Saurabh Saxena wow,in such small time ,it has become a very august gathering,i wud thank dr majumdar and dr unny for bringing up this forum.would add some of my old cases in due time of which i still have no answers?thanks everyone and lets keep info ccoming in...
Being with winner, makes you winner.. here everyone of us have something that makes us win everyday. so its a great table of winners helping winners. Thanks a lot and please keep updating us.
Saurabh Saxena a pug ,female wt 4.9kg,during feeding suddenly developed bleeding from nose(one nostril),temp normal lost quite lot of blood wen reached clinic,used inj OTC,revici,botropase to stop healing,gave atropine n xylazine to anaesthetize took more than double usual dose to sleep for 1 hr ,blood in sneezing,dog very active,use...d ice bath also ,again after 2 hrs the bleeding restarted used inj calmpose,menadione .and adrenaline topically .wat can be the cause .no vaccination history.more likely a clotting disorder but is this normal and can it flare up just like that and what more can be done to check such continuous bleeding??thanks
sorry during second time the blood was cming more from mouth than nose..checked thoroughly no bone,foreign material or pyorrhea found??
whats the blood picture i mean check for the platelets count if less can be put on steroids. u can tell the owner to keep the animal in a calm and quite space so that it dont get excited
even i had a doubt abt platelet count but cant go for tests unless the animal stabilizes and once animal is ok,owner does not want to go for tests!!so a catch 22 situation...but the gud news is dog came today morning and is fit as a fiddle.
doc platelet counts are needed whether the owner agrees or not, tell the owner to f**k off. that's our territory. if the pug does not agree will he take responsibility? no instead he'll blame us. so tests are needed. also vitamin K would have been advisable.
Swarupmay MajumdarA gynocologist advices calcium & iron syp for a pregnant lady. We are not supposed to do so with a bitch. No to calcium supplementation in pregnent bitches, iron is optional.
i disagree, calcium can be given bt at a low dose. the dam must not supress the instinct to produce calcium after the delivery but at the same time a minimum dose of calcium must be given. i'll post the link soon.
I had a call to visit a 8 months not vaccinated cat being bitten by a stray cat. The owner yells " my cat sinks.. its cold.. dyeing, please help". I went to see the cat at 11pm. By that time it was 46hrs post bite and many vets gave many opinion without seeing it. The owner had a busket fu...ll of all medicines.. augumentin,betnesol, liv52, nise syp, meloxicam, temobax, .... and the vet who saw it last 2 days said it will die, just admit in CUPA!!
My story could have been the sam ,if I had not gone there and seen. The cat had been going through internal bleeding, mucosa became pale,temp 102.3*f,not eating. wound is healthy ,no organs outside.
simple treatment.. stryptovit 1/5 every 8hrs, Relyte redyuse solution 1 tsp every hour, augumentin as before. The cat is fine now.
Outcome of story:: it is better to see the animal before prescribing and giving prognosis!! comments are welcome.
there is company called progeny in bangalore ( pharma corporation of India) makes this generic medicine without any trade names. it comes in 60 tablets bottle. cost around 175 rupees.
Actually KBr is the oldest drug in epilepsy but not used in human beings. It is the drug of choice for dogs for long run. I have an article on this.
actually I had been treating a GSD M 2 yrs old with epilepsy. Its full blood data was normal. I put him on regualr Known therapy of gardenal 45mg bid with Ventriliv, provicalpet.
for sometimes he was finding vey difficult to manage the fits and we increased the dose to 60 mg bid. he was also on homeopathic medicine Verbena Mt, R33 and rescue remedy. Nothing worked still KBr was in . 300mg KBr tablets bid with 30mg gardenal bid. its takes some time ... 3 months atleast to reach steady KBr level. dog has no fits now but he finds difficult walking and lots of itching. Some how it was briught from the euthenesia table with KBr.
Need more disscussion on
1. KBr Vs NBr... See More
2. home care when dog is in fits
3.managing fits in clinic.
5. why these pets are best pets
6.rescu remedy and how it can help
To all my friend veterinarians in Small animal practice:
Dear friends,
Its a great privilege being in your company. Today we are a week old 'groupling' !! we are going to cross many milestones and bring laurels to the progressing veterinary field.
Being with a winner, makes you a winner!! I believe everyone of us have some thing that wins them daily many battles of life as ...vet. Please share your experiences, sad,bad,worst,great.. whatever!! It will help all others.
We vets need not compete each other anymore, there's only place for complementing each other with knowledge, experience and practical wisdom!! Am I wrong?
Please bring in your veterinary friends and colleague to be part of this august association called SAVIN!!
With Regards & Thanks,
Dr Swarupmay majumdar
SAVIN Moderator
Swarupmay MajumdarI am going to look after a pug. Its 6 years now.This is the time for his regular vaccination, and owner brings to my clinic for his shots but inform me ,whenever he had his shots he had tough time.. breathless, vomiting, crying... how Do I go ahead and what shall I ask the owner to do? vaccination reactions related
doc, im long out of college but if i remember right dexa is long acting and prednisolone intermediate acting. try this link. thats why i suggeseted pred
Swarupmay MajumdarUse of Resue remedy In epileptic dogs
1. it is a batch flower remedy mix of 5 medicine. Itcan significantly reduce fits or its severly when given to dogs. U can pour in his ears when its in euphoric stage. post fits you can feed it mixed in vanila icecrem. Feeding ice cream after the fits cam help a dog a lot as ice cr...eam is nothing but sugar suspended in fats in low temperature.try out next time.
Dr swarupmay Majumdar:
This combination of Bach Flower Remedies is especially beneficial when you
find yourself in traumatic situations, such as, stress, emergencies,
after getting bad news, before an exam or job interview and all other
kind of situations where we suddenly lose balance mentally. The
Remedies quickly get us back in ou...r normal balance so that we calmly
can deal with any situation.
Gautam UnnyThe things that hurt me most in my practice is owner self medication, lack of compliance of instructions and when clients just dont honour prescriptions properly.
this is a all india phenomenon doc,once owner said anorexia for 2 days .which turned to 7 days when i was injecting drugs and finally while walking out he said may be around 15 days..lol...wat to say and wat to do...
saurav,how can we rely on pet owners. They always exaggregate or just dont share. Our art in practice should be to be like the Swan.. " take the milk out of water-milk mix" and use what u need. Always depend on physical exam and ur experiences.
Gautam sir,owners are always giiving damn to our advices, but they are not many in this group. Do we ... See Moreneed to bother for someone who dont listen us?? they usually keep going to many vets amd some vets have the best tactics to handle them. I will discuss handling such clients in a new lead
Gautam, Nice pict. Megacolon is more common in cats. The case also seems to have lumbar spondylosis.Try the usual protocols such as high fibre low residue diet.The best treatment of choice is colectomy. You can remove up to 70% of the intestines.
Dear Dr Gautam
Lactulose alone is effective for mega colon but if it is there with signs of anorexia indicative of Hepatic Encephalopathy (due fecal toxins) the above combination could be used and available in India as
Lactulose -Rapiduce
L-Ornithine L-Aspartate (Hepamerz)
Ursdeoxychlic acid (Udoxyl)... See More
Other essential amino acids for liver ( Essentiale L)
Swarupmay MajumdarSomeone just called me to help, his pet pug 6yrs,M intact is diagnosed as Atopic and on steroids. the pug is in real bad condition now after 45 days of treatment. Is it diagnosed poorly? I feel the age is neither suitable for demodecosis or atopy and may be it needs some work out!!
Swarupmay MajumdarBoxer, Male, 4 yrs. H/ O- regular skin problems, been treated by many vets with antibiotics and steroids. relapses aftre innitial improvements, fustrated owner wants something to be done.
P/E finding : generalized &symetrical areas of alopecia & epidermal collarette. nodules all over dorasum, greasiness, typical smell,... halitosis, weight loss over 1 month, trebling on standing, interdigital ulcerated wound. on predinolone, bayrocin. food: on beef ,rice, eggs, biscuits,milk.
how to go ahead, what an all to think, shall do blood work ,urine tests, any suggestions please.
this is wat i wud do-a hot warm bath with petben shampoo for atleast 20 minutes followed by amitraz dip.dental cleaning and appl. of silverex cream on open wound.stop predni and beef.
Actully I did not think abt thyroid, as he was loosing wt. I just put him on fatty acids, bayrocin, no steroids,kidspro food, and rantac. discussed with owner about food related allergy and advised them avoid the list of food and if possible change to Hypoallergenic from RC. Dog is better. yesterday I just tried on him Levamisole just to see whether it improves its immunity!!
try tinocordin (immumod) for immunity stimulation, its very good and effective. i have always wondered why vets ever use steroids on the skin, unless really needed. its the simplest way to disaster. would like the dog on griseofulvin 50mg/kg/day for 21 days with fat in the diet.
I had stopped using unnecessary steroids long back in the college days and been laughed at. I will try immumod. Is it a syp or tablet or injection? dose ?
Immumod is available as a tab nd syrup. I dont know the exact dose as its not there in any text. I use 100mg for 10 kg dog. available as a 100 nd 500 mg tab
Gautam UnnyThis case was refered to me by a client. The previous vet refused to recognize it as a case of HD, just because he sold the pup to this client.
All treatment options are welcome both medical and surgical. Ayyaps , Sir your inputs would be valuable. Its a male, lab, aged 5 years and 36 kg weight
many years back, HD was thought differently. Now a days many vets know that its a genetic problem but the dog is not born with it, may be later due improper raising it is predisposed to HD. So who ever be the vet, he should better not think in the above way that "the dog I sold should never get HD or I will never reveal that it has got it now".
Dr Gautam, thanks for such a nice topic for discussion.
Some vets, I know, uses Anabolic steroids in such cases, if the age is less. Can it help? I think anabolic steroids are very bad choice, side effects are many.
i would avoid anabolic steroids as we are anyhow wanting weight reduction. also this radiograph is not positioned well, but then unless we have our own machine , its tough.