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Geriatric Medicine
Just like us, our dogs and cats undergo many changes associated with aging. Outwardly, you might notice variations in your pet's mobility, sleeping pattern and elimination habits. Additionally, there are changes that are less evident - organ, neurologic and metabolic function can all be impacted by old age.
When is a pet considered geriatric? Generally, smaller dogs are considered geriatric at around nine years of age, large dogs at seven years of age and giant breeds of dog as young as five years of age. Cats are considered senior from eleven to fourteen, and geriatric from fifteen years on.
Understanding normal aging changes can be challenging. Some dogs look great for their age, and some need more assistance than others! Be sure to keep your pet's baseline in mind when evaluating their conditions and changes - what's normal for one 12 year old dog is not necessarily normal for another.
An important part of geriatric pet care is being proactive. Dr. Sivula recommends that older pets see their veterinarian for a physical examination at least every six months, and have blood work and x-rays checked at least annually.
We strive to make visits less stressful for our aging patients by creating a calm, quiet environment at our office. Pets are never evaluated on exam tables, and instead are allowed to rest comfortably on dog beds or on the rubber flooring. We set aside a full half hour appointment time for rechecks, to ensure your visit isn't rushed. We have aromatherapy and pheromone products that soothe and reassure pets, in addition to music therapy played throughout the clinic.
Dr. Sivula has vast experience in treating older pets, and can address many common questions and concerns, including:

- Weight changes (either obesity or thin body condition) - sometimes, older pets become overweight because of a decrease in activity. This can put undo stress on their joints and limbs. Other pets have difficulty gaining wait and become too thin. We can tailor a nutrition and supplement plan to meet your dog or cat's needs as their metabolism and calorie needs change.
- Chronic diseases - many older pets have complicated medical histories, including things like kidney, liver and gastrointestinal illnesses. We offer treatment options to complement traditional therapies, and supplements that can lessen the toxic effects of maintenance medications. There are also natural alternatives for pets that aren't candidates for traditional medical treatments.
- Mobility changes - many older pets have difficulty getting around. Owners often report that their pets seem weak, have trouble rising after periods of laying down, and difficulty with stairs or jumps. Sometimes, pets develop behavior changes relating to painful conditions like arthritis. Some cat owners even note that their cats begin eliminating outside of the litter box, which can be attributed to difficulty climbing in and out of the box or pain when squatting to eliminate. Acupuncture and chiropractic care are immensely beneficial to these pets, as well as massage therapy and water treadmill therapy for canine patients.
- Cancer - some of our older patients come to us after being diagnosed with cancer. Dr. Sivula has offer treatment to many dogs and cats using alternative and integrative therapies to afford them as much quality time as possible.
- Cognitive changes - as the body ages, so does the brain, and this can result in some behavioral changes in dogs and cats. Herbal products to promote healthy neurologic function are often helpful and can even reverse mild symptoms while still being gentle on the body. Natural products to help maintain a normal sleep-wake cycle can soothe pets that are often up at night. In some cases, diet changes can also help promote good cognitive function in older dogs and cats!
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