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  • Home
  • Transforming Pet Health
  • White Papers
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    • New Veterinary Revenue
    • Vet Value Operations
    • Pet Owner Experience
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Treatment Plans for Top 10 Office Visit Symptoms

Updated 03/15/23

An In-Depth Guide to Addressing Common Puppy Symptoms: Conventional and Alternative Treatments, Medications, Side Effects, and Dietary Impacts, with a Focus on Giardia


Diarrhea

Description: Loose or watery stools

Conventional treatment: Fasting, bland diet, anti-diarrheal medications (e.g., Imodium, Pepto Bismol)

Side effects: Dehydration, electrolyte imbalances

Medications for side effects: Oral rehydration solutions (e.g., Pedialyte)

Alternative treatment: Probiotics (e.g., FortiFlora, Proviable), dietary modifications (e.g., adding pumpkin)

Side effects: Gas, bloating

Dietary impact: Feeding a high-quality, easily digestible dog food (e.g., Hill's Science Diet, Royal Canin) can help prevent diarrhea.

Giardia-associated treatment: Fenbendazole (e.g., Panacur), metronidazole (e.g., Flagyl)

Side effects: Vomiting, diarrhea, loss of appetite


Vomiting

Description: Forceful expulsion of stomach contents

Conventional treatment: Antiemetic medications (e.g., Cerenia, Zofran), fluid therapy, bland diet

Side effects: Drowsiness, constipation, dehydration

Medications for side effects: Oral rehydration solutions (e.g., Pedialyte)

Alternative treatment: Ginger (e.g., ginger capsules or tea), acupuncture

Side effects: Heartburn, gas, bloating

Dietary impact: Feeding a highly digestible, low-fat dog food (e.g., Purina Pro Plan, Iams) can help prevent vomiting.

Giardia-associated treatment: Fenbendazole (e.g., Panacur), metronidazole (e.g., Flagyl)

Side effects: Vomiting, diarrhea, loss of appetite


Coughing and sneezing

Description: Forceful expulsion of air from the lungs or nasal passages

Conventional treatment: Antibiotics (e.g., amoxicillin, doxycycline), cough suppressants (e.g., dextromethorphan), antihistamines (e.g., Benadryl)

Side effects: Drowsiness, gastrointestinal upset, dry mouth

Medications for side effects: OTC treatments for gastrointestinal upset (e.g., Pepcid AC)

Alternative treatment: Honey, steam therapy, herbal remedies (e.g., Plantago lanceolata)

Side effects: Allergic reactions, gastrointestinal upset

Dietary impact: Feeding a hypoallergenic dog food (e.g., Blue Buffalo, Natural Balance) can help prevent respiratory issues related to allergies.

Giardia-associated treatment: Not directly related to Giardia


Lack of appetite

Description: Refusal to eat or decreased interest in food

Conventional treatment: Appetite stimulants (e.g., mirtazapine, capromorelin), anti-nausea medications (e.g., Cerenia)

Side effects: Drowsiness, gastrointestinal upset, increased heart rate

Medications for side effects: OTC treatments for gastrointestinal upset (e.g., Pepcid AC)

Alternative treatment: Aromatic food, home-cooked meals, herbs (e.g., milk thistle)

Side effects: Gastrointestinal upset, allergic reactions

Dietary impact: Feeding a palatable, nutrient-dense dog food (e.g., Merrick, Wellness) can help stimulate appetite.

Giardia-associated treatment: Not directly related to Giardia


Lethargy

Description: Lack of energy or increased sleepiness

Conventional treatment: Identifying and addressing the underlying cause, fluid therapy, supportive care

Side effects: Vary depending on the treatment of the underlying cause

Alternative treatment: Nutritional supplements (e.g., Nutri-Vet Multi-Vite), acupuncture

Side effects : Vary depending on the treatment of the underlying cause

Dietary impact: Feeding a well-balanced, energy-supporting dog food (e.g., Orijen, Nutro) can help prevent and address lethargy.

Giardia-associated treatment: Fenbendazole (e.g., Panacur), metronidazole (e.g., Flagyl)

Side effects: Vomiting, diarrhea, loss of appetite


Ear infections

Description: Inflammation or infection of the ear canal

Conventional treatment: Ear cleaning, topical medications (e.g., Otomax, Mometamax), antibiotics (e.g., amoxicillin), antifungals (e.g., ketoconazole)

Side effects: Ear irritation, allergic reactions

Medications for side effects: Antihistamines (e.g., Benadryl)

Alternative treatment: Herbal ear drops (e.g., Zymox, EcoEars), homeopathic remedies (e.g., HomeoPet Ear Relief)

Side effects: Allergic reactions, irritation

Dietary impact: Feeding a hypoallergenic dog food (e.g., Blue Buffalo, Natural Balance) can help prevent ear infections related to food allergies.

Giardia-associated treatment: Not directly related to Giardia


Skin issues

Description: Rashes, itching, and hair loss

Conventional treatment: Topical or oral medications (e.g., hydrocortisone cream, Apoquel), shampoos (e.g., Malaseb), corticosteroids (e.g., prednisone)

Side effects: Skin irritation, hormonal imbalances, gastrointestinal upset

Medications for side effects: OTC treatments for gastrointestinal upset (e.g., Pepcid AC)

Alternative treatment: Omega-3 supplements (e.g., Nordic Naturals Omega-3 Pet), herbal remedies (e.g., calendula), hypoallergenic diet

Side effects: Fishy odor, gastrointestinal upset, allergic reactions

Dietary impact: Feeding a hypoallergenic or limited-ingredient dog food (e.g., Canidae, Zignature) can help prevent skin issues related to food allergies.

Giardia-associated treatment: Not directly related to Giardia


Worms

Description: Intestinal parasites such as roundworms, hookworms, or tapeworms

Conventional treatment: Deworming medications (e.g., Drontal, Panacur), fecal exams, preventative measures (e.g., Heartgard)

Side effects: Vomiting, diarrhea, lethargy

Medications for side effects: Oral rehydration solutions (e.g., Pedialyte)

Alternative treatment: Natural dewormers (e.g., NaturPet D Wormer), dietary changes (e.g., adding food-grade diatomaceous earth)

Side effects: Gastrointestinal upset, allergic reactions

Dietary impact: Feeding a high-quality dog food with a focus on gut health (e.g., The Honest Kitchen, Stella & Chewy's) can help prevent and address worm infestations.

Giardia-associated treatment: Fenbendazole (e.g., Panacur), metronidazole (e.g., Flagyl)

Side effects: Vomiting, diarrhea, loss of appetite


Urinary issues

Description: Difficulty or pain while urinating, increased frequency of urination, or blood in the urine

Conventional treatment: Antibiotics (e.g., cephalexin, enrofloxacin), increased water intake, urinary acidifiers (e.g., methionine)

Side effects: Gastrointestinal upset, allergic reactions, crystals formation

Medications for side effects: OTC treatments for gastrointestinal upset (e .g., Pepcid AC)

Alternative treatment: Cranberry supplements (e.g., Cranimals), herbal remedies (e.g., Uva Ursi), dietary changes

Side effects: Gastrointestinal upset, allergic reactions

Dietary impact: Feeding a urinary health-supporting dog food (e.g., Royal Canin Urinary SO, Hill's Prescription Diet c/d) can help prevent and address urinary issues.

Giardia-associated treatment: Not directly related to Giardia


Lameness or limping

Description: Difficulty walking or favoring one leg

Conventional treatment: Rest, pain relief medications (e.g., Rimadyl, Metacam), anti-inflammatories (e.g., carprofen)

Side effects: Gastrointestinal upset, liver or kidney damage

Medications for side effects: Liver support supplements (e.g., Denamarin), kidney support supplements (e.g., Renal Essentials)

Alternative treatment: Supplements (e.g., Cosequin, Dasuquin), acupuncture, massage

Side effects: Allergic reactions, irritation

Dietary impact: Feeding a joint health-supporting dog food (e.g., Hill's Science Diet Joint Care, Nutro Max Senior) can help prevent and address lameness or limping.

Giardia-associated treatment: Not directly related to Giardia 



  

Anti-Diarrheal Medications:

  • Imodium (Johnson & Johnson)
  • Pepto Bismol (Procter & Gamble)
  • Pedialyte (Abbott Laboratories)

Probiotics:

  • FortiFlora (Purina, Nestle)

Dog Food:

  • Hill's Science Diet (Hill's Pet Nutrition, a subsidiary of Colgate-Palmolive)
  • Royal Canin (Mars, Incorporated)
  • Purina Pro Plan (Nestle)
  • Iams (Mars, Incorporated)
  • Blue Buffalo (General Mills)
  • Natural Balance (J.M. Smucker Company)
  • Merrick (Nestle)
  • Wellness (WellPet LLC)
  • Orijen (Champion Petfoods)
  • Nutro (Mars, Incorporated)
  • Canidae (Independent Pet Partners)
  • Zignature (Pets Global, Inc.)
  • The Honest Kitchen (Providence Equity Partners LLC)
  • Stella & Chewy's (Kainos Capital)
  • Royal  Canin Urinary SO (Mars, Incorporated)
  • Hill's Prescription Diet c/d (Hill's Pet Nutrition, a subsidiary of Colgate-Palmolive)
  • Hill's Science Diet Joint Care (Hill's Pet Nutrition, a subsidiary of Colgate-Palmolive)
  • Nutro Max Senior (Mars, Incorporated)

Giardia-Associated Treatment:

  • Panacur (fenbendazole) (Merck Animal Health)
  • Flagyl  (metronidazole) (Pfizer)

Antiemetic Medications:

  • Cerenia  (Zoetis)
  • Zofran (GlaxoSmithKline)

Alternative Treatment for Vomiting:

  • Ginger capsules or tea

Antibiotics:

  • Amoxicillin
  • Doxycycline
  • Cephalexin
  • Enrofloxacin (Bayer)

Cough Suppressants:

  • Dextromethorphan

Antihistamines:

  • Benadryl (Johnson & Johnson)

OTC Treatments for Gastrointestinal Upset:

  • Pepcid AC (Merck & Co.)

Herbal Remedies:

  • Plantago lanceolata (for coughing and sneezing)
  • Milk thistle (for stimulating appetite)
  • Uva Ursi (for urinary issues)
  • Calendula (for skin issues)

Appetite Stimulants:

  • Mirtazapine (Merck & Co.)
  • Capromorelin (Elanco Animal Health)

Nutritional Supplements:

  • Nutri-Vet Multi-Vite (for lethargy)
  • Nordic Naturals Omega-3 Pet

Ear Infection Treatments:

  • Otomax (topical medication) (Merck Animal Health)
  • Mometamax (topical medication) (Merck Animal Health)
  • Zymox (herbal ear drops) (Pet King Brands, Inc.)
  • EcoEars (herbal ear drops) (Vet Organics)
  • HomeoPet Ear Relief (homeopathic remedy)

Antifungal Medication:

  • Ketoconazole (Taro Pharmaceuticals USA, Inc.)

Skin Issue Treatments:

  • Hydrocortisone cream (topical)
  • Apoquel (oral) (Zoetis)
  • Malaseb (shampoo) (Dechra Veterinary Products)
  • Prednisone (corticosteroid)

Deworming Medications and Preventatives:

  • Drontal  (Bayer)
  • Heartgard  

    



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