Myasthenia Gravis Symptoms

Congenital form

The congenital form of myasthenia gravis has been reported in Jack Russel terriers, smooth haired fox terriers, Springer spaniels, Gammel Dansk honsehunds, and Samoyeds.  Clinical Signs become evident in these dogs around 6-8 weeks of age.  The congenital form is considered a disease of young dogs.  The main sign is general muscle weakness and some show the presence of megaesophagus (smooth haired fox terriers only).

megaesophagus - great enlargement of the lower portion of the esophagus.  The clinical signs include regurgitation, increased drooling or salvation, and repeated attempts at swallowing with extension or twisting of the head or neck.

Acquired form
 
The acquired form of myasthenia gravis occurs in adult dogs.  Mainly larger breed dogs such as German shepherds, Golden retrievers, and Labrador retrievers are affected.  Clinical signs usually become evident in affected dogs that are older than two years of age.  The main sign is progressive muscle weakness with exercise.  Thoracic or pelvic limbs are predominantly affected which progressively shortens the stride of the animal and may result in refusion to move.    Facial muscles, eyelids, and ear flaps may droop, and the animal may have troubles holding its head up after fatigue.  The weakness may be restricted to certain muscle groups such as the esophagus, pharyngeal and laryngeal muscles, and ocular muscles.  Megaesophagus is frequently seen with impaired swallowing, drooling, choking, and retching.  Along with Megaesophagus, apiration pneumonia is commonly seen.  In older dogs, myasthenia gravis is usually connected with thymoma.

apiration pneumonia – bronchopneumonia resulting from the inhalation of foreign material, usually food particles or vomit, into the bronchi.
thymoma - a neoplasm in the anterior mediatinum, originating from thymic tissue, usually benign, and frequently encapsulated; occasionally invasive, but metastases are extremely rare; histologically, consists of any type of thymic epithelial cell as well as lymphocytes that are usually abundant.

Diagnosis

Myasthenia gravis is said to be a clinically obvious disease which does not normally require laboratory tests, however, there are many laboratory tests that can be done to confirm myasthenia gravis.
 
Edrophonium chloride (Tensilon) response test – One test that can be done is a endrophonium chloride (Tensilon) response test.  Endrophonium chloride is a short acting anticholinesterase. Animals that are not already collapsed are made to do some type of exercise until weakness develops.  After the exercise, the animal is  given an injection of the anticholinesterase endrophonium chloride.  Muscle strength following the injection of endrophonium chloride is evaluated.  If there is no response after the first injection, a second can be given 1 – 2 minutes later, but the total dose should range from  0.5 – 5.0 mg IV depending on body weight.  With a positive test, muscle strength improves within 10 – 30 sec after injection and decreases within 5 minutes.  If no benefit is seen after 2 minutes, the test is negative.  This test is not specific only for myasthenia gravis and other tests should be performed to confirm the disease.

Neostigmine methylsulfate (Prostigmin) response test – Other tests can be done in the same fashion as the endrophonium chloride response test using longer acting anticholinesterase drugs such as neostigmine methylsulfate.  The dose is 0.05 mg/kg IM.  Clinical improvements occur 15 – 30 minutes after the injection.  A prior administration of atropine is required.

Electrophysiologic testing - A electrophysiologic test is done by repetitive supramaximal electrical stimulation to peripheral nerves at 3 – 5 stimuli per second.  The decreasing response (action potentials) of the animal to the stimuli is observed.  Normal animals will show a decreased response if greater than 20 stimuli per second is present.  If there is a 10% decrease in response, it is suggestive that the animal has myasthenia gravis.  If there is a 20% decrease, it is very reliable that the diagnosis is myasthenia gravis.  If the decrease in response ceases after tensilon is injected, the diagnosis of myasthenia gravis is confirmed even more.

Measurement of antibody titer – There is a significant correlation between the amounts of antibodies to the acetylcholine receptors and acquired myasthenia gravis.  However, there is no correlation between amounts of antibodies to acetylcholine receptors in the congenital form of myasthenia gravis.  Animals with thymoma also tend to have high amounts of antibodies.

Immunocytochemical  testing – Immunocytochemical testing can provide evidence of acquired myasthenia gravis.  All that is needed for this test is a sample of the serum from the animal suspected to have myasthenia gravis.  The serum of the animal is incubated with sections of normal muscle tissue.  Antibodies from the patient’s serum that bind to the end-plates within the muscle are detected by enzyme- or flourescence-linked secondary reagents.  This shows the amount of antibodies that are aimed against the proteins on the end-plate of the muscle.  However, this test is not specific only for the proteins on the acetylcholine receptors.

Radiographs  all cases of myasthenia gravis should have chest radiographs due to the great incident of megaesophagus and resulting apiration pneumonia.  Also, the radiograph should be checked for the presence of cranial mediastinal masses due to the association of thymoma with myasthenia gravis.

Lympho Sarcoma – Jezebel

In college I decided that I wanted a dog. I was in my junior year and in addition to the fact that I loved dogs, I reasoned that I’d stay home and study more if I had a dog around. Sounds silly, but I was right.

I found Jezebel at the Montgomery County Dog Pound in Blacksburg, Virginia. The price to take her home? $5. Jezebel, a black lab, hound mix was one of those rare dogs who learned every lesson the first time. She had a huge vocabulary and a huge talent for understandnig moods. She was intelligent and we spent a lot of time alone together during one summer semester and really bonded. I have never been as close to a dog as I was to Jezebel.

Jezebel moved with me after college home to mom and dad’s house, she moved with me when my boyfriend and I got married. I thought she’d still be here when I have kids. That wasn’t meant to be. At the age of five, Jezebel woke up one morning with puffy ears. A trip to the vet, a diagnosis of an allergic reaction and some medicine and all was well. It happened again with the same result. About a month after the first puffy ear incident, Jezebel seemed lethargic. The lethargy progressed into pain. She could barely walk.

Another trip to the vet and talk of a possible infection, or a disk problem. An outside chance of cancer, but doubtful because she was so young. Jezebel
continued getting sick in various ways that didn’t seem to fit together. We kept visiting the vet. Finally, after she’d lost 10 pounds and took another turn towards lethargy, we decided to give the vet one more chance. A manual search and x-rays finally pointed the vet in a definite direction. Jezebel’s lymph
nodes were swollen and he thought she had a form of cancer called Lympho Sarcoma. A fine needle aspiration showed mostly abnormal cells. We gave the doctor the go-ahead to do a biopsy.

On Christmas Eve, we got the results. Our girl, Jezebel, at the age of five had Lympho Sarcoma. A terminal form of cancer. I think anyone who has had any member of their family, human or otherwise, develop cancer will understand the helpless feeling that results from finding out such a devastating thing. We found out our dog was going to die. There were options, but time was a key element and it was ticking by on fast forward. We were told chemotherapy could extend her life in a relatively normal state for anywhere from a few months to upwards of 18 months.

But what would the side effects do to our girl? Was chemo the only option? How long would she live without it? Could we feed her anything special that would help? And if we did do chemo, would prolonging the inevitable be worth it?

These are questions that every person in this situation must decide for themselves. But, I was trained to make fully informed decisions. I wanted
answers. I found much information on the web and in the ‘Neurology & Cancer’ board on America Online. We had Jezebel put to sleep on January 5. The
side-effects were proving to be as unbearable to her as the cancer. As I said she was a very intelligent dog. She knew, I think, that she would never be the
same again and did not want to live with poor quality of life. We loved her very much. A small, good part of all of us died with her.

Five dollars bought us five precious years.

The above story was taken from a web site run by Liz. I believe the owner of the material would be happy for the story to be reproduced here.

Addisons Disease Project

Dr Anita Oberbauer of University of California Davis is currently conducting the research project into finding the DNA marker for Addison’s disease. This disease can cause devastation and heartbreak. Many vet’s are not aware of it’s prevelance in Bearded Collies and Standard Poodle’s even now. Many stories I  have heard suggest that diagnoses is often made by luck rather than by good judgement.

Once Addisons Disease has been diagnosed, treatment is expensive and lifelong. The scientists in America are on the verge of finding the DNA marker for
Addison’s. What the research team require however is more genetic material. This is were anyone with a Bearded Collie or Standard Poodle (Leonbergers,  Portuguese Water Dogs & Westie’s are also required) with known ancestry can help.

The DNA test is taken in the form of 3 cheek swabs. Undertaken by you the owner in the privacy of your own home. Full instructions are given and a very short questionnaire has to be completed. An addressed envelope is provided also for the return of the samples to the USA. All it takes is a little of your time and the cost of postage. Both healthy and Addisons dogs are required for the project. Pedigrees are coded so that researchers do not know the names of affected dogs or those that have produced the disease, so it is confidential.

Please only request a swab kit if you will use it. If you have a Standard Poodle or a Bearded Collie and wish to help then visit the researchers website to
look at the work being undertaken or request a kit directly from them at http://cgap.ucdavis.edu/

The Latest Update From Dr Oberbauer In The US:

Bearded Collies 9.4% of the submitted BCs were addisonian.Hypoadrenocorticism is highly heritable with a heritability estimate of 0.76. Both sexes are affected equally . The statistical evidence does not fully support a single autosomal recessive major locus but the evidence is quite strong.

Standard Poodles 8.6% of the submitted Standard Poodles were Addisonian. Similar to the condition in Bearded Collies, hypoadrenocorticism is highly heritable with a heritability estimate of 0.75. There is no coat color nor sex association with the disorder. There is strong statistical evidence that the disorder is regulated by a single autosomal recessive locus but the definitive affected to affected breeding hasn’t been reported.

Addisons Disease – Saffy

This is Saffy’s story as told by Denise Loveday.

Saffy is my first Standard Poodle and when she became ill for the first time I did refer to Eileen Geesons book (The Complete Standard Poodle) when the vet couldn’t find the problem. The book details all the symptoms but because they are so varied it did not sink in because Saffy only seemed a little depressed & was off her food.  She had been attacked by a dog whilst walking (she isreally sociable)  & we put the lack of appetite down to
shock for the first 2 days, but after that we felt there was more to it.

The luck is that a Standard owner locally, has a daughter who works at our vets. She told her mum (the Standard owner) and she rang round the Standard Poodle people she knew and they told her to check for Addisons which our vet immediately did.  She is now on florinef for the rest of her life (she is 21 months).  However we will always worry if she turns her nose up at food.

Our vets are now very aware of S Poodles being predisposed to Addisons.

You may find the following site helpful if you have a dog with Addison’s Disease: http://k9addisons.com/

The above story was taken from a web site run by Michelle Hargreaves. I believe the owner of the material would be happy for the story to be reproduced here.

Symptoms of Addisons Disease

The following are observed symptoms of Addisons:

LETHARGY / THE LOOK OF PREMATURE AGEING
MUSCLE WEAKNESS / POSSIBLE LAMENESS & LIMPING
DEPRESSION / INCREASED NERVOUSNESS SHAKING
VOMITING / DIARRHOEA POSSIBLY BLOODY
LOSS OF APPETITE
SLOW HEARTRATE / TOTAL COLLAPSE
REGURGITATING / BURPING
POSSIBLE ABDOMINAL PAIN
COOL EXTREMETIES
INCREASED WATER CONSUMPTION/PALE URINE

Be aware your dog could display only some of these over a period of time. Also note, although these symptoms could cover a multitiude of dog ailments, the key is if they are being treated for gastric problems and they do not improve after 48 hours max, suggest a blood test first and foremost (initially to check the electrolytes, high potassium & low sodium is a common indicator but not always present).

A confirmed diagnosis can be reached by assesing the dogs adrenal response to a stimulating hormone called ACTH which usually only shows positive after about 80% of the adrenal gland is destroyed and the results are only valid at the time. If there is destruction going on within your dog if the test was repeated a few weeks later, it may show a positive result.This is probably why sometimes it is difficult to diagnose until the dog is really poorly.

There is also atypical Addison’s where by the glucocorticoid prodcing part of the adrenal gland is destroyed before the mineralcorticoid part, in these cases the usual electrolyte imbalance is not present.

PLEASE ALSO NOTE THAT THE SYMPTOMS LISTED CAN SOMETIMES WAX AND WANE OVER A LONG PERIOD OF TIME.

PLEASE DO NOT IGNORE A FUSSY EATER OR LACK OR CESSATION OF APPETITE.

IF YOU OWN A STANDARD POODLE OR OTHER BREEDS LISTED PLEASE INFORM YOUR VET THAT THE BREED IS PREDISPOSED TO ADDISONS.

INFORM YOUR VET ABOUT THE RESEARCH IN THE USA AND AT THE UNIVERSITY OF CAMBRIDGE.

ALTHOUGH ADDISONS IS MORE PREVELANT IN CERTAIN BREEDS( NAMELY STANDARD POODLES, BEARDED COLLIES, PORTUGUESE WATER DOGS, LEONBERGERS, WEST HIGHLAND WHITE TERRIERS, POINTERS & WEIMERANERS) I HAVE ALSO HEARD PERSONAL ACCOUNTS OF QUITE A FEW ENGLISH SPRINGER SPANIELS. IT HAS BEEN REPORTED IN ALL BREEDS INCLUDING CROSS BREEDS. THIS CONDITION IS NOT AS RARE AS OFTEN PORTRAYED.

Symptoms Of Pregnant Dog

Dogs often get pregnant around the summer months of the years in these times the female dog goes into “heat” which is an inflaming of the vaginal glands and something that attracts male dogs to fornicate with the female dog. Due to this season many people want to know the early symptoms of pregnant dog and this is what this article will focus on providing this information for you below. These are just the earliest symptoms of pregnant dog and there are other symptoms when a female dog is pregnant. If you are interested in additional information on symptoms of pregnant dogs then you can surf around this website, as there are several articles around this subject that will help pet owners to identify when their own pet is pregnant.

Symptoms Of Pregnant Dog – Loss Of Want Of Food: Do you realize your female dog no longer wanting to eat as much as the female dog once wanted to eat? If so you would probably want to know that one of the earliest dog pregnancy symptoms is this symptom right here the low of want of food by the animal. This is not something that will hurt the female dog and this symptom of dog pregnancy will go away in later weeks of the dog pregnancy.

Symptoms Of Pregnant Dog – Less Active Female Dog: The female dog’s body is working on generating puppies and due to this the dog will often not move around or play as much this is something that is normal when the female dog is pregnant and not something that you should worry about at all. The dog’s activity will increase after the pregnancy is over and this is something that you can come to expect if you are a dog breeder or someone who just loves to have their female dog’s have allot of puppies.

Symptoms Of Pregnant Dog – Female Dog Chest Growth: When a female dog is not pregnant the nipples on the female dog’s chest will be all flat and dry against the female dog’s chest. This is one symptoms of pregnant dog that is hard not to notice with the dog is the growth of the chest of the female this is one of the clearest signs of dog pregnancy. If you notice that your dog is showing this symptom then you will know for a fact that your female dog is pregnant and you will need to figure out if you are going to keep the puppies or if you would like to give the puppies away.

Symptoms Of Pregnant Dog – Mood Change Of Female Dog: When a female dog is growing through the pregnancy the female’s dog body is going through allot of stress and due to this the female dog’s mood can change. This is not something to worry about as your furry friend is having to deal with allot at the moment and once your dog has the puppies your dog’s mood should return back to normal and this is what all dog owners love to see is there dog being happy.

Symptoms Of Sick Dog

The symptoms of sick dog do depend on what kind of disease your furry friend has. I will explain some of the symptoms of sick dog below this way you can know if your dog is sick or not by realizing if your dog is experiencing any of these symptoms on there own. Most of these symptoms of sick dog that will be explained are very serious and if you notice that you pet dog has one of these problems you are going to want to get the dog taken to the veterinarian right away. The veterinarian is an animal doctor that will be able to help you understand what your dog is dealing through and will give you the best course of action to get the dog in a better line of health and have the dog no longer experience these symptoms of sick dogs.

Symptoms Of Sick Dog – Stinky Breathing: When a dog is not feeling well often the dog’s breath will smell bad normally a dog’s breath will have no smell at all. If you notice that your animal is blowing off really bad smells from their mouth then the dog that is doing this could be quite sick. With this kind of symptom of sick dog you can take your dog to the veterinarian and the vet will be able to give you some advice on how to cure your dog. One of the most likely treatments with this symptom of sick dog would be eatable dog toothbrushes as these are used in an effort to make the dog have better health and have better breath health as well.

Symptoms Of Sick Dog – Bleeding In Urine/Stool: When a dog uses the restroom outside normally pet owners will see this waste and be able to tell if this is normal animal waste or if this waste is not normal. One way in which your dog could be experiencing symptoms of sick dog is if you have noticed that your dog has blood in either the urine or poop then you will know that your dog could be in serious danger. This is one of the leading symptoms of dog Parvo and another symptom is the dog actually vomiting up blood if you notice that your dog is experiencing this kind of reaction you will want to take this animal to the vet right away to make sure that this dog will live and no die.

Symptoms Of Sick Dog – Discharging Stuff From Ears: When a dog is in great health the dog’s ears will be fine and there will be nothing that actually comes out of the dog ears. One symptom of sick dog is a dog having yellow puss coming out from the dog’s ear this is most likely an infection and will need antibiotics to get better. The only way to get the correct antibiotics for this sick dog is to take this dog to the veterinarian to make sure the dog will get te correct medication and you will not have to worry about your dog no longer being able to live.

What Do You Do If Your Dog Has Parvo Symptoms

Dog owners around the world have had to ask the question “What do you do if your dog has Parvo symptoms?” Well the answer to this question is get it a veterinarian to care for it as soon as possible as this is the only thing that will give your animal the chance to come back to full health and live a long and happy life. When taking your dog or dogs to the veterinarian there is something that you must keep in mind and that the dog may not survive this illness. Some dog owners choose to get mad the veterinarians who try to help save the dog or dog’s life and it is not the veterinarians fault if the animal dies. Parvo is a disease that kills allot of dogs and does not have an antidote that is promised to cure it only treatments that will be used to help try to have the dog fight dog Parvo symptoms.

Now that you know if your dog or dogs have Parvo symptoms that you should be taking the dog to the veterinarian I will explain what you can expect to happen when you take your animal to the veterinarian’s office and get the dog medical attention. When the animal is getting care given to it the dog or dogs should be showing signs of recovery within the first week that the dog is at the animal hospital keep this in mind when taking your own dog in after you have figured out that your dog is experiencing some dog Parvo symptoms. After the week if your dog or dogs have not recovered you can expect your animal not to be able to recover from dog Parvo symptoms, dog Parvo is a serious illness and never forget this when realizing that your dog has dog Parvo symptoms.

There are a few things that the veterinarian will do to try to up-keep the health of your dog or dogs, the methods which the veterinarians will use I will explain below so you have a better idea of what will be done to help keep your dog or dogs alive. The procedures mentioned below are not the only procedures that can be used to treat dog Parvo symptoms but these are some of the key things that can be done to help your dog get away from disease. Losing a dog can be hard and it is important to realize this is a possible outcome that can happen if your dog has contracted Parvo and is now dealing with the negative end of the symptoms.

A veterinarian often will administer to the dog or dogs some from of pharmaceutical that will help to decrease the amount of virus(s) that are in the dog’s body. These treatments that will be performed on the dog or dogs can be something hard to deal with if you are a pet owner who loves their animal a good amount. If you are one of the avid animal lovers it could be a good idea to not stay in the same room where your dog or dogs are being treated as this could cause you emotional problems and make you more sad then you have to be if your animal does unfortunately die.

Symptoms Of Dog Pregnancy

Allot of pet owners would like to know if the dog that they have is pregnant or not. The best way to learn this is to know the symptoms of dog pregnancy so you will be prepared with this information and be able to realize when the dog is pregnant and decide what to do about the situation from there. Not all pet owners would like their dog to get pregnant but there are pet breeders that would like for their female dog to get pregnant and this is why these dog owners would also like to know symptoms of dog pregnancy. I will explain some of the symptoms of dog pregnancy below so you can know the symptoms to expect if your dog is expecting.



Symptoms Of Dog Pregnancy – Increase Size Of Female Dog Body:
A female dog is usually a size which is the same size as a normal dog and when the female dog gets pregnant the female dog’s body will grow larger. This is something a pet owner will be able t notice right away as the female dog will be much larger then the dog normally is if this is something that your female pup is experiencing this could mean that this dog is pregnant. At this point you should make plans for the puppies that the dog is going to have that or make sure the dog is pregnant by taking the dog to the vet and having the vet check out and see if the female dog is pregnant or not.

Symptoms Of Dog Pregnancy – Milk Forming In Female Dog: When a female dog is not pregnant the female dog’s nipples will not be large and the dog will not be producing any kind of milk. Although if you notice that your dog is starting to have larger nipples and looking like your doing is filling up with milk you should know that this is one of the symptoms of dog pregnancy and means there is a good chance that your dog is pregnant. When expecting puppies it is important to come up with a plan for these animals before they are born think about this if you are going to allow your female dog to have puppies.



Symptoms Of Dog Pregnancy – Puppies Moving Around Inside Pregnant Dog:
After a certain amount of time after the female dog is pregnant you will be able to notice that the puppies inside of the mother female dog are actually trying to move. You may not be able to see this clearly but you will be able to put your hand on the female dog’s belly and realize that the puppies inside are moving and this is one of the symptoms of dog pregnancy that really can’t lie. If you feel that the dog has puppies inside of the dog’s belly chances are the dogs are in there and you should prepare yourself how you can for the new puppies that are to come.

Keep these symptoms of dog pregnancy in mind as if your dog is pregnant there are preparations that you will need to do to make sure that your dog will have the puppies correctly. The best way to deal with a pregnant dog is by taking the pregnant dog to the local vet, as this will ensure that your dog is not going to lose puppies when the puppies are being born from the mother dog.

Symptoms Of Dog Poisoning

A dog that has been poisoned is something that could be quite serious because depending on what poison that the dog ingested the dog could get sick but if the poison was deadly your dog could actually die if you do not find a way to fight the poison. The best thing to do if you notice your dog exhibiting symptoms of dog poisoning is to take your dog immediately to the veterinarian’s office as this is where your dog can get the proper treatment and where your dog will have the most likely chance to survive this ordeal. The symptoms of dog poisoning will be explained below to give you an idea of what kind of symptoms to expect if you believe that your dog has been poisoned.

Symptoms Of Dog Poisoning- Red Rash: Poison is a dangerous chemical that will negatively effect the way that your dog is going to react in a negative way. One symptom of dog poisoning is that your dog will get a red inflamed area in the area that your dog has come into contact with the poison. Noticing this symptom of dog poisoning is important because this kind of reaction could cause a major adverse reaction to the dog’s health and could block a major function of the dog’s body, take the dog to your pet doctor immediately if you notice this one of the many symptoms of dog poisoning.

Symptoms Of Dog Poisoning- Inflated Mouth: When your dog eats poison the dangerous chemicals inside of this product will make the dog’s mouth become red and inflamed this is because the poison is poisoning the dog’s mouth and therefore causing it to enflame. Without treatment this kind of symptom of dog poisoning can lead the dog to no longer be able to breath. The lack of air to the dog will end up causing the dog to no longer be able to live and this is something that no pet owner wants to happen to his or her dog so if you notice this symptom just get the dog to the vet as soon as possible.

Symptoms Of Dog Poisoning – Throwing Up: When a dog ingests poison the dog’s body will do everything inside of the dog’s bodies power to expel all of the poison out of the dog’s system. The dog will try to vomit out the poison in the dog’s body and this is why this is one of the symptoms of dog poisoning that you should look out for so make sure to. If your dog is throwing up this means the dog’s body can’t handle the amount of poison and at this point seeking immediate medical attention for the dog is key if you would like your dog to survive.

Symptoms Of Dog Poisoning – Convulsing:
A convulsion is like a spasm that a dog can have, when your dog is having a spasm due to poison infection this could mean that the dog’s body is not been able to take care of the poison. Taking care of the dog at this point is crucial due to the fact if the poison is let to spread throughout the entire body of the dog then the dog would not have a good chance at survival. If you already have a dog anti-poison then this could be something that you use to help your dog get better and if you do not have one of these products during this symptom of dog poisoning you will want to take your dog to the vet as soon as possible.