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  • Pulmonary hypertension means that the peak blood pressure in the arteries of the lungs is much higher than normal. Several abnormalities can lead to high blood pressure in the arteries of the lungs and many of the underlying reasons involve the heart. There are many signs of pulmonary hypertension including exercise intolerance, difficulty breathing with or without exertion/exercise, rapid breathing, coughing, spitting up blood from the lungs, fainting, and more. There are many potential causes of pulmonary hypertension. Several medications are available to treat your cat. Activity may need to be restricted. It is essential to monitor cats with pulmonary hypertension for worsening of clinical signs. Periodic physical examinations, blood pressure monitoring, and ultrasound evaluations of the heart are also important. The long-term prognosis is very guarded for cats with pulmonary hypertension.

  • Pulmonary thromboembolism describes a condition in which a blood clot lodges in one of the pulmonary arteries, blocking blood flow into the portion of the lung served by that artery. The signs of pulmonary thromboembolism include sudden difficulty breathing, rapid breathing, decreased appetite, fainting, coughing, spitting up blood, weakness, exercise intolerance, and the inability to get comfortable. Sudden death is possible. This article discusses potential causes, treatment, and prognosis.

  • Pulsed electromagnetic field (PEMF) therapy is the use of a generated electromagnetic field to affect changes in tissues of the body. PEMF is believed to have beneficial pain-relieving and healing effects but definitive clinical evidence or a positive benefit is currently lacking. Potential benefits and contraindications are discussed.

  • Pyelonephritis is an upper urinary tract infection involving the kidneys and ureters. Many cats have no clinical signs when they have pyelonephritis, although they may have signs of lower urinary tract disease. Pyelonephritis is usually caused by a bacterial infection that moves up the urinary tract from the bladder to the kidneys. Cats with sudden pyelonephritis do well and return to normal health unless concurrent complications exist.

  • Pyrethrin insecticides are naturally derived from the chrysanthemum (mum) flower, and pyrethroids are the synthetic versions. The use of pyrethrins/pyrethroids is generally safe in dogs; however, cats and fish are very sensitive to these products.

  • Pyrethrins + piperonyl butoxide + bicycloheptene dicarboximide otic (brand name Otomite Plus®) is a medication used to treat ear mites in dogs and cats older than 12 weeks of age. Pyrethrins + piperonyl butoxide + bicycloheptene dicarboximide otic comes in a liquid drop form. It is highly toxic to aquatic species and toxic to cats if ingested.

  • Pyrimethamine is an antiprotozoal tablet given by mouth and used off-label to treat certain parasitic infections. Common side effects include vomiting, low appetite, tiredness, and low blood cell counts. Cats are more likely to have more severe side effects. Pregnant women should handle this medication carefully.

  • Radiation is a type of energy produced naturally by the sun, earth, and rocks and artificially by machines. Although several types of tumors can be treated with radiation therapy alone (e.g., nasal tumors, brain tumors, and certain types of lymphoma), radiation therapy is most commonly used to destroy or limit the growth of cancer cells left behind (i.e., microscopic disease) after a tumor has been surgically removed. Side effects depend on the type and location of the tumor and its surrounding tissues.

  • A RAST test, or radioallergosorbent test, is a blood test that can be used to determine which allergens are causing a pet's allergies. This test is often performed as part of the workup for atopic dermatitis in cats. The results of allergy testing are typically used to develop a hyposensitization plan for your cat, which helps desensitize your cat to allergens. Many cats treated with hyposensitization, formulated on the basis of RAST results, experience a significant reduction in the signs of allergic dermatitis.

  • Rawhide-based oral hygiene chews are chews with an abrasive texture that can help prevent or delay the formation of dental plaque and calculus build-up on your pet’s teeth. C.E.T.® Enzymatic Oral Hygiene Chews is one common brand.

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