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August 24, 2009

Notes from Cat Camp: Part Two

Filed under: General,medical,nutrition — catdocto @ 3:27 pm

Notes from “Cat Camp”: Part Two

One very hot topic at the Cornell Feline Health Center Conference this summer was feline obesity and how to deal with it.  This is a topic we discuss daily here at The Cat Doctor, and one with which most of our clients will be familiar.  At least 25% of the cats in the United States are obese, and 35-40% are thought to be overweight.

According to Dr. Jacquie Rand, a feline diabetes expert who visited us from the University of Queensland in Australia, the increasing incidence of obesity in cats results from a number of factors.  Obviously, pet cats who are fed by their owners do not need to work for food, so many pet cats are less active than their wild counterparts.  The constant quest by the pet food industry to make delicious food that cats will love also plays a role.  As most of us can attest, we are more likely to overeat when the food tastes good than when it is just so-so.  Neutering cats also reduces their metabolic rate and can lead to weight gain.  Neutering has many positive benefits, but as pet owners we just have to realize that calorie control is simply more important after the cat has had surgery.

Dr. Rand pointed out that it takes just 10 extra kilocalories per day for a cat to gain about 1 pound per year.  This is roughly equivalent to 10 kibbles of dry food–not much at all!  In some ways, this is discouraging, because it seems like it must then be difficult to keep a cat from gaining weight. However, it also means that your cat does not necessarily need to go on a drastic diet to maintain or get back to a healthy weight.

Dr. Rand pointed to research that shows that even 10 minutes of physical activity a day for a cat can produce the same amount of weight loss as calorie restriction.  Even though it can be hard to get your cat to play for more than a minute or two at a time, this research shows that every little bit counts!  Try to get your cat to play, or even lure him up and down the stairs a few times with toys or a treat, just to get him moving.

Dr. Rand believes, as we do, that weight loss is more successful in cats eating a high-protein, low-carbohydrate diet, such as that found in canned foods.  Another speaker at the conference, Dr. Joe Wakshlag, a board-certified veterinary nutritionist, also spoke on the value of high protein diets in cats.

For some cats with stubborn weight problems that do not respond to calorie restriction and increased appetite, L-carnitine, an amino acid, can help to increase the fat-burning capacity of the body and has been proven to enhance weight loss in clinical trials.  It is important to point out that Slentrol, a weight-loss drug marketed for dogs, is NOT safe in cats and leads to fatal liver complications.

One of Dr. Rand’s final points is that it’s important to weigh your cat frequently when he’s on a diet so that you can see if you are making any progress.  Even a small amount of progress is important and can encourage you to stick with the program.  Here at the office, you are welcome to make an appointment with the technician staff to bring your cat in for a free weigh-in on our scales.  That way, they can record your cat’s weight, let you know how the diet is going, and we can make changes if you are not having success.

It’s important not to make any drastic changes in your cat’s diet without consulting the vet.  Please make an appointment to discuss nutrition or be sure to bring it up at the annual checkup if you have any questions!

August 10, 2009

Cat Camp ’09

Filed under: General,medical,office — catdocto @ 2:09 pm

Notes from “Cat Camp”:  Part One

Between July 24th and 26th, all three of The Cat Doctor’s veterinarians went to the Cornell Feline Health Center’s Annual Feline Symposium, aka “Cat Camp.”  We try to make this excellent conference an annual event for at least some, if not all, of us.  There are always great lectures by the top specialists in feline care, plus there are feline-oriented veterinarians to meet from all over the US and Canada.

This year was one of the best meetings so far!  Over the next few weeks, I’d like to try to pass along some very interesting and important information that came up over the course of the weekend.

The first speaker of the weekend was Dr. Mike Lappin, an internal medicine and infectious disease specialist from Colorado State University.  He does an amazing amount of research on a wide variety of infectious diseases in cats, and one of his areas of focus is zoonotic diseases.  Zoonotic diseases are infections that can infect both animals and humans.  These diseases are always a concern, but are of increased concern in people with suppressed immune systems.  With the rise of HIV and AIDs in the past thirty years, and the increasing number of people who are successfully treated for cancer but are on drugs that suppress their immune systems, these diseases are receiving more attention.  Also, seniors, pregnant women, and children are considered to be immunosuppressed, and the senior population is on the rise all around the world.

The most important information we discussed is that even people with severely suppressed immune systems can have pets!  Even though many misinformed physicians still recommend that AIDs patients and pregnant women give up their pets, the Centers for Disease Control (CDC) recommends keeping your pets with appropriate precautions.

As long as pets are mature, indoors, and healthy, they present a very small risk of infection to people.  Indoor pets are less likely to pick up blood-borne infections from biting insects and are also less likely to contract gastrointestinal bacteria and parasites that could be passed on to people.  Mature pets are less likely to inadvertantly or playfully scratch or bite.  As long as your cat is not showing signs of illness and is not having vomiting or diarrhea, the risk of infection is small.  Washing your hands after petting your cat or scooping the litterbox is always a good idea and can make your risk even smaller.

It’s always important to bring your cat to the vet if he or she is sick, but especially important if your immune system is not strong.  We can test for and treat any contagious infections to minimize your risk, and recommend any parasite preventatives that might be necessary to reduce any risks in the future.  Indoor pets may still require flea preventatives and regular testing or deworming for intestinal parasites, despite their indoor lifestyle.  One tip we learned in Cat Camp is that intestinal worm eggs can be carried on the feet of houseflies and come indoors that way.  Yuck!

If you want more info on zoonotic diseases here is a great source:   http://www.cdc.gov/healthypets/

July 16, 2009

Cat Camp 2009 is coming!

Filed under: General,office — catdocto @ 1:01 pm

Cat Camp 2009 aka the 21st annual Fred Scott Feline Symposium, will be held this year from July 24-26.  All three of the doctors here at The Cat Doctor will be attending this year.  The Symposium, held at Cornell University, is three days of intensive study in a variety of feline topics.  This year the subjects being discussed are:  gastrointestinal diseases, modern diagnostic medicine, feline diabetes, feline obesity, feline vaccine controversies, infectious diseases, feline nutrition, feline kidney diseases, and feline anesthesiology.

Since  all three of our Doctors will be attending, the Nashua office will be closed on July 24 &25.  The Bedford office will remain open as a substitute Doctor will be covering for us.  We will post the highlights of the Symposium in future blog updates!

June 19, 2009

Ticks, Your Cat, and You

Filed under: General,medical — catdocto @ 8:18 am

Ticks, Your Cat, and You

Most of us welcome the coming of spring and summer, with the longer days, warm weather, and freedom from shoveling snow!  Unfortunately, the warmer weather also brings unwelcome blood-sucking pests such as fleas, ticks, and mosquitos.  The dangers of heartworm carried by mosquitos have already been addressed in an earlier entry.   Unlike mosquitos, which bite a host and then go away, ticks must attach to their host, sometimes for several days, to feed on their blood.

Ticks are arachnids that prefer to live in wooded areas and tall grass.  There are two main types of ticks that live in the Northeast.  The American dog tick, Dermacentor variabilis, is larger and the deer tick, Ixodes scapularis, is very small.  Ticks go through three life stages–the six-legged larval stage, then the eight-legged nymph and adult stages.  At each immature stage, the tick needs to find a host to feed on before it can progress to the next stage in the life cycle.  Once the tick reaches adulthood, it feeds and then mates.  Female ticks lay thousands of eggs, and the life cycle starts again.

Ticks are yucky and nobody likes the idea of an insect attached to their body or the body of their pet!  However, ticks are undesirable from a medical standpoint because they can carry a wide variety of diseases that are transmitted to the animals and people that they bite.  Deer ticks can carry Lyme disease, a bacterial disease that can cause joint swelling and pain, fever, and achiness.  In severe cases, it can affect the eyes, the nervous system, and various internal organs.  Dog ticks can carry various species of a bacterial parasite called Ehrlichia, as well as a closely related bacterial parasite called Anaplasma.  Bacteria in this family seek out various types of blood cells to colonize, and can cause fever, lethargy, and low red and white blood cell counts.  Ticks must be attached to a host animal for 24 hours before they can transmit Lyme disease, but some of the other tick-borne diseases can be passed on within 6-12 hours of attachment.

Dogs are very susceptible to Lyme disease and Ehrlichia infections, as are horses.  Luckily, most cats are resistant to infection and rarely get sick from tick-borne diseases.  Cats do occasionally get Lyme disease and Erhlichia, however, and these diseases should be considered in a sick cat who has access to the outdoors, especially if the cause of illness is not immediately obvious.  There is a very convenient blood test for sick animals that screens for the most common tick-borne diseases.

Our office cat in Nashua, Big Papi, contracted Lyme disease while he was a stray, and had terribly sore and swollen joints.  Treatment has improved his joints considerably, but because he was ill for so long before he came to us he has been left with permanent arthritis.

Despite the fact that cats rarely get tick-borne diseases, tick control is still very important for outdoor cats.  We want to prevent cats from getting life-threatening diseases, even if they are rare.  Tick control is also very important for protecting other people and pets in the cat’s household.  Ticks sometimes come into the house on a host animal, but then drop off and transfer to a human or other animal in the house.  Since people are very susceptible to Lyme disease, and also can get Ehrlichia infections and become very ill, it is important to prevent exposure to ticks via outdoor cats.

The most important thing you can do to prevent your cat or yourself from suffering from tick bites is to check your cat for ticks every time he comes in from outside.  This way you can remove any unattached ticks that could jump onto you as well as finding ticks before they have been attached for long enough to pass on an infection.  A tick control medication, called Frontline, is also generally safe and effective at killing ticks once they have attached to your cat.  Frontline should be applied every 3-4 weeks if you live in an area that has many ticks.

Frontline is available over the counter as well as in our office.  We also offer several other parasite preventatives, such as Advantage, Revolution, and Heartgard.  Please call if you have any questions about parasites and ways to prevent them.  Other medications that are available in pet stores and grocery stores are not as safe for your cat and can cause life-threatening side effects and reactions.  If you choose to buy medications somewhere other than our office, please do not purchase any product other than Frontline.

June 17, 2009

Tick Removal

Filed under: General,medical — catdocto @ 10:32 am

Learn The Proper Way to Remove a Tick

1.  Using tweezers, grasp the tick as close to where it is embedded in the skin as possible. Do not grasp the tick by the body.  Never use your fingers, as this can expose you to diseases the tick may be carrying.

2.  Pull slowly and steadily, directly out. Do not jerk, twist or wiggle the tick.  The steady pressure will make the tick release its hold and allow you to remove it intact.  Be patient if this takes a little time.

3.  Check to make sure all of the tick has been removed. Occasionally some of the tick’s mouth remains imbedded in the skin.  Be careful to remove any parts remaining.

4.  Once you have removed the tick, put it in alcohol to kill it. Ticks can survive being flushed down the toilet, as well as being thrown in the garbage.

5.  Disinfect the wound with soap or a disinfectant. Hydrogen peroxide applied to the area, left on for one minute, then blotted dry works well.  Remember to wash your own hands with soap and water.

June 15, 2009

Low or No-Carb Diets

Filed under: General,nutrition — catdocto @ 8:24 am

We are often asked what ” regular ” cat food can we feed our cats.  We would like people to choose a canned food that is low in carbs or contains no carbs.  Canned food should be a meat based product and contain no grains or cereals.  It should have a minimum of any starch product, but many that have ‘gravy’, do contain a small amount of starch like potato or tapioca.  Here is a list of ten flavors of Fancy Feast that are low or no carb, canned food:

Turkey & Giblets Feast

Flaked Fish & Shrimp Feast

Savory Salmon Feast

Ocean Whitefish & Tuna Feast

Tender Beef Feast

Tender Beef & Chicken Feast

Gourmet Seafood Feast

Gourmet Salmon & Shrimp Feast

Cod, Sole, & Shrimp Feast

Gourmet Chicken Feast

April 30, 2009

New Senior Cat Guidelines

Filed under: General,medical — catdocto @ 4:21 pm

American Association of Feline Practitioners Senior Care Guidelines

 

The American Association of Feline Practioners (AAFP), of which all of our doctors are proud members, recently released an update of their Senior Care Guidelines. The AAFP publishes guidelines on a number of issues regarding feline health, but these guidelines are especially relevant because so many of our patients are older cats. As veterinary care improves and more cats live indoor lifestyles, the proportion of senior cats is increasing. We find working with senior cats to be very rewarding, since we have the opportunity to improve their quality of life and their lifespan with some relatively simple changes.

 

The Senior Care Guidelines are directed at veterinarians, but are available for perusal by the general public, and can be found on the AAFP’s website at http://www.catvets.com/uploads/PDF/2009SeniorCGL_4-21.pdf. If you’d like to check them out, there are two very nice figures with a picture of a cat and a listing of common symptoms and diseases that can befall older cats.

 

The Guidelines cover a number of topics, but in general they emphasize early detection of disease so that it can be managed promptly, which in many cases delays severe disease signficantly. The most important part of early disease detection is twice-yearly exams for healthy senior cats. At these visits, we look for weight loss or changes on the physical exam, and we ask questions to help guide you in thinking about whether there are any changes in your cat’s behavior, eating and habits, litterbox usage, and mobility.

 

The Guidelines cover the management of common cat diseases such as weight loss and gain, high blood pressure, thyroid disorders, dental disease, and GI problems, but especially emphasize the most common condition in older cats, kidney disease. Arthritis is another point of emphasis, because it is a very common disorder that has the potential to decrease an older cat’s quality of life significantly, but is also very manageable in most cases.

 

If you check out the Guidelines and have any questions, feel free to contact us. If you are concerned about any suspicious symptoms in your older kitty, make an appointment for a senior exam today!

April 24, 2009

Pill Pockets

Filed under: General,nutrition — catdocto @ 8:51 am

Pill Pockets

 

Pill Pockets are a great product made by the same company who produces the wildly popular Greenies Dental Treats.  Pill Pockets are a soft treat with a central pocket.  You place a small pill in the pocket and mold the treat around the pill so that your cat can’t see it.  They are available in Chicken and Salmon flavors.

 

We were skeptical that this product would work at first, since cats are so finicky and are so good at sussing out pills hidden in food.  We quickly found out, though, that most cats are so wild for these treats that they don’t stop to think about whether there is anything hidden inside.  If your cat is the suspicious sort, we recommend giving one treat without any medication to get him interested.  Then give the medicated treat and follow up with another unmedicated one so that he doesn’t catch on to your trick.

 

If your cat is difficult to pill and refuses to take medication hidden or crushed in food, it’s worth giving Pill Pockets a try!  One caveat–Pill Pockets are not suitable for cats who are on a restricted diet because of food allergies or other gastrointestinal disorders.  For most conditions, though, they can be a life-saver if you have a cat who just refuses to take medication!

April 20, 2009

Hairballs

Filed under: General,medical,nutrition — catdocto @ 12:59 pm

Spring and Fall are Hairball Seasons!

 

As the weather gets warmer, your cat senses the onset of spring.  One way her body reacts to the warmer temperatures and longer daylengths is to shed her winter coat and grow her summer coat.  The same thing happens in the fall, as she sheds out her summer coat and prepares to grow her thick winter layer.  Although most cats shed year-round, shedding intensifies in spring and fall.  Aside from being a nuisance to owners, as they struggle to keep up with the dust bunnies and fur all over the furniture, hairballs can be a serious problem for cats.

 

Many cats vomit hairballs more frequently at this time of year.  This is unpleasant for the cat and some cats will have a decreased appetite for a few days because the hair is irritating the stomach, as well as taking up space that should be occupied by food.  It’s also irritating to owners, who have to clean up the mess when the hair makes its appearance on the floor.  Sometimes, however, a clump of hair passes out of the stomach and into the small intestines, where it can cause an intestinal obstruction.  In mild cases, the cat may go off its food for several days and vomit repeatedly, but the obstruction eventually makes its way through and out of the intestinal tract.  In severe cases, the obstruction cannot pass and the cat requires surgery to survive.

 

The best way to deal with hairballs is to prevent them.  If your cat eats some dry food, a hairball formula dry cat food may be helpful.  You can also “make your own” hairball food by adding one pinch of an unflavored fiber supplement, such as Benefiber or Metamucil, to your cat’s canned food twice a day.  The fiber helps to sweep the hair through the GI tract and prevents it from building up in the stomach.  Hairball remedy, such as Laxatone or Laxaire, is also a great way to both prevent and treat hairballs.

 

Hairball remedy is a flavored mixture of petroleum jelly and mineral oil, which forms an oily lubricant that helps hair pass through the digestive system.  Interestingly, some cats are willing to eat unflavored Vaseline or generic petroleum jelly, and this is an acceptable substitute.  We do not recommend giving mineral oil by itself, as it is easily inhaled by the cat as it is swallowed and can cause fatal lung toxicity.  

 

Hairball remedy is highly effective when given properly.  A proper dose for a cat is one fingerlength of the gooey substance given orally 2-3 times a week on an empty stomach.  We may advise you to give it daily for a short time if we are suspicious that your cat is suffering from a hairball problem.  If you have questions or need to purchase hairball remedy, come in to the office or give us a call!

April 17, 2009

BCCC Fundraiser

Filed under: General,office — catdocto @ 7:41 am

BCCC Press Release:

On Friday, May 15th,   the Billerica Cat Care Coalition proudly presents our “5th Annual Cat’s Meow Chocolate Tasting/Silent Auction” at the Indian Ridge Country Club in Andover, Ma. from 7 – 9:30 PM. This is an elegant event with fourteen chocolatiers, including Lindt, Godiva, ye Old Pepper Companie, and Whole Foods serving their chocolate specialties. Moon Glow, a live jazz duo, will entertain our attendees. At our information table we provide education to the community as to the many ways we help the cats and kittens. This is a major source of funding to assist with our veterinary medical bills. Tickets are $25 per person and may be purchased online via Paypal at www.billericacatcarecoalition.org, via mail at BCCC, PO Box 141, North Billerica, Ma. 01862 or at the following veterinary practices: The Cat Doctor in Bedford Ma., Andover Animal Hospital in Andover, Ma., and Middlesex County Animal Hospital in North Billerica, Ma.

 

Billerica Cat Care Coalition is a 501 (c)(3) all volunteer organization which  has implemented a Trap-Neuter-Release program for feral cats in Billerica and the surrounding communities. We provide feeding programs, educate the public about spay/neuter programs, and provide advice and assistance to residents dealing with homeless cat situations. We are dedicated to a No Kill philosophy.

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