| DOGS
– Fits & Epilepsy
Many dogs have
a fit at some time in their life. No one knows
why it happened on that day to that dog, and
if the fit is not repeated (and most are not)
the cause will remain a mystery.
There are many different causes of fits –
liver or kidney problems, poisoning, brain infections
or tumours, head injuries or epilepsy.
SIGNS
Fits vary in intensity, frequency and duration,
and occur for many different reasons. Whatever
the cause, a dog in a fit is not dangerous and
not likely to attack anyone, but it can be very
frightening for an owner to witness, especially
if it is the first time. Fits caused by epilepsy
almost always occur when an animal is relaxed
in its own home surroundings, and frequently
when the animal is asleep. Fits
can come in different forms. In the commonest
epileptic form, the animal will lie on his side
with his legs paddling and his jaws champing,
his eyes may be open but he will be unconscious
of his surroundings. He will probably salivate
and may urinate. This may last for seconds or
minutes. When the fit ends he will be confused
and drowsy for some minutes, and may then have
a ravenous appetite. Soon after, he can appear
completely normal again.
TREATMENT
The best way of dealing with a fitting animal
is to leave him alone. Make sure that he cannot
injure himself – move him if he is near
an open fire, or the top of the stairs for example,
but do not try to restrain him. Wait until a
while after the fit before handling him as this
may provoke a bite, purely out of confusion,
not aggression. Let him eat after the fit, and
do not be alarmed if he appears to want to eat
the dish as well.
Diagnosing the cause of
fits can take a long time. The serious causes
can be easier to diagnose – distemper
(but the dog would have been unwell for weeks,
and the fits are almost continuous), head injuries,
certain types of poisoning (but these would
have a history to suggest the cause).
When fits occur every few weeks or months, last
for a few minutes, and the dog is completely
normal in between, the diagnosis is more likely
to be idiopathic epilepsy. The cause of this
is still a mystery. It appears to be some inherent
weakness in the dog’s brain so that a
fit is triggered off much more easily than in
other dogs.
Such fits often follow a well defined frequency
pattern – perhaps every 3 weeks, and if
a fit does not occur after 3 weeks, then it
will come after 6 weeks.
Keeping a diary of the
times of fits (and their duration) is worthwhile.
It helps your vet to reach a diagnosis, and
is easier and more reliable than just trying
to remember. Treatment
of fits consists of medication with anticonvulsant
drugs on a regular and ongoing basis. These
help to control the frequency of the fits, but
may not eliminate the condition completely.
Treatment must be given for any underlying cause
found.
The dog may seem mildly sedated at the start
of the treatment but this normally passes fairly
quickly. Other possible side effects are increased
thirst and sometimes increased hunger –
again these usually decrease in a few weeks.
Careful monitoring is important and blood samples
will be taken by your vet at regular intervals
to check that the correct dose is being achieved
for your dog.
Occasionally a dog may
have a series of fits within a short time or
one long continuous fit which he does not seem
to be coming round from – in these cases
veterinary help must be sought immediately,
and the dog may have to be hospitalised for
intensive treatment. The most common cause of
this type of fit is stopping the medication
suddenly, so always consult your vet before
altering the dose. Some dogs are so well controlled
with the medication that they have no fits at
all, and the owners mistakenly think the condition
is cured and stop the medication. This is very
unsafe for the pet.
In a few cases the underlying
cause or the frequency of the fitting may cause
the animal suffering and may not be compatible
with a good quality of life, and in these cases
euthanasia may have to be considered.
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