Wouldn’t
life be grand if every medical problem we had was solved in a single visit to
the doctor? Sadly that isn’t the case, neither in pets nor in people. While
some medical conditions resolve and never come back, pets are prone to a
variety of chronic diseases that must be managed rather than cured over the
lifetime of the pet. Here are eight of the most common chronic conditions we
treat in veterinary practice:
Diabetes
Diabetes
is found in both dogs and cats and can quickly become life-threatening if not
managed properly. Diabetes occurs when the body either fails to produce insulin
or stops responding to insulin the bloodstream. Insulin helps the body move
energy in the form of glucose from the blood into cells; in diabetics, that
glucose remains in the bloodstream and starves the body of energy.
Kidney Failure
Chronic
kidney failure is found in both dogs and cats, though it is more frequently
diagnosed in our feline friends. No one is entirely sure why pets develop
kidney disease; while infections and toxicities can cause an overwhelming acute
kidney failure, many cases occur gradually over time for no apparent reason at
all.
The
earliest sign of kidney disease most owners notice is an increase in drinking
and urination; this happens because the kidneys are unable to properly
concentrate urine and the body is fighting a constant state of dehydration. As
kidney disease progresses, owners may notice a decreased appetite, unkempt
coat, vomiting and weight loss.
While
kidney disease cannot be reversed, medical management can slow down the rate of
progression. Your veterinarian may recommend a lower-protein diet as well as
fluids to administer at home. Some pets benefit from medications to help
counteract the symptoms of disease. With proper management, many kidney
patients live well into old age
Heart Disease
Heart
disease is found in both dogs and cats. In dogs, the most common form is
congestive heart failure. This may be caused by a leaky heart valve or diseases
of the heart muscle itself. The most common symptoms noted by owners are
coughing and difficulty breathing due to fluid accumulation in the lungs,
fatigue and swelling in the abdomen or limbs.
In
cats, the most common form of heart disease is called hypertrophic
cardiomyopathy, an abnormal thickening of the left ventricle. While all breeds
can be affected, some breeds such as Maine coons and Persians may be
predisposed. It is also associated with hyperthyroidism. Symptoms can be subtle
and include loss of appetite, fatigue or breathing problems.
In
both dogs and cats, heart disease is diagnosed with imaging such as x-rays and
ultrasound. The changes to the heart are permanent and treatment comes in the
form of life-long medications to reduce strain on the heart, improve the
heart’s ability to pump, and to control the pet’s blood pressure. Many pets
also benefit from sodium-restricted diets.
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