FAQs

At Lake Community Pet Clinic (LCPC) we take all anesthetic cases very seriously. We utilize the safest, multi-modal approach that is individually created for each dog or cat. It includes injectable medications for sedation and pain management as well as gas anesthetic agents. The combination of pre-anesthetic assessment of your pet (including blood work), use of modern anesthetic agents, and the latest anesthetic monitoring equipment means that anesthesia is generally considered to be a very low risk for your pet.

All anesthesia has a risk. Our goal is to minimize this risk. We do this in several ways:

• Physical Exam: Your pet will receive a thorough physical exam before anesthesia.
• Lab work: Before every anesthetic episode, we recommend a complete blood count (CBC) and serum chemistry. The CBC will allow us to screen for signs of infection, anemia, and indications of coagulation problems. The chemistry is mainly used to screen for liver and kidney problems, which are the organs that metabolize and excrete the anesthesia. Other health problems can be detected, as well.
• Choices of Anesthetic Agents: At LCPC, we offer the most modern choices in drug choices for anesthesia. Each pet is an individual, and drugs are chosen on an individual basis, based on health, weight, and breed.
• Intravenous Catheter: At LCPC we prefer an IV catheter be in place for all surgeries. This allows easy administration of drugs to induce anesthesia, administration of fluids during surgery, and access to a vein to give emergency drugs quickly, should a problem arise during surgery. 
• Monitoring during anesthesia: Detecting a problem early is the best way to prevent more serious problems. Our advanced anesthesia monitoring devices will monitor your pet’s vital signs, including heart and respiration rates, ECG, and pulse ox, during surgery. A trained technician will be also be present to subjectively monitor your pet’s anesthesia level.

At LCPC, pain management is a requirement not an option. Pain is best managed if pain medications are given before the pain starts. Therefore, your pet will receive an injection for pain prior to surgery, and you will be sent home with a prescription of pain medication.

DO NOT give over-the counter pain medication without first contacting your veterinarian. While some can be given, some human medications can be fatal to our pets. Some human medications cannot be mixed with medication we commonly give to our pets.
 

We recommend spaying or neutering every non-breeding pet, and we recommend spaying or neutering your non-breeding pet around 6 months. This recommendation may vary based on each individual pet. Please schedule an appointment to discuss spaying or neutering your pet with one of our veterinarians.

Anesthesia in otherwise healthy, older pets is considered safe. It is important to have recommended pre-operative testing performed prior to anesthesia to check major organ function and allow us to tailor the anesthesia to any pre-existing medical conditions.

For most procedures, the after care will consist of confinement for 10-14 days following surgery. This means no running, jumping, or playing. Leash walks to go outside to the bathroom is allowed for dogs. Baths should not be given. You will need to monitor the incision for redness, drainage, and swelling which could be an indication of infection. Some redness and swelling will be normal with healing. We recommend a small amount food the night following surgery, but your pet should be able to eat and drink as normal by the next day. If your pet vomits, has diarrhea, or is not eating, please contact our office. If you notice your pet licking at the incision, your pet will need to wear an e-collar. If you do not have one, pick one up immediately. If your pet has stitches or staples in the skin, you will need to return to our office to have them removed 10-14 days after surgery.

Appetite

Decreased appetite can occur after surgery. There are several things you can try:

• Offer favorite foods
• Warm the food slightly above room temperature to increase the odor and taste
• Some pets like low fat cooked chicken, turkey or ground beef with rice. As a bland diet, this may help entice your pet’s appetite following surgery.

If your pet’s appetite is not normal the day after surgery, or if your pet is not drinking water, starts vomiting, or seems lethargic, please call our office for further instruction.

Bandage, cast or splint is wet, soiled or off

If the bandage becomes soiled, damp, chewed, or chewed off, please do not re-bandage at home. Duct tape and other items can trap moisture within the cast or bandage causing inflammation of the skin and tissues. In some cases, bandages inappropriately applied at home can even cut off the circulation to a limb!  Call us immediately if you have concerns about your pet’s bandage. Please also call us if you notice swelling of the exposed toes on the bandaged limb, which can be seen by spreading apart of the toe nails. Confine your pet to a single room or similar small area until you can call us and we can advise you to whether the bandage needs to be replaced. After a cast or splint is first removed, it may take 1-2 weeks for your pet to become accustomed to using the leg without the splint.

Constipation, bowel movements

Difficulty having bowel movements can be expected after illness, anesthesia, or surgery. It may take a few days for the gastrointestinal system to return to normal function. Fortunately, it is not vital for your pet to pass a stool on a regular daily basis. Please call if your pet has not passed a stool within 48 hours of discharge from the hospital or appears to be straining to defecate.

Crying/whining

Although vocalizing can indicate discomfort, it can also be associated with other feelings following surgery. Often, pets vocalize due to the excitement or agitation that they feel when leaving the hospital and returning to their familiar home environment. Some pets will also vocalize or whine as the last remaining sedative or anesthetic medications are removed from their systems, or in response to the prescribed pain medication. If crying or whining is mild and intermittent, you may simply monitor the situation. If vocalization persists, please call us for advice. In some cases, a sedative may be prescribed or pain medication may be adjusted.

Diarrhea

Diarrhea may be seen after hospitalization. This can be caused by a change in diet but is more commonly caused by the stress of being away from home. Certain medications prescribed to your pet may also cause diarrhea. If the diarrhea is bloody, lasts longer than 12-24 hours or if your pet becomes lethargic or vomits, please stop all medications and contact us immediately.  You can purchase a nutritionally complete bland food from us, available in cans or kibble or we can guide you in preparing a home cooked bland diet. We do NOT recommend using any over-the-counter medication to treat the diarrhea. Please call us if there are any questions or problems.

E-collar

We rely on you to keep the E-collar on your pet. While they may not enjoy it initially, they will enjoy even less having to come back to our office for a recheck visit to repair an incision that has been chewed open or treat an infection at the surgery site. They will need to wear the collar on for an even longer period if this happens! Most pets become accustomed to the collar within one or two days and they can eat, sleep, and drink with it on. We are counting on you: please keep the E-collar on your pet.

Injury to surgical site - If for any reason you suspect that your pet has come in contact with the surgical site, confine your pet and call us immediately for advice.

Medication Refills

If you have given your pet all the pain medication prescribed and you feel your pet still has discomfort, please call and we will be happy to discuss refilling the pain medication or rechecking your pet.

Pain

Despite the medications we have prescribed, some pets will still show signs of pain at home, such as restlessness or an inability to sleep, poor appetite, lameness or tenderness at the site of surgery.  Please confine your pet to limit their activity. Then call us immediately so we can dispense or prescribe additional medication or therapies as necessary to keep your pet comfortable.

Panting

This is commonly seen after surgery. It may indicate soreness but may also be due to anxiety or in reaction to the prescribed pain medication.  Please call and we can help determine whether additional pain medication is advised or if the dose needs to be adjusted.  We will be happy to recheck your pet for your peace of mind.

Seroma (fluid pocket)

In any healing surgical area, fluid produced during the healing process may accumulate and form a seroma (fluid pocket). Fortunately, this is not painful and does not impair the healing process. Eventually, the body will reabsorb the fluid so if the seroma is small, we typically will leave it alone. If it is large, we may remove the fluid with a needle and syringe or even place a drain.  If you notice a seroma developing, please call. We may wish to recheck the area to ensure there is no infection.

Shaking/trembling

This is a very common response to physiologic stress after surgery, injury, or any other health abnormality. The amount of shaking or trembling may be dramatic, but it does not always imply severe pain, cold, or distress. It may involve the entire body, or just the area of surgery.  If there are signs of pain such as restlessness, lack of appetite, or crying out, or you are concerned about what your pet is exhibiting, please call.

Urination

Some pets may urinate less after surgery or may seem to be unable to control urination. This is usually temporary and may be a side effect of medication, anesthesia drugs, or difficulty squatting to urinate. Please call if your pet has not produced urine for more than 12 hours. Many pets initially drink less after returning home, so expect less urination at first.

Vomiting

An episode or two of vomiting is occasionally seen after surgery or anesthesia. If the vomiting continues, blood is noted in the vomitus, or if your pet is not holding down any food or water, call to schedule a recheck of your pet by our veterinarians.