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ANNUAL EXAMS

It's a new year...time to get in shape and keep in shape! Please take the time to be sure your canine companions are in peak health too.

We all know that preventing disease or catching it in its early stages is far better than treating it once it has had time to progress to a more severe stage. Preventive health care on a regular basis will help you do just that, and save you and your pet from needless suffering and a larger financial burden. These are some preventive measures you can take to keep your pet healthy.

Just as annual physical exams are recommended for humans, they are recommended for our pets as well. If your pet is older or has medical problems, he may need even more frequent examinations. A year is a long time in a dog or catís life. Assuming our pets will live to their early teens, receiving a yearly exam means they will only have about thirteen exams in a lifetime. Thatís not very many when you think about it.

During your petís annual physical exam you should review these aspects of your petís health with your veterinarian:
  • Vaccination status
  • Parasite control for intestinal parasites, fleas, ticks, mites and heartworms
  • Dental health - care you give at home; any mouth odors, pain, or other signs of disease you may have observed
  • Nutrition - including what your pet eats, how often, what supplements and treats are given, and changes in water consumption, weight or appetite
  • Exercise - how much exercise your pet receives including how often and what kind; and any changes in your petís ability to exercise
  • Ears and Eyes - any discharge, redness or itching
  • Stomach and intestines - any vomiting, diarrhea, constipation, gas, belching, or abnormal stools
  • Breathing - any coughing, shortness of breath, sneezing or nasal discharge
  • Behavior - any behavior problems such as barking, "accidents" or changes in temperament
  • Feet and legs - any limping, weakness, toenail problems
  • Coat and skin - any hair loss, pigment changes, lumps, itchy spots, shedding, mats, or anal sac problems
  • Urogenital - any discharges, heats, changes in mammary glands, urination difficulties or changes, neutering if it has not already been performed
  • Blood tests - especially for geriatric pets, those with medical problems, and those who are receiving medications

Vaccinations... how often?

You may have heard about the current controversies regarding vaccinating cats and dogs. Some researchers believe we do not need to vaccinate annually for most diseases. But, how often we should vaccinate for each specific disease in adult animals has not yet been determined. We do not know how long the protection from a vaccine lasts. It may be 5 years for one disease and 3 years for another, and less than two years for another.

Almost all researchers agree that for puppies and kittens we need to continue to give at least three combination vaccinations and repeat these at one year of age. They also agree that rabies vaccinations must continue to be given according to local ordinances.

Against what diseases?

Experts generally agree that the core vaccines for dogs include distemper, canine adenovirus-2 (hepatitis and respiratory disease) and canine parvovirus-2. Some would say vaccines to protect against leptospirosis and coronavirus should also be considered "core" vaccines.

Noncore vaccines include canine parainfluenza and Bordatella bronchiseptica (both are causes of kennel cough), Borrelia burgdorferi (causes Lyme Disease), and for some veterinarians, coronavirus and Leptospira. Again, consult with your veterinarian to select the proper vaccines for your dog or puppy.

Researchers at the Veterinary Schools at the University of Minnesota, Colorado State University and University of Wisconsin suggest alternating vaccinations in dogs from year to year. Instead of using combination vaccines (vaccines against more than one disease) they recommend using vaccines with only one component, e.g., a vaccine that only contains parvovirus. So, one year your dog would be vaccinated against distemper, the next year against canine adenovirus-2, and the third year against parvovirus. Then the cycle would repeat itself. Other researchers believe we may not have enough information to recommend only vaccinating every 3 years. As with cat vaccines, manufacturers of dog vaccines have not changed their labeling which recommends annual vaccinations. Again, each dog owner must make an informed choice of when to vaccinate, and with what. Consult with your veterinarian to help you make the decision.

Heartworm Testing

Dogs on monthly preventatives (e.g., Heartgard, Interceptor)

Because of the heartwormís life cycle, it is advised that for dogs on seasonal preventative, any testing should be performed no earlier than 6.5 months after the last monthly date the preventative was given. In areas with very short mosquito seasons, and for clients who carefully administer the monthly preventatives, testing at 2-3 year intervals is sufficient. It is recommended, however, that a test be performed after the first year the dog has been on the preventative.

For a dog that receives a monthly heartworm preventative year round, the American Heartworm Society suggests that the interval between tests could be longer that one year. This is only if there were no missed or late doses of preventative. If a dose was missed or late, the dog should be tested on an annual basis. It is also recommended that a test be performed after the first year the dog has been on the preventative.

Dogs on daily preventatives (e.g., Filarabits)

The active ingredient in most daily preventatives is diethylcarbamazine. Severe reactions can occur if diethylcarbamazine is given to a dog with adult heartworms. Because of this, dogs receiving daily preventatives on a seasonal basis must be tested before the preventative is resumed in the spring or summer. Dogs receiving daily preventative all year round must be tested annually.

Control of Intestinal Parasites

As with vaccinations and heartworm testing, you will find different opinions on when/if fecal examinations should be performed and when/if pets should receive regular wormings. Decisions on testing and worming should be based on circumstances such as:

  • the age of your pet
  • the likelihood your pet is exposed to feces from other animals,
  • whether your pet is on a heartworm preventative that also controls intestinal parasites,
  • if your pet has been previously infected,
  • if you plan to breed your female pet, and
  • if there are children who play with the pet.

The American Association of Veterinary Parasitologists and the Centers for Disease Control and Prevention have made the following recommendations for deworming dogs and cats:

Puppies and Kittens

  • Every 2 weeks until 3 months of age
  • Once a month from 3 to 6 months of age
  • After 6 months follow adult recommendations Adult Dogs and Cats
  • Treat regularly (example: four times a year), considering potential exposure to parasites and prepatent periods (time from when parasite enters the body to the appearance of eggs in the stool)
  • Keep informed regarding the type and prevalence of the parasites in your area Newly Acquired Animals
  • Immediately, then repeat after 2 weeks following the guidelines above

    Roundworms and hookworms of cats and dogs can cause serious disease in people, especially children who may not have good hygiene habits. Treating your pet for worms is important for your petís health as well as yours.

    Many veterinarians would agree that at a minimum, animals should have an annual fecal examination performed. Fecal examinations are advantageous. By having a fecal examination performed, you will know if your pet has intestinal parasites. If she does, you may need to change her environment and access to other animals. You will also know what type of parasites she has so the proper medication will be selected to kill all of them.

    Geriatric or "Senior" Screening

    Many veterinarians are starting to recommend screening tests for our older pets. Just as we have our cholesterol and blood pressure checked more often as we grow older, it is suggested our older pets need some routine checks too. Diabetes, kidney disease and some hormonal diseases occur much more frequently in older animals. To test for these conditions and identify them before severe and/or irreversible damage is done, blood tests and sometimes radiographs are helpful. An abnormal result means we can diagnose and treat the condition early. Normal results are helpful in giving us a baseline with which we can compare future results.

    Many of our older animals are also on medications and may require tests to evaluate the medication level and/or potential harmful effects on various organs.

    Oral health is also extremely important in our older pets, so they may require more frequent dental check-ups.

    If you have an older pet, discuss these options with your veterinarian.

    In summary, annual exams along with recommended blood screening in older animals, vaccinations, heartworm testing and parasite control will help your pet live a happier and longer life.

  • 1/08/01