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The liver is an important organ necessary for controlling many different body functions. Signs of liver disease include increased drinking and urination, abdominal swelling, jaundice, digestive upset, and weight loss. Because of the varied actions of the liver there are several blood and urinary tests that can reveal liver disease. Imaging can be used to determine if there is a change in liver size or irregularity in liver tissue. Ultimately, a liver biopsy is often needed to definitively diagnose liver disease. A biopsy may be obtained by fine needle aspiration through the body wall or a surgical biopsy may be necessary. Anesthesia in a cat with liver disease will carry increased risk but often is relatively low. Treatment of liver disease depends on the diagnosis, but sometimes specific diets are recommended to help manage or slow the disease.
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Liver disease can occur in any avian species but is most common in cockatiels, budgies, Amazon parrots, lories, and mynah birds. Because the typical clinical signs are non-specific and descriptive of many different diseases, diagnostic tests are highly recommended. Treatment options depend on the diagnosis and can range from diet modification to hospitalization.
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Primary liver tumors in dogs and cats are rare. There are 4 types: hepatocellular tumors, bile duct tumors, neuroendocrine tumors, and sarcomas. These cancers can be massive, nodular, or diffuse in form. In dogs, most liver tumors are malignant, while in cats, most are benign. The signs of liver tumors range from being asymptomatic to having inappetence, fever, lethargy, and weight loss; and less commonly, nausea, vomiting and diarrhea; increased drinking and urination; and jaundice. Occasionally there are neurological signs, such as seizures. With tumor rupture and intrabdominal bleeding there may be weakness, collapse, and difficulty breathing. The diagnosis is based on history, clinical signs, exam findings, diagnostic imaging, and FNA or liver biopsy. A biopsy is best for a definitive diagnosis. Surgery is the treatment of choice for most primary liver tumors followed by chemotherapy. Chemoembolization is a newer treatment.
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Cats can have hearing loss due to increasing age or chronic ear infections, or they may be born with a defect. Deafness in cats can present some challenges, but overall they can have healthy, normal lives. It is possible to teach your cat household routines by using hand signals and body language. It is important to take their deafness into account when considering their safety, and they must remain indoors or in outdoor enclosures.
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Dogs can have hearing loss due to increasing age or chronic ear infections, or they may be born with a defect. Deafness in dogs can present some challenges, but overall they can have healthy, normal lives. Training is still possible by making some modifications and incorporating hand signals. It is important to take their deafness into account when considering their safety and ensure that they are never off leash on or near a street.
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Lokivetmab is given by injection and is used on and off label to treat itchiness in dogs. Give as directed. Side effects are uncommon but may include vomiting, diarrhea, sleepiness, lack of appetite, or pain at the injection site. Do not use in pets that are allergic to it. If a negative reaction occurs, please call the veterinary office.
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Lomustine is given by mouth and is used off label to treat certain cancers such as mast cell tumors and brain tumors. Give this medication as directed by your veterinarian. Common side effects include vomiting, diarrhea, lack of appetite, and hair loss. Do not use in pets that are severely allergic to it. If a negative reaction occurs, please call your veterinary office.
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Dogs pull ahead and lunge forward on leash for several reasons. Loose leash walking is a complex skill that requires patience, planning, and persistence. Positive reinforcement training is effective for teaching dogs how to walk nicely on a leash once their welfare needs have been met.
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Loperamide is given by mouth and is used off label to treat signs of diarrhea. Give as directed by your veterinarian. Common side effects include constipation, bloat, and sleepiness. Do not use in pets that are allergic to it, that have diarrhea due to an infection or a toxin, or that are positive for the MDR1 gene. If a negative reaction occurs, please call your veterinary office.
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Lorazepam (brand names Ativan®, Lorazepam Intensol®) is a benzodiazepine medication used off label to treat behavior problems such as anxiety, fears, and phobias in cats and dogs. It can also be used to treat seizures or to stimulate appetite in cats. It is given by mouth or injection. Do not use in pets that are allergic to it or other benzodiazepines, or that have severe breathing problems, or liver disease. If a negative reaction occurs, please call your veterinary office.