Monday, January 11, 2010
no metronidazole for pups in Gastritis
Swarupmay Majumdar Metronidazole should not be used in young puppies and kittens.
www.wedgewoodpharmacy.com
Metronidazole is an antibiotic which is commonly used to treat protozoal infections and anaerobic bacterial infections.
Gautam Unny
are you sure?? i have not seen any article about this anywhere on the net.
07 January at 18:21 ·
07 January at 18:51 ·
Swarupmay Majumdar
metronidazole is preferably not used in pups, it causes lots of problems. vomiting is a after effect!
Sat at 13:31 ·
Ajitesh Kumar
i have used normet syrup a lot in puppies. i have not faced any problem yet
Sat at 16:15 ·
Swarupmay Majumdar
Question is do we really need metronidazole in all cases og enteritis or loose motion? why use this metro every time everywhere?
Sat at 16:44 ·
Vivek Kasaralikar
Dear Swarup, you are right. All the cases of GE do not need Metronidazole. but when you are sure that the stools are foul smelling, watery to semisolid, it is advisable for gut acting antimicrobial especially to check growth of anaerobic microbes.
Yesterday at 11:26 ·
Swarupmay Majumdar
I think I will never use metronidazole if it is case of gastritis or GE , I will use only if it is eneteritis. in selected cases, only.
Yesterday at 11:39 ·
Ajitesh Kumar
Yesterday at 14:3
i agree with u dr majumdar.
is it MCT
Ajitesh Kumar Hi,
A 13 yr old intact male boxer had wound on the neck.it did not heal with regular dressing and antibiotic therapy i.e ceftriaxone @20mg/kg bd for 10 day actually no improvement. then another wound appeared over the shoulder. how to proceed?
Saurabh Saxena
for chronic wound ,use oxoferin drops (2 drops ) topically and regular dressing without using anythg else.for another wound check for drainage tract(fistula) b/w two wounds and clean using same procedure as aove.
Yesterday at 10:44 · Report
Swarupmay Majumdar
this is a case of recuurent abcess, continue ur antibiotics for many more days. dress twice a day. allow drainage. use something that will not allow the pet to self mutilate itself. use amoxyclav tid for 7 days with probiotics. you will get better result.
Yesterday at 10:50 ·
DrKumar Ravi
hi i think you should debried the wound n then go for the normal dressing n you should try oint placentrex for dressing. n change antibiotic to augmentin 375 mg bid with some enzymatic preparation like chymoral forte twice a day. best of you . lage raho
Yesterday at 10:56 · Report
Gautam Unny
stop all medications,clean the wound with saline and hydrogen peroxide for a few days, after a gap of 5 days take a culture and then debride the wound and start medications. cultures are very important aspects of todays treatment esp with drug resistant bacteria on the prowl.
Yesterday at 11:56 · Report
Ajitesh Kumar
can it be mast cell tumor?
Yesterday at 13:45 · Report
Swarupmay Majumdar
do a biopsy, rule it out. but why not do something obviously needed immediately?
Yesterday at 13:48 ·
Swarupmay Majumdar
Some informations on MCT:
1avg age for mastcells: 8-9yrs
2 mast cell tumors are found in or under the skin on the trunk of the body itself, and the vast majority of the remainder are found on the extremities, especially the hind limbs. They are less commonly found on the head and neck, and less commonly still arise from tissues other than the skin. If they are very swollen or ulcerated, there may be pain, but most MCTs are unlikely to be painful
3."Dariers sign"-swelling, redness, itchiness, hives (wheal formation).
4 Responses to chemotherapy are minimal in cases of MCT. surgical excision must... See More
5.regrow:Dogs who have had mast cell tumors are more likely to develop more mast cell tumors. 50% of surgically removed mast cell tumors will re-grow in the same area.
6.Mast cell tumors in cats frequently are benign in nature
1avg age for mastcells: 8-9yrs
2 mast cell tumors are found in or under the skin on the trunk of the body itself, and the vast majority of the remainder are found on the extremities, especially the hind limbs. They are less commonly found on the head and neck, and less commonly still arise from tissues other than the skin. If they are very swollen or ulcerated, there may be pain, but most MCTs are unlikely to be painful
3."Dariers sign"-swelling, redness, itchiness, hives (wheal formation).
4 Responses to chemotherapy are minimal in cases of MCT. surgical excision must... See More
5.regrow:Dogs who have had mast cell tumors are more likely to develop more mast cell tumors. 50% of surgically removed mast cell tumors will re-grow in the same area.
6.Mast cell tumors in cats frequently are benign in nature
Yesterday at 14:00 ·
Swarupmay Majumdar
http://www.facebook.com/gr
some more discussion out side the tread on the topic
some more discussion out side the tread on the topic
Yesterday at 14:13 ·
Ajitesh Kumar
i think before going for surgical excision and chemotherapy i will try cleaning the wound with NS and hydrogen peroxide and then AST. . THANKS DR UNNY.
Yesterday at 14:47 · Report
Ajitesh Kumar
CAN IT BE MCT DR MAJUMDAR?
Yesterday at 14:47 · Report
Swarupmay Majumdar
do the fine needle aspiration and see it. if u feel its a MCT confirm and get it graded by pathological lab
Yesterday at 15:35 ·
vaginitis with HD
Swarupmay Majumdar 9month old spayed ( 3months back) goldenretriever with a history of not willing to walk, sitting down, reduced interest in food,no H/O vomiting,Loosemotin; vaccination, dewrorming uptodate: P/E findings:T101.5*f,L/N-not palpable,dehy-mild, mm-pale,HR 82,RR28,no joints sweeling,no#,pain on sublumbar foss(hip),excess per...ineal licking, slight thick Vaginal discharge : Lab report: HB 12.8,TLC-13000,sr.electrolytes in normal range. TDX: Hip dysplasia+ vaginitis. Tx: Megaflex, Betadine pressary alt days+syp citralka. Owner not willing to take megaflex telling its on Puppylarge breed from Eukunuba!+ pettabs.Adv X-ray to rule out Hip displasia.
See MoreYesterday at 13:03 · · · · ReportRamesh Hebballi likes this.
Ajitesh Kumar
yes . it could be both the things i. e hip dysplasia and vaginitis. before starting megaflex we can take one x ray of the hip jt. at the same time we can start meloxicam for 5 day s . if it is confirmed as HD then we can start megaflex/enhancer /maxima along with care o pet(carprofen). if the problem is too severe then even the supplements will not help. we have to go for surgery i.e FEMORAL HEAD OSTECTOMY.owner was not willing to take megaflex bec u did nt confirm HD.X RAY IS MUST IN THIS CASE.
Yesterday at 14:05 · Report
Neelam Singh Josan
pl b careful with careopet in retreivers
about an hour ago · Report
Ajitesh Kumar
gastritis?
43 minutes ago · Report
Ajitesh Kumar
how will u manage hip dysplasia in retrievers then?
40 minutes ago · Repor
Renal failure in a dog with low TLC
DrKumar Ravi hi docs i have a case of great dane who hao acute renal failour with b/t reports of last week as tlc-4800, n-20 l-80 blood platlets-1.20 lack serum creat-4 bun 120 vomitting off feed. after treatment with iv fluids, conciplex, rantac, lasix, enrocin to combat sec bac infection as its a viral origin of renal failour. n...ow he start taking food little bit no vomitting. today i repeat the blood test s.creat rise to 5.1 tlc 4200 l-75 n-20 blood plat- 80000. what should i do im totally confused . i recheck the samples but results r same
Ajitesh Kumar
dr i dont know whether its a case of acute renal failure of viral origin or not. acute renal failure is a rare condition. and viral origin is still rare. if it is acute then the onset will be sudden,with olig uria or anuria mostly. reason could be poisoning, nephrotoxic drug, leptospirosis etc.whether there was polydipsia/polyurea, what was the hb ... See Morelevel? what was the temperature?urinalysis would have been a good option. u can see the specific gravity of urine, casts,pus cells etc . it can be prerenal azotemia also.
as per the reports which we have ie platelet count 1.2 lakh and then 80000. leptospirosis can be the cause.
treatment options will be fortified procaine penicillin, lasix,rantac,emeset/ondans
dextrose, and amino acid solution (astymin)should also be given. blood test after 3 days again to see the parameters i.e creatinine and bun. if it does not come down then prognosis is very poor.then peritoneal dialysis can be tried.
as per the reports which we have ie platelet count 1.2 lakh and then 80000. leptospirosis can be the cause.
treatment options will be fortified procaine penicillin, lasix,rantac,emeset/ondans
dextrose, and amino acid solution (astymin)should also be given. blood test after 3 days again to see the parameters i.e creatinine and bun. if it does not come down then prognosis is very poor.then peritoneal dialysis can be tried.
Yesterday at 23:16 · Report
Ajitesh Kumar
and every 3rd day vitamin k injection to take care of bleeding due to low plate count
Yesterday at 23:17 · Report
Gagan Gaudi
if possible get it checked for tick borne diseases
6 hours ago · Report
Saurabh Saxena
go for ultrasound immed. and check shape ,size and consistency of kidney ,liver in particular and other vital organs.
5 hours ago · Report
Amardeep Singh
i agree Dr gagan
3 hours ago · Report
Swarupmay Majumdar
There is drug called AZODYL ( gut acting pre+probiotics which reduce Ammonia production in gut ) on TID orally can reduce Sr Creatn level drastically. stop enrofloxacin as it is excreted through kidney, use omeprazole alt days with sucralfate for saving GI tract. Use phosphate binders tab phostat675mg bid po. use herbal liver tonics for appetite.
... See Moredo not stop fluid. use RL 500ml 2 bottles + D25 2 bottles. check for sr protein ,if below 5 go for iv Aminoacid supplements, its not contraindicated. some people uses envas tabs to see that there is bettre perfusion in kidney. can use this too and its very safe.
Make a chart of all drugs, tell clearly how and when to give which medications. need more details ?
one more thing, this may be a case of just renal failure post meloxicam pain therapy!! low TLC is not always indicative of viral renal failure.am I wrong?
... See Moredo not stop fluid. use RL 500ml 2 bottles + D25 2 bottles. check for sr protein ,if below 5 go for iv Aminoacid supplements, its not contraindicated. some people uses envas tabs to see that there is bettre perfusion in kidney. can use this too and its very safe.
Make a chart of all drugs, tell clearly how and when to give which medications. need more details ?
one more thing, this may be a case of just renal failure post meloxicam pain therapy!! low TLC is not always indicative of viral renal failure.am I wrong?
3 hours ago ·
Amardeep Singh
thanx SM
2 hours ago · Report
Ajitesh Kumar
i have never heard abt viral renal failure. i think renal failure due to tick fever is also unlikely
about an hour ago · Report
puppy care-pneumonia with GE
Ajitesh Kumar hi,
how shall we approach a case of pneumonia with gastroenteritis in a pug puppy around 45 days. i came across so many cases which i was able to handle with 50% success only.
Saurabh Saxena
seriously ,its a problem which i also face reqularly.paediatric patients ?how to go abt them i.v. difficult ,s/c low abs.thought of small incubator chamber wid a small bulb to provide heat and maintain temp,but do not work practically.
4 hours ago · Report
Gautam Unny
one must treat symptomatically but also remember that worms migrate to the lungs, especially ascarids. so deworming is also essential
4 hours ago · Report
Swarupmay Majumdar
I go with gautam.
3 hours ago ·
Ajitesh Kumar
yes, dewormig will be a good answer. another problem is whether we shd give fluid therapy in gastroenteritis when there is pneumonia? and what will be the best antibiotic -cftriaxone and gentamicin, or amoxy clav or something else?
about an hour ago · Report
Swarupmay Majumdar
If it is a pleral effusion, I wont give much fluid but if lasix is added I will use fluid as per requiremnts. In preumonias one can easily use fluids.it helps only.
gentamicin if given dehyration should prefrably not there.
gentamicin if given dehyration should prefrably not there.
about an hour ago ·
Sunday, January 10, 2010
puo
Gautam Unny P.U.O,............
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Thurs at 18:37 · Comment · LikeUnlike · View feedback (5)Hide feedback (5) · Share
Gautam Unny
Gautam Unny
This was a very interesting case, of Pyrexia of unknown origin. The TLC was 22,000, the platelet count 2 lakhs. the fever never came below 106F, and i had kept it on ceftriaxone 500 mg( 32 kg 1 yr gsd).
occult blood was positive
rm stool normal
rm urine normal
abdominal x ray nad... See More
chest x ray as above can be seem to have multiple patches and severe congestion.
the patient was put on cefaperazone sulbacin for 7 days and has shown complete clinical recovery.
Thurs at 18:43
Swarupmay Majumdar
Swarupmay Majumdar
I had seen a case like this which had a fever of 106+ , it was a siberian husky. vomiting, bleeding stool, and temp never fell down. We put him on p[aracetamol once in 6hrs, dicrystin , enro & oxytetracycline. dog died. Diagnosed as ICH or collangitis!
most dogs find very difficult to survive at 106 + temp if it continues for more than 2 hrs and if you use NSAIDS you find bleeding !!
Yesterday at 13:29 ·
Ajitesh Kumar
Ajitesh Kumar
dr u have not given the signalment i.e age sex breed etc
Yesterday at 16:12
Gautam Unny
Gautam Unny
its written next to ceftiaxone, ajitesh
Yesterday at 21:56
Ajitesh Kumar
Ajitesh Kumar
oh. thanks
Yesterday at 23:05
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Thurs at 18:37 · Comment · LikeUnlike · View feedback (5)Hide feedback (5) · Share
Gautam Unny
Gautam Unny
This was a very interesting case, of Pyrexia of unknown origin. The TLC was 22,000, the platelet count 2 lakhs. the fever never came below 106F, and i had kept it on ceftriaxone 500 mg( 32 kg 1 yr gsd).
occult blood was positive
rm stool normal
rm urine normal
abdominal x ray nad... See More
chest x ray as above can be seem to have multiple patches and severe congestion.
the patient was put on cefaperazone sulbacin for 7 days and has shown complete clinical recovery.
Thurs at 18:43
Swarupmay Majumdar
Swarupmay Majumdar
I had seen a case like this which had a fever of 106+ , it was a siberian husky. vomiting, bleeding stool, and temp never fell down. We put him on p[aracetamol once in 6hrs, dicrystin , enro & oxytetracycline. dog died. Diagnosed as ICH or collangitis!
most dogs find very difficult to survive at 106 + temp if it continues for more than 2 hrs and if you use NSAIDS you find bleeding !!
Yesterday at 13:29 ·
Ajitesh Kumar
Ajitesh Kumar
dr u have not given the signalment i.e age sex breed etc
Yesterday at 16:12
Gautam Unny
Gautam Unny
its written next to ceftiaxone, ajitesh
Yesterday at 21:56
Ajitesh Kumar
Ajitesh Kumar
oh. thanks
Yesterday at 23:05
Saurabh Saxena hi all,
pug male 3yr,anaemic,respiratory congestion,decreased appetite.
the blood values are
hb-8.9
tlc-49400
dlc
n-87
lym-13
esr-75
RBC-4.01
pcv-28.8
platelet count-238
MCV-72
MCH-22.2
MCHC-30.9
RDW-18.8
S.BILIRUBIN(TOTAL)-0.05mg/dlS.BILIRUBIN(CONJUGATED)-0.02mg/dl
S.BILIRUBIN(unconjugated)-0.03mg/dl
SGOT-44.22U/L
SGPT-32.36U/L
S.ALKAL...INE PHOSPHATASE-332.68 U/L
S.PROTEIN-6.11
S.ALBUMIN-2.39
S.GLOBULIN-3.71
A/G RATIO-0.65/1
B.UREA-13.28MG/DL
S.CREATININE-0.35mg/dl
S.URIC ACID-0.63mg/dl
S.CHLORIDE-112mmol/L
S.SODIUM-145MMOL/L
S.POTASSIUM-4.60
S.CALCIUM-8.88
S.PHOSPHORUS-3.98
NEED UR EXPERT VIEWS ON THIS .
started with tab augmentin,syp silybon and syp fefolate.
during examination ,found abscess(most probably injection abscess)on back region.opened and drained pus. dressing every alt days .after 20 days it dies?? it showed slight improvement but did not start taking food himself was active n alert but was spoon fed.NEED UR EXPERT VIEWS ON THIS ??
See More
Yesterday at 11:51 · Comment · LikeUnlike · View feedback (5)Hide feedback (5) · Report
Saurabh Saxena
Saurabh Saxena
no vomition,no diarrhoea,just laboured breathing n went peacefully.this blood report is atleast a month old from his death was showing improvement. mm coming back to pinkish
one more interesting point to ponder ,the tab augmentin was stopped just 2 days back ..???
Yesterday at 11:56 ·
Swarupmay Majumdar
Swarupmay Majumdar
The dog died under vet supervison, tests tells that!! Must be he had respiratory problems due to low HB and all problems are related with it. you wrote ESR as 75. Can it be possible?
Yesterday at 13:25 ·
Ajitesh Kumar
Ajitesh Kumar
as per the report which says tlc was 49400 i personally feel 3 possibilities i.e leptospirosis, tick fever or internal abscess. other parameters rule out 1st two possibilities.there was a very high probability of abscess in lungs
Yesterday at 16:09 ·
Saurabh Saxena
Saurabh Saxena
doc,even i thought its severe leucocytosis so some pus filled infection,and after draining the back abscess and pus thought to taken hold of root cause ..laboured breathing was intermittent.i thought may be becoz of pain in legs and back region.so ,i agree there might be high poss.of abscess in lungs.then we had to take care of low hb and severe infection .what more cud have been done here??
5 hours ago ·
Ajitesh Kumar
Ajitesh Kumar
as far as treatment options are there only symptomatic treatment was possible. but we can help the owner if we give a good opinion abt the prognosis of the case. an x ray of the chest would have been a good option.
2 hours ago ·
pug male 3yr,anaemic,respiratory congestion,decreased appetite.
the blood values are
hb-8.9
tlc-49400
dlc
n-87
lym-13
esr-75
RBC-4.01
pcv-28.8
platelet count-238
MCV-72
MCH-22.2
MCHC-30.9
RDW-18.8
S.BILIRUBIN(TOTAL)-0.05mg/dlS.BILIRUBIN(CONJUGATED)-0.02mg/dl
S.BILIRUBIN(unconjugated)-0.03mg/dl
SGOT-44.22U/L
SGPT-32.36U/L
S.ALKAL...INE PHOSPHATASE-332.68 U/L
S.PROTEIN-6.11
S.ALBUMIN-2.39
S.GLOBULIN-3.71
A/G RATIO-0.65/1
B.UREA-13.28MG/DL
S.CREATININE-0.35mg/dl
S.URIC ACID-0.63mg/dl
S.CHLORIDE-112mmol/L
S.SODIUM-145MMOL/L
S.POTASSIUM-4.60
S.CALCIUM-8.88
S.PHOSPHORUS-3.98
NEED UR EXPERT VIEWS ON THIS .
started with tab augmentin,syp silybon and syp fefolate.
during examination ,found abscess(most probably injection abscess)on back region.opened and drained pus. dressing every alt days .after 20 days it dies?? it showed slight improvement but did not start taking food himself was active n alert but was spoon fed.NEED UR EXPERT VIEWS ON THIS ??
See More
Yesterday at 11:51 · Comment · LikeUnlike · View feedback (5)Hide feedback (5) · Report
Saurabh Saxena
Saurabh Saxena
no vomition,no diarrhoea,just laboured breathing n went peacefully.this blood report is atleast a month old from his death was showing improvement. mm coming back to pinkish
one more interesting point to ponder ,the tab augmentin was stopped just 2 days back ..???
Yesterday at 11:56 ·
Swarupmay Majumdar
Swarupmay Majumdar
The dog died under vet supervison, tests tells that!! Must be he had respiratory problems due to low HB and all problems are related with it. you wrote ESR as 75. Can it be possible?
Yesterday at 13:25 ·
Ajitesh Kumar
Ajitesh Kumar
as per the report which says tlc was 49400 i personally feel 3 possibilities i.e leptospirosis, tick fever or internal abscess. other parameters rule out 1st two possibilities.there was a very high probability of abscess in lungs
Yesterday at 16:09 ·
Saurabh Saxena
Saurabh Saxena
doc,even i thought its severe leucocytosis so some pus filled infection,and after draining the back abscess and pus thought to taken hold of root cause ..laboured breathing was intermittent.i thought may be becoz of pain in legs and back region.so ,i agree there might be high poss.of abscess in lungs.then we had to take care of low hb and severe infection .what more cud have been done here??
5 hours ago ·
Ajitesh Kumar
Ajitesh Kumar
as far as treatment options are there only symptomatic treatment was possible. but we can help the owner if we give a good opinion abt the prognosis of the case. an x ray of the chest would have been a good option.
2 hours ago ·
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