This document is a non-working example of a set of exploratory questions to help identify changes in a senior dog as they age. To show any additional detailed question supporting text and the allocated response options tap on the question's blue bubble.
A dog nose injury refers to any damage to the sensitive skin on a dog's nose, such as cuts, scrapes, abrasions, or a broken nose, and common causes include
- collisions with hard objects or other animals
- fighting or rough play with other dogs
- an adverse reaction to insect bites or stings, spider bites, animal bites or scratches
- foreign objects becoming stuck inside the nose
- damage resulting from rough or dangerous terrain.
The most common causes of nasal skin disease in dogs include
- bacterial infections
- red, crusty and scaly skin and hair loss caused by parasitic demodex mites
- fungal infection of skin, hair, or claws caused by ringworm
- autoimmune disorders.
Symptoms of nose problems include
- loss of pigment of the nasal planum, the hairless surface of the external nose
- hair loss on the snout
- inflammation of hair follicles
- skin redness and inflammation
- lesions, areas of abnormal or damaged tissue caused by injury, infection, or disease
- crusting or scabbing, with or without lesions
- excessive skin dryness, cracking, or peeling when the skin's outer layer flakes off
- small flat areas of colour change that have a visible line around them
- small pus-filled blisters
- oozing skin with fluid that may appear bloody, clear, or thick and milky
- skin ulcers, stubborn deep sores or open wounds on the skin
- unpleasant odour caused by fungal rhinitis, an infection involving the nose and sinuses, the air spaces within the skull.
Nosebleeds are often caused by trauma or upper respiratory tract infections. A dog with a bloody nose may swallow some blood and this can cause a black stool or vomit that contains blood clots. However, if bleeding persists or the dog is having difficulty breathing then urgent medical attention is recommended.To what extent has your dog been affected by nose injury or shown any symptoms of a nose condition?
Dog eye injuries include
- a scratched cornea, possible resulting from
- outdoor objects like sticks and twigs
- a cat clawing at the dog's face
- rough play with other dogs
- having itchy eyes and accidentally scratching the eye whilst pawing at it.
- injury to the orbital bone which surrounds and protects the eye and face of a dog, including deep bone bruising, or chips or fractures
- eye leaks resulting in excessive tears, pus, or blood pooling inside the eye
- eyelid injuries such as cuts or swelling, which can prevent a dog from properly shutting their eye
- foreign object becoming lodged in the eye area.
There are many conditions that can affect a dog's eyes, and more common ones include
- eyelashes growing in the wrong direction, from the wrong place or even a whole extra row of them, rubbing on the surface of the eye and causing irritation
- eyelid problems such as inward or outward turning eyelids, entropion or ectropion, causing inflammation, pain and infection
- eye infections caused by viruses, bacteria, or allergic reactions
- eye ulcers, wounds on the surface of the cornea, the clear front surface of the eyeball, which lead to loss of sight if left untreated
- pannus, an ongoing inflammation caused by a fault in the immune system which causes little lumps to form on the surface of the eye
- glaucoma, a painful increase in pressure inside the eye that can quickly lead to blindness if left untreated
- dry eye, a condition that stops the eye producing enough tears
- cherry eye, where the gland inside the third eyelid in the corner of the eye pops out
- uveitis, inflammation of the iris, the circular coloured part of the eye, and the structures around it
- lens luxation, where the lens, the small transparent tissue disc behind the pupil that focuses light on the back of the eye, comes out of position
- cataracts, where the lens inside the eye becomes cloudy so reducing vision and leading to blindness if left untreated
- masses and tumours behind, in and around the eye.
Symptoms of problems with either eye include
- obvious pain or blinking
- keeping one or both eyes closed
- a bulging eye
- a lump in or around the eye
- the third eyelid showing. Dogs have three eyelids, the outer upper and lower lids and a third eyelid in the inside corner of the eye, beneath the outer lids
- weeping or discharge, including blood or pus
- redness or swelling
- blood in the eye
- cloudiness
- a change in the size or shape of the pupil
- reduced or completely lost vision.
Prompt medical assistance is recommended for all eye problems to avoid further damage.To what extent has your dog been affected by injury to either of their eyes or shown any symptoms of an eye condition?
Gradual loss of vision is not always obvious in a dog because of their ability to adapt, but it may become more noticeable as a result of behavioural changes.
Examples include
- becoming more easily startled and nervous or barking or whining more
- walking slowly and cautiously or becoming confused and disorientated, particularly in unfamiliar places
- finding it harder to see, particularly in low light so not wanting to go out at night
- increasing clumsiness and bumping into people, walls or objects
- becoming less able to find things such as food or water bowls or toys and balls
- becoming nervous of obstacles that previously presented no problem, such as steps or stairs.
How would you rate your dog's current eyesight compared to that of a normal healthy animal?
A dog's ear is divided into three major compartments- the outer ear, made up of the earflap and ear canal and responsible for collecting sound
- the middle ear, responsible for transmitting sounds
- the inner ear, responsible for hearing and balance.
Common ear problems in dogs include- physical injuries
- foreign objects becoming stuck inside the ear
- ear mites, tiny parasites that cause very itchy ears and often lead to infections
- infections, the irritating and painful overgrowth of bacteria or yeast inside the ear
- allergic reactions
- a blood blister inside the earflap that causes it to balloon in size, become hot, red and sometimes droopy
- growths, polyps, and malignant or benign tumours.
If your dog is suffering from a problem with their outer or middle ear they are likely to display any of these symptoms- head shaking or face rubbing
- scratching or pawing at the ears
- a bad smell from an affected ear
- a swollen and droopy earflap
- heat, swelling, itchiness and pain
- ear discharge that is brown, red, yellow, or black
- excess dirt, excess wax, or blood in the affected ear.
If your dog is suffering from vestibular disease, a condition that affects the inner ear, they will display- a loss of balance
- a head tilt
- flickering eye movements.
If both of your dog's ears suddenly become very swollen, red and puffy, and they also develop swelling elsewhere in places such as their face, eyes, nose, or feet, it could signal the beginning of a severe allergic reaction and you should seek urgent medical advice.To what extent has your dog been affected by injury to either of their ears or shown any symptoms of an ear condition?
Dogs have extremely sensitive hearing and, when it is functioning correctly, they can- identify sounds that have a far higher frequency than a human can
- hear sounds many times farther away than a human can
- more easily identify the source of sounds than a human can
- accurately pinpoint the exact location of a sound
- understand simple human speech.
Common signs of hearing loss include- a trained dog that would normally respond immediately to their name and basic commands stopping or starting to ignore people, signalling a possible a change in their hearing
- becoming less or unresponsive to everyday or exciting sounds that used to elicit a reaction from them, such as a vacuum cleaner or the rustling a bag of dog treats
- becoming more easily startled or uncharacteristically disoriented or uneasy, even when in familiar surroundings
- excessive barking, possibly caused by the anxiety and frustration of not being able to hear or being unable to gauge how loud they are barking
- shaking or tilting their head in unusual ways to compensate for their inability to hear properly, a potential sign of their hearing starting to fail or of hearing loss in just one ear, but less common in dogs who are fully deaf
- a lack of interest or enthusiasm and an increase in heavier sleep, including them becoming harder to wake or startled when you touch them to wake them.
How would you rate your dog's current hearing compared to that of a normal healthy animal?
Dogs will not always display symptoms of oral pain or dental disease so inspection of the mouth area is necessary to establish gum and tooth health.
Dental plaque is a sticky biofilm of bacteria that constantly grows on surfaces within the mouth. Left unchecked it causes tartar, a pale yellow to brown covering on the teeth. The accumulation of dental plaque and tartar can trigger inflammation of the gums, resulting in gum infections, cavities, tooth and bone loss, and other serious oral health complications.Causes of dental disease include- poor dental hygiene
- a soft-food only diet without dried food that can help clean the teeth
- wear and tear in older dogs
- fractured teeth that can cause severe pain and become infected if left untreated
- retained baby teeth creating an overcrowded mouth, in particular with toy breeds
- overcrowding of teeth, particularly brachycephalic breeds where the mouth is smaller or shorter than occurs naturally
- breeds that depend more on mouth breathing, so have drier mouths with reduced salivary flow to provide cleansing and protection.
Symptoms of tooth or gum disease can include- foul smelling breath that cannot simply be excused as “dog's breath”
- pawing at or rubbing their mouth or face
- persistent head shaking
- picking up toys then quickly dropping them for no obvious reason
- decreased appetite and weight loss
- excessive drooling, possibly containing blood
- red, inflamed, or bleeding gums
- dental plaque or tartar
- loose, missing or broken teeth
- pain or difficulty eating, such as
- preferring soft food to biscuits
- chewing on one side of the mouth
- starting eating and then stopping abruptly
- whining while eating
- dropping food or spitting it out.
- facial swelling, a possible indicator of tooth root abscess.
How would you describe the condition of your dog's teeth and gums?
A dog's teeth should be clean and strong with no cracks or chips. They should be bright white, but they may become paler as the dog moves towards old age.
Extrinsic discolouration is caused when stains accumulate on the outside surface of the tooth. Teeth that are stained yellow or brown are the result of extrinsic discolouration, common causes being- tartar
- materials in their food or water
- medications
- faulty enamel formation.
Intrinsic discolouration is caused by an internal health issue with the tooth, normally as a result of impact trauma. Teeth that are entirely pink, purple, grey, or black are the result of intrinsic discolouration.When a tooth is fractured the tissue inside may become damaged. A pink colour indicates that the pulp is bleeding and blood is seeping into the structure of the tooth from the inside. As the inflamed pulp restricts blood flow within the tooth, the tooth can turn purple, grey, or black. If left untreated it can eventually result in the death of the tooth and infection in the bone leading to an abscess.
Pain linked to intrinsic discolouration can have a profound impact on a dog's behaviour and quality of life, and urgent medical attention is advised.
This question is measured on an increasing scale of concern by colour as you go down the list.Looking at your dog's individual teeth, what colour is the worst one?
Healthy gums appear as a light bubblegum pink colour, although some dogs have naturally dark gums or spots. The gums should be moist, slippery, and smooth to touch with your finger.
What sort of overall colour would best describe your dog's gums?
This question is concerned specifically with retching and vomiting, as opposed to regurgitation, which occurs when a dog brings up undigested food with no retching or signs of feeling sick. It usually happens as a one-off event a short time after eating as a result of eating too fast, but if it is regular then it can be a sign of something more serious.Retching is when a dog gags and strains as if going to be sick but then brings very little up. A single retch is no cause for concern, but continuous retching is more serious.
A dog repeatedly dry retching along with excessive drooling, rapid breathing, abdominal pain and a swollen stomach can be a sign of gastric dilatation-volvulus, also known as bloat, where a dog's stomach fills with gas, food or fluid and twists. It is a life-threatening condition that very quickly becomes fatal without immediate medical treatment.
Nausea is the medical term for feeling sick, and signs that your dog is feeling nauseous include- dribbling more than normal
- lip licking and swallowing
- restlessness and pacing
- reduced appetite.
Vomiting happens when your dog shows signs of nausea, abdominal heaving, retches and is sick, so forcefully ejects the contents of the stomach or the upper intestine. It is generally considered more serious than regurgitation.
If your dog unexpectedly vomits once but shows no other signs of distress and continues eating with normal bowel movements, there may be no cause for alarm.
Frequent vomiting can be a sign of a serious condition, and symptoms can include- vomit containing any amount of fresh blood
- vomit that is very dark brown and possibly contains digested blood
- vomit that contains a large quantity of green liquid, symptomatic of a gut blockage
- abdominal pain
- dehydration and raised temperature
- weight loss, lethargy and weakness.
Regular vomiting is often preceded by a wave of nausea whereas projectile vomiting can come on without warning and is expelled with much more force.How would you describe the worst episode of your dog showing signs of nauseousness or vomiting?
The gastrointestinal tract, also known as the digestive tract, is a series of hollow organs joined in a long, twisting tube that starts at the mouth and ends at the anus.The anus is the opening at the end of the gastrointestinal tract and is where stool leaves the body. The rectum is the end part of the large intestine that connects the colon to the anus. It is directly above the anus and is where stool is held before leaving the body.
The most common problem with a dog's anus concerns the anal glands, two small sacs located on either side of the anus and about the size of a pea, and issues include- an anal gland abscess, a painful abscess that can burst if not treated quickly
- anal sac disease, a condition that occurs when the anal sacs become impacted, infected, or cancerous
- swollen and inflamed anal glands that occur when the glands in a dog's anus become blocked and swollen.
Symptoms of a problem with the anal glands include- licking or biting their anal area
- dragging their bottom along the ground
- leaving discharge on the ground
- holding their tail down
- hair loss around the base of the tail
- a red and swollen bottom
- a foul-smelling fishy odour
- reluctance to defecate
- straining during defecation
- pain when defecating or sitting.
Perineal hernia is a swelling adjacent to the rectum on one or both sides, the contents of which can be can be pushed back into the pelvic cavity. If it is enlarged and the skin covering it is stretched, tight, bluish-reddish and weepy it could be considered a life-threatening emergency.Strictures are narrowings of the rectum and anus caused by scar tissue or from swellings outside of the digestive tract such as tumours.Perianal fistula is characterised by chronic and foul-smelling wounds in the tissues surrounding the anus or extending into the rectum or anus.
Perianal tumours are cancerous growths that develop in the tissues surrounding the anus and can spread to other parts of the body.
Rectal polyps or tumours, signs of which can include- straining to defacate
- painful defecation
- blood in the stool
- very soft unformed stools or diarrhea.
Rectal prolapse is a condition in which one or more layers of the rectum protrude through the anus, presenting as an elongated, cylinder-shaped mass protruding through the anal opening.Rectal or anal tears, caused by a dog swallowing a sharp object or from injury such as a bite. Signs include- a reluctance to defecate
- straining to defacate and constipation
- rectal bleeding.
Prompt medical attention is recommended for rectal or anal problems.To what extent has your dog shown any symptoms of a problem in their anal or rectal region?
Faeces, also known as stool, is the solid or semi-solid waste that passes through the body during a bowel movement.
A dog should evacuate their bowels at least once a day, but the actual frequency may match the number of meals they have eaten, and a healthy dog stool should be- log-shaped, firm, segmented, and compact
- easy to pick up and maintain its shape
- light to dark chocolate brown in colour
- roughly proportional in quantity to how much food the dog has eaten.
Problems to be aware of can include- constipation, possibly caused by
- an unhealthy and inconsistent diet with insufficient fibre
- dehydration from lack of access to sufficient water.
Indicators of constipation can include- dragging their rear end along the ground
- circling excessively before attempting to poo
- squatting frequently before attempting to poo
- walking whilst trying to poo
- attempting to poo but being unable
- eating grass when they normally do not
- vocal distress or scratching their rear end.
- diarrhoea, the frequent passing of loose, watery and unformed faeces, and possibly caused by
- eating too much food
- eating the wrong type of food
- stress colitis, a condition where the colon becomes inflamed due to stress, causing changes in the bacterial population and leading to diarrhoea.
If the diarrhoea contains bubbles, it can be a sign of faeces and excess gas moving through the intestinal system too quickly, and causes can include- dietary sensitivities
- bacterial, parasitic, or viral infection in the gastrointestinal tract
- irritable bowel syndrome, resulting in excess gas and borborygmi, a rumbling or gurgling noise made by the movement of fluid and gas in the intestiness
- aerophagia, where the dog swallows a large amount of air, most commonly from eating too quickly, and the air is retained in the stomach rather than being passed into the intestines or belched back out.
- dry and crumbly stools
- stool quantity that is noticeably less than the amount of food consumed, potentially indicative of an unbalanced diet and insufficient fibre.
How would you describe the overall consistency of your dog's most recent stools?
The colour of your dog's stool is a good indicator of the health of their gastrointestinal system.
The exploratory colour range includes- a healthy chocolate brown
- pale grey to chalky white and dry and crumbly stools, caused when a dog has an incomplete and unbalanced diet that is too high in calcium, such as in raw diets or from eating bones
- white specked stools that
- if moving are a strong indication of a live worm infestation such as tapeworm or roundworm
- if not moving then possibly dead worms, a fungal infection, or the result of something passing through undigested.
- yellow stools, possibly with a mucus-like coating or consistency, which can indicate
- a food intolerance, either as the result of new food or an allergy the dog has developed
- a problem with liver function
- an issue with the gallbladder, pancreas, or small intestine.
- orange stools, which can indicate potential liver or biliary disease
- green stools, associated with
- having eaten a lot of grass
- intestinal parasites such as giardia, a parasite that infects a dog when consumed during the parasite's cyst stage and displays as fatty, greenish stools with possible blood in them
- having ingested rodent poison.
- bright red or red streaked stools indicate undigested blood, possibly as a result of
- an anal gland infection
- injury to the rectum
- an injury to the lower gastrointestinal tract
- internal inflammation such as colitis
- an ulcer
- a malignant or benign tumour.
- black or a very dark brown stools with a tarry or sticky consistency, an indication of partially digested blood and a possible problem in the upper gastrointestinal tract.
If a dog becomes poorly very quickly with diarrhoea that looks like strawberry jam and is vomiting, it is a strong indication of the potentially fatal disease hemorrhagic gastroenteritis. Urgent medical attention is required.How would you describe the colour of your dog's most recent stools?
Conditions that can cause an increase in the frequency of bowel movements or quantity of stool include- a diet that is too high in fibre
- food hypersensitivity
- inflammatory bowel disease
- intestinal parasite infestations
- maldigestion or malabsorption.
Conditions that can cause discomfort during defecation so change the pattern of bowel movement and urgency to eliminate, include- anal sphincter incontinence
- colitis
- central nervous system abnormalities or disease
- infections or inflammations
- orthopedic or neurologic pain.
Psychologically, indoor elimination can be related to- fear, anxiety, or frustration, possibly triggered by
- distress related to being left alone
- fear or frustration related to potential or perceived intruders
- a stress reaction to recent changes in their environment or schedule
- stressful social interactions within their home environment
- something outside the home that frightens them.
- age-related mental decline.
How would you describe your dog's ability to control their bowel movements?
It is important to be aware of both the overall volume of water your dog is taking in and whether they are drinking more at each visit to a watering station.
If a dog is drinking an excessive amount of water it can be linked to a number of factors, such as- a dry food diet or eating scraps of salty human food
- dehydration, typified by
- increased thirst
- excessive panting
- dry gums.
- overheating, reasons for which can include
- after an intense physical workout
- hot weather or indoor temperature
- signs of heatstroke, including
- breathing difficulties
- drooling
- lethargy or restlessness
- loss of appetite
- nausea, vomiting, and diarrhoea.
- illness or disease
- medication side-effects.
Dogs may drink from unusual places. This can be innocent, in the case of drinking bath water or from a hose pipe, but there are risks attached to stagnant water that has been contaminated with animal faeces or urine and can be infected with- harmful protozoa, single-celled parasitic organisms that feed on organic matter such as other microorganisms or organic debris
- harmful bacteria, tiny single-celled living organisms, such as
- campylobacter spp, clostridium difficile, clostridium perfringens, escherichia coli, or salmonella spp, all of which can cause diarrhoea
- staphylococcus sp, a cause of skin infections
- leptospira, the cause of canine leptospirosis, a potentially life-changing or fatal condition.
The blue-green algae found in some bodies of water during hot temperatures can be also toxic to a dog.Adipsia, where a dog loses their sense of thirst and stops drinking altogether, will be fatal if allowed to continue.How would you describe your dog's drinking habits?
The colour of your dog's urine can be an additional indicator of their physical health, and the exploratory colour range includes- clear to light yellow urine indicating good hydration
- dark yellow urine, possible causes being
- a lack of hydration and a need to take in more water, possibly as a result of a protein-rich diet
- kidney issues.
- orange urine, possible causes being
- severe dehydration
- bile duct issues
- gallbladder or pancreas issues
- liver disease
- damaged red blood cells.
- green urine, indicating possible kidney problems
- cloudy urine, possible causes being
- a urinary tract infection
- white blood cell infection
- bladder crystals or stones.
- red or pink urine that contains fresh blood, possible causes being
- traumatic physical injury resulting in internal organ damage
- a urinary tract infection
- a kidney or bladder infection
- prostate issues in male dogs
- a malignant or benign tumour.
- brown urine, possible causes being
- cystitis, a bladder inflammation usually caused by a bacterial infection
- kidney disease
- possible internal bleeding
- a blood parasite
- a toxic reaction
- a malignant or benign tumour.
How would you best describe the most common colour of your dog's urine?
An inability by a dog to hold the contents of their bladder excludes incomplete house training, unaviodable house training lapses, or communication or marking behaviours.
Diseases or medications that can cause excessive drinking and increased urination include- any sort of infection
- kidney or liver disease
- diabetes mellitus, which results from a disruption of pancreas function and abnormal regulation of blood sugar, additional symptoms of which can include
- chronic or recurring infections
- cloudy eyes due to cataracts
- lethargy or weakness
- weight loss, regardless of appetite.
- cushings disease, common additional symptoms of which include
- a swollen pot-bellied stomach
- bald patches, especially on the sides and tail
- excessive hunger and panting
- low energy and muscle loss or wastage
- thin, scaly skin with dark patches and prone to blackheads and infections
- wounds that heal slowly.
- corticosteroids, anti-inflammatory medicines commonly used to treat mild inflammatory conditions by decreasing inflammation and suppressing the immune reaction in dogs to help decrease pain, discomfort, itching, swelling, and redness.
There are also conditions that can cause discomfort during urination so change the pattern and urgency to eliminate, such as- urethral sphincter mechanism incompetence
- cystitis or kidney stones
- bladder stones
- central nervous system abnormalities or disease
- infections or inflammations
- orthopedic or neurologic pain.
Psychologically, indoor elimination can be related to- fear, anxiety, or frustration, possibly triggered by
- distress related to being left alone
- fear or frustration related to potential or perceived intruders
- a stress reaction to recent changes in their environment or schedule
- stressful social interactions within their home environment
- something outside the home that frightens them.
- age-related mental decline.
How would you describe your dog's ability to hold their bladder?
The most common cause of skin problems in dogs is fleas and ticks, but as dogs age they can become more susceptible to skin diseases, such as- sudden or drastic hair thinning or hair loss, especially in chunks or patches, potentially indicating an underlying medical condition, such as
- bacterial or parasitic infections
- hormonal abnormalities
- malnutrition.
- more frequent skin infections caused by parasites, bacteria, viruses, or fungus as a result of the immune system gradually losing its effectiveness
- dermatitis, the skin inflammation frequently linked to issues involving the liver, kidney, and pancreas, and typified by
- redness and inflammation
- crusting or scabbing, with or without lesions
- oozing skin with fluid that may appear bloody, clear, or thick and milky
- hair loss, particularly on the footpads, face, genitals, and lower legs.
- moist dermatitis, known as hot spots, red circular sores caused by delicate aging skin being torn then infected by bacteria
- scaling, when the skin's outermost layer flakes off in dry scale-like pieces, and caused by issues such as
- vitamin deficiencies
- allergic reactions or infections
- parasite infestations
- hormonal abnormalities
- congenital anomalies, the term congenital meaning that the condition was present from birth.
- itchy skin, known as pruritus, when a dog scratches repeatedly for extended periods. and causes can include
- thinner dry skin as a result of producing less oil
- allergic reactions
- hypothyroidism, when an underactive thyroid gland does not produce enough hormones
- demodex mites, tiny skin parasites that cause red, crusty, scaly skin and hair loss.
- skin masses, tumours, or lumps, possible signs of
- malnutrition
- viruses or infections
- parasites
- genetic predisposition
- hormonal abnormalities
- exposure to chemicals
- exposure to ultraviolet radiation from the sun
- skin cancer.
Excessive licking or skin nibbling that is more than grooming can be an indication of underlying pain or psychological disturbances such as boredom, anxiety or obsessive-compulsive disorder.To what extent has your dog been affected by a recognisable skin condition?
Developmental joint problems are present in a dog from birth and often rooted in their genetics, and examples include- Dysplasia caused by abnormal bone growth or development, such as
- hip dysplasia, where the femur does not fit into the hip socket
- elbow dysplasia, where the bones of the elbow joint do not come together properly.
- Osteochondrosis, a common condition that affects the joints of young, rapidly growing dogs, when the cartilage surface of a joint fails to convert into bone and causes an area of weak thickened cartilage that may become loose and form an obstructive flap.
Degenerative joint issues are most often caused by injuries, stress fractures or osteoarthritis but they are more common in larger dogs whose greater body weight places more stress on the joints. Tissues wear over time from repeated joint use and particularly affected are- cartilage, the strong flexible connective tissue that protects joints and bones
- ligaments, the fibrous collagen-rich connective tissues that connect bones to bones and hold structures together
- tendons, the fibrous connective tissues that attach muscle to bone or soft structures such as the eyeball, and serve to generate movement.
Cranial cruciate ligament issues are the most common degenerative joint condition affecting dogs.Joint pain in older dogs may be misinterpreted as them slowing down naturally with ageing, but there are many signs that a dog may be in distress, including- aggression if touched in an affected area
- avoiding activities that involve climbing or jumping or not wanting to walk as far
- lameness, limping or stiffness
- holding a paw or leg off the ground when standing
- inexplicably yelping, slipping or springing forward when moving
- toileting accidents in the house or walking while urinating or defecating
- decreased energy, tiredness and sleeping more
- taking longer to stand up from lying down and groaning more
- increased irritability and depression
- inexplicable loss of appetite
- excessive licking, chewing or biting an affected area
- carrying their heads or tails lower than they would otherwise.
To what extent has your dog suffered from a recognisable joint problem?
Lameness refers to the inability of a dog to properly use one or more of their legs. It is often called a limp if only a single leg is affected.
Acute lameness refers to something that comes on suddenly, and causes can include- bone fracture or joint injury
- a cruciate ligament rupture
- a soft tissue injury such as a strain or sprain to a muscle or tendon
- a luxating patella, where the kneecap moves out of its normal location causing the dog to develop a skip in their step or run on three legs then return to their normal four-legged gait
- foot damage or injury.
Chronic lameness describes a condition that has existed for an extended period of time, and causes can include- limb or spinal deformities
- angular joint deformity resulting in an abnormal posture and joint misalignment
- neurological disorders, the medical conditions that disrupt the functioning of the nervous system
- hip or elbow dysplasia resulting in the joint growing abnormally and causing unusual wear and tear on the joint surfaces
- osteoarthritis, a degenerative joint disease that leads to pain, inflammation and difficulty using an affected limb
- cancer such as osteosarcoma.
Common signs of lameness in dogs include- obvious break, dislocation, or swelling of the limb
- unusual posture when standing, sitting or lying down
- unusual gait when walking, running or climbing
- reluctance to exercise or perform normal activities
- grating sounds when a joint moves
- loss of muscle mass
- dragging or scuffing paws
- confusion, trembling or falling over.
Weight bearing lameness describes when a dog is reluctant to put weight on a leg or reduces the amount of force they apply through it.Non-weight bearing lameness occurs when it is impossible for the dog to put any weight on a specific leg. It is a critical situation involving very high levels of pain and requires urgent medical attention.
How would you describe your dog's pattern of lameness when manoeuvring over a solid surface?
A dogs paws provide traction and improved balance, and their cushion-like design provides shock absorption for the limbs as the dog stands or moves.
Behavioural signs of paw injury include- lameness or limping
- refusal to walk or bear weight on an affected paw
- excessive licking or chewing an affected paw, which can lead to secondary fungal or bacterial infection.
Physical symptoms of paw injury include- nails that are broken, cracked, brittle, ingrowing, or infected
- dog paw hyperkeratosis, caused when the keratin layer on the paw pads becomes excessively thick, leading to cracking, crusting and scaling and possible secondary infection
- pads that are dry, cracked, or burnt from
- walking over rough terrain
- having to traverse certain surfaces in very hot weather, such as asphalt roads or concrete paths
- having to traverse certain surfaces in very cold weather, such as snow or ice and including the risk of developing frostbite
- contact with irritant chemicals
- allergic reactions.
- lacerations, the deep cuts or tears in the skin and underlying tissue, commonly caused by
- trauma as a result of a fall or collision
- incision by a sharp object
- a bite by another mammal.
- redness and inflammation due to
- bacterial and fungal infections
- puncture wounds such as insect bites or stings
- allergic reactions
- immune or metabolic diseases.
- blisters, ulcers, or scabs
- interdigital furunculosis, seen as shiny hairless bumps between the dog's toes that are red or purple in colour
- a putrid smell coming from the paw
- bleeding from any part of the paw.
How would you describe the condition of your dog's paws?
Common types of heart disease in dogs include- Mitral valve disease, also known as mitral valve insufficiency or mitral regurgitation. The heart is divided into left and right sides, each with an upper and lower chamber. Each chamber has a one-way valve to keep blood from flowing backward and the valve on the left side is called the mitral valve. Disease occurs when the valve thickens and becomes floppier. It is most common in certain small breeds
- Dilated cardiomyopathy, a weakness in the heart muscle that causes the heart to become large, floppy and unable to pump blood properly. It can lead to sudden death and is most common in certain large or giant breeds
- Arrhythmia, an abnormal heart beat rhythm that can cause fainting episodes. Whilst some types of arrhythmia are identified in specific breeds, all breeds of dog are susceptible
- Congenital heart disease, a general term for a range of birth defects that affect the normal way the heart works.
Symptoms of heart problems include- excessive coughing
- breathlessness or laboured breathing
- excessive panting
- a lack of energy
- struggling during physical exertion
- collapsing or fainting
- unexplained weight loss
- abdominal swelling.
To what extent has your dog suffered from any of the recognisable symptoms of impaired heart function?
Healthy normal breathing can be characterised as open-mouthed and relaxed when calm after physical exercise and when the dog is feeling comfortably warm, with signs including- chest movement that is smooth and effortless
- the chest and abdomen moving together when the dog breathes
- breaths that are consistent in depth and length
- breathing that is quiet and free of noises such as snorting, wheezing, crackling, or honking
- the dog having a generally content demeanor.
The respiratory rate, the number of breaths taken per minute, is best counted when the dog has been at rest or asleep for at least five minutes. Anything over forty breaths per minute is cause for concern.Common respiratory diseases and conditions that directly affect a dog's lung include- Colds and flu that resist the efforts of the dog's immune system and potentially lead to more serious illnesses.
- Kennel cough, a highly contagious illness most common in middle to late summer that can be caused by either bacteria or a virus.
- Tracheal collapse, caused when the cartilage rings in the windpipe weaken so flattening and narrowing the airway, and most commonly seen in small-breed dogs.
- Pneumonia, inflammation and fluid in the lungs and usually caused by a bacterial, viral or fungal infection.
- Chronic obstructive pulmonary disease, the name for a group of irreversible and progressive lung conditions that cause breathing difficulties, and includes
- chronic bronchitis, a condition that causes inflammation in the pulmonary or respiratory system
- emphysema, a disease that causes the tiny air sacs in the lungs to expand and suffer damage.
- Pulmonary fibrosis, a chronic life-threatening lung disease in dogs that causes scarring and inflammation in the part of the lung where the air sacs are located and can significantly shorten a dog's life.
- Lung tumours, most of which are malignant and often caused by tumours spreading from other parts of the body such as the abdominal organs, bones, or skin.
Common symptoms of respiratory problems include- obvious difficulty breathing
- nasal congestion
- coughing or honking
- gagging after coughing
- throat clearing or wretching
- noisy breathing such as wheezing or crackling
- a limited ability to exercise at a normal level, known as exercise intolerance
- blue or grey gums, an indicator of a lack of oxygen
- lightheadedness or fainting, often referred to as syncope, caused by a sudden loss of consciousness due to insufficient blood supply to the brain.
How would you describe your dog's normal breathing?
As dogs age they often begin to pant more frequently and more heavily than before, including when resting, and excessive panting can be a sign of- persistant pain as the dog becomes increasingly affected by disease, illness or obesity. The panting may seem to increase at night if the surrounding environment is quieter and there is less to distract them.
- respiratory diseases, such as
- tracheal collapse
- bacterial pneumonia
- chronic obstructive pulmonary disease
- pulmonary fibrosis.
- congestive heart failure, when a damaged heart struggles to pump blood and leaking heart valves cause it to back up in the lungs. This can cause fluid to build up in the chest, putting extra pressure on the diaphragm and lungs so leading to excessive panting.
- heat stroke, caused by older dogs being less able to regulate their body temperature so overheating more easily, in particular amongst brachycephalic breeds
- dehydration, particularly if accompanied by a dry nose or mouth
- anxiety, something older dogs regularly experience, possibly triggered by
- chronic suffering from disease or illness
- canine cognitive dysfunction
- fear and loss of confidence linked to declining strength, senses and abilities.
How would you describe your dog's need to pant when they breath?
Canine cognitive dysfunction, sometimes referred to as “doggy dementia”, is an incurable disease that causes an affected dog to gradually mentally weaken as they approach the end of their life expectancy. It is often compared to Alzheimer's disease in human beings.
Brain cells called neurons send essential messages throughout the body and control everything from breathing, eating and toileting to thinking. As a dog reaches older age the neurons in their brain can slowly and unpreventably stop functioning properly or die off and the brain progressively loses its capacity for storing and processing information.Potential warning signs associated with cognitive dysfunction are described using the acronym DISHAA
- Disorientation
- getting lost in familiar areas
- not recognising familiar people or animals
- going to the wrong side of a door for access.
- Interactions
- becoming increasingly clingy
- becoming increasingly reclusive
- becoming increasingly irritable when approached.
- Sleep-wake cycle changes
- sleeping more during the day
- pacing and restlessness at night.
- House soiling, learning and memory
- soiling in strange or inappropriate locations or immediately upon returning to the house from outside
- increased difficulty or inability to adjust to changes compared to when they were younger
- not responding to previously learned behavioural cues or commands.
- Activity level changes
- reduced interest in play
- staring blankly into space for extended periods
- difficulty settling
- wandering or pacing
- engaging in repetitive behaviours.
- Anxiety
- becoming frightened of new stimuli
- developing phobias related to things that they were previously not bothered by
- starting to suffer from separation anxiety.
How much has your dog been affected by forgetfulness and behaviour or personality changes?
As they navigate their senior years', assessing your dog's quality of life can be a difficult and potentially upsetting experience.This set of questions-within-a-question aims to help you make sense of how well they are coping.- How much pleasure do they seem to get from life?
- How happy do they seem to be?
- Do the good days outweigh the bad ones?
- How well are they able to express their normal dog behaviours?
- How capable are they of doing the things they used to enjoy in a way that is positive and meaningful to them?
- How independent are they compared to when they were younger, in so much as
- if their eyesight or hearing is deteriorating, how much does it upset them or compromise their ability to do things?
- can they themselves escape from things that cause them fear, distress, or displeasure?
- can they easily access toilet sites that they are comfortable using?
- can they easily access their food and water in places where they can relax and enjoy it?
- can they access favoured resting places, especially if in potentially difficult to reach areas such as up a flight of stairs?
- can they enjoy comfortable and refreshing rest and sleep?
- How well are their bodily functions performing?
- How much physical pain or distress are they trying to cope with on a daily basis?
- Are their medications and treatments as effective as they used to be and likely to significantly improve quality of life within the time the dog might have left?
- How much are they suffering from incurable mental decline and its associated fear, confusion and distress?
It is important to be aware that a dog's quality of life may have deteriorated considerably before it becomes unavoidably obvious through behavioural changes such as them stopping eating or drinking.Being completely candid, how would you rate your dog's quality of life now compared to when they were younger and at their happiest and most capable?
As your dog ages their body weight and condition may begin to change and they may gain or lose weight.Here is set of descriptions for a dog's weight- Very underweight, presenting as
- an obvious and undeniable loss of muscle mass
- a bony appearance with no body fat
- ribs and spine visibly prominent and easily felt
- the waist being far too narrow for the breed and severly tucked-in behind the ribcage.
- Underweight, presenting as
- a skinny appearance with little body fat
- ribs and spine visible and able to be felt
- the waist being too narrow for the breed and markedly tucked-in behind the ribcage.
- Healthy weight, presenting as
- minimal body fat covering the body
- being able to see and feel the ribs
- the waist easily seen from above, comfortably tucked in and looking right for the breed.
- Moderately overweight, presenting as
- some fat deposits around the ribs and body
- the ribs, spine and hips are not easily felt or counted
- the waist losing definition behind the ribcage.
- Overweight, presenting as
- noticeable fat deposits around the ribs and body
- the ribs, spine and hips lacking definition and unable to be felt
- the waist barely defineable behind the ribcage
- the abdomen noticeably sagging.
- Obese, presenting as
- a thick layer of fat under the skin and massive fat deposits around the body
- ribs, spine and hips completely hidden by fat deposits
- no visible waist behind the ribcage from any viewing angle
- the abdomen disdended and hanging down.
Inexplicable or sudden weight loss or the dog developing a pot-belly are particular cause for concern and urgent medical intervention is recommended to establish the cause.How would you describe your dog's current body weight?
As your dog ages their body weight and condition may begin to change and they may gain or lose weight.Here is set of descriptions for a dog's weight- Very underweight, presenting as
- an obvious and undeniable loss of muscle mass
- a bony appearance with no body fat
- ribs and spine visibly prominent and easily felt
- the waist being far too narrow for the breed and severly tucked-in behind the ribcage.
- Underweight, presenting as
- a skinny appearance with little body fat
- ribs and spine visible and able to be felt
- the waist being too narrow for the breed and markedly tucked-in behind the ribcage.
- Healthy weight, presenting as
- minimal body fat covering the body
- being able to see and feel the ribs
- the waist easily seen from above, comfortably tucked in and looking right for the breed.
- Moderately overweight, presenting as
- some fat deposits around the ribs and body
- the ribs, spine and hips are not easily felt or counted
- the waist losing definition behind the ribcage.
- Overweight, presenting as
- noticeable fat deposits around the ribs and body
- the ribs, spine and hips lacking definition and unable to be felt
- the waist barely defineable behind the ribcage
- the abdomen noticeably sagging.
- Obese, presenting as
- a thick layer of fat under the skin and massive fat deposits around the body
- ribs, spine and hips completely hidden by fat deposits
- no visible waist behind the ribcage from any viewing angle
- the abdomen disdended and hanging down.
Inexplicable or sudden weight loss or the dog developing a pot-belly are particular cause for concern and urgent medical intervention is recommended to establish the cause.How would you describe your dog's current body weight?
As your dog ages their body weight and condition may begin to change and they may gain or lose weight.Here is set of descriptions for a dog's weight- Very underweight, presenting as
- an obvious and undeniable loss of muscle mass
- a bony appearance with no body fat
- ribs and spine visibly prominent and easily felt
- the waist being far too narrow for the breed and severly tucked-in behind the ribcage.
- Underweight, presenting as
- a skinny appearance with little body fat
- ribs and spine visible and able to be felt
- the waist being too narrow for the breed and markedly tucked-in behind the ribcage.
- Healthy weight, presenting as
- minimal body fat covering the body
- being able to see and feel the ribs
- the waist easily seen from above, comfortably tucked in and looking right for the breed.
- Moderately overweight, presenting as
- some fat deposits around the ribs and body
- the ribs, spine and hips are not easily felt or counted
- the waist losing definition behind the ribcage.
- Overweight, presenting as
- noticeable fat deposits around the ribs and body
- the ribs, spine and hips lacking definition and unable to be felt
- the waist barely defineable behind the ribcage
- the abdomen noticeably sagging.
- Obese, presenting as
- a thick layer of fat under the skin and massive fat deposits around the body
- ribs, spine and hips completely hidden by fat deposits
- no visible waist behind the ribcage from any viewing angle
- the abdomen disdended and hanging down.
Inexplicable or sudden weight loss or the dog developing a pot-belly are particular cause for concern and urgent medical intervention is recommended to establish the cause.How would you describe your dog's current body weight?
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