Wednesday, December 30, 2009

SAVIN- Small Animal Veterinary Information Network

SAVIN- Small Animal Veterinary Information Network

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26 More Members, 1 board topic, 4 Wall Posts, 1 video, 3 Photos, 5 links
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Profile updated 54 minutes ago

savin GROWS

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...

21 December at 08:51 · · · · Report


Swarupmay Majumdar
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.
21 December at 10:49 ·

pug which was bleeding

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??

See More21 December at 09:05 · · · · Report
Saurabh Saxena
Saurabh Saxena
sorry again ,typing error in sec line"to stop bleeding"heheh
21 December at 09:06 ·
Gagan Gaudi
Gagan Gaudi
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
21 December at 09:44 ·
Swarupmay Majumdar
Swarupmay Majumdar
apical abcess?
21 December at 10:47 ·
Saurabh Saxena
Saurabh Saxena
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.
21 December at 18:00 ·
Swarupmay Majumdar
Swarupmay Majumdar
thats why sometimes we need to see things in very sipmle way !! not agreeing with me now?
21 December at 19:49 ·
Gautam Unny
Gautam Unny
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.
22 December at 10:09 ·
Saurabh Saxena
Saurabh Saxena
yup doc,mendione given in the first post.pug is fit but don know which drug actually saved him???
22 December at 11:39
 

Do we need Calcium in pregnent bitches?

Swarupmay Majumdar A 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.

21 December at 11:50 · · · Report
Gautam Unny
Gautam Unny
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.
22 December at 09:15 ·
Gautam Unny
Gautam Unny
http://publications.royalcanin.com/renvoie.asp?type=1&id=102389&cid=113294&com=4&animal=1&lang=2&session=6332873

Read the section which says excess calcium supplementation can cause eclampsia. So please understand the difference.
22 December at 10:14 ·

too many ideas spoils things


too many ideas spoils things


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.

See More23 December at 19:19 · · · Report

KBr in epilepsy

innitiated by Dr Swarupmay Majumdar
18.12.2009

Swarupmay Majumdar I am treating many cases of Epilepsy. Recently KBR is available in Bangalore in tablet form for dogs. It is giving good result.

18 December at 19:50 ·
Gautam Unny
Gautam Unny
whats the tradename doc? i have not found it here
19 December at 09:34 · Report
Kumar Vikas
Kumar Vikas
Are you using of chemical origin, what protocol you are following
19 December at 15:39 ·
Kumar Vikas
Kumar Vikas
Detail article avaible on epilepsy at http://www.ivis.org/advances/Vite/berendt/chapter_frm.asp?LA=1 this may be help ful review
19 December at 15:48 ·
Swarupmay Majumdar
Swarupmay Majumdar
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.

http://www.whereincity.com/medical/topic/brain-health/articles/758.htm
19 December at 16:27 ·
Swarupmay Majumdar
Swarupmay Majumdar
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
19 December at 16:35 ·

Kumar Vikas
Kumar Vikas
As suggested by Dr Dinesh Dadarwal there is good article on epilesy at http://neuro.vetmed.ufl.edu/Neuro/courses/vem5384/VEM5384-lecture-4-seizure-cerebral.pdf
Sun at 09:02 ·

welcome to SAVIN

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

vaccination & reactions

Swarupmay Majumdar I 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

21 December at 20:41 · · · Report
Gautam Unny
Gautam Unny
give him a dose of avil before starting the vaccine. keep him aat the clinic for an hour aand keep adrenaline handy.
22 December at 09:13 ·
Swarupmay Majumdar
Swarupmay Majumdar
can I give dexa, its short acting and may not affect vaccination?
23 December at 11:44 ·
Gautam Unny
Gautam Unny
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

http://www.globalrph.com/corticocalc.htm
23 December at 12:17 ·
Swarupmay Majumdar
Swarupmay Majumdar
Actually I meant, If I use it once, will there be any problem with vaccination? I read your link also.
23 December at 13:16 ·
Gautam Unny
Gautam Unny
prednisolone would be better as its shorter acting and will not supress antigen formation for long. i prefer it over dexa.
23 December at 17:02 ·

rescue remedy

Swarupmay Majumdar Use 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.

See More21 December at 10:54 · · · Report
Saurabh Saxena
Saurabh Saxena
use of honey during fits can also help .it gives strength to the dog and shortens the duration of euphoric stage
21 December at 18:02 ·
Swarupmay Majumdar
Swarupmay Majumdar
honey increases blood pressure, caution!!
21 December at 19:50 ·
Swarupmay Majumdar
Swarupmay Majumdar
doc,ur very fast
21 December at 20:37 ·
Saurabh Saxena
Saurabh Saxena
doc watz resue remedy.pls give more details?

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.

client just dont honour prescriptions properly

Gautam Unny The 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.

23 December at 19:27 · · · Report
Swarupmay Majumdar
Swarupmay Majumdar
jeena yeehan.....where to go?
23 December at 20:15 ·
Saurabh Saxena
Saurabh Saxena
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...
24 December at 18:04 ·
Swarupmay Majumdar
Swarupmay Majumdar
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
25 December at 17:00 ·

megacolon in SA & use of lactaluse

Gautam Unny Megacolon a case of chronic obstipation currently being treated with lactulose and cisapride.

25 December at 09:57 · · · Share
Subbu Ayyappan
Subbu Ayyappan
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.
25 December at 16:56
Swarupmay Majumdar
Swarupmay Majumdar
sir, what will be the side effect of such operations.. dog may have frequent defecations? correct?
26 December at 12:49 ·
Sivashankar Ramakrishnan
Sivashankar Ramakrishnan
how abut lactulose
26 December at 22:01
Sivashankar Ramakrishnan
Sivashankar Ramakrishnan
in combination with ursdexycholic acid and l arginine tablets
it works great in dogs
26 December at 22:07
Gautam Unny
Gautam Unny
doc can u provide tradenames please, would appreciate it.
Sun at 09:31
Sivashankar Ramakrishnan
Sivashankar Ramakrishnan
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)
Sun at 13:33
Swarupmay Majumdar
Swarupmay Majumdar
great work, keep it up friends. The group is standing up
Mon at 13:18

check for demodecosis

Swarupmay Majumdar Someone 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!!

25 December at 18:29 · · · Report
Gautam Unny
Gautam Unny
check for demodicosis, nd stop the steroids immediately.
25 December at 19:42 ·

immuno modulators Vs skin problems

Swarupmay Majumdar Boxer, 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.

See More26 December at 13:04 


Saurabh Saxena
Saurabh Saxena
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.
26 December at 18:25 ·
Swarupmay Majumdar
Swarupmay Majumdar
ok, good. But I would like you to go more deep, why is it coming again and again. can it be anything related to diabetes? food allergy? what else....
26 December at 18:27 ·
Saurabh Saxena
Saurabh Saxena
doc ,ur principle -keep things simple...follow the bath atleast 2 times in week for a month.notice the progress
26 December at 18:33 ·

Sivashankar Ramakrishnan
Majum Thyrid Check Kiya Kya?
Sun at 13:35 · 
Swarupmay Majumdar
Swarupmay Majumdar
I am going to do that.
Mon at 13:16 · 
Swarupmay Majumdar
Swarupmay Majumdar
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!!
Mon at 13:39 · 
Gautam Unny
Gautam Unny
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.
Mon at 18:33 · 
Swarupmay Majumdar
Swarupmay Majumdar
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 ?
Mon at 20:24 · 
Gautam Unny
Gautam Unny
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
Mon at 20:25 · 

Tuesday, December 29, 2009

hip dysplasia

Gautam Unny This 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.

about an hour ago · · · Share
Gautam Unny
Gautam Unny
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
about an hour ago
Swarupmay Majumdar
Swarupmay Majumdar
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.
about an hour ago ·
Niranjana Chandrasekar
Niranjana Chandrasekar
In the radiograph, acetabulum is too shallow. conservative therapy with rest would be better. Ayyapan sir obviously would give better suggestions.
about an hour ago
Saurabh Saxena
Saurabh Saxena
eagerly awaiting dr ayyapan reply .wud request him to kindly explain radiograph elaborately so that it can be indexed in the blog.
about an hour ago
Swarupmay Majumdar
Swarupmay Majumdar
ha ha , You cant get him tonite!!
57 minutes ago ·
Gautam Unny
Gautam Unny
ive put the dog on MSM and glucosamine. buffered asprin and rest, arranging for a chines swimming pool for swimming.
54 minutes ago
Swarupmay Majumdar
Swarupmay Majumdar
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.
45 minutes ago ·
Gautam Unny
Gautam Unny
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.
25 minutes ago
Swarupmay Majumdar
Swarupmay Majumdar
its very important to have the animal in GA for such HD X-ray for better position, correct?
2 seconds ago ·

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