Encephalitis: Brain Inflammation in Dogs

Encephalitis in Dogs

The term encephalitis refers to an inflammation of the brain. However, it also may be accompanied by the inflammation of spinal cord (myelitis), and/or the inflammation of the meninges (meningitis), membranes which cover the brain and spinal cord.

German short-haired pointers, Maltese, and Yorkshire terriers are all found to be predisposed to encephalitis.

Symptoms of Encephalitis

Although symptoms may vary depending on the portion of brain affected, they typically appear suddenly and are rapidly progressive. Such symptoms include:

  • Fever

  • Seizures

  • Behavioral changes (e.g., depression)

  • Decreased responsiveness

  • Head tilt to either side

  • Paralysis of face

  • Uncoordinated movements or circling

  • Unequal size of pupils (anisocoria)

  • Smaller sized pinpoint pupils

  • Decreased consciousness, which may worsen as disease progresses

Causes of Encephalitis

  • Idiopathic (unknown cause)

  • Immune-mediated disorders

  • Post-vaccination complications

  • Viral infections (e.g., canine distemper, rabies, parvovirus)

  • Bacterial infections (anaerobic and aerobic)

  • Fungal infections (e.g., aspergillosis, histoplasmosis, blastomycosis)

  • Parasitic infections (e.g., Rocky Mountain spotted fever, ehrlichiosis)

  • Foreign bodies

Diagnosis of Encephalitis

You will need to give your veterinarian a thorough history of your dog’s health, including the onset and nature of the symptoms, and possible incidents that might have precipitated the unusual behaviors or complications. Your veterinarian may then perform a complete physical examination as well as a biochemistry profile, urinalysis, and complete blood count (the results of which will depend on the underlying cause of the encephalitis).

If your dog has an infection, the complete blood count may show an increased number of white blood cells. Viral infections, meanwhile, may decrease the number of lymphocytes, a type of white cells (also known as lymphopenia). And abnormal reduction in platelets (small cells used in blood clotting) is a good indicator of thrombocytopenia.

To confirm lung involvement and related complications, your veterinarian may require chest X-rays, while MRIs and CT-scans are used to evaluate the brain involvement in detail. Your veterinarian may also collect a sample of cerebrospinal fluid (CSF), which is then sent to a laboratory for cultures. This is necessary for definitive diagnosis and to determine the severity of the problem. If culture assays are unsuccessful, a brain tissue sample may be necessary to confirm the diagnosis, but this is an expensive procedure.

Treatment of Encephalitis

Your veterinarian will focus on reducing the severity of the symptoms, such as brain edema and seizures, and halt the progression of the disease. Severe forms of encephalitis require immediate hospitalization and intensive care. For instance, those suspected of having bacterial infections will be given broad spectrum antibiotics, which can reach the brain and spinal cord.

Living and Management

With proper treatment and care, symptoms gradually improve within two to eight weeks; however, the overall prognosis depends on the underlying cause of the condition. For example, in some dogs, symptoms may reappear once treatment is discontinued. In such instances, a second round of treatment (or long-term treatment) may be required to save the dog's life.

Your veterinarian will schedule regular follow-up exams to evaluate the effectiveness of the treatment and the dog's state of health. Your vet may even recommend a new diet for the dog, especially if it is frequently vomiting or severely depressed.


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Canine Dental Health: Top 10 Questions and Answers

Dogs are remarkable creatures. From the tip of their cold noses to the ends of their wagging tails, canine anatomy is as beautiful and graceful as it is unique and fascinating. The mouth, teeth, and skull of dogs are incredibly well adapted to meet the needs of one of nature’s most perfectly designed scavengers. The oral cavity of the dog is also the source of many myths and misunderstandings that lead to some potentially serious problems. Here are some of the most common, interesting and important dental questions regularly asked.

1. How many teeth do dogs have?

The average adult dog has about a third more teeth than his human counterpart. Adult dogs have 42 permanent teeth compared to a measly 32 average human teeth (not counting any wisdom teeth. Those are "bonus."). Puppies possess 28 baby teeth while human babies will have 20 deciduous or “baby” teeth.

2. When do dogs begin to lose their baby teeth?

Puppies begin losing baby teeth around 12 to 16 weeks of age. By four months of age, almost all of a pup’s deciduous teeth have been shed and many of the permanent teeth have already erupted and are in place.

3. Can you tell how old a dog is by looking at their teeth?

The answer is—it depends. When dogs are young, you can estimate their age by observing which teeth have erupted. For example, a puppy’s deciduous incisors typically erupt between 4 to 6 weeks of age and the permanent incisors are in place by 12 to 16 weeks. The canines or “fang teeth” emerge at 3 to 5 weeks and the permanent canines by 12 to 16 weeks. By the time the permanent molars are present, the dog is 4 to 6 months old. In general, once a dog reaches six months of age, all or least most of their permanent teeth are visible.

Once the adult teeth are in place by about 6 months, it’s anyone’s guess. Some veterinarians claim to determine a dog’s age by gauging the amount of wear on the teeth. Maybe. What if a young dog chews on hard things? That could lead to a three-year old stray dog mistakenly being categorized as a senior dog on the basis of worn teeth, resulting in a lower chance of adoption. The myth of aging dogs by their teeth started with horses. Horses’ teeth erupt over a five-year period ("full mouth at five"), wear at somewhat established rates and you can get a ballpark guess of the age of a horse by careful examination of teeth. The same isn’t true for man’s best friend. Or man. Guessing a dog’s age must include much more than simply the current state of their teeth.

4. Can dogs regrow adult teeth if they lose them?

This is a common myth asked about by many dog owners. Unlike species such as sharks, dogs can’t regrow lost or damaged teeth. If they lose an adult tooth, they lose it forever, just as in humans. This is why it’s so important to take good care of your pets' teeth. They’ve got to last a lifetime.

5. Do dogs get cavities?

Dental caries or “cavities” as they’re more commonly known, are rare in dogs. This is due to many factors including a relatively low-sugar diet, differences in mouth bacteria, and the shape of the teeth. When cavities do occur, they can be treated the same way as human cavities: drill out the damaged part of the tooth and fill it with a special dental compound. In severe cases involving tooth root exposure, endodontic procedures will be performed such as root canal and capping. Extraction of the affected tooth is required in certain cases. Another good reason to provide dental care for your dog.

6. Do small or large dogs have more problems with their teeth?

Dogs both large and small can develop serious oral and periodontal problems. In small dogs with short snouts and cramped jaws, we tend to see more issues with plaque, tartar, and dental calculus buildup. This leads to gum and periodontal disease and eventually painful loose teeth. Small dogs may chip and break tiny teeth if permitted to gnaw on hard toys. Larger breeds tend to experience more traumatic injuries to teeth and gums such as fractured tooth tips, broken jaws, and worn tooth surfaces. If the tooth root becomes exposed, this results in severe pain and death of the tooth. Larger dogs can also develop the same plaque and tartar buildup as well as the gum and periodontal disease of their smaller siblings.

7. How can I tell if my dog has gum disease?

Start by lifting your dog’s lips. If you see dirty or discolored teeth, typically an ugly brownish-greenish color, see your veterinarian. This is likely tartar or plaque and is an early sign of imminent gum or periodontal disease. Next examine the gums for any swelling or redness. If you brush your fingertip along the gum line and observe the tissues become angry and inflamed or even bleed, this indicates more serious gum infection and disease. Finally, take a whiff. If your dog’s breath is foul, this is usually associated with bacterial infection. “Doggie breath” shouldn’t be a reason to avoid your dog. Remember that sweet smelling “puppy breath?” A dog with a healthy mouth should have pleasant or at least neutral odor. If your dog exhibits any of these signs, see your veterinarian for help.

8. What’s that really big tooth in the middle of my dog’s upper jaw?

The largest tooth in a dog’s mouth is the upper fourth premolar also known as the carnassial tooth. Its special shape and tooth surface is designed to help shear, crush, and hold. This is why you see dogs grasp chew toys with the side of their mouth, chomping feverishly. This is also why you have to replace so many chew toys. Next time blame the carnassial teeth instead of your dog.

9. I heard that dogs could get mouth cancer. Is that true?

Unfortunately oral tumors are diagnosed in many dogs. In fact, it’s estimated that one in four dogs will die of some form of cancer. Malignant oral tumors in dogs can be very aggressive and quickly spread throughout the body if untreated. If you observe any swelling, lumps, or dark and unusual colored tissue in your dog’s mouth, have it examined immediately. If diagnosed early, many oral cancers have a relatively good prognosis.

10. I’ve tried many times to brush my dog’s teeth with no success. They seem to hate it. Is there anything else I can do to take better care of my dog’s teeth?

You’re not alone. It's quite common for a busy pet owner to not brush their dog’s teeth every day, either. So what can be done? First, have all your pets’ teeth professionally cleaned under anesthesia once a year at your vet. This is perhaps the single most important thing a pet parent can do for their pet when they can’t brush the teeth daily. While they’re under, your vet will take oral x-rays to make sure there are no hidden problems lurking out of sight underneath the gums. Next, provide your dogs with chew treats approved by the Veterinary Oral Health Council (VOHC) to help remove plaque and tartar. Many have special ingredients embedded in them that help reduce harmful mouth bacteria. You can also regularly rinse your dogs’ mouths with an antimicrobial rinse designed to kill pathogenic bacteria that can cause gum infection. This also helps leave their breath highly kissable. Finally, at least once a week, take a peek inside your dogs’ mouths to make sure everything looks, and smells, healthy. See, taking care of your dog's mouth isn’t so hard after all!


If you have any questions or concerns, you should always visit or call your veterinarian – they are your best resource to ensure the health and well-being of your pets.


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Puppy Dental Care: Teeth, Teething and Tooth Care

Just like human babies, ​puppies have baby teeth that fall out. Most puppies are born without teeth and go through a process known as puppy teething. From birth to six months, sharp puppy teeth erupt from the gums in the jaw in a predictable timeline. Puppies go through teething stages during the development of their teeth, including sore gums, and eventually—the eruption of 28 baby teeth. During teething, puppies may target all kinds of unexpected objects to gnaw and chew on, like baseboards and shoes, to relieve the discomfort. However, most dogs never outgrow the urge to chew. Pet owners are encouraged to learn about how their puppy's teeth grow in so they can best handle their dog as it ages.

Stages of Puppy Teeth and Teething

Birth to 2 Weeks

When your puppy is born, there are no teeth yet. During the first two weeks, you'll notice your puppy nursing and first opening its eyes.


Weeks 2 to 4

In the front of the mouth, narrow-edged teeth known as incisors will begin to emerge. The incisors are the first to appear at about two to three weeks of age. Puppies have six incisors on both the top and bottom jaw.

Premolars and molars also begin to grow behind canines (the pointed teeth between the incisors and premolars) at three to six weeks of age, with three on the top and bottom of each side. Four needle-like canines appear at age four weeks and frame the incisors, one on each side, top, and bottom.

Weeks 5 to 8

The last molars appear by six to eight weeks of age. At about eight weeks, the puppy’s permanent teeth begin pushing out deciduous or "milk teeth." The roots of the baby teeth are absorbed by the body, and in most cases, milk teeth simply fall out.

When the deciduous teeth don't fall out on time, puppies may appear to have a double set of teeth. Retained baby teeth should be extracted by a veterinarian so that permanent teeth have room to grow. Sometimes, a crowded mouth pushes teeth out of alignment, resulting in difficulty eating or poor dental hygiene (which can lead to periodontal disease).

All of your puppy's 28 baby teeth are expected to come in by this time. This is when puppies start to learn how to eat moist and soft puppy food.

Weeks 12 to 16

Breeders often let their puppies go to their new owners' homes around eight weeks. Baby teeth will begin to shed, and permanent adult teeth will start to come in. This process is painful for dogs, so providing puppy safe chew toys is recommended. This is a good time to socialize your dog more, look and touch the inside and outside of its mouth, and prepare for teeth brushing.

6 Months and Older

At this point, all puppy teeth should be gone, and adult teeth emerge. If there are any baby teeth left, let your vet know so it can be removed. Permanent teeth replace the milk teeth tooth-for-tooth and add four premolars and 10 molars. Most pups will have 42 permanent teeth in place by about seven months of age.

Signs to Keep an Eye on During Teething

While it can vary somewhat between breeds, there is a progression you can expect as your puppy develops new teeth. It's important to begin handling your puppy's mouth while it's young so you can periodically check for any potential tooth problems. Any type of facial swelling, changes in eating habits, unexpected night awakenings, or rubbing of the face are signs of possible oral discomfort.

You'll want to take your pup to the veterinarian if you see:

  • Two teeth occupying one spot in your puppy's mouth. This can cause the adult tooth to come in crooked, possibly causing later problems.

  • Spots of blood on your dog's toys, brown tartar on the teeth, or gums that are bleeding, inflamed, and/or sore. These are common symptoms of periodontal disease, a large oral issue for dogs.

  • Broken or cracked teeth. This can cause the nerve of the tooth to expose itself, causing your dog pain or infection.

  • Crooked teeth or malocclusion (misalignment of the upper and lower jaw). While some breeds have a trademark bite, unusual ones could cause chewing issues.

  • Loose adult teeth. Most often, this is caused by trauma to the mouth or from gum loss due to advanced periodontal disease. It could also be a sign of illness.

How to Keep Teeth Healthy

Schedule a visit with your veterinarian for an initial dental exam for your puppy. This examination will include a look at the teeth, gums, and oral cavity. Ask your vet to demonstrate how to clean your pup's teeth. This way, you'll know what brushes, toothpaste, and techniques to use.

Get your pup used to the idea of tooth brushing around six months when its adult teeth start to come in. Regular brushing will prevent plaque, stinky breath, disease, and other medical problems. It's ideal to brush your puppy's teeth daily, but once or twice a week will work.

The Purpose of Each Dog Tooth

Different kinds of teeth serve various functions, based on the position of the mouth and the shape of the tooth. With some breeds, the shape of the jaw impacts how each type of tooth functions. Most dogs have V-shaped upper and lower jaws which allow the mouth to be opened very wide for grasping and capturing prey—or grabbing and holding toys during play. There are several ways dogs use their teeth:

  • Dogs use their incisors to rip and scrape meat from bones. They also use them as a grooming tool to nibble burrs or dirt from their fur.

  • Dogs use their two canine teeth, found on each side of the jaw (on the top and bottom), as pointed daggers to inflict stabbing and slashing wounds.

  • Dogs have eight premolars in the upper jaw and another eight in the lower jaw. They also have four molars in the top and six in the bottom. The extra molars are designed to crush and are used to process vegetable foods and bones.

  • Dogs have specialized carnassial teeth composed of premolars and molars. As they pass each other during the mouth's closure, these teeth act like scissors. The carnassial teeth are innovations of the carnivorous animal that requires shearing action to process flesh.

What a Proper Bite Looks Like

When the mouth is closed, dogs should have a normal "bite." This is very important so that dogs can eat and use their mouth normally.

A normal bite looks like this:

  • The lower canine teeth are situated in front of the upper canines.

  • The upper incisors overlap the lower incisors.

  • The upper premolar points fit into the spaces between lower premolars.

  • The upper carnassial teeth overlap the lower ones.

Malocclusion refers to the abnormal "bite" or fitting of these teeth. Malocclusion can be normal for certain dog breeds due to differences in the shape of the jaw and mouth. For instance, the flat-faced (brachycephalic) dog breeds like Bulldogs have a normal malocclusion because their lower jaw is longer than the upper. However, this allows the teeth to fit incorrectly, which can cause mouth damage as the dog chews. Thus, a veterinarian or veterinary dentist with orthodontic correction should be aware of malocclusion.


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Discolored Teeth in Dogs

Stained Tooth and Teeth in Dogs

Teeth discoloration is any variation from normal tooth color. However, the normal color of teeth varies, dependent on the shade, thickness, and translucency of the enamel covering the tooth.

Any variation from normal tooth color is discoloration. The normal color of teeth varies, dependent on the shade, thickness and translucency of the enamel covering the tooth. Extrinsic discoloration occurs when exogenous pigment accumulates on the surface of teeth. That is, the cause of the discoloration is from an external source, rather than from a physical condition. Intrinsic discoloration is characterized by secondary factors that are happening inside the tooth, discoloring the underlying dentin.

Symptoms and Types

Intrinsic discoloration is characterized by secondary factors that are happening inside the tooth, discoloring the underlying dentin. Extrinsic discoloration, meanwhile, occurs when exogenous pigment accumulates on the surface of teeth. That is, the cause of the discoloration is from an external source, rather than from a physical condition.

Common symptoms associated with both discoloration types include:

  • Abnormal coloration of one or more teeth

  • Fractured tooth

  • Pitted enamel (the glossy covering of the tooth) with staining

  • Rings or lines of discoloration around one or more teeth

Causes

Extrinsic discoloration

  • Bacterial stains from plaque (mucin, debris, bacteria and a thin film of food) and calculus

  • Foods

  • Bleeding gums

  • Dental restorative materials

  • Medications

  • Metal

Intrinsic discoloration

  • Internal (trauma, injury)

  • Localized red blood cell destruction in the tooth (trauma)

  • Systemic infections

  • Medications (tetracycline)

  • Exposure to too much fluorine (ingestion of toothpaste containing fluoride)

  • High levels of bilirubin in the blood (from bile, the liquid in the gallbladder that helps to dissolve food in the intestines)

  • Amelogenesis imperfecta (a condition in which dental enamel does not calcify enough)

  • Dentinogenesis imperfecta. (a condition in which the dentin does not develop correctly)

Diagnosis

A complete blood profile is to be conducted, including a chemical blood profile, a complete blood count, and a urinalysis. You will need to give a thorough history of your dog's health, onset of symptoms, and possible conditions that might have caused this condition, such as diet, injury, recent illnesses, etc. The history you provide may give your veterinarian clues to the origin of the dental condition.

An oral exam is part of a thorough physical exam. Your veterinarian will need to x-ray your dog's teeth in order to identify internal or external resorption, and whether restorative materials or bacterial stain from bacteria are entering the crown of the teeth. Your veterinarian may also use a strong fiber optic light that is focused on the teeth to determine vital from dead dental pulp (the nerves and blood vessels in the tooth). If the tooth (or teeth) need to be removed, your veterinarian will most likely need to subdue your dog with general anesthetize in order to extract it.

Treatment

Extrinsic stain removal can be performed for cosmetic reasons. These procedures often involve internal and/or external treatments such as bleaching, veneers and crowns.

Intrinsic stain removal may be done to improve the function of the teeth and to relieve pain for your dog. This often involves using endodontic treatment (endodontics treat the interior of the tooth, pulp and surrounding tissue of the teeth). Crowns and veneers may be used to protect the teeth and the pulp in the teeth.

Living and Management

Any discolored teeth should be treated to prevent plaque and calculus buildup and to prevent further periodontal disease. Discolored teeth are more prone to fracture, which could result in tooth abscessation (formation of an abscess, usually in response to bacterial infection).

Discoloration may be prevented in future litters by avoiding giving certain medications to the pregnant pup. With proper attention, discoloration of teeth can be prevented in puppies.


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How to Train Your Pet to Love Grooming and Nail Trims

You finally mustered the nerve to carry out the task you’ve been dreading all week—a must because you’re having guests and you want your pet to look their best! Brush in one hand, nail clippers in the other, you begin your hunt throughout the house. “Over here!” shouts your spouse. The two of you conspire to hold the struggling pup down to give a toenail trim and groom their mats out but after just seconds you both give up.

Many pet parents are afraid or unable to trim their dog or cat’s nails and some are even unable to brush their pets. You might think it’s not a big deal; however, these are essential pet care tasks that may need to be performed on a regular basis. Untrimmed or worn nails can snag on objects and tear as well as cause abnormal walking gait. They can even grow so long that they curve around back into the foot causing lameness and pain. Long nails can also cause damage to furniture and can scratch humans who are playing with their long-nailed pets. Brushing is also essential in pets with long-hair or thick coats in order to prevent matting, help decrease shedding, and prevent associated skin problems.

Getting Started

In order to teach your dog to accept grooming, you are going to need a few basic supplies. You should have a toothbrush and toothpaste specially designed for dogs, which are generally available at your vet or local pet store. A brush and dog nail clipper or Dremel will also be vital for training as well as essential grooming tools you should keep at home for in between-groomer-visits doggy maintenance. Finally, a selection of treats will come in handy for teaching your dog to associate pawsitive and happy experiences with grooming.

Training pets to be ok with being brushed

Step 1- Introduce the brush

Brushing is a vital part of your dog’s health. Brushing your dog’s coat stimulates growth, eliminates loose fur, and distributes natural oils to help with overall coat health and appearance. To begin teaching your dog to like being brushed, first let them inspect the comb, brush or other grooming tool. Be sure to treat and praise your dog for sniffing and ignoring or otherwise being indifferent to the presence of the brush.

Step 2- Touch with the brush

Once your dog is used to the brush, touch them gently on their body with the brush. Remember to treat and praise after for good associations with the grooming tool.

Step 3- Brush your dog

Once your dog is used to being touched with the brush, start performing gentle stroking motions over their coat. Keep the grooming sessions short, as you are still in the acclimation phase and aren’t actually looking to clean or style your pup at this time. Give plenty of treats to your dog while brushing.

Step 4- Add in other tools

Once your dog has learned to accept being brushed, it’s time to work in other tools. Shower heads, blow dryers, combs and clippers are all common items used by groomers. Acclimate your dog to one item at a time using steps 1-4 above and your pooch will learn to love grooming in no time.

Training pets to be ok with having their nails trimmed

Step 1- Handling the feet

Dogs naturally have an aversion to having their paws handled. You’ll need to slowly acclimate your dog to having their paws, pads, and nails touched in order to teach them to allow their nails to be clipped. Start out with a selection of treats nearby and with your dog in a relaxed position, preferably lying down. Spend some time briefly touching and lightly squeezing the paws, always followed by a treat.

Step 2- Touching and squeezing the nails

After your dog is used to having their paws handled generally, move to the more sensitive nails. Start by touching the nail for just a moment and then praising and treating your dog. Slowly work up to squeezing your dog’s nail gently to imitate the pressure applied by clippers or a file.

Step 3- Introducing tools

Once your dog is used to your hands touching their nails, you will need to introduce your cutting apparatus. Depending on the size of your dog, you may choose to use a file, clippers or an electronic Dremel. Touch your nail trimmer to your dog’s nail briefly and then treat and praise. Repeat until your dog is not concerned with the trimmer being near or touching them.

Step 4- Begin filing and clipping

Start off filing or clipping briefly, one nail at a time instead of the entire foot. After the first trim, praise and treat your dog. If Fido becomes agitated, you may need to repeat earlier steps, getting your dog used to the trimmer touching their nail.

Step 5- Practice and repeat

Slowly work your way up to two, three and then all the nails. Be sure to work evenly on your dog’s front and back feet, both for practice and in trimming. Nail trimming is an important grooming chore on your dog and an essential behavior for training your dog to allow grooming.

Training pets to be ok with having their teeth brushed

Step 1- The touch

Teaching your dog to accept inspection, brushing and other manipulation of the mouth is vital for good oral hygiene. Start out in a familiar and neutral area of the house. Wait until your dog is calm and relaxed and then touch their muzzle gently and briefly. Immediately treat and praise.

Step 2- Lift the lip

After your dog has become used to you touching their muzzle, progress to lifting a lip briefly. After you’ve released the lip, quickly treat and praise to create a strong association with food items and your manipulation of their mouth.

Step 3- Increase duration

Once your dog is accepting regular lifting of the lip, increase the amount of time you touch and hold onto their lip. Hold their lip up and inspect their teeth. When you release, immediately treat and praise.

Step 4- Add the brush

Repeat steps 1-3, adding in a tooth brush instead of your hand or finger. Your dog may be curious about the brush at first. It will be important to only treat and praise when they ignore the implement instead of trying to chew or lick it.

Step 5- Let's get brushing

After your dog is acclimated to the feel of the brush, it’s time to clean their teeth. Start by touching the brush to the teeth and then work your way up to a gentle scrubbing motion. Before you know it, your pooch will be ready to show off those pearly whites to the professionals.


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