Dr K G Umesh (MVSc, MSc (UK)) is a Postgraduate in Clinical Medicine. He has been a lecturer in clinical medicine at Vet College in Bangalore for 15 years, and has won the ‘best teacher’ award in the year 2000. He is a member of European Society for Vet Dermatology and is currently working for WALTHAM as Regional Associate for South Asia.

Q: My dog is suffering from haematoma. Could you explain about operation procedure and treatment for my pet?
– Dr V Chinnappa, Pudukkottai, Tamil Nadu

Dr KG Umesh: The most common surgical method involves performing a curvilinear (S-shaped) incision in the concave surface of the pinna and placing full-thickness staggered longitudinal sutures throughout the pinna. Some have used several suture lines intradermally parallel to and on either side of the incision to avoid any external sutures. Other surgical techniques described involve the creation of circular fenestrations using either a 4 to 6 mm dermal biopsy punch or a carbon dioxide (CO2) laser. Some have used drainage with infusion of anti-inflammatory drugs. The likelihood of recurrence of aural haematoma is low as long as underlying ear disease is appropriately managed.

Q: A chronic kidney problem has been diagnosed for my pet. Is kidney transplant an option? Can you give me advice on managing the disease?
– Akshay Chothani, Wardha, Maharashtra

Dr KG Umesh: Chronic Kidney Disease (CKD) is a progressive and debilitating disease in cats and dogs with no known cure. The medical management may be effective initially in stabilising a patient and improving his quality of life. Management goals are to reduce the workload of the kidneys, treat secondary problems, and improve the quality. Therapy is tailored to the individual patient and some may need hemodialysis or Continuous Renal Replacement Therapy (CRRT). Most vets now use IRIS staging that helps to plan appropriate and logical treatment for each CKD stage. Periodical monitoring of kidney function (blood tests) during therapy helps vet to provide likely prognosis and quality of his life.
Your veterinarian will also recommend a well-balanced renal food like Royal Canin for your pet with reduced amounts of protein, phosphorus, and sodium. Kidney transplantation improves patient’s quality of life and prolonging life expectancy compared with the medical management of renal failure. Unfortunately this option is very limited in our country considering availability of donors and infrastructure.

Q: Hatchi is four years old and has a wound due to biting at the base of his tail since a month. Please advice.
– Ankur, Gurgaon, Delhi-NCR

Dr KG Umesh: Wound or rash at the base of tail may be caused by fleas, allergies, skin-fold pyoderma or tail gland hyperplasia in male dogs. Your vet may help to find out the underlying cause and the appropriate treatment will be given.

Q: I intend to get a Rampur Hound or Mudhol Hound as a pet. Kindly advise if these breeds will be good family pets.
– Ravindra Sathe, Godda, Jharkhand

Dr KG Umesh: Both breeds can make good family pets as long as you take care of their needs and wants. Rampur Hound is powerfully built with strong jaws. This dog is more obedient but less resistant to the varying climatic conditions. Mudhol Hound is a dog who needs plenty of exercise and movement. They cannot be managed in confined areas. They are ideally used for racing and hunting, though they make good companion and guard dogs.

Q: What is the right age and method to neuter a male dog? Is it absolutely necessary to do so? If not neutered what are the complications?
– Shivaprakash Gowda, Bengaluru, Karnataka

Dr KG Umesh: Currently, most veterinarians in the US recommend that neutering be performed in dogs and cats at 6 to 9 months of age. The evidence is also mixed regarding the risks and benefits of neutering dogs before 5–6 months of age, and so no strong recommendation for or against the practice can be made. However, it is clear that neutering is justified for all dogs not intended for breeding. Neutering male dog is more likely to prevent or reduce behavioural problems like aggression, roaming or diseases like testicular cancer. Most vets follow conventional surgery to remove testicles.