Expensive Dr. Roach: Our household canine received sick and wanted to be admitted to the veterinary hospital, the place she was recognized with leptospirosis. The vet says she is going to pull via, however do I should be involved about my household? — E.V.
Reply: A handful of illnesses — referred to as zoonoses — may be transmitted from canine to people. Of those, leptospirosis is the one one that may be transmitted by urine. It’s most definitely your canine was involved with an contaminated rodent in the home or yard, or it may have come from stagnant water the place animal urine could possibly be discovered.
Sadly, sure, the illness may be handed out of your canine to your loved ones, so that you must be vigilant in watching all members of the family for sudden onset of signs.
Leptospirosis is a bacterial an infection that may trigger critical sickness. The commonest preliminary indicators are fever, muscle aches, shaking, chills and headache. These signs usually begin instantly. Redness of the conjunctiva, seen as redness within the white a part of the eyes, is a typical discovering, however there are different less-specific indicators, together with belly ache, cough, joint ache and rash.
I don’t suggest treatment to stop an infection in people. Any signs ought to be evaluated by your common physician, whom it’s best to inform concerning the canine’s analysis.
Rigorously cleansing all onerous surfaces (combine 1 half bleach to 10 components water for an efficient answer or use an expert antibacterial cleansing answer) and washing bedding the place the canine has been can be smart. As soon as the canine has gotten the OK out of your vet to return residence, wash your arms after dealing with the canine, and use gloves in case you are dealing with its waste.
There’s a canine vaccine, which sadly will not be 100% efficient. There is no such thing as a vaccine for people. I’d additionally take into account skilled pest management to ensure you don’t have any mice or rats residing within the residence.
Leptospirosis can have an effect on many animals. Canine are frequent, however within the uncommon case, cats get it too.
Expensive Dr. Roach: I’m 72 years outdated and have developed extreme tendonitis in my proper shoulder. After having seen a health care provider, receiving two pictures, present process six weeks of remedy and making an attempt my greatest to curtail use of my proper arm, I discover there’s nonetheless vital ache. The physician says the final remaining possibility is surgical procedure, which I’m not in favor of. I’ve been in fairly good well being. Apart from some prostate and coronary heart points, I imagine I’m in moderately good condition, having finished out of doors work and gardening. Any strategies on shifting ahead? — E.C.
Reply: Tendon issues of the shoulder could cause very vital lack of operate, and the perfect therapy is often what you could have finished: bodily remedy and typically joint injections.
I agree with you that surgical procedure will not be an amazing possibility. Attempt asking your therapist in case you are persevering with to enhance, or should not getting any higher. In case you are nonetheless bettering, even when slowly, proceed the train for at the very least one other few weeks. Ask your therapist about residence exercise. Most frequently, they need you to do extra, not much less, so curbing use at residence could be the fallacious transfer.
An MRI scan is taken into account normal earlier than surgical procedure and might help make certain there aren’t any different points. If the surgeon says you aren’t going to get higher with out surgical procedure, and also you aren’t getting higher with extra remedy (and presumably injections), I like to recommend getting the surgical procedure finished in case your common physician says your coronary heart points make surgical procedure protected for you. Having each arms working properly improves high quality of life lots.
Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column every time potential. Readers might e mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Dr., Orlando, FL 32803.
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