually protect many surrounding dogs by minimizing the parasite’s ability to spread.   A good flea and tick control product with repellent activity, such as Vectra 3D, can help to add extra protection to your pet.  Dogs are the intended hosts for Heartworms but other animals, and rarely even people, have been known to contract Heartworms. So your kitty is not safe without protection either.  In dogs, the worms can cause asthma like reactions, heart disease, embolus of the lungs and even congestive heart failure.  Left untreated, Heartworms are fatal to most infested dogs.  Typically, Heartworms cause asthma like symptoms in cats and people.  Amazingly, there are still many dogs in this area that are not on year round Heartworm prevention. This unprotected population keeps the disease a constant threat to all dogs and cats that may miss a dose or two of their medicine.

 

How do you test for this disease?

The easiest method for determining whether your pet has contracted Heartworm disease is to perform a blood test.  In dogs, we recommend a test called “Accuplex,” It shows if your dog has been exposed to Heartworms and has produced antibodies against them.  It also tests to see if he or she has been exposed to several tick-borne diseases.  This is an important and necessary screening procedure to assure that the medication is continuing to keep your pet safe from the diseases that are prevalent in our area.  In short, it is an essential part of your pet’s preventative care regimen.  We recommend that your dog be routinely tested at his or her yearly physical exam or if there has been a lapse in treatment.

If your pet is showing signs that alert your veterinarian to the possibility that he or she may have contracted Heartworm disease, he or she may recommend some more specific tests in addition to the Accuplex to confirm the presence of the parasite and the extent of the damage that is causing (including directly looking for the worms in blood smears and chest x-rays).

Isn’t there a treatment for this disease?

If caught early enough there are treatment options to address Heartworm disease.  However, the treatment course is neither without risk nor inexpensive.  Additionally, there is frequently no way to reverse damage that has already occurred to the heart and lungs.  The treatment includes injections with a medication that is currently in short supply due to rarity of manufacturers.  The delicate location of these parasites additionally requires post-treatment precautions, including at several MONTHS of strict cage rest.  If these precautions are not followed, life threatening clots can seed the lungs, further complicating an already damaged essential organ.  This is why we strongly recommend prevention with a safe and easy monthly chew treat or pill. By regularly using preventative you will never know how many times it has protected your furry friend.  As my mother used to say “I’ve never been hit by a car, but that doesn’t mean I don’t look both ways before I cross the street.”  Prevention is always better than having to put your pal through the effects of the disease and the treatment.

So what can I do about this problem?

The best news about all of this is that prevention of Heartworm is very easy.  Your pet does not need advanced treatments or even messy baths or dips.  He or she does not need to take a daily pill to keep these worms at bay.  All that is needed is medicine given once-a-month which is safer for them than taking an aspirin is for you and me.   The preventative is not toxic to warm-blooded animals and does not have bad side effects. Currently, there are several products available which are both safe and effective in preventing the Heartworms from infesting your furry friend.  For dogs, we now recommend a product called “Trifexis” due to the fact that it prevents not only Heartworm, but also fleas and intestinal parasites.  For cats, “Revolution” is our product of choice. We also dispense Heartgard Plus for prevention of Heartworms in dogs and cats. Remember, the best way to treat Heartworm disease is to never get it.  Regular use of a veterinary approved preventative is the best way to achieve this.

I’m not sure I can afford preventative.

Ok, so this is not a question, but something that comes up in these difficult times.  I would argue that you cannot afford NOT to use preventatives.  At our hospitals, we try to make Heartworm prevention as affordable as possible. When used correctly it is guaranteed to prevent infestation.  However, if not used and you pet contracts Heartworm disease, the cost of treatment, the emotional toll and the risk to your dog would pay for several lifetimes of prevention.  When you add in the fact that the major Heartworm preventatives also eliminate intestinal parasites that can spread to people, you are getting a great deal of value in a small package.  Certainly, your pooch or kitty will appreciate the safety to run outside free of risk over a new collar, toy or bed.  For that much cost you can truly show your pet how much you love him or her.

Ok, now go enjoy the good weather.  If you’d like to review more information please review the American Heartworm society’s website

http://www.heartwormsociety.org/pet-owner-resources/faqs.html

Zachary Weiner DVM