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Ask the Vet About Cushing's Disease in Dogs & Cats

Cushing's Disease
Symptoms & Diagnosis
Treatment
Ask the Vet
Ask the Vet About Cushing's Disease in Dogs and Cats
MichaelDym, V.M.D.
Michael Dym, V.M.D.
Doctor of Veterinary Medicine

As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.

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Showing 1 - 15 of 71
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Date: May 20, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Home made food

Question:My dog has cancer, Cushings and a heart murmur and just new with Pancreatitis. He no longer will eat his dog food so with my vet I am making his diet. But one item I cant find dont know why he needs it or where to get it and its Dicalcium Phosphate. I know human foods lacks things a dog needs and I am a beginner in this can you comment please. Thanks, Lynn

Answer:It is really close to impossible to make your dog's own food and have it be balanced and good for them so working with a veterinary nutritionist is ideal. Your veterinarian will either know one in your area and/or be able to refer you to one remotely.

Date: May 12, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Liver blood test elavated

Question:The Vet recommended Hepatotrubenefits for Liver please advise

Answer:Yes, that is a good product. I like Denamarin as well: https://www.1800petmeds.com/Denamarin+Tablets+-prod11008.html

Date: Apr 29, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Skin

Question:A lot of shin lumps.

Answer:Masses can be benign, malignant and everything in between. It is impossible to tell, just by looking at a mass, what kind of cells it contains. Have your veterinarian check it out - they will usually do a "fine needle aspirate" - a little mini-biopsy where they stick a small needle in it and suck some cells out and either look at it right there in their office or send it off to a pathologist. Then you can make a plan for it - if it is definitely benign, your veterinarian may recommend doing nothing.

Date: Apr 1, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Medication

Question:My dog needs medications for cushions disease she is a senior vets are closed right now so trying to see what meds she needs so I can purchase online thank you

Answer:The veterinarian that met her in person and diagnosed her has to prescibe the medications. Here is a link to our article about treating Cushing's disease: https://www.1800petmeds.com/education/cushings-disease-treatment-3.htm

Date: Mar 23, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Maxi, 13 yr. old dachshund

Question:Doeshe have Cushings? Drinks more water oflate...less control over peeing in house. Seems to have difficulty with bowel movements some of the time. Only feeding him canned soft food now. More info please. Was at our vet's in Dec. and Jan. for annual checkup (all good) in De. and constipation issues in Jan. He recovered with change in diet. Next test by Dr. ultrasound...too costly. Have not returned.

Answer:With those symptoms, it's certainly possible, as are other things. Did they run blood work? That might be cheaper than the ultrasound and would also rule out other possible causes like kidney disease and diabetes.

Date: Mar 21, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Can I give my dog NSAIDs

Question:I have a 12 year old Staffordshire Bull Terrier who developed bad arthritis in her elbow when she was 4 years old. She has recently been diagnosed with Cushings and chronic back issues. The Vet said no NSAID's and gave us Gabapentin, but she does really well on Meloxicam with no side affects, I would like to give her this for 4 days to help with her arthritis. Is it definitely not a good idea to give NSAIDs to a dog with Cushing's Disease.

Answer:That is really a much better question for your veterinarian who has access to all of her blood work, so knows severity, liver & kidney function, etc. etc. Ask about other modes of relief that may be available in your area at the same time - things like laser therapy, acupuncture, hydrotherapy, physical therapy, etc.

Date: Feb 22, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: ALP level 900

Question:My 6 year old dog's ALP level was 800 last month, this month it is 900. We did the steroid cushings test and it came back negative, his platelet count is also increased, what could be causing this, he did have 3 types of bacteria growing in his eyes and 1 year ago had cryptosporidium could that have caused this problem. Please help!!

Answer:Cushing's disease is still possible. Liver disease is as well. Ask your veterinarian if a product like Denamarin might be a good idea to try to lower his ALP phos levels. Here is a link to read about it: https://www.1800petmeds.com/Denamarin+Tablets+-prod11008.html

Date: Feb 20, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Special Diet for Cushing's Disease

Question:My 8 year old lab has had Cushing's Disease for several years. The medication is helping but is there any special diet that would help ease his symptoms?

Answer:There are no specific dietary concerns, in general, for Cushingoid dogs, as long as they aren't diabetic or have other issues at the same time, so any good, quality diet is usually fine.

Date: Feb 18, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: multiple medical issues

Question:my Havanese is nearly 11, 2 years ago she had some dire medical issues - she is diebetic with two shots daily, has Cushings Disease and is blind from cateracts - and has few teeth left. Recently she has symptoms that appear to be Vestibule Syndrome. How do I know when it is the right time?

Answer:I'm so sorry you are going through this. It's the hardest part of pet ownership! Your veterinarian is definitely the best one to answer these type of questions because s/he knows your dog and her entire medical history much better than I do and can examine your dog directly. Geriartic vestibular syndrome can look really bad and then they can potentially recover from it fully.

Date: Jan 19, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Drug interactions

Question:Is it safe to give heart guard to a dog on Vetoryl .

Answer:Yes.

Date: Jan 16, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: medication

Question:My dog is 8lbs.. she has been on Vetoryl 5mg twice a day for 6 to 8 months. There really is no change in her appearance. Pot belly, loss of hair, dark skin, boney areas, Her personality is curious interested in everything...pees and poops regularly. Becomes very frightened when I bring her to the Vet. have not since September.. She does shake and have tremors about one hour after she is medicated..I believe it is caused by the med she is getting.. I have tried to shield her from stressful situations. Vet..Groomers

Answer:I don't see an actual question here but I probably couldn't answer it anyway without access to her old blood work so her veterinarian is probably the best one to ask.

Date: Jan 11, 2020
Category: Cushing's Disease
Pet Type: Dog
Topic: Hair falling out

Question:My older dog 14,with Cushings, is losing hair. Im small clumps with brown skin pieces. Almost like my previous dog who was passing from cancer. Ive tried dinovite, shampoos, fish oil... Do you think this is end of life type issue or cushings impact.

Answer:Hard to say, but probably Cushings - have your veterinarian recheck his/her blood levels and you will know for sure.

Date: Dec 3, 2019
Category: Cushing's Disease
Pet Type: Dog
Topic: ACTH TESTING

Question: My dog diagnosed with Cushings disease. y question is My vet started him on Vetoryl . We did bllod work 4 weeks later to see if this is the proper amount of medication. Well 3 blood test later still working on medication . I think they are doing ACTH wrong and thinl they have been doing ot wrong. They have my dog fast and give his medcation in morning about 7 am and his blood work is at 8:30 is this right

Answer:All of that sounds exactly right. (Cushing's disease can be very hard to regulate, even when you and your veterinarian are doing everything right.) Here is a good article about Lab Tests for Cushing's disease, written by another veterinarian, from a site that I trust: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951511

Date: Nov 26, 2019
Category: Cushing's Disease
Pet Type: Dog
Topic: Diet

Question:Is there a diet that will help with Cushings

Answer:Not really. Here is a good article about Cushing's disease, written by another veterinarian, from a site that I trust: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951983

Date: Nov 15, 2019
Category: Cushing's Disease
Pet Type: Dog
Topic: Vetoryl (Trilostane)

Question:Hello, my dog is on Vetoryl 5mg po qam. The results of her most recent ACTH Stimulation test on 9/28/19 was Pre-ACTH Cortisol: 2.8 and post ACTH Cortisol 5.2. I asked my vet about increasing the dose to 5mg twice a day because I noticed her appetite and thirst start to increase around 3pm to 5pm but my vet wants me to keep her on the AM dose only based on these results. My dog's previous ACTH Stimulation Test on 6/28/19 also on Vetoryl 5mg po qam was Pre-ACTH Cortisol 2.2 and Post ACTH Cortisol 4.1. Back on 1/4/19 (also on Vetoryl 5mg po qam) it was Pre-ACTH Cortisol 0.7 and Post-ACTH Cortisol 1.6. At that time, my vet told me to discontinue Vetoryl. Her symptoms returned so on June 1, 2019 she said to restart the Vetoryl 5mg po qd. What does it mean that the post ACTH Cortisol has been increasing on the same dose? One of the reasons, I wanted to try twice a day dosing in addition to controlling her symptoms, is that I read excess cortisol is immunosuprresive and treatment prolongs the dog's life. I want to prolong her life for a long as I can. When she was first diagnosed in Feb. 2018, her Alkaline Phosphatase was over 4000 and with treatment, it went down to 2, 264 on June 1, 2019 so if I increased the dose to Vetoryl 5mg po bid, would the ALP go down even more and therefore, help prevent or delay any organ damage caused by Cushing's Disease?

Answer:Managing Cushing's patients is really a balancing act. The side effects of the medication can be worse than the disease itself, so it's good that your veterinarian is cautious. You can always ask for a referral to an internal medicine specialist that specializes in Cushings disease to get her very tightly regulated.


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