Friday, February 15, 2019

3428. Intern****. A dog is always eating and has high cholesterol and fishy smelly urine,

HOOK

A strange case

"No problem about his appetite!", the husband was very concerned about his dog's nocturnal coughing. "He eats and eats!"


The dog coughs for the past 4 days and pants often at home. The owner is more worried about the nocturnal coughing. The couple cannot sleep well when their pet is coughing.


DIET before consulting Toa Payoh Vets

Brand: X


Features:
High levels of naturally occurring Omega 3 and other fish oils

High levels of Omega 3

Protein from salmon .

Contains over 55% fish plus vitamins and minerals for a complete daily diet meeting the different life-stage requirements from junior dogs to senior dogs.

Containing fish and potato

-Entirely natural - No artificial colourings and preservatives
-Gluten free
-Hypo-allergenic
-A complete pet food for adult dogs

Ingredients:
Salmon (27%), Potato (23%) Pea Flour (22%), Fishmeal, salmon oil, Beet pulp, Brewer's yeast, Minerals

Made in the UK

Analysis:
Crude protein...26%
Fat Content....12%
Crude Ash.......7.5%
Crude fiber.....2.5%
Omega 3 fats...1%




FOLLOW UP ON FEB 14, 2019
The owner purchased another brand of dog food.

No more coughing and panting episodes at home
No more polyphagia (eats a lot of times)
Less swollen abdomen

Fishy urine could be due to the high fish amount consumed in the old diet. 






Feb 21, 2019 
Not eating for 6 days
Feb 20, 2019   IV drip, Baytril IV, Spasmogesic 1.5 mL IV
Right abdominal swelling. No panting.

Feb 21, 2019. Still no appetite. Vomited yellowish white froth overnight.
X rays


















Abdominal distension - enlarged livers











High total cholesterol








Bad teeth in the older dog need dental work as the gums become infected 

Abdominal distension is due to fatty livers





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