I have a spoiled rotten,10 yr old neutered male Shih Tzu, named Kuro. He's also blind, but still my sweet baby!
Although it's only him and me now, there's a lot of talking around our house. I didn't realize he knows so many words! Some people say it's repetition, but I prefer to think he's that smart.......
We moved to Michigan from Indiana 4 years ago, and for the first 7 years of Kuro's life, the only expense I had was vaccinations, grooming,and buying toys. ( Lots of toys)
But time passes on and age starts taking a toll, and he started having problems: bladder, tumor on paw,liver enzymes too high, dental work, eye problems,and for the past few months, skin problems.
Dr. Dhaliwal has done all of Kuro's surgeries, and worked with me on the other problems. He never loses his patience, and stays calm while I am asking my 100 questions .
Dr. Dhaliwal is definitely in the correct profession. It seems he has a passion for not only helping animals, but he takes every opportunity to learn new techniques so he can help them even more.
The staff is also very nice. They greet you with a smile, take the time to talk, explain meds,etc. and if Dr. D. doesn't call to check on Kuro after a procedure, the staff will, and that means a lot to me.
Michigan Avenue Animal Hospital is a caring place, and everyone makes sure your pet is given the best care. Whatever it takes to make you and your pet "HAPPY!"
are intestinal tumors?
- The intestine is the portion of the
digestive tract between the stomach and the anus. It is divided into two major
sections: small intestine and large intestine.
- Most food products are absorbed in the
small intestine while the large intestine is responsible for absorption of
water and excretion of solid waste material.
- The average age at which intestinal tumors
are diagnosed ranges between 10-12 years for cats and 6 to 9 years for dogs.
- There are many different types of
intestinal tumors, including lymphoma, adenocarcinoma, mast cell tumor, and leiomyosarcoma
common are intestine tumors in cats and dogs?
- Intestinal tumors account for less than 10%
of all tumors in dogs and cats and their incidence increases with age in both dogs
are the symptoms of intestine tumors in cats and dogs?
- The symptoms indicative of intestinal
tumors include weight loss, diarrhea, vomiting, anorexia, and less frequently
black colored stool and anemia.
- The clinical symptoms often relate to the
location of the tumor along the gastrointestinal (GI) tract. For example,
vomiting is associated with lesions in the upper region of the GI tract whereas
weight loss is associated with lesions in the small intestine.
is the diagnosis made?
- Upon the presentation of the above
symptoms, the veterinarian will typically perform a series of tests, including physical exam to look for any masses
that may be felt, blood tests, chemistry profile and imaging studies.
- Imaging studies
can include plain X-rays, contrast radiography, and/or abdominal ultrasound.
The ultrasound studies can localize the tumor, evaluate whether the cancer has
spread to other nearby organs, and guide biopsy.
- Ultrasound may also be helpful in distinguishing
between malignant and non-malignant intestinal disease based on the thickness
of the intestinal wall.
- The most definitive way to confirm/rule out
intestinal tumors is to perform a medical procedure called endoscopy. It is a minimally invasive diagnostic procedure that
assesses the interior surfaces of an organ like intestine by inserting a tube into
the body. The instrument may have a rigid or flexible tube and not only provide
an image for visual inspection and photography, but also enable taking biopsies
which can then be sent to the lab for analysis.
- When non- and minimally invasive diagnostic
tests fail to confirm a diagnosis, an exploratory surgery may be performed on
pets with persistent symptoms.
- The advantages
of abdominal exploratory are that the
entire area can be directly visualized and full thickness biopsy samples can be
taken but the disadvantages include
the risks associated with any surgical procedure.
cancer cause pain in pets?
- Pain is common in pets with cancer, with
some tumors causing more pain than others. In addition to pain caused by the actual
tumors, pets will also experience pain associated with cancer treatments such
as surgery, radiation therapy or chemotherapy.
- Untreated pain decreases the pet's quality
of life, and prolongs recovery from the illness, treatment or injury. It is,
therefore, essential that veterinary teams that are taking care of pets with
cancer should also play a vital role in educating pet owners about recognizing
and managing pain in their pets.
- The best way to manage cancer pain in pets
is to prevent it, a term referred to as preemptive pain management. This
strategy anticipates pain ahead of time and administers pain medication before
the pet actually experiences pain, thus ensuring the pet's maximum comfort.
important is nutritional support for pets with cancer?
- Cancer cachexia (a term referring to
progressive severe weight loss) is frequently observed in pets with cancer.
Pets with cancer lose weight partly because of lack of appetite and partly
because of cancer-induced altered metabolism.
- Some of the causes for decreased appetite
are related to the cancer itself (for example, tumors may physically interfere with food chewing,
swallowing, and digestion process) and some may be related to the side effects
of cancer treatment (for example, some chemotherapy drugs cause nausea and
vomiting, and radiation therapy can cause mouth inflammation).
- Proper nutrition while undergoing cancer
treatment is essential to maintain your pet's strength, improve survival times,
quality of life and maximize response to therapy.
- Adequate nutritional support was shown to
decrease the duration of hospitalization, reduce post-surgery complications and
enhance the healing process. Additionally, pets with cancer need to be fed
diets specifically designed to provide maximum benefit and nutritional support
for the patient.
are the treatment options for intestine tumors in cats and dogs?
- With the exception of lymphoma, surgery is the primary treatment for
- There have not been enough clinical studies
to determine whether chemotherapy following
surgical treatment provides any benefit to the pets.
- Radiation therapy is not generally used
for this particular disease due to concerns regarding possible damage to
surrounding normal tissues in the abdominal cavity.
are the surgery-associated risks for intestine tumors in cats and dogs?
- The risks associated with surgery include
life-threatening sepsis (a serious medical condition characterized by a whole-body
inflammatory state caused by infection) and peritonitis (inflammation of the
is the prognosis for intestinal tumors in cats and dogs?
- The prognosis for pets diagnosed with
intestinal tumors will depend on a variety of factors, including the specific
tumor type, the stage of the disease and whether the cancer has spread to other
organs. For pets whose cancer has not spread to other organs, long-term
survival is possible. It is estimated that approximately 40% of dogs with small
intestinal tumors remain alive 1 year after diagnosis.
- Dogs diagnosed with adenocarcinoma and leiomyosarcoma
have frequent metastases to lymph nodes and the liver.
- Dogs with small intestinal adenocarcinoma have shorter average
survivals of 12 days without treatment and between 4-10 months with
- Dogs with leiomyosarcoma who survive surgery survive 1-2 years.
- For cats with adenocarcinoma, approximately 50% will metastasize to the local
lymph nodes, 30% to the peritoneal cavity, and 20% or less to the lungs.
- Cats with small intestinal adenocarcinoma have a significant risk
associated with surgical treatment but those who live 2 weeks after the surgery
may experience long term control of the cancer.
- Cats with cancer in the large intestines
have survival approximately 3.5 months for lymphoma,
4.5 months for adenocarcinoma, and
6.5 months for mast cell tumor.
I would like to truly thank Dr. Dhaliwal and his entire staff for their professional veterinary expertise in caring for my dog Mandy. From the moment I walked into the office, I was comforted and reassured that my dog could recover from her affliction.
Mandy previously had surgery at another veterinary hospital for the removal of a growth on her hind leg. For some unfortunate reason, the area became badly infected that the doctor's opinion was amputation to save Mandy's life.
At first, I was devastated about this news and wanted to get a second opinion. Therefore, I began seeking other veterinary hospitals that specialized in this area. However, for some reason Michigan Avenue Animal Hospital would constantly reappear on my list. I began to read the testimonies from his previous clients and suddenly a peaceful feeling came over me. Even though Dr. Dhaliwal's hospital was a great distant from Detroit to Ypsilanti Michigan, it was worth the ride.
Mandy's outcome was the same, yet the calming and patient manner in which my dog and I were given from Dr. Dhaliwal and his loving staff made a difference. Today, Mandy is still running, climbing and playing even with three legs and I am thankful for the time and quality of life I still share with her.