2013年9月25日星期三

Canine Liver Disease: Causes and Symptoms


By Ruthie Bently


Canine liver disease is the fifth leading cause of death for dogs, and it’s estimated that three percent of all diseases veterinarians see are connected to the liver.


Canine liver disease has many causes, such as physiological, physical and chemical. It can be called “prior” or “after” liver disease. An example of “prior” liver disease would be a cancer; an example of “after” liver disease is a blocked bile duct.


The liver is the second largest organ in a dog’s body (after the skin) and is the workhorse of their body. It’s a specialized manufacturing and pollution control center, and is what makes the body function properly. The liver processes food eaten, manufactures the necessary building blocks, detoxifies and recycles the blood, and gets rid of the waste created. Since the liver is connected so intricately to the biochemistry of an organism, it can make diagnosing canine liver disease difficult. Liver disease can affect many body functions and in turn the liver can be affected by many other organs and systems of the body.


If not too far advanced, the symptoms and disease may sometimes be reversed due to the liver’s ability to completely regenerate. However, the disease must be managed properly to allow this to happen. A dog’s liver can be damaged up to 80% and still function normally due to its reserve capacity; because of this capability, the disease may be too far advanced and untreatable by the time it’s diagnosed. The largest challenge facing veterinarians diagnosing canine liver disease is that the symptoms are not predictable and may not be specific. Due to the paradoxical attributes of the liver, diagnosing and treating the disease can be exceedingly difficult.


Canine liver disease has a myriad of causes, and what follows is only a partial list. Any number of traumas to a dog may result in liver disease: a hernia to the diaphragm, being hit by a car, a bruise or heatstroke. A diet that’s too high in fats can affect the liver; females are more prone to this than males. A dog with chronic infections (i.e. tooth problems) can contract liver disease. Fungal and bacterial infections can cause liver disease, as can parasites like heartworms and roundworms.


Certain drugs can cause side effects that result in liver disease, including acetaminophen, anabolic steroids, antibiotics, anesthetics, ASA, chemotherapy drugs, cortisone, corticosteroids, glucocorticoids, certain parasiticides given over extended periods, phenylbutazone and Phenobarbital.


Contact with toxins from pesticides, herbicides, insecticides, bleach, household cleaners and paint chips that may contain lead can all cause liver disease. Your dog could contract hepatitis, which is an inflammation of the liver. Cancer can overwhelm a dog’s system or metastasize directly to the liver itself and lead to issues.


Certain dog breeds are hereditarily prone to copper storage disease (a.k.a. canine copper hepatotoxicosis), a form of liver disease. An exaggerated amount of copper accumulates in their liver and if left untreated can be fatal. There’s also a chance of these breeds developing cirrhosis or chronic hepatitis.


There are numerous symptoms for canine liver disease. Jaundice is the most recognizable; a tint from yellow to orange will appear. It is most easily seen in the sclera (white) of the eye, but is also visible in the gums and skin of an affected dog. You may see more frequent urination which may also be tinged between lemon yellow and bright orange. Your dog may be thirstier or have an unquenchable thirst. Their abdomen may look distended and be uncomfortable to the touch. They may have a lack of appetite, chronic weight loss, recurring gastrointestinal issues or bloody vomiting. Their feces may be yellow or orange, a paler color than normal, or they may have bloody diarrhea with the above characteristics. You may observe strange behavior, circling, lethargy, no interest in playing or walks, or accelerating depression.


If your dog is diagnosed with canine liver disease, you should remove any toxic agents that could be involved. This includes any drugs that may harm the liver further.  If your dog is on medications with sodium or potassium, your vet may change or decrease those medications to eliminate the intake and retention of those minerals. If your dog is on Phenobarbital for seizure management, your vet may change their medication to decrease damage it may cause. Your vet may suggest distilled water to lessen the effect of minerals in the water. They may also put your dog on a special diet or prescribe a diuretic to control water retention. Your vet may suggest rest and confinement which will allow the body to focus needed resources on the healing process. If caught early and the liver isn’t too compromised the condition is reversible. Being alert to symptoms of canine liver disease, a responsible pet owner can save their dog’s life.


Read more articles by Ruthie Bently


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