Dental Disease Part 2-Preventative Dental Care-What, How and When?

Teeth brushing; This is considered to be the ‘gold standard’ of preventative dental care. There are many different teeth cleaning kits that include different flavour toothpastes (poultry and beef) and different toothbrush shapes and sizes. The main limitation people find is their pet’s willingness for their teeth to be brushed! It is best to start examining your pets mouth and looking at their teeth at an early age to give you the best chance of being able to do this. They key is to start with little steps and work your way upwards to teeth cleaning. Holding your pet and forcing them to have a full teeth clean at the very start will make them very resentful and anxious of the entire process. 

Diet; in general a solely dry diet is most likely to help keep your pets teeth clean. There are also specially formulated diets which can help with dental health. The basis behind a lot of these diets is that the kibble shape and size is designed to increase abrasion of the teeth. That being said, if your pet’s food barely touches the sides then a dry diet can make little difference!

Dental chews; these chews can help to abrase the surface of your pets teeth too and therefore reduce tartar build up. The same applies as above however with regards to how these chews are eaten! It is also very important to note that these should be used in moderation; they can be very calorific and your pets can quickly gain weight if used too regularly.

Other dental Products; there are different liquid and powder formulations aimed at reducing tartar build up and freshening breath.  

Dental surgery; all of your hard work above will be helping but regular dental checks and appropriate dental procedures are also needed to identify and address dental disease sooner rather than later. Watch out for part 3 where we explain what a dental entails!

If you would like your pet’s teeth examining then our nurses are able assess your pets teeth and discuss the above approaches with you in a free nurse dental check. Please note that if you think your pet is off their food, painful or otherwise unwell then a vet appointment is recommended. Please phone 01606 880890

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Brave Pet of the Month…..Sniffkin

Meet Sniffkin, a brave 11 year old Border Terrier who was very sick a few weeks ago. Sniffkin was brought to Hollybank one Saturday morning as he had vomited throughout the night and seemed very unwell. Sniffkin was dehydrated with a very painful abdomen. He would flinch when his belly was touched and it was clear from the outset that controlling his pain needed to be a priority.

Sniffkin was admitted for further investigations as it was not possible to say from examination alone what was causing him to be so under the weather. He benefited from strong pain relief called methadone which is similar to morphine but has fewer side effects. Sniffkin was treated with a drip and blood tests showed he had very high liver enzymes. These elevations caused suspicion that Sniffkin’s liver could be involved in the illness. However, further investigation was needed as liver enzymes can increase in response to abnormalities in lots of other area in the body.

An ultrasound scan of Sniffkin’s abdomen was carried out. We were looking for abnormalities in his liver tissue, perhaps even a tumour as Sniffkin is quite an elderly gentleman. We also needed to check the stomach and the rest of the gastrointestinal tract in case there was an obstruction there. We kept our eyes peeled for any signs of abnormal fluid accumulation (free fluid) in the abdomen that might indicate serious inflammation or even a rupture. It was a very worrying time for Sniffkin’s owners who were waiting at home, desperately hoping Sniffkin would pull through. No significant abnormalities were seen on the scan at this stage and over the course of the weekend, Sniffkin’s demeanour improved in response to the treatment he was receiving.

 

It was good news that Sniffkin seemed to be feeling better but still we didn’t have an explanation for the high liver enzymes. This is not an uncommon scenario; sometimes blood tests show up abnormalities that are not linked to the signs we are treating. Part of our detective work involves deciding what is significant and to what extent and at what time it should be followed up.

We didn’t have to wait long for the next development as Sniffkin’s condition deteriorated on the Sunday night. He began vomiting again and we knew we would have to repeat some steps to see if anything was changing. Again, this is an important part of our diagnostic work up. Often subtle changes in our findings are even more significant than any one result. Sniffkin’s story is a good example of this!

Since Sniffkin had benefited from stabilisation on the drip and pain relief, we were able to get a more thorough look inside his abdomen at the time of the second scan. The “free fluid” accumulation we had been looking out for was now present, albeit in a very small amount. This was an indication that we needed to track down a source of severe inflammation in the abdomen. The fluid was seen close to the liver which provided a clue that the source of inflammation would be close to the liver. With gentle persistence, we got a good look at Sniffkin’s gallbladder.

Immediately, it was clear that the contents of the gall bladder were very abnormal. The fluid within the gall bladder is called bile and on a normal scan it appears black. In Sniffkin’s case, the gall bladder and its contents had a solid, star shaped appearance. We now had reason to suspect the gall bladder was obstructed, preventing bile flowing out to aid digestion in the normal way. The star-like appearance on the scan was because the bile had turned into a semi-solid jelly-like consistency and was sticking to the walls of the gall bladder. This is called a gall bladder mucocoele. The fluid accumulation in the abdomen meant there was a high chance the gall bladder had ruptured causing life-threatening inflammation and infection.

Sniffkin’s worried but dedicated owners had a very difficult decision to make. The only treatment for a mucocoele like this is surgery to remove the obstructed gall bladder and to flush the abdomen thoroughly. Although absolutely necessary, the surgery carries quite high and specific risks. Antibiotics, ongoing pain relief and intravenous fluids are required but without surgery, they would not be an effective treatment. Sniffkin’s owners had only a very short space of time in which to make a huge decision. Their little boy was now an emergency case and would need specialist surgery and aftercare as soon as possible if he was to have a chance of making a recovery. The only other option would be for Sniffkin’s mum and dad to make a devastating decision. To complicate matters further, in common with a lot of older patients, Sniffkin has an unrelated condition in his spine that a prolonged recovery period could destabilise. For Sniffkin’s devoted owners, this was a terribly difficult time. They bravely decided to pursue referral for specialist surgery. Sniffkin was taken to a nearby specialist hospital and had surgery that morning whilst everyone waited anxiously for news.

Thankfully, this wonderful patient made it through surgery and day by day, showed subtle signs of improvement. The risk of losing him however was still high and he was cared for intensively for several days. Sniffkin is a sensitive boy, devoted to his adoring mum and dad. He didn’t much enjoy his period of hospitalisation away from them. Because he would only eat for his mum and dad, he had to be discharged earlier than planned!  Once home, Sniffkin went from strength the strength. He has post operative checks at Hollybank and with his specialist. His latest blood tests have shown a dramatic improvement in his liver values. We are delighted to report this fantastic little boy has made a full and very welcome recovery- Keep an eye out for him on his walks around the village!

 

 

 

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Rabbit Awareness Week 17th-25th June

Rabbit Awareness Week (RAW) is close!

RAW is a great opportunity to promote rabbit health and is supported by the British Small Animal Veterinary Association (BSAVA), the British Veterinary Association (BVA) and the British Veterinary Zoological Society (BVZS). 

This year RAW wants to promote the social needs of rabbits by encouraging owners to feed 85-90% of their rabbits diet as hay and fresh grass. Please see their website for further information on their #hoptohay pledge.

 

 

 

This year Hollybank are getting involved in RAW by offering free health checks. This is an opportunity to weigh your rabbit and perform a full examination. At the same time we can offer advice on diet, vaccinations, neutering and general rabbit husbandry.

 

Our free rabbit health checks will be available:

  • 20th June 11am-12.30pm
  • 20th June 2.30pm-4.40pm
  • 23rd June 2.30pm-4.30pm
  • 25th June 9am-10am

Please call reception to book an appointment on 01606 880890

 

 

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