Chemo, Chemo Costa, Vomiting discussed on Let's Talk Pets
Specialists. They may be talked to their general practitioner, and they changed their mind. So the other thing is you've you start steroids. Some of the other tests that we may need to do like flow to figure out which of the lymphomas it is and where else in the body. It is aren't going to be accurate. So I would in general recommend that you not get, you know, from the from the emergency clinic until you have a diagnosis, and you have made your decision if the dog's not eating because a lot of the times when I lecture general practitioners will say, well, what do I do with the dogs not eating can I start steroids? I would say try something else. Like, maybe Serena and apple or that new appetite stimulant entice there are other ways that we can try to encourage this dog to eat rather than the steroids. Finally, my other other tip is if the dog is having difficulty breathing because those lymph nodes around the neck are starting to press, you know, on the trachea and things like that. Or the dog is having a crisis. Absolutely, tell emergency doctors. In general practitioners. It's okay to use steroids in those cases. But I really want to think twice before we're giving steroids to a dog. That's eating feeling great. Maybe just a little bit of a picky appetite with big lymph nodes for bringing that up and clarifying it. I think the most important thing that pet owners and veterinarians need to take away is while steroids are relatively inexpensive. We wanna make sure that we have the diagnosis just to make sure we don't affect the response to chemotherapy. Yeah. And you had ask that I didn't get to it. But you're right, so steroids are, you know, very, very inexpensive and chemotherapy, depending on the size of the dog because chemo Costa's associated to how much drug they actually get. So, you know, a big Rottweiler is going to be much more expensive to treat than, you know, a little Chihuahua or something like that. But you know, chemo can cost thousands of dollars over a period of five or six months apprentice zones gonna cost dollars in comparison. But I think we just wanna give the owner the opportunity to really think about chemo, and they're. Less expensive chemotherapy options, as well that, you know, an oncologist can walk the owner through and again, if I had a dime for every time, a veterinarian called me and told me the owner will one hundred percent never give chemo, and how many times the owner changes their mind, not because I convince them just because you know, you're in shock, would you? Find out your pet has cancer. And it's really scary. And it's really overwhelming, and you just really need to give them the chance to make an informed decision. Right now, another important thing. I think pet owners need to know about chemotherapy is sometimes you will rarely see some side effects. So oftentimes, I'm seeing cases that are undergoing chemotherapy with their veterinary oncologist or their veterinarian, and sometimes they'll come into the -mergency room from some of the side effects. They have vomiting or diarrhea and thankfully, most of these guys do not need to be hospitalized. But do you mind just talking about some of the biggest side effects of chemotherapy? I think pet owners oftentimes while thank gosh. All the hairs going to fall out. They're going to get really. And you might just talking a little bit about some of the side effects that dogs and cats can show from chemo. Yeah. So one of the things that surprising to most pet owners and actually was really surprising to me during my internship at animal medical center in New York City is that cats tolerate chemo better than dogs dogs and cats are better than people. But you know, we think cats are fragile and small and they won't handle chemo. But so there's three main categories of side effects that we can see the first one is hair loss. And luckily dogs and cats unless they are a breed like Scotties and westies an old English sheepdog some of the carrier breeds. So if your dog is a continuously growing hair coat, it could lose a little bit more hair poodles, but most dogs go undergoing chemo will not lose their hair coat. Cats may temporarily lose their whiskers, but their hair coat will remain the same. So and those are aesthetic, you know, it does change the way the dog or the cat feels about themselves. But not the main ones that orders may drive. To the emergency clinic the other two categories as you mentioned the first ones gastrointestinal, so they may lose their appetite for the first couple of days after chemo. They may get some mild vomiting or diarrhea and again that usually occurs within the first week after chemo. The good news is most of the time. It's gonna be mild eighty percent of dogs and cats have.