Thursday, March 24, 2016

Easter Pet Poisons

The veterinarians at Pet Poison Helpline receive hundreds of calls this time of year from pet owners and veterinarians concerning cats that have ingested Easter lilies. “Unbeknownst to many pet owners, Easter lilies are highly toxic to cats,” said Ahna Brutlag, DVM, MS assistant director at Pet Poison Helpline. “All parts of the Easter lily plant are poisonous – the petals, the leaves, the stem and even the pollen. Cats that ingest as few as one or two leaves, or even a small amount of pollen while grooming their fur, can suffer severe kidney failure.” In most situations, symptoms of poisoning will develop within six to 12 hours of exposure. Early signs include vomiting, loss of appetite, lethargy and dehydration. Symptoms worsen as kidney failure develops.

Some cats will experience disorientation, staggering and seizures. “There is no effective antidote to counteract lily poisoning, so the sooner you can get your cat to the veterinarian, the better his chances of survival will be,” said Brutlag. “If you see your cat licking or eating any part of an Easter lily, call your veterinarian or Pet Poison Helpline immediately. If left untreated, his chances of survival are low.” Treatment includes inducing vomiting, administering drugs like activated charcoal (to bind the poison in the stomach and intestines), intravenous fluid therapy to flush out the kidneys, and monitoring of kidney function through blood testing.

The prognosis and the cost – both financially and physically – to the pet owner and cat, are best when treated immediately. There are several other types of lilies that are toxic to cats as well. They are of the Lilium and Hemerocallis species and commonly referred to as Tiger lilies, Day lilies and Asiatic lilies. Popular in many gardens and yards, they can also result in severe acute kidney failure. These lilies are commonly found in florist bouquets, so it is imperative to check for poisonous flowers before bringing bouquets into the household. Other types of lilies – such as the Peace, Peruvian and Calla lilies – are usually not a problem for cats and may cause only minor drooling. Thankfully, lily poisoning does not occur in dogs or people. However, if a large amount is ingested, it can result in mild gastrointestinal issues such as vomiting and diarrhea.

Other Dangers to Pets at Easter Time

 Pet Poison Helpline also receives calls concerning pets that have ingested Easter grass and chocolate. Usually green or yellow in color, Easter grass is the fake grass that often accompanies Easter baskets. When your cat or dog ingests something “stringy” like Easter grass, it can become anchored around the base of the tongue or stomach, rendering it unable to pass through the intestines. It can result in a linear foreign body and cause severe damage to the intestinal tract, often requiring expensive abdominal surgery. Lastly, during the week of Easter, calls to Pet Poison Helpline concerning dogs that have been poisoned by chocolate increase by nearly 200 percent. While the occasional chocolate chip in one cookie may not be an issue, certain types of chocolate are very toxic to dogs. In general, the darker and more bitter the chocolate, the greater the danger. Baker’s chocolate and dark chocolate pose the biggest problem. The chemical toxicity is due to methylxanthines (a relative of caffeine) and results in vomiting, diarrhea, hyperactivity, an abnormal heart rhythm, seizures, and possibly death. Other sources include chewable chocolate flavored multi-vitamins, baked goods, or chocolate-covered espresso beans. If you suspect that your dog ate chocolate, call your veterinarian or Pet Poison Helpline immediately. Spring is in the air and Easter is a wonderful holiday. Remember that your pets will be curious about new items you bring into your household like Easter lilies, Easter grass and chocolate. Keep them a safe distance away from your pets’ reach and enjoy the holiday and the season.

 SOURCE: http://www.petpoisonhelpline.com/pet-owners/seasons/easter/

Monday, February 1, 2016

Pet Dental Care

Dental health is a very important part of your pet’s overall health, and dental problems can cause, or be caused by, other health problems. Your pet’s teeth and gums should be checked at least once a year by your veterinarian to check for early signs of a problem and to keep your pet’s mouth healthy.

What is veterinary dentistry, and who should perform it?
Veterinary dentistry includes the cleaning, adjustment, filing, extraction, or repair of your pets' teeth and all other aspects of oral health care. These procedures should be performed by a veterinarian or a board-certified veterinary dentist. Subject to state or provincial regulation, veterinary technicians are allowed to perform certain dental procedures under the supervision of a veterinarian. The process begins with an oral exam of your pet’s mouth by a veterinarian. Radiographs (x-rays) may be needed to evaluate the health of the jaw and the tooth roots below the gumline. Because most dental disease occurs below the gumline, where you can’t see it, a thorough dental cleaning and evaluation are performed under anesthesia. Dental cleaning includes scaling (to remove dental plaque and tartar) and polishing, similar to the process used on your own teeth during your regular dental cleanings.

Oral health in dogs and cats Have your pet’s teeth checked sooner if you observe any of the following problems:Your pet’s teeth should be checked at least once a year by your veterinarian for early signs of a problem and to keep your pet’s mouth healthy. bad breath broken or loose teeth extra teeth or retained baby teeth teeth that are discolored or covered in tartar abnormal chewing, drooling, or dropping food from the mouth reduced appetite or refusal to eat pain in or around the mouth bleeding from the mouth swelling in the areas surrounding the mouth Some pets become irritable when they have dental problems, and any changes in your pet’s behavior should prompt a visit to your veterinarian. Always be careful when evaluating your pet’s mouth, because a painful animal may bite.

Causes of pet dental problems Although cavities are less common in pets than in people, they can have many of the same dental problems that people can develop: broken teeth and roots periodontal disease abscesses or infected teeth cysts or tumors in the mouth malocclusion, or misalignment of the teeth and bite broken (fractured) jaw palate defects (such as cleft palate) Periodontal disease is the most common dental condition in dogs and cats – by the time your pet is 3 years old, he or she will very likely have some early evidence of periodontal disease, which will worsen as your pet grows older if effective preventive measures aren’t taken. Early detection and treatment are critical, because advanced periodontal disease can cause severe problems and pain for your pet. Periodontal disease doesn’t just affect your pet’s mouth. Other health problems found in association with periodontal disease include kidney, liver, and heart muscle changes. It starts with plaque that hardens into tartar. Tartar above the gumline can often easily be seen and removed, but plaque and tartar below the gumline is damaging and sets the stage for infection and damage to the jawbone and the tissues that connect the tooth to the jaw bone. Periodontal disease is graded on a scale of 0 (normal) to 4 (severe). The treatment of periodontal disease involves a thorough dental cleaning and x-rays may be needed to determine the severity of the disease. Your veterinarian or a board-certified veterinary dentist will make recommendations based on your pet’s overall health and the health of your pet’s teeth, and provide you with options to consider.

Why does dentistry require anesthesia? When you go to the dentist, you know that what’s being done is meant to help you and keep your mouth healthy. Your dentist uses techniques to minimize pain and discomfort and can ask you how you are feeling, so you accept the procedures and do your best to keep still. Your pet does not understand the benefit of dental procedures, and he or she reacts by moving, trying to escape, or even biting. Anesthesia makes it possible to perform the dental procedures with less stress and pain for your pet. In addition, anesthesia allows for a better cleaning because your pet is not moving around and risking injury from the dental equipment. If radiographs (x-rays) are needed, your pet needs to be very still in order to get good images, and this is unlikely without heavy sedation or anesthesia. Although anesthesia will always have risks, it’s safer now than ever and continues to improve so that the risks are very low and are far outweighed by the benefits. Most pets can go home the same day of the procedure, although they might seem a little groggy for the rest of the day.

What can I do at home for my pet’s oral health? There are many pet products marketed with claims that they improve dental health, but not all of them are effective. Talk with your veterinarian about any dental products, treats, or dental-specific diets you’re considering for your pet, or ask your veterinarian for their recommendation.Prevention of the most common oral disease in pets consists of frequent removal of the dental plaque and tartar that forms on teeth that are not kept clean. Regularly brushing your pet’s teeth is the single most effective thing you can do to keep their teeth healthy between dental cleanings, and may reduce the frequency or even eliminate the need for periodic dental cleaning by your veterinarian. Daily brushing is best, but it’s not always possible and brushing several times a week can be effective. Most dogs accept brushing, but cats can be a bit more resistant – patience and training are important. 

SOURCE: https://www.avma.org/public/PetCare/Pages/Pet-Dental-Care.aspx

Cats and Illnesses


Cats often become reclusive and hide when they are not feeling well which makes knowing when they need to be seen by your veterinarian a challenge. They have unique signs and symptoms of emergency conditions that often go unrecognized by their owners. Some injuries are obvious, such as a cat with an open wound, while others have more subtle signs that can be equally deadly if left untreated. Knowing what signs to look for is crucial in determining when to seek emergency care for your cat. Below is a list of some of the most common cat emergencies and their signs.

Urethral Obstruction
This is a condition in which a cat, usually male, is unable to urinate due to a blockage in the urethra (the tube leading from the urinary bladder to the outside environment).
Cats will show a sudden onset of restless behavior which includes frequent trips in and out of the litter box. They will often attempt to urinate in unusual places such as in a bath tub or on a plastic bag. You may notice a very small stream of urine that contains blood. More often than not, despite a cat’s straining, there may be no urine or even just a drop produced. In later stages of the obstruction, cats may cry loudly, vomit, and become lethargic.

You should consider these signs a serious emergency and seek veterinary care immediately. There are reports of cats developing kidney failure and dying within 12 hours after the onset of signs. Expect your cat to be hospitalized at least 36 hours for treatment of this condition which may include a urinary catheter, intravenous fluids, and pain management. Female cats are less likely to become obstructed due to their wider urinary tract.

Toxicities (Poisoning)
The combination of their curious nature and unique metabolism (the way their body breaks down chemicals) makes cats very vulnerable to toxins. Owners are often not aware that their home contains multiple products that are poisonous to their feline companions. The most common cat toxins include antifreeze, Tylenol, and rat or mouse poison.

The signs your cat displays depends on what type of poison they have encountered. Antifreeze will often cause wobbliness or a drunken appearance first, then progresses to vomiting/weakness as the kidneys fail. Tylenol may cause an unusual swelling of the head and changes the cats blood color from red to chocolate brown. Rat or mouse poison interferes with blood clotting so you may see weakness from internal blood loss or visible blood in urine or stool.

Breathing Problems
Many times cats hide the signs of breathing problems by simply decreasing their activity. By the time an owner notices changes in the cat’s breathing, it may be very late in the progression of the cat’s lung disease. There are several causes of breathing changes but the most common are feline asthma, heart or lung disease.

Foreign Object Ingestion
As you know cats love to play with strings or string-like objects (such as dental floss, holiday tinsel, or ribbon), however, you may not know the serious danger that strings can pose to your cat. When a string is ingested, one end may become lodged or “fixed” in place, often under the cat’s tongue, while the remaining string passes farther into the intestine. With each intestinal contraction, the string see-saws back and forth actually cutting into the intestine and damaging the blood supply.

Signs that your cat has eaten a foreign object may include vomiting, lack of appetite, diarrhea, and weakness. Occasionally owners will actually see part of a string coming from the mouth or anal area. You should never pull on any part of the string that is visible from your pet.
Most times emergency surgery is necessary to remove the foreign object and any damaged sections of intestine.

Bite Wounds
Cats are notorious for both inflicting and suffering bite wounds during encounters with other cats. Because the tips of their canine, or “fang”, teeth are so small and pointed, bites are often not noticed until infection sets in several days after the injury.

Cats may develop a fever and become lethargic 48 to 72 hours after experiencing a penetrating bite wound. They may be tender or painful at the site. If the wound becomes infected or abscessed, swelling and foul-smelling drainage may develop.

You should seek emergency care for bite wounds so that your veterinarian may thoroughly clean the area and prescribe appropriate antibiotics for your pet. Occasionally the wounds will develop large pockets called abscesses under the skin that require surgical placement of a drain to help with healing.

Hit by car
Cats that spend time outdoors are at a much greater risk for ending up in the emergency room. Being hit by a car is one of the most common reasons for your pet to suffer traumatic injuries such as broken bones, lung injuries and head trauma. You should always seek emergency care if your cat has been hit by a vehicle even if he or she appears normal as many injuries can develop or worsen over the next few hours.

Increased Thirst and Urination
Sudden changes in your cat’s thirst and urine volume are important clues to underlying disease. The two most common causes of these signs are kidney disease and diabetes mellitus.
Your veterinarian will need to check blood and urine samples to determine the cause of your cat’s signs. Having your pet seen on an emergency basis for these signs is important as the sooner your pet receives treatment, the better their chances for recovery. Many times exposure to certain toxins, such as antifreeze or lilies, will show similar signs and delaying veterinary care can be fatal.

Sudden inability to use the hind legs
Cats with some forms of heart disease are at risk for developing blood clots. Many times these clots can lodge in a large blood vessel called the aorta where they can prevent normal blood flow to the hind legs. If your cat experiences such a blood clotting episode (often called a saddle thrombus or thromboembolic episode), you will likely see a sudden loss of the use of their hind legs, painful crying, and breathing changes.

On arrival at the emergency room, your pet will receive pain management and oxygen support. Tests will be done to evaluate the cat’s heart and determine if there is any heart failure (fluid accumulation in the lungs). Sadly, such an episode is often the first clue for an owner that their cat has severe heart disease. In most cases, with time and support, the blood clot can resolve, but the cat’s heart disease will require life-long treatment.

Upper Respiratory Infections
Cats and kittens can experience a variety of upper respiratory diseases caused by a combination of bacteria or viruses. Upper respiratory infections, or URIs, often cause sneezing, runny noses, runny eyes, lack of appetite, and fever. In severe cases, they can cause ulcers in the mouth, tongue, and eyes. More often than not, severe cases are seen in cats that have recently been in multiple-cat environments such as shelters. Small or poor-doing kittens are also easily infected and may develop more severe complications such as low blood sugar.

Sudden Blindness
A sudden loss of vision is most likely to occur in an older cat. The most common causes are increased blood pressure (hypertension) that may be due to changes in thyroid function (hyperthyroidism) or kidney disease. There are some cats that appear to have hypertension with no other underlying disease.

Sudden blindness should be treated as an emergency and your veterinarian will measure your cat’s blood pressure, check blood tests, and start medications to try to lower the pressure and restore vision.
Anytime you notice a change in your cat’s eyes, whether they lose vision or not, you should consider this an emergency have your pet seen by a veterinarian as soon as possible.
Disclaimer: This website is not intended to replace professional consultation, diagnosis, or treatment by a licensed veterinarian. If you require any veterinary related advice, contact your veterinarian promptly. Information at CatHealth.com is exclusively of a general reference nature. Do not disregard veterinary advice or delay treatment as a result of accessing information at this site.




Tuesday, December 22, 2015

Holiday Safety Tips


The holiday season is upon us, and many pet parents plan to include their furry companions in the festivities. As you gear up for the holidays, it is important to try to keep your pet's eating and exercise habits as close to their normal routine as possible. Also, please be sure to steer pets clear of the following unhealthy treats, toxic plants and dangerous decorations.

Be Careful with Seasonal Plants and Decorations

Oh, Christmas Tree: Securely anchor your Christmas tree so it doesn't tip and fall, causing possible injury to your pet. This will also prevent the tree water—which may contain fertilizers that can cause stomach upset—from spilling.

Stagnant tree water is a breeding ground for bacteria, and your pet could end up with nausea or diarrhea should he imbibe.

Avoid Mistletoe & Holly: Holly, when ingested, can cause pets to suffer nausea, vomiting and diarrhea. Mistletoe can cause gastrointestinal upset and cardiovascular problems. And many varieties of lilies can cause kidney failure in cats if ingested. Opt for just-as-jolly artificial plants made from silk or plastic, or choose a pet-safe bouquet.

Tinsel-less Town: Kitties love this sparkly, light-catching "toy" that's easy to bat around and carry in their mouths. But a nibble can lead to a swallow, which can lead to an obstructed digestive tract, severe vomiting, dehydration and possible surgery. It's best to brighten your boughs with something other than tinsel.

That Holiday Glow: Don't leave lighted candles unattended. Pets may burn themselves or cause a fire if they knock candles over. Be sure to use appropriate candle holders, placed on a stable surface. And if you leave the room, put the candle out!

Wired Up: Keep wires, batteries and glass or plastic ornaments out of paws' reach. A wire can deliver a potentially lethal electrical shock and a punctured battery can cause burns to the mouth and esophagus, while shards of breakable ornaments can damage your pet's mouth and digestive tract.

Avoid Holiday Food Dangers Skip the Sweets: By now you know not to feed your pets chocolate and anything sweetened with xylitol, but do you know the lengths to which an enterprising pet will go to chomp on something yummy? Make sure to keep your pets away from the table and unattended plates of food, and be sure to secure the lids on garbage cans.

Leave the Leftovers: Fatty, spicy and no-no human foods, as well as bones, should not be fed to your furry friends. Pets can join the festivities in other fun ways that won't lead to costly medical bills. Careful with Cocktails: If your celebration includes adult holiday beverages, be sure to place your unattended alcoholic drinks where pets cannot get to them. If ingested, your pet could become weak, ill and may even go into a coma, possibly resulting in death from respiratory failure.

Selecting Special Treats: Looking to stuff your pet's stockings? Stick with chew toys that are basically indestructible, Kongs that can be stuffed with healthy foods or chew treats that are designed to be safely digestible. Long, stringy things are a feline's dream, but the most risky toys for cats involve ribbon, yarn and loose little parts that can get stuck in the intestines, often necessitating surgery. Surprise kitty with a new ball that's too big to swallow, a stuffed catnip toy or the interactive cat dancer.

SOURCE: https://www.aspca.org/pet-care/general-pet-care/holiday-safety-tips

Friday, November 13, 2015

Pet Cancer Awareness Month


Cancer accounts for nearly 50% of all disease-related pet deaths each year. Dogs get cancer at roughly the same rates as humans. Although cancer is not as common in cats as it is in dogs, the cancers found in cats tend to be more aggressive.

Approximately 1 in 4 dogs develop a tumor of some kind during their lifetime.

Cancer cells develop because of damage to DNA. Most often a dog's DNA becomes damaged by exposure to something in the environment, such as tobacco smoke, pesticides or other carcinogens.

PET CANCER SIGNS: 

  • Swollen lymph noes
  • An enlarging lump
  • Abdominal Distension
  • Chronic Weight Loss
  • Chronic Vomiting
  • Chronic Diarrhea
  • Unexplained Bleeding
  • Cough
  • Lameness
  • Straining to Urinate
  • Oral Odor 

MORE ON PET CANCER SIGNS: 

An enlarging or changing lump: any lump on a pet that is rapidly growing or changing in texture or shape should have a biopsy.

Chronic weight loss: When a pet is losing weight and you have not put your pet on a diet, you should have your pet checked.

Unexplained bleeding: Bleeding from the mouth, nose, penis, vagina, or gums that is not due to trauma should be examined.

Cough: A dry, non-productive cough in an older pet should prompt chest radiographs to be taken

Abdominal distension: When the "stomach" or belly becomes rapidly enlarged, this may suggest a mass or tumor in the abdomen or it may indicate some bleeding that is occurring in this area.

Friday, October 9, 2015

Missing the litter box


You have a problem. Your cat is thinking outside the box, and not in a good way. You may be wondering what you did to inspire so much “creative expression.” Is your cat punishing you? Is Fluffy just “bad”? No, and no. House soiling and missing the litter box is a sign that your cat needs some help. According to the Winn Feline Foundation, house soiling is the number one complaint among cat owners. The good news is that it is very treatable. An accredited veterinarian can help you determine if the problem is medical or related to social or environmental stressors. In addition to a complete physical exam, the doctor will ask you specific “where and when” questions.

Health factors 

Tony Buffington, DVM, PhD, a specialist in feline urinary disorders at The Ohio State University, and founder of the Indoor Cat Initiative says that many veterinarians recommend a urine test for every cat with a house soiling problem. The urinalysis will determine if blood, bacteria, or urinary crystals are present — signs that your cat might have feline lower urinary tract disease (FLUTD). FLUTD is very common and can cause painful urination. Cats that begin to associate the litter box with pain will avoid it. Other medical possibilities include hyperthyroidism, kidney disease, diabetes, and arthritis and muscle or nerve disorders that might prevent your cat from getting to the litter box in time.

Environmental factors 

If there is no medical cause, the next step is to look at environmental factors. Start with the litter box. Your cat might be avoiding the litter box because it is not cleaned well enough, you’ve changed the type of litter you use, or there is only one box for multiple cats. Another possibility is that your cat is “marking” — spraying urine, typically on vertical objects such as walls and furniture, or in “socially significant” areas near doors or windows. Both male and female cats mark.

The most common offenders are cats that have not been spayed or neutered. Buffington says that stress can cause elimination problems too. For example, subtle aggression or harassment by other house cats or neighborhood cats may be an issue. Even unremarkable changes in your home can make your cat anxious or fearful. Look around. Did anything change right before your cat started having problems? Did you get a new pet? A new couch? Maybe you just moved the old couch to a different part of the room, or had a dinner party. Cats are sensitive creatures and changes that seem small to you can throw your cat off his game. Check with your veterinarian about finding solutions that work for both you and your cat.

SOURCE: https://www.aaha.org/pet_owner/pet_health_library/cat_care/behavior/missing_the_litter_box.aspx

Wednesday, September 16, 2015

Time to Clean Your Pet's Ears?

Veterinarians see a lot of patients with ear infections. In fact, it's the second most common reason for a client visit, according to pet health insurer, VPI Pet Insurance. With ear problems prompting so many trips to the vet, should ear cleaning be a necessary part of grooming your pet?

Generally, cleaning a dog's ears on a routine basis is not necessary, according to Leonard Jonas, DVM, MS, DACVIM, a veterinarian with Wheat Ridge Animal Hospital in Wheat Ridge, Colo. That's because animals have a naturally occurring self-cleansing process.

"I've had pets my whole life," Jonas said. "I don't remember ever routinely cleaning out their ears."
However, that doesn't mean pet owners should never take notice of their dog's ears. Certain breeds, lifestyles and physical characteristics will make a dog more prone to what Jonas calls "abnormal situations," in which the pet's normal homeostasis is disrupted. This is when something, either systemically or locally in the ear, interferes with the normal surface barrier defense system and the normal cleaning process that keeps bacteria and yeast under control.

There are signs to watch for if your pet is having an issue with its ears. These, according to Jonas, include:
  • Shaking its head
  • Flapping its ears
  • Rubbing at its ears, either with a paw or by rubbing against furniture or carpet
  • Self-massaging the ear to ease itch, pain or irritation
  • Debris and/or redness inside the ear
  • Sores inside the ear
  • Odor in the ear due to abnormal oils and bacteria
"If you [the pet owner] look in the ear, you can see sometimes a lot of debris," said Jonas, explaining what an ear with an infection or problem may look like. "Then [you] see redness on the ear flaps (inside) or sores developing. And then there's also odor that occurs when you have an abnormal ear."

Breeds to watch
There are certain breeds of dogs—such as Shar Peis, bulldogs and poodles—that have narrow ear canals and have a higher chance of incurring ear issues. Poodles, especially, have more hair in the canals, Jonas explained. "The hair itself is not a problem, but if they've got something abnormal with their whole defense system, all that extra hair in there makes it difficult."
Cocker spaniels are notorious for ear problems, Jonas added.

When to clean your pet's ears
According to Jonas, it's best to consult your veterinarian before going forward with an ear-cleaning regimen. Unlike cleaning the teeth, cleaning the ears does not need be done regularly. If a pet owner suspects that something may be wrong with the ear, it's advised to visit the veterinarian and establish whether the dog's ear needs to be cleaned by the owner either routinely or for an instructed period of time.

Cleaning the dog's ears without first seeing a veterinarian is not a good idea, Jonas said, "because you don't know what's going on inside. You don't know if there has been a ruptured ear drum; you don't know if there's a stick or a stone or something stuck down inside the ear that needs to be fished out by a veterinarian."

A veterinarian can diagnose the problem and make the proper recommendations, which may be cleaning and/or medication.

Typically, there are two situations for which a dog's ears would need to be cleaned regularly. The first is when a veterinarian instructs for it to be done, and the second is when the dog is frequently in water. "Water in their ears disrupts the normal defense barrier system in that ear, and can make them prone to getting infections and irritation and inflammation," Jonas said.

If there needs to be ear cleaning
A veterinarian should show the owner how to properly clean the dog's ears because "there are a lot of different techniques, and it depends on what the problem is," Jonas advised.
There are a couple of precautions to always remember, according to Jonas. First, never use a Q-tip, because it tends to push the wax and debris further into the ear. Second, be sure a groomer does not pluck the hair out of the dog's ears, unless that hair is contributing to an ear problem; Jonas believes that doing so may cause irritation.

One thing pet owners should also consider is that if the dog has an ear infection, it could be very painful for them. Forcing the dog to get its ears cleaned or putting medication in them can be a dangerous situation for the owner and the dog.

"If your pet doesn't want you to do it, don't, because it hurts," Jonas said. "You're just going to create a problem, and you need to look to alternatives."


Originally published by Healthy Pet.