Category Archives: Medicines & Treatments

Patient Spotlight – Odie’s Life Saving Surgery post Intussusception

Within days of Odie arriving to his new home, his owner knew something wasn’t right. Odie was very skinny compared to the other pups in his litter, he wasn’t passing solid stool and wasn’t bright and bouncy like a puppy his age should be.

Little Odie captured the hearts of our whole team, here is his story!

Odie was booked in to come and see Dr Lesa for a check up. On physical exam, Dr Lesa could feel that a section of his intestine was enlarged and very firm, which was a red flag that warranted further diagnostics. After being admitted into hospital Lesa took an x-ray of his abdomen which further substantiated her suspicions of intussusception.

Intussusception is a very dangerous condition that occurs when a portion of the intestine loops back into itself like a telescope does. This can cause extreme discomfort, gastrointestinal blockages and loss of blood supply to the affected intestine. This lack of blood supply can cause the portion of intestine to ‘die’ which then becomes a large risk for infection and sepsis, in an already unwell patient.

Intussusception can stem from anything that causes inflammation to the intestine, such as intestinal parasites (e.g. roundworms, hookworms & whipworms), ongoing diarrhoea, dietary indiscretion/changes, foreign bodies, tumors/masses and trauma such as being hit by a car. Unfortunately this means that this condition also carries a risk of recurrence after corrective surgery, even at the hands of the most skilled veterinarians.

X-ray and ultrasound can be useful tools to aid in diagnosis, but the most reliable way to confirm intussusception is via exploratory surgery. Surgical correction (surgically removing the affected portion of intestine) is required in almost all cases. Early detection and treatment is essential and once surgically corrected most animals experience a full recovery.

Odie post op, with a pain relief patch on his front right leg and IV fluids attached to his front left leg. Feeling very sleeping and sorry for himself.

Dr Lesa knew that Odie needed treatment right away, so emergency Saturday afternoon surgery it was for the poor little guy. Dr Lesa’s suspicions of intussusception were confirmed in surgery and she got right to work in resecting the affected intestine. Once stable post-op, Odie was transferred to CVES for ongoing monitoring and care over the weekend.

Odie returned to us on Monday morning and we were so happy to see him again. But even though he looked ever so slightly brighter than his previous visit, this little guy was not out of the woods yet. Unfortunately, Odie’s intussusception had reoccurred during his stay at CVES over the weekend. Dr Vickie performed an ultrasound on arrival and confirmed that this poor sick boy would require a second life saving surgery just days after his first. Thankfully, Odie’s second surgery went well and after days of hospitalization and supportive care, he was well enough to head back home to his owner who was eagerly awaiting his return!

Fast forward 2 months, Odie is now 5 months old, gaining weight and is happy and active just like a normal pup! On a recent visit for a weigh in, his lovely owner surprised us with a cake with a little Odie sculpture on top!

Odie, now over three times the weigh of first visit, having a cuddle with Nurse Mikaela who cared for him throughout both his surgeries.

Keeping Your Pet Safe This Christmas

Unfortunately, most veterinarians will tell you that Christmas is typically a very busy time of year at any emergency veterinary hospital. So with Christmas upon us again, here are some tips for keeping your pets safe (and out of your local emergency waiting room) as they join in the festivities.


Here are a few of the common Christmas hazards, posing a threat to your pets health:

Some human foods are just not meant for dogs:
Chocolate, plum pudding, Christmas cake, fruit platters and delicious roasts and stuffing. What could possibly be wrong with sharing that!

Unfortunately, these Christmas goodies can contain ingredients that are dangerous to dogs, including chocolate, sultanas, grapes, raisins, onions, garlic, macadamia nuts and cooked bones.

Signs will depend on the food that has been eaten and can be delayed. For example kidney damage from grapes and raisins may not become apparent until weeks down the track. If your dog has eaten something they shouldn’t have, please speak to a veterinarian immediately.


Alcohol
This is a no-brainer really but there is no safe amount of alcohol for your dog to have. If you suspect your pet has ingested any alcohol please contact your vet. Symptoms can range from vomiting, depression, difficulty walking, slow breathing, collapse and can even progress to coma and death in some extreme cases.

Overindulgence and Pancreatitis
Just a little bit of ham can’t hurt, right? Well, a little here and a little there adds up! Although it’s nice to give your pet a special treat occasionally, we must remember that a little to us can be a lot to them, and eating too much of something outside of their normal diet, especially if high in fat, is a very common cause of illness for them.

Overindulgence can cause stomach pain, vomiting, diarrhoea and pancreatitis (which often requires days of treatment in hospital, and can be fatal). It’s best to avoid the risk at all by asking all guests not to share human food with your pets, despite their best puppy dog eyes.

Don’t underestimate your clever scavenger pup, barbecues should not be left unattended and leftovers/scraps should be removed from the table as soon as the meal is finished.

Noise Anxiety
Parties, fireworks and summer storms make Christmas time hard for dogs who are prone to anxiety. Nobody knows your pet better than you do, always observe your mate closely and look for the subtle signs that they are worried, and take action. Pet’s who suffer from noise or storm anxiety will often become destructive and dig under or jump over fences in order to escape the perceived threat. Not only can this result in your dog becoming lost, they could also sustain injuries whilst escaping, or worse, be hit by a car.

Avoid the stressors where possible, and make sure they always have access to a quiet, safe retreat. Some pets will benefit from medication to help them cope through this period, more details here -> https://www.hallvet.com.au/2020/11/storm-phobia/


The Christmas Tree
Though seemingly harmless, the Christmas tree is the cause for a few common Christmas Emergency Vet visits, including:
• Tummy upsets after chewing pine needles or drinking stagnant Christmas tree water.
• Obstruction or injury to the bowel after tinsel, baubles, ornaments, wrappings or ribbons are eaten.
• Electrocution is a risk if your pooch starts chewing the Christmas tree lights.

Holiday Plants
Popular Christmas plants and flowers such as poinsettias, amaryllis, lilies, hibiscus, Christmas cactus, berries, mistletoe and holly leaves are all poisonous to your pets. Make sure they are out of their reach, as consumption could result in illness or even death.

Batteries & Toys
Swallowed batteries are very dangerous for dogs, causing a range of issues from burning their gut to a life-threatening obstruction or stomach rupture! Batteries are a common addition to Christmas gifts so please ensure they are kept well out of reach of your pooch.

Many toys contain small plastic, rubber or metal parts that, if eaten by a dog, can cause choking or dangerous gastrointestinal blockage requiring immediate surgery.

With a little careful planning, you can ensure your Christmas celebrations will be free of unnecessary trips to the vet. However, if you have concerns after hours during the festive season, please call either:

Canberra Veterinary Emergency Services in Gungahlin on: 6225 7257 or,
Animal Emergency Centre Canberra in Fyshwick on: 62806344.

We wish you and your furry family a safe and happy holidays!

Parvovirus in Canberra and surrounds

Recently there have been multiple cases of canine Parvovirus reported by veterinarians in Canberra and it’s surrounds. Parvovirus is a highly contagious and potentially fatal virus that causes extreme vomiting and diarrhoea leading to dehydration, lethargy, septicemia and even death in severe cases.


This virus can be spread directly through contact with an infected dog or through faeces or indirectly through items like water bowls, collars and leashes or the hands or clothing of people that have touched an infected dog. Parvovirus can also remain active in infected soil for years, i.e. at ovals or dog parks where an infected dog has been.
Dogs less than 1 year of age are most at risk however older un-vaccinated dogs can also contract the disease.
Most dogs will recover with aggressive supportive treatment if started early. The main focus of treatment is intravenous fluids to replace lost fluids and re-balance electrolytes, pain relief to ensure the patient remains comfortable and medication to control vomiting and nausea. Patients may require treatment in hospital for many days before recovering.


The good news is that Parvo is a preventable virus and is covered in your dog’s normal C3/C5 vaccination. We recommend that puppies have 3 vaccinations at 6-8 weeks, 10-12 weeks and 16 weeks of age. They also require a booster vaccination at around 15 months of age and then a booster every 3 years for life.
We’d like to take this opportunity to remind new puppy owners that your dog is not covered until 10 days after their second C3 vaccination and you should avoid taking your dog to public places like foot paths, dog parks and ovals until they have received all 3 vaccinations. If you are unsure of your puppy or adult dog’s vaccination status please give us a call on 6230 2223. If you notice decreased appetite, vomiting, diarrhoea or lethargy in your pet please call your vet ASAP.

Alfred ate WHAT!?

Alfred the 6 year old Standard Poodle visited us recently after he refused his breakfast and vomited multiple times at home.

Dr Emily performed a thorough physical exam, whilst palpating his abdomen there were no obvious masses found however Alfred did show signs of pain. We then ran some diagnostic blood tests to see if we could get an indicator of the cause of Alfred’s vomiting. When Alfred’s blood results came back relatively normal Dr Emily and Alfred’s owners decided to perform an abdominal x-ray to check for any gastrointestinal foreign bodies or masses.

As you can see in Alfred’s x-ray above there were 2 foreign bodies found in Alfred’s stomach and small intestine. The decision was made to surgically remove these as they seemed to be stuck in their tracks which was causing him to vomit.

Dr Lesa performed his surgery and removed both items which turned out be stones from the garden! Oh the things dog’s eat..

Thankfully Alfred is feeling much better now and is back to his bright, happy and hungry self!

‘Dementia’ and Age Related Changes

 

Behavioural problems in senior pets can result from medical issues like arthritic pain, loss of sight/hearing or diseases that affect the nervous system. They can also be attributed to age related deterioration of the brain known as Cognitive Dysfunction Syndrome.

In mild cases the pet may sleep more, become less responsive or show less social interaction with family and other pets. More severe signs might include repetitive behaviours such as pacing, new fears and anxieties, house soiling, waking at night, confusion and disorientation or loss of recognition of training cues.

The behaviour changes may be noticed following changes to the household or environment that the pet has difficulty adapting to. Early detection provides the best opportunity to help these pets and slow cognitive decline.

Prevention: What can you do?
  • For healthy senior pets, twice-yearly wellness examinations and laboratory screening tests provide an opportunity to identify emerging problems, sometimes before there are outward signs.
  • Report changes in your pet’s health and behaviour to the vet early.
  • If you foresee changes in your pets environment or schedule, try to make these gradual so you elderly pet has time to adapt.
  • Providing mental and physical enrichment helps to maintain a healthy brain and body. If your pet begins to slow down, find new games, new toys and new ways to play to stimulate the brain and keep the body active.
  • Play and exercise help most if continued throughout life and adjusted for age related physical limitations, for example supported swimming for arthritic dogs.
  • Leash walking exercises muscles and provides mental stimulation via smell and social interactions. Use a harness, sling or pram/stroller if they can’t manage walking. Take a ‘sniff stroll’ rather trying to cover ground. Trim nails and hair under their feet for a better grip.
  • Supervise play and pick mates matched by temperament, ability and size. Redirect the new puppy play if your old pet tires. Watching play may be enough.
  • Car trips are fun for some dogs. They enjoy the tactile sensations of the breeze, the smells and company. A ramp may be needed for access and comfy padding in the vehicle to cushion old joints. Take care in warm weather to prevent overheating.
  • Be creative in seeking ways to make it easier for them. Elevate the water dish to shoulder height; warm food and add water/broth to food to increase palatability and water intake; give cats more litter trays for convenient access and cut down tray height; set up ramps to reduce the need to use stairs; cats benefit from stepped platforms leading to high perches; have the cat/dog flap at floor level; use hall runners or a paw friction product to provide grip on slippery floors; add psyllium to the diet to reduce constipation; clip heavy coats and matts for freer movement and summer comfort; provide a winter coat if they feel the winter chill.

Cats benefit from lower litter trays and ramps to their favourite places.

  • Smell provides great mental stimulation. Provide food puzzles and hidden treats. Visit unfamiliar places.
  • Hand signals or vibrating (NOT shock) collars can be used to communicate to deaf dogs. Lavender scent trails can guide the blind.
  • Practice massage and range of motion exercises for sore legs.

 

Treating problems: How can you help?
  • Medical problems need to be identified and treated, however retraining may also be required. For example, if your pet begins house soiling due to a medical issue, the problem may persist after the medical issue is resolved unless you use positive reinforcement to train the pet to return to the preferred locations and supervise access to the soiled areas.
  • For problems that cannot be completely resolved, you may need to make schedule adjustments to accommodate your pet’s needs. For example pets with kidney disease need to urinate more often so you may need to take your dog out to the toilet more frequently or reward them for using training pads. Provide extra litter trays or clean the litter tray more frequently if your cat urinates more due to kidney disease.
  • Maintain an enriched environment that stimulates your pet’s brain and body. Adjust their social play, exercise and training according to their health. Use their favourite food and toys to train new cues, practice previous training and play games of hide and find. Food release toys that provide manipulation to obtain the food or treats provide a challenge to stimulate your pet’s mind.

Veterinary treatment:
  • Medications can be prescribed to improve neurotransmitter function and brain activity or act as antioxidants. Medication that reduces physical pain, for example from arthritis, can allow your pet to enjoy more physical and mental activity.
  • A prescription veterinary diet is available containing antioxidants and fatty acids that reduce signs of cognitive decline by improving neurotransmission. It has been shown to help old dogs stay active, enjoy interactions, reduce sleep disturbances and retain house training.
  • Many natural products are touted to be effective and your vet will be able to advise you on supplements that may be useful.
If you are noticing changes in your senior pets
behaviour or would like more information on helping
your elderly pet get the most out of day to day life
please phone us on (02) 6230 2223.

Patient Spotlight – Theodore the Hungry Pug

It’s amazing the things that dogs will eat; we see dogs that eat toys, clothes, sticks, whole bones and so much more.

Theodore is one of such dogs who is quite the scavenger, he is known to eat all sorts of things that he probably shouldn’t!  He came in to see us because his owners noticed that he had been vomiting quite a lot.  Theodore is very lucky that his fantastic owners were on top of it because this little man had an unknown object or ‘foreign body’ stuck in his intestine, a life threatening condition if left untreated.

Having already known that Theodore has a tendency for eating things he shouldn’t, we knew that one of the first things we needed to do was take an x-ray of his abdomen. Sometimes x-rays will show the foreign body, other times we need to rely on gas patterns, ultrasounds, or repeat imaging to find them.

In Theodore’s x-ray below you can’t see the foreign body itself, however you can see that some of his intestine is small and narrow while other parts are wide and dilated. This shows an abnormal gas pattern, there is gas building up in parts of his intestine rather than moving through. This indicates that there is some sort of obstruction stopping the gas in its tracks.

Theodore then went straight into surgery, where we removed the offending object.  It had caused considerable bruising to the intestine, but luckily the damage was reversible.  On occasion if the damage is severe enough we have to remove part of the intestine luckily though, this wasn’t the case for Theodore.

Theodore was transferred to Canberra Veterinary Emergency Services to be monitored overnight and returned to us the following day for post operative monitoring. Theodore was bright, happy and eating and was then ready to return home to his loving family.

Unfortunately we know quite a lot of repeat offenders, some dogs (and cats) have been known to go back for seconds and even thirds so it is always important to pet proof your house!

Want more? You can read Harriet the 11 week old Cattle Dog’s story HERE.

Patient Spotlight – Frankie the 5mo Pug

Frankie is a very excitable and wriggly 5 month old Pug puppy that came in recently for desexing.

Frankie is very lucky, as his owners are well informed about some of the breathing problems that Pugs and other squishy faced (Brachycephalic) dogs such as Bulldogs and Boxers are prone to getting. Because of the excess soft tissues in their airways dogs with squished faces can have great difficulty breathing.  It can even get to the point where these dogs collapse and need oxygen support and emergency treatment after something as little as a short walk on a warm afternoon.

So, while he was in for his desexing, we checked Frankie over to make sure he wasn’t going to have problems in the future.  Frankie had very narrow nostrils which makes it much harder to breath in oxygen, and the effort of breathing in through narrow passages changes the pressures throughout the airways and lungs.  Early intervention is key as these pressure changes can cause long term complications.

Try pinching your nose and then breathing through it, and then imaging breathing like that all the time, even when excercising.  It’s certainly not comfortable, and can cause great distress for affected dogs during exercise, times of high temperature, and periods of stress.

While Frankie was under anaesthetic for his desexing, we surgically widened his nostrils.  You can see the difference in his before and after photos below.

The good news is Frankie can now breathe more easily making him much happier and more comfortable.  Frankie woke up as if nothing had happened and wanted nothing more than some food and some cuddles!

A day in the life of: Trent – Kidney Disease

Meet Trent, a gorgeous and very friendly 11 year old Domestic Short Hair cat. Trent visited us a few weeks ago after his owner Hayley noticed that he had been losing weight and the quality of his coat had been lacking.

In order to investigate Hayley’s concerns Dr Jenny decided that a senior check-up was in order. A senior check-up involves a thorough history and examination with a focus on issues that our senior cats are commonly affected by.  Our comprehensive examination includes a mobility assessment, dental health check, dietary assessment, parasite control review and a vaccination review.   The senior cat check-up also includes a full blood profile, blood pressure and urine testing all run in our state of the art in house laboratory.

Trent was an angel, he let us check his blood pressure without a fuss, we used a blood pressure cuff and a Doppler ultrasound to do this.  We made sure to use headphones so that Trent didn’t notice the noise at all. Blood pressure testing is extremely important as cats with high blood pressure have no clinical signs until they develop organ damage.  Sudden onset blindness is often the first sign we see.  Early detection and treatment can help prevent this, Luckily Trent’s blood pressure was normal.

We then went on to collect blood and urine samples from Trent, the blood test we ran measured his kidney enzymes, liver enzymes, thyroid hormone, glucose, and red and white blood cells.  The urine sample was to check urine concentration allowing us to assess kidney function, and to check for urinary tract infections which are common in our older cats.

 

After running these tests we found that Trent had early stage kidney disease, and this was what caused his weight loss and other symptoms such as changes to his coat.  Kidney disease can also cause increased thirst and increased urination – this is often what owners notice first.

Because of Trent’s vigilant owner we were able to detect the kidney disease at such an early stage that all Trent needed was a diet change to a special prescription kidney diet.  Trent actually quite liked his new diet, but don’t worry we have plenty of tips and tricks for cats that are more fussy.  In a few weeks we will follow up with Trent and recheck his blood and urine tests to make sure that he is improving with his treatment.

Image result for hills k/d cat Image result for royal canin renal cat

 

If your cat is 7 years of age or older, book in for their Senior Cat Check-up today, give us a call on (02) 6230 2223 or click HERE to book online now!

Patent Spotlight – Gov’nor the brave Whippet (WARNING: Graphic Content)

Its two months now since Gov’nor, the bravest and sweetest of Whippets, presented to us collapsed after being severely attacked by a new foster dog. The skin on his chest and between his forelegs was punctured and pulled away from the underlying pectoral muscles which were also severely damaged. After initial emergency treatment overnight, he arrived at Hall Veterinary Surgery for ongoing care, still suffering from shock and having difficulty breathing.

Over the next few days, Gov’nor responded to treatment for shock which included intravenous fluids and nasal oxygen therapy. To manage his pain, he received a constant infusion of pain relief in his drip as well as intravenous antibiotics as his bruised skin was a prime target for infection.

X-rays of Gov’nor’s chest and blood tests showed that the injuries were confined to the skin, however as the days passed, it became clear just how large the affected area of dead skin had become. All of the skin between his forelegs and also behind and in front of his elbows turned grey and smelt of dead tissue bereft of blood supply due to the severe trauma of the attack.

Gov’nor’s loving owners agonised over the decision whether to proceed with treatment to remove all the dead skin, given the severity of the damage, and concern about what Gov’nor was going through.

We talked about the amazing healing capacity of skin and that Gov’nor’s youth, general fitness and calm temperament would help him to recover and cope with the treatment of the huge wound. We all decided to give him a chance.

Dr Lesa anaesthetised Gov’nor and removed all of the dead tissue and cleaned the wound. There was no option to suture the remaining skin closed over such a large area of skin loss. So we applied sterile dressings to protect the healing granulation tissue underneath and continue pain and infection control.

This was the large, open wound left behind after surgically removing all of the dead skin and tissue on Gov'nor's chest.

Twice a week, for these last 2 months, Gov’nor has patiently complied with dressing changes and wound cleaning. He would shuffle out after each session sporting a new brightly coloured vest of bandages that held his dressings in place.

The colourful bandage vests help to hold his wound dressings in place.

It has been amazing to witness the speed with which his skin is covering over the massive wound. On the home stretch now, his loving family are seeing the fruits of their efforts and Gov’nor is nearly back to his old self again.

2 months later, Gov'nor is well and truly on his way to feeling like his old self again.

Snake Bites and Your Pet

Every year in Australia thousands of family pets are bitten by snakes, the types of snake vary depending on where in Australia the bite occurred. Here in Canberra the most common snakes we encounter are Brown Snakes followed by Tiger Snakes and less commonly Red-Bellied Black Snakes.

As snakes hibernate during the colder months the vast majority of snake bites take place in the Spring/Summer months. Snakes are commonly found in areas with long grass, rocks and other hiding holes, often near a fresh water source such as a creek or dam.

It is important to remember that most snakes will try to avoid you and your pets. However, whilst we humans may simply walk away from a snake, our pet’s are inquisitive, armed with natural hunting instincts and when given the chance, will harass snakes often resulting in snake bites.

What can I do to prevent a snake bite to my pet?

  • Avoid areas with grass any longer than ankle height
  • Always keep your dog on lead when walking
  • Do not let your dog investigate off path/in long grass
  • Keep your backyard tidy, mowed and remove any rubbish that would make a nice hiding spot for a snake
  • Consider building a cat enclosure for cats that like to venture outdoors

What are the signs of snake bites that I should be aware of?

There are several factors that may determine the reaction your pet may have to a snake bite. These can include the type of snake, where on the body your pet was bitten and how much venom was injected.

Signs and symptoms of snake bites vary but can often show some of the following:

  • Vomiting
  • Sudden weakness
  • Collapse (can seem to ‘recover’ shortly after)
  • Twitching of the muscles
  • Hyper-salivation
  • Dilated pupils non-responsive to light

And in later stages:

  • Blood in urine
  • Paralysis

I think my pet has been bitten by a snake, what should I do?

If you suspect your pet has been bitten by a snake you should keep them as quiet/still as possible whilst seeking immediate veterinary attention. The sooner your pet is treated the better their chances of survival.

Unless you are certain the snake is dead do not put yourself at risk trying to identify it.


Variations in colour of the Eastern Brown Snake.

What will the Vet do to treat my pet?

Once you arrive at the Vet they may recommend a series of tests to determine whether a snake bite has occurred.
After receiving confirmation of a snake bite your pet will be placed on intravenous fluids and possibly oxygen depending on their current condition.
Your vet will administer the appropriate anti venom to your pet slowly whilst intensive monitoring and supportive care continues.
Subject to your pets reaction to the anti venom occasionally more than one vial is needed.
Depending on the severity of your pets condition, intensive nursing, hospitalisation and supportive care such as IV fluids and oxygen may be necessary for a number of days whilst they recover.

What is my pet’s prognosis?

Approximately 80% of pets survive snake bites if treated quickly.
The survival rate of pets that are left untreated is much, much lower.

What can I do to remove a snake from my property?

If you see a snake do not try to catch or harm it. All Australian snakes are protected and you will expose yourself to unnecessary danger.

If you need a snake removed/relocated please phone:

Access Canberra Contact Centre on 132281.
or visit their website HERE for more information.