If your dog is vomiting, has diarrhea, is shaking, seems lethargic, or has stopped eating, it can be hard to know how serious it is. This guide explains what each symptom may mean, which warning signs require urgent care, and when it’s safe to monitor your dog at home.

These are among the most common reasons pet owners contact a veterinarian, and knowing the difference between a mild issue and a medical emergency can protect your dog’s health.

Quick Reference: Dog Symptoms and When to Get Help

Use this as a general guide. When in doubt, always contact your veterinarian.

Vomiting once, dog acting normal → Monitor at home; call your vet if it recurs
Vomiting repeatedly or can’t keep water down → Call vet or seek urgent care
Diarrhea under 24 hours, dog active → Monitor; try a bland diet (boiled chicken and rice)
Bloody diarrhea or diarrhea with vomiting → Veterinary care needed
Shaking with other symptoms → Call vet; may indicate pain, toxin, or neurological issue
Not eating for more than 24 hours → Consult your veterinarian
Bloated or swollen abdomen → Emergency: seek care immediately

Dog Vomiting

Vomiting is one of the most common symptoms in dogs. While it often results from something minor, like eating too fast or a brief stomach upset, it can also signal a more serious underlying condition.

Common causes of vomiting in dogs

Eating spoiled food, garbage, or a foreign object
Sudden diet change
Intestinal parasites
Gastrointestinal infection or inflammation
Pancreatitis
Toxin or medication ingestion
Motion sickness

Dogs vomiting white foam or yellow bile typically do so on an empty stomach. This can be harmless (hungry dog) or may indicate acid reflux, gastritis, or bilious vomiting syndrome.

When vomiting requires veterinary care

Contact your veterinarian if your dog:

Vomits more than once or twice in a 24-hour period
Cannot keep water down
Appears lethargic, weak, or unresponsive
Has vomiting along with diarrhea
May have eaten a toxic substance or foreign object
Has blood in the vomit

If your dog is experiencing vomiting reach out to your primary care veterinarian to make an appointment for an assessment. If symptoms are severe or continue to worsen your pet may require an urgent or emergency evaluation.

Call for Emergency Veterinary Services

Find Your Nearest Primary Care Location

Dog Diarrhea

Diarrhea in dogs is extremely common and ranges from a minor dietary upset to a sign of serious illness. Understanding the cause helps determine the right level of care.

Common causes of diarrhea in dogs

Dietary indiscretion (eating something unusual or spoiled)
Sudden change in food
Stress or anxiety
Intestinal parasites (giardia, roundworms, hookworms)
Bacterial or viral infections
Inflammatory bowel disease (IBD)
Food intolerance or allergy

When to call a veterinarian for dog diarrhea

Mild diarrhea lasting less than 24 hours in an otherwise healthy, active dog can often be managed at home with a bland diet. Seek veterinary care if your dog:

Has diarrhea lasting more than 24–48 hours
Has blood or mucus in the stool
Is also vomiting
Seems lethargic, weak, or dehydrated
Is a puppy, a senior dog, or has underlying health conditions

Signs of dehydration include dry or tacky gums, sunken eyes, and skin that doesn’t spring back when gently pinched. Dehydrated dogs need prompt veterinary attention.

Find Your Nearest Primary Care Location

Find Your Nearest Urgent Care Location

Dog Shaking or Trembling

Occasional shaking can be normal. Dogs shiver when cold or excited, and some small breeds are prone to trembling. But shaking that comes on suddenly or is paired with other symptoms is a reason to call your vet.

Possible causes of shaking in dogs

Pain or injury
Fever
Anxiety or fear
Toxin ingestion (xylitol, chocolate, grapes, certain medications)
Neurological conditions or seizure activity
Distemper virus or other infections
Hypoglycemia (low blood sugar), especially in small dogs
Generalized weakness or illness

Shaking combined with vomiting, lethargy, loss of balance, or collapse may indicate a medical emergency. Do not wait to seek care if multiple symptoms appear together.

Call for Emergency Veterinary Services

Find Your Nearest Primary Care Location

Dog Lethargy

A lethargic dog seems unusually tired, sluggish, or uninterested in activities they normally enjoy, including walks, play, food, or interaction. They may sleep more than usual or seem hard to rouse.

Common causes of lethargy in dogs

Infection (bacterial, viral, or fungal)
Fever
Dehydration
Gastrointestinal illness
Pain from injury, dental disease, or internal conditions
Toxin exposure
Anemia or blood loss
Organ dysfunction (liver, kidney, or heart disease)

If your dog is lethargic and not eating, or lethargic with vomiting or diarrhea, prompt veterinary evaluation is recommended. These combinations are commonly associated with gastrointestinal illness, systemic infection, or pain.

Find Your Nearest Urgent Care Location

Dog Not Eating (Loss of Appetite)

A dog refusing food, especially one that’s usually food-motivated, is one of the earliest signs that something is wrong. The medical term is anorexia, and it should not be dismissed if it lasts more than 24 hours.

Reasons dogs stop eating

Nausea or upset stomach
Dental pain or oral disease
Infection or fever
Internal pain
Stress, anxiety, or environmental change
Systemic illness (kidney disease, liver disease, cancer)
Side effect of medication

If your dog skips one meal but otherwise seems bright and alert, you can monitor for a few hours. If your dog has not eaten for more than 24 hours, or is refusing food alongside other symptoms, contact your veterinarian.

Dog Bloated Stomach: Know the Warning Signs

A visibly swollen or distended abdomen may indicate gastric dilatation-volvulus (GDV), a life-threatening condition sometimes called bloat. GDV occurs when the stomach fills with gas and twists on itself, cutting off blood supply. Without treatment, it can be fatal within hours.

Emergency signs of bloat (GDV) in dogs

Swollen, hard, or visibly distended abdomen
Unproductive retching: attempting to vomit with nothing coming up
Restlessness, pacing, or obvious distress
Excessive drooling
Rapid or labored breathing
Weakness, collapse, or pale gums

GDV is most common in large, deep-chested breeds such as Great Danes, German Shepherds, Standard Poodles, and Weimaraners. It can occur in any dog.

If you suspect bloat, do not wait. Contact an emergency veterinarian immediately.

Call for Emergency Veterinary Services

When Multiple Symptoms Occur Together

A single mild symptom often resolves on its own. But when two or more symptoms appear at the same time, the risk of a serious underlying condition increases significantly.

Symptom combinations that require veterinary care

Vomiting and diarrhea together
Vomiting and lethargy
Shaking with weakness or inability to stand
Not eating combined with lethargy
Any symptom combined with a bloated abdomen
Any symptom in a puppy under 6 months or an elderly dog

Do not wait to see if symptoms improve on their own when multiple warning signs are present. Rapid deterioration is possible, especially in puppies, seniors, or small-breed dogs.

When to Visit a Primary Care Veterinarian

Not every symptom requires an emergency visit. A primary care veterinary appointment is appropriate when your dog:

Vomits once but otherwise acts normal and is eating and drinking
Has mild diarrhea that started within the last 24 hours and is otherwise active
Shows minor changes in appetite without other symptoms
Appears mildly uncomfortable but is stable
Has recurring digestive issues you want evaluated

Primary care veterinarians can run diagnostic tests, prescribe treatment, and help you understand the root cause of your dog’s symptoms. Many issues that seem worrying are very manageable when caught early.

Find Your Nearest Primary Care Location

Find Your Nearest Urgent Care Location

When to Seek Emergency Veterinary Care

Go directly to an emergency veterinary clinic, or call ahead while en route, if your dog:

Is vomiting repeatedly and cannot keep water down
Collapses or becomes extremely weak
Has a visibly swollen or hard abdomen
Is trembling or shaking along with weakness or loss of coordination
Shows signs of severe dehydration (dry gums, sunken eyes, extreme weakness)
May have eaten a toxin, medication, or foreign object
Has blood in vomit or stool
Has not eaten or drunk water in more than 24 hours and seems unwell

Pieper Memorial Veterinary Center provides 24/7 emergency and specialty care for pets throughout Connecticut. Emergency teams are equipped to stabilize and diagnose serious conditions quickly.

Call for Emergency Veterinary Services

Keeping Your Dog Safe

Changes in digestion, appetite, energy level, or behavior are often the earliest signs that something is wrong. Trusting your instincts as a pet owner matters. If your dog does not seem like themselves, it’s worth a call to your vet.

If your dog develops symptoms such as vomiting, diarrhea, shaking, lethargy, loss of appetite, or abdominal bloating, acting promptly can prevent minor issues from becoming serious ones.

When in doubt, contact a veterinarian. Even a brief phone consultation can help you decide the safest next step for your pet.

A torn “CCL” (aka “ACL” in humans) is, unfortunately, a common injury in our canine companions. We call it a Cranial Cruciate Ligament (CCL) injury, and while the name is a bit of a mouthful, the impact on your dog’s life is very real.

If you’ve noticed your dog suddenly limping, “toe-touching” the ground, or having trouble getting up after a nap, you might be dealing with a CCL issue. At Pieper Veterinary, we see these injuries frequently and are here to help.

What is a CCL Injury in Dogs?

In humans, we have an Anterior Cruciate Ligament (ACL) in our knees. In dogs, that same ligament is the Cranial Cruciate Ligament (CCL). Its job is to stabilize the knee joint by preventing the shin bone from sliding forward relative to the thigh bone.

Unlike humans, who often tear their ACL in a single traumatic “pop” while playing sports, dogs usually experience a slow degeneration of the ligament over time. It starts with a small fray—like a rope slowly wearing thin—until it finally snaps.

Common Causes of CCL Tears

While any dog can suffer a CCL injury, there are several factors that make it more likely:

· Genetics and Breed: Certain breeds like Labradors of all types, Rottweilers, Newfoundland, Mastiffs, Saint Bernard, Chesapeake Bay Retriever, American Staffordshire Terrier, Akita, Boxer, and Bulldogs are more predisposed to ligament degeneration.

· Weight: This is the most significant preventable factor. Extra weight puts constant, excessive stress on the knee joints.

· Age and Activity Level: Middle-aged dogs (5–7 years old) who are “weekend warriors”—sedentary during the week but very active on Saturdays—are at higher risk.

· Conformation: The physical structure of a dog’s leg (the angle of their shin bone) can put more natural tension on the CCL.

Signs and Symptoms to Watch For

CCL injuries can range from a partial tear to a full rupture. Keep an eye out for these red flags:

1. Sudden lameness: Your dog might suddenly hold their back leg up or limp significantly after a run in the backyard.

2. “Toe-Touching”: A dog with a CCL tear will often put just their toes on the ground rather than their full weight.

3. Difficulty rising: You may notice them “bunny hopping” or struggling to get their hind end off the floor.

4. Knee swelling: If you feel the inside of the knee, it might feel “thick” or swollen compared to the other side.

5. A “Clicking” sound: This often indicates a secondary injury to the meniscus (the cushion in the joint), which frequently happens when the CCL is gone.

6. Sitting awkwardly: If your dog is favoring sitting on one hip with the opposite leg sticking out away from their body, this may indicate they have “knee” pain in that leg.

Does My Dog Need CCL Surgery?

The truth is that while small dogs (under 15 pounds) can sometimes be managed with strict rest and bracing, the gold standard for most dogs is surgery to stabilize the joint. A dog’s knee is always at an angle when they stand, the tibia is constantly trying to slide forward. Without a functional ligament, the bones rub together, causing severe pain and rapid-onset osteoarthritis.

At Pieper Veterinary, our board-certified surgeons specialize in advanced techniques like TPLO (Tibial Plateau Leveling Osteotomy). Rather than trying to replace the ligament (which often fails in dogs), we surgically reshape the bone to change the mechanics of the knee, making the ligament unnecessary for stability.

What is the Recovery Process?

The word “surgery” is scary, but the recovery is a structured journey that we take together.

· Weeks 1–2 (The “Quiet” Phase): This is all about healing the incision. Your dog will need to be confined to a small room or crate. Short, slow leash walks for bathroom breaks only. Pain management and medications to facilitate rest are provided for best outcomes.

· Weeks 3–8 (Controlled Movement): We begin to slowly increase the length of leash walks. This is where our Sports Medicine & Rehabilitation team at PVESC becomes your best resource. We use controlled exercises to rebuild muscle without straining the healing bone.

· Weeks 8–12 (The Home Stretch): After follow-up X-rays to ensure the bone has healed, we gradually reintroduce off-leash activity.

The most important thing to remember? Strict rest is non-negotiable. We know it’s hard to tell a happy dog they can’t jump on the couch, but those first few weeks are critical for a lifetime of mobility.

A Note for Cat Owners

While this article focuses on dogs, we haven’t forgotten our feline friends! While much rarer, cats can also suffer from cruciate injuries, usually due to a high-impact fall or trauma. Because cats are masters at hiding pain, look for “hidden” signs like no longer jumping onto high counters or becoming more withdrawn. While the surgical approach is different from their canine counterparts, our team is equipped to aid in deciding on the best treatment course for both our feline and canine patients alike.

Understanding Your Dog’s Development (Ages 1–3)

Physical and Behavioral Development

Your dog combines peak athleticism with some lingering puppy behaviors. This life stage is when personality solidifies and the body reaches full strength.

Energy levels: Dogs ages 1-3 are at their most active. Adult teeth are fully developed, though chewing instincts may persist.
Critical metabolic change: Most dogs reach full adult size by age 2 (giant breeds by age 3). Metabolism begins slowing around age 2, meaning unchanged puppy portions now cause weight gain.
The teenage rebellion phase: Around 18-24 months, many dogs test boundaries. Stay consistent; they’ll mature through this phase.

Common Health Concerns Ages 1-3

Foreign body ingestion (peaks at this age; socks are #1)
Weight gain from unchanged puppy portions
Dental tartar begins accumulating
Skin allergies often first appear
Activity injuries from overenthusiastic play

Not sure if your dog is on track? Schedule to assess weight, dental health, and development.

Nutrition for Dogs Ages 1–3

How Much Should I Feed My 1–3 Year Old Dog?

Critical fact: An extra 5 pounds on a 50-pound dog shortens their life by up to 2 years.

Transition to adult food:

Small/medium breeds: 12-15 months
Giant breeds: 18-24 months
Puppy food has too many calories for finished growth

Feeding guidelines:

Measure portions with a measuring cup
Feed twice daily, not free choice
Studies show free-fed dogs are 2-3x more likely to become overweight

How to Tell if Your Dog is Overweight: The Rib Test

Step 1: Run hands along your dog’s sides with light pressure
Step 2: You should easily feel ribs without pressing hard
Step 3: View from above you should see a visible waist

If no waist visible: Reduce portions by 10-15%, reassess in 2 weeks.

Dog Treat Guidelines:

Treats should be max 10% of daily calories. A handful of training treats can easily total 200+ calories which is an extra meal for a medium dog.

Foods to Avoid:

Grapes, raisins, onions, garlic, chocolate, xylitol (in some peanut butters). These are genuinely toxic.

Exercise Needs for Young Adult Dogs

How Much Exercise Does a 1-3 Year Old Dog Need?

Dogs ages 1-3 need 60-90 minutes of daily exercise. Consistency matters more than duration; 45 minutes daily beats 3 hours once weekly.

Types of Exercise

Cardiovascular: Brisk walks, running, fetch, swimming, hiking
Mental stimulation: Puzzle toys, training sessions (5-10 min, 2-3x daily), scent work, dog sports

What we often see: Owners skip exercise for a few days, and suddenly their dog destroys the house or develops separation anxiety. Exercise isn’t optional—it’s preventive medicine.

Why Annual Wellness Exams Matter

Annual exams catch problems early when they’re cheap to fix instead of expensive emergencies.

What we check:

Dental disease (82% of dogs have it by age 3)
Weight trends and body condition
Heart, lungs, joints
Skin and parasites

Preventive care basics:

Monthly heartworm prevention (year-round)
Monthly flea/tick prevention
Dental brushing 3-7x weekly

Real talk: Skipping exams because “they seem fine” is how we diagnose stage 3 dental disease. Dogs hide illness incredibly well.

Last checkup over 12 months ago? Schedule with us today.

Common Health Issues (Ages 1-3)

Foreign Body Ingestion

What happens: Surgeries peak at ages 1-3. Socks are #1, followed by underwear, toys, household items.
Signs: Vomiting, loss of appetite, abdominal pain
Prevention: Supervise play, keep items off the floor

Allergies

Signs: Itchy skin, paw licking, chronic ear infections
Action: We identify triggers through elimination diets or testing.

Ear Infections

Risk factors: Floppy ears, swimming, allergies
Prevention: Dry ears after water, clean weekly if prone
Consequences: Untreated infections permanently damage ear canals.

Dental Disease

82% of dogs have periodontal disease by age 3.

Health impact: Bacteria damage heart, liver, and kidneys. Doing nothing shortens lifespan.
Prevention: Daily brushing, dental chews, professional cleanings

Last dental exam over a year ago? Schedule checkup.

Activity Injuries

Young dogs think they’re indestructible. Sprains and strains happen from high-impact activities on hard surfaces.

Prevention: Warm up before exercise, use grass/sand for fetch, avoid repetitive jumping on concrete

Dog Health by Breed Size

Small Breeds (<25 lbs): Dental disease progresses faster. Watch for luxating patellas (skipping steps).
Medium Breeds (25-50 lbs): Easiest window to prevent obesity. Once weight accumulates, it’s exponentially harder to remove.
Large Breeds (50-90 lbs): Hip/elbow dysplasia may appear. Prevent bloat: feed 2-3 small meals, avoid exercise after eating.
Giant Breeds (90+ lbs): Still growing until age 2-3. Keep it lean, every extra pound stresses joints. Shorter lifespan (7-10 years) makes prevention critical.

Frequently Asked Questions

How often should a 1-3 year old dog see the vet?

Annual wellness exams minimum. Catches dental disease, weight trends, and issues before they’re serious.

How much should I feed my 1-3 year old dog?

Switch to adult food by 12-15 months (18-24 for giants). Measure portions, feed twice daily. Adjust based on body condition—feel ribs easily, see waist from above.

What are signs my dog is overweight?

Cannot easily feel ribs or see visible waist from above. Reduce portions by 10-15%.

How much exercise does a young adult dog need?

60-90 minutes daily. Consistency matters more than duration.

What are most common health problems ages 1-3?

Foreign body ingestion (socks), weight gain, dental disease (82% by age 3), allergies, activity injuries.

When should my dog transition to adult food?

Small/medium breeds: 12-15 months. Giant breeds: 18-24 months.

Do young dogs still need heartworm prevention?

Yes, year-round at all ages. Prevention is cheaper and safer than treatment.

When to Call Us

Vomiting/diarrhea
Limping
Excessive scratching
Appetite/water changes
Lethargy
New lumps

Not sure if it’s an emergency? Check our emergency guide.

Your Action Plan

✅ Schedule annual exam if >12 months
✅ Body condition check: Feel ribs? See waist?
✅ Start dental brushing 3-7x weekly
✅ Monthly heartworm + flea/tick prevention
✅ Commit to 60-90 min daily exercise
✅ Transition to adult food (12-15 months)

Ready to schedule? Book online or call us at 860-347-8387.

The Bottom Line

Dogs who maintain healthy weight, get regular exercise, receive dental care, and have annual checkups live 2-3 years longer. That’s 20-25% more time together.

The habits you establish now determine how they age at 8, 10, and 12.

Key takeaways:

Adjust portions after age 2 (metabolism slows)
Maintain 60-90 min daily exercise
Start dental care immediately
Schedule annual exams
Prevent obesity now, it’s harder to reverse later
Supervise to prevent foreign body ingestion

Invest in prevention now. Future you and your dog will be grateful.

Questions about caring for your young adult dog? Our team is here to help.

When your pet suddenly is not feeling well, it can be hard to know where to go or how quickly you need help. At Pieper, we hear this question every day from Connecticut pet owners:

What is the difference between urgent care and emergency care for pets?

Here is a clear guide to help you decide which type of care your pet needs so you can get help quickly and confidently.

The Short Answer

Urgent Care is for issues that need attention soon, often the same day, but are not life-threatening.

Emergency Care is for serious, time-sensitive, or life-threatening problems that require immediate intervention and potentially overnight hospitalization.

At Pieper, we offer both:

Urgent Care in Madison
Urgent Care at Lebanon Veterinary Hospital
Emergency Care in at Pieper Memorial Veterinary Center in Middletown, open 24 hours a day

What Is Pet Urgent Care?

Pet urgent care fills the gap between your primary care vet and the emergency room. It is designed for problems that are uncomfortable or concerning, but not dangerous to your pet’s life.

Common Reasons Pets Visit Urgent Care in Connecticut

These are problems that need care soon but are not life-threatening.

Vomiting or diarrhea that is mild to moderate
Ear infections
Eye irritation
Coughing or sneezing
Skin issues, rashes, or itching
Minor wounds or abscesses
Lameness or limping that is mild
Urinary issues
Decreased appetite
Scooting or anal gland concerns
Pain or discomfort that is not severe
Broken nails

Urgent care is ideal when your regular veterinarian is closed or fully booked, or when an issue simply cannot wait for the next appointment.

Where to find Urgent Care in Connecticut

Visit our website for hours and online booking.

What Is a Pet Emergency?

Emergency care is meant for situations where your pet’s health or safety is at serious risk and cannot wait for a scheduled visit.

Go to the ER at Pieper Memorial Veterinary Center in Middletown, CT right away if your pet is experiencing:

Difficulty breathing
Collapse episodes
Trouble standing or walking
Major trauma such as being hit by a car
Uncontrolled bleeding, pale gums
Seizures
Ingestion of a toxin
Bloat or a distended abdomen
Heatstroke
Inability to urinate, especially male cats
Severe vomiting or diarrhea, can’t keep food or water down
If your pet has swallowed a foreign object
Any situation where your pet seems drastically unwell

Our Middletown Emergency Hospital is open 24 hours a day with advanced diagnostics, a full critical care team, and access to board-certified specialists.

How To Decide Where To Go

Here is an easy way to think about it.

Choose Urgent Care if:

The issue is uncomfortable but not immediately dangerous
Your pet is still alert and acting mostly normal
Symptoms came on gradually

Choose Emergency Care if:

The issue involves breathing, bleeding, collapse, or extreme pain
Symptoms appeared suddenly or are getting worse quickly
Your pet may have eaten something toxic
Your instincts tell you it is serious

When in doubt, call us. Our teams can guide you.

Why Pieper Offers Both Urgent and Emergency Care

Not every situation requires the emergency room, but many pet concerns cannot wait for a routine appointment. Offering both levels of care allows us to:

Provide faster access to help
Reduce ER wait times
Ensure pets receive the right level of treatment
Support local veterinarians when they are closed or fully booked

This approach makes sure Connecticut pet owners always have somewhere to turn.

Where To Go for Care

Pieper Madison – Urgent Care

Same-day care for non-life-threatening issues.

Lebanon Veterinary Hospital – Urgent Care & Primary Care

Same-day care for pets in the Lebanon and surrounding areas.

Pieper Memorial – Emergency & Specialty Care (24/7)

Life-threatening emergencies, serious illness, or sudden injury.

Your pet’s health is our priority, and we are here to support you every step of the way.

Addresses, hours, and online check-in are available at pieperveterinary.com.

Why Cats Who Never Go Outside Still Need the Vet

Your cat may spend every day lounging in a sunny window or curled up on the couch. They’ve never roamed the neighborhood or tangled with a stray, so you might think that means they’re safe from illness. But here’s the truth: even cats who live strictly indoors still need regular cat wellness exams and up-to-date cat vaccinations.

Cats are experts at hiding pain and illness. As part of their survival instinct, they mask weakness, which means they can appear perfectly healthy while quietly developing serious conditions like kidney disease, dental problems, or diabetes. Skipping preventive care allows these problems to progress unnoticed until they become much harder, and more expensive, to treat.

And “indoor” doesn’t always mean “protected.” Illnesses and viruses can sneak into your home in surprising ways:

Through open windows or screens when outdoor cats or wildlife wander nearby
On shoes or clothing from people who’ve been around other animals
From new pets joining the household
During grooming appointments or boarding visits

That’s why veterinarians recommend at least one cat vet checkup every year, even for cats who never go outside. A yearly indoor cat health checkup gives your veterinarian the chance to spot small changes before they turn into bigger problems.

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for indoor cats. Book by September 30 and enter to win a LitterBot.

Vaccines Recommended for Indoor Cats

Just like humans, cats need vaccines to stay protected against dangerous diseases. Even if your cat never steps outside, vaccines provide a vital safety net against unexpected exposures.

Rabies Vaccine

Legally required in most states
Protects against a deadly disease that is 100% fatal once symptoms appear
Rabies doesn’t always require outdoor exposure — bats, raccoons, or other wildlife can enter your home unnoticed
Staying up to date on rabies vaccination for cats keeps your cat and your family safe

FVRCP Vaccine

This is a combination vaccine that protects against three highly contagious and serious feline illnesses:

Feline Viral Rhinotracheitis – a severe upper respiratory infection
Calicivirus – causes oral ulcers, respiratory illness, and can lead to chronic health issues
Panleukopenia (feline distemper) – often fatal, especially in kittens
Even if your cat never meets another animal, these viruses can be tracked indoors on clothing, shoes, or through other pets.

Other Vaccines

Depending on your cat’s health, age, and environment, your veterinarian may recommend additional vaccines. During a cat annual checkup, your vet will review your cat’s lifestyle and tailor vaccine recommendations accordingly.

The Role of Annual Wellness Exams

A cat wellness exam is about much more than vaccines. It’s a head-to-tail assessment that helps your veterinarian monitor your cat’s health over time and catch early warning signs.

At a typical cat vet checkup, your veterinarian may:

Check weight and body condition to detect obesity or muscle loss early
Inspect teeth and gums for dental disease, which can affect the heart and kidneys if untreated
Run bloodwork to screen for conditions such as kidney disease, liver problems, or thyroid imbalances
Examine eyes, ears, and coat for changes that could indicate underlying illness
Discuss your cat’s nutrition, hydration, and behavior patterns
Address small concerns (like vomiting hairballs more often or using the litter box differently) before they become emergencies

Cats age faster than humans, which means skipping even one annual exam is like missing several years of your own physicals. Preventive care is the best way to ensure your indoor cat lives a longer, healthier life.

Signs Your Indoor Cat May Already Need a Vet Visit

Even with routine checkups, there may be times when your cat needs veterinary care sooner. Call your veterinarian if you notice:

Changes in appetite or water intake
Sudden weight loss or gain
Litter box changes (accidents, straining, or going more/less often)
Reduced grooming, greasy coat, or over-grooming a specific area
Hiding more than usual or changes in personality
Persistent sneezing, coughing, or nasal discharge

These signs don’t always mean something serious, but they do mean your cat should be seen for a cat health checkup to rule out illness.

Why Preventive Care Saves Money — and Stress

Some pet parents hesitate to schedule a cat annual checkup because they worry about cost or stress for their cat. But in reality, preventive care often saves money in the long run.

Catching problems early means:

Shorter, simpler treatments
Less pain and discomfort for your cat
Lower veterinary costs compared to advanced illness care
More options for managing chronic conditions if they’re detected early

For example, treating early-stage dental disease may only require a cleaning, while untreated disease could result in tooth extractions and even organ complications. Likewise, early detection of kidney disease gives your cat the best chance for a longer, more comfortable life.

When you think of wellness exams as an investment in both your cat’s health and your peace of mind, the value becomes clear.

Give Your Cat the Gift of Health — For Free

At Pieper Veterinary Hospitals, we believe every cat deserves access to preventive care. That’s why we’re offering a free first wellness exam for cats who haven’t been in for a while.

Schedule your appointment before September 30, and you’ll also be entered to win a LitterBot automatic litter box.

Your cat may never set foot outside, but that doesn’t mean they’re safe from illness. The best time to protect your cat’s health is before something goes wrong. Book a cat vet checkup today and give your indoor cat the protection they deserve.

Book Your Free Exam Now

Your cat might look perfectly healthy — they eat well, nap in their favorite sunny spot, and rarely cause concern. But even the most pampered indoor cats can develop serious health issues, and they’re experts at hiding them until it’s too late.

That’s why a routine cat wellness exam is so important. A regular wellness exam for cats (often called a cat annual checkup or cat veterinary checkup) allows your veterinarian to look for the early signs of illness in cats that most pet parents would never notice at home. Indoor cats are just as vulnerable to certain conditions as outdoor cats, including kidney disease, diabetes, dental problems, and other indoor cat illnesses that progress silently.

Cats are hardwired to mask pain and sickness — a survival instinct from their wild ancestors. By the time symptoms are obvious, the condition may already be advanced. Preventive veterinary care helps catch problems early, protect your cat’s long-term health, and give you peace of mind knowing your furry family member is staying as healthy as possible.

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for indoor cats. Book by September 30 and enter to win a LitterBot.

Hidden Illness #1: Chronic Kidney Disease

Chronic kidney disease is one of the most common, and most serious, conditions seen in cats, particularly as they get older. The challenge is that the early signs of illness in cats can be so subtle you may not notice them. Maybe your cat is drinking a little more water or you’re scooping a bit more urine from the litter box. In many cases, there are no obvious symptoms at all until the disease is quite advanced.

The best way to catch kidney problems early is through a cat wellness exam. During your cat’s regular vet checkup, a simple blood test and urinalysis can reveal kidney issues before they cause major health problems. Detecting kidney disease at a routine checkup means your veterinarian can begin treatment sooner, making the condition much easier to manage and helping your cat live a longer, healthier life.

Hidden Illness #2: Dental Disease

Cats don’t usually get cavities the way humans do, but they are highly prone to dental and periodontal disease. This painful condition can lead to tooth loss, infections, and even serious complications affecting the heart and kidneys. The tricky part? Many pet parents never notice the warning signs. Your cat might not have bad breath or visible tartar, but bacteria can still be quietly causing damage beneath the gums.

That’s why dental care is an important part of every cat wellness exam. At your cat’s annual checkup, your veterinarian will look for hidden dental issues and may recommend a professional cleaning. Staying on top of dental health doesn’t just protect your cat’s mouth, it helps prevent more serious illnesses and keeps your cat healthy for years to come.

Hidden Illness #3: Diabetes

Diabetes is becoming increasingly common in cats, especially those who are overweight or middle-aged. The early signs of illness in cats with diabetes can be subtle — things like drinking more water, urinating more often, or unexplained weight changes. These symptoms are easy to miss if you’re not watching closely.

The good news is that diabetes can often be managed successfully when caught early. In fact, some cats may even go into remission with prompt treatment. That’s why a regular cat wellness exam or check up for cats is so important: your veterinarian can run simple tests to detect diabetes before it becomes life-threatening.

Hidden Illness #4: Hyperthyroidism

Hyperthyroidism (an overactive thyroid gland) is one of the most common hormonal disorders in older cats. It can cause weight loss despite a hearty appetite, hyperactivity, vomiting, or even changes in coat quality. If left untreated, it may lead to high blood pressure and heart disease.

During your cat’s annual checkup, a routine blood test can screen for thyroid problems early. Including this test in your cat’s wellness exam helps ensure treatment can begin before serious complications develop, protecting both quality of life and long-term health.

Hidden Illness #5: Cancer

Unfortunately, even indoor cats can develop cancer. Some of the most common types include lymphoma, mammary tumors, and oral cancers. Many forms can be treated more effectively when detected early — but the first signs are often invisible to pet parents.

That’s why routine preventive care is critical. At a cat annual checkup your veterinarian can detect small lumps, swelling, or other subtle changes during a thorough physical exam, sometimes months before you’d notice anything at home. Early detection means more treatment options and a better chance at a positive outcome.

Why Early Detection Matters

Catching hidden health problems early can make all the difference. It often means simpler treatment plans, less pain and stress for your cat, and lower veterinary costs for you. A routine cat wellness exam gives your veterinarian the chance to spot small changes before they turn into major issues — even if your cat seems perfectly healthy at home.

By staying consistent with your cat’s annual checkup, you’re giving them the best chance at a longer, healthier, and happier life.

Give Your Cat the Gift of Health — For Free

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for cats who haven’t been seen in a while. Schedule your cat’s check up before September 30, and you’ll also be entered to win a LitterBot automatic litter box.

Don’t wait until symptoms appear — because by the time you notice them, many indoor cat illnesses may already be advanced. The best time to protect your cat’s health is before they show you something’s wrong. Book your appointment today and give your cat the gift of lifelong health.

Book Your Free Exam Now

You might think your indoor cat is safe from rabies. After all, they never set a paw outside, so how could they possibly be exposed? But the reality is very different. Rabies doesn’t need your cat to go outside; sometimes, it finds a way inside your home. A single encounter with a bat, raccoon, or other wild animal that slips in through a chimney, attic vent, or open window could be enough to put your cat — and your family — at risk.

That’s why cat vaccinations are so critical, even for pets who live strictly indoors. A routine rabies vaccination for cats provides a layer of protection against one of the deadliest diseases in the world. It’s not just about complying with the law, it’s about safeguarding your cat’s health and ensuring your household stays safe if an unexpected exposure ever occurs.

How Rabies Can Sneak into Your Home

Many cat owners assume rabies is a danger only for outdoor pets. After all, how could an indoor cat possibly cross paths with a wild animal? But rabies doesn’t need your cat to go outside, sometimes, it comes inside to find them.

Rabies is carried by mammals such as bats, raccoons, skunks, and foxes. And while you’d notice a raccoon rummaging through your kitchen, a bat can slip quietly inside through an attic vent, chimney, or loose screen. Small wild animals often find their way into basements, garages, or crawl spaces without you realizing it.

Cats, being natural hunters, may investigate these intruders before you do. The problem is, it takes only a tiny bite or scratch to transmit rabies, and these wounds are often so small they’re easy to miss under fur. You may never see the injury, or the animal that caused it.

This is why cat vaccinations are so critical, even for indoor-only pets. A routine rabies vaccination for cats provides a powerful layer of protection against these rare but high-risk encounters.

Why Rabies is So Dangerous

Rabies isn’t just serious, it’s almost uniquely terrifying. It is 100% fatal once symptoms appear in both animals and humans. There is no cure, and no treatment once the disease takes hold.

For people, the first signs — fever, headache, and weakness — can mimic something as simple as the flu. But once neurological symptoms such as disorientation, paralysis, seizures, or hydrophobia (fear of water) develop, it’s too late for medical intervention.

Cats face the same fate. Once a cat begins showing signs of rabies (changes in behavior, drooling, aggression, or paralysis) there is no recovery. The disease always progresses to death.

Because rabies is zoonotic (spread between animals and humans), protecting your cat with up-to-date cat vaccinations also protects you and your family. It’s one of the few preventive measures in veterinary care that safeguards both pets and people.

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for indoor cats. Book by September 30 and enter to win a LitterBot.

The Stakes for Your Cat — and Your Family

What happens if your cat is exposed to a rabid animal? The answer depends on whether or not they’re vaccinated.

If your Cat is Unvaccinated

The law typically requires strict quarantine that can last several months — or euthanasia, even if your cat seems healthy. Authorities cannot take risks with rabies, because the disease is so deadly and difficult to detect in its early stages.

If your Cat is Vaccinated

The outcome is far less severe. In most cases, your veterinarian will administer a booster shot and your cat will undergo a short observation period to confirm their health.

In other words, keeping your cat’s rabies vaccination up to date could be the difference between a simple follow-up appointment and heartbreaking consequences.

For your family, the stakes are just as high. If an unvaccinated cat contracts rabies and bites a human, that person must undergo a series of painful, expensive post-exposure shots immediately. Vaccination removes that risk, offering protection and peace of mind for every member of your household.

Indoor Cats Are Not Exempt

One of the most common myths veterinarians hear is: “My cat never goes outside, so they don’t need vaccines.” But the truth is, indoor cats are not exempt from rabies risk.

The rare but real encounters, a bat in the attic, a squirrel in the basement, or a raccoon in the garage, are exactly why rabies vaccination for cats is required by law for all cats, regardless of lifestyle. Even if your cat never sets a paw outside, there’s still a chance wildlife could make its way in.

And it’s not just about rabies exposure. Annual cat vaccinations are a cornerstone of preventive care, helping protect against other common diseases that can spread easily between animals. Some viruses, such as feline distemper, can even be carried inside on shoes, clothing, or through open windows.

By staying current with vaccines, you’re giving your indoor cat the same level of protection as their outdoor counterparts, without taking chances.

Why Vaccination is Part of Preventive Care

A cat wellness exam is more than just shots, but vaccinations are an essential piece of the puzzle. At a routine appointment, your veterinarian will:

Review your cat’s vaccination history and update any overdue doses.
Perform a full physical exam to check for lumps, weight changes, or other subtle health concerns.
Ask about your cat’s lifestyle, diet, and habits to provide tailored recommendations.
Discuss other preventive care such as dental cleanings, parasite protection, and bloodwork as your cat ages.

Vaccinations fit into this bigger picture of keeping your cat healthy for the long term. Protecting against rabies is just one part of ensuring your pet has many safe, happy years ahead.

Protect Your Cat. Protect Your Family.

A simple vaccine could save your cat’s life, and yours. If your cat’s rabies vaccine is overdue, or if you’re unsure when they last received it, don’t wait until an emergency. Schedule a cat vet checkup now to confirm their protection is current.

Right now, Pieper Veterinary Hospitals are offering a free first wellness exam for cats who haven’t been in for a while. Book your appointment before September 30, and we’ll ensure your cat’s rabies vaccination is up to date (plus, you’ll be entered to win a LitterBot automatic litter box!)

Your indoor cat may never encounter a bat or raccoon — but if they do, you’ll be glad you planned ahead. Don’t take the risk. Protect your pet, protect your family, and enjoy peace of mind knowing your cat is safe.

Book Your Free Exam Now

Life happens. Between work, family, and the everyday chaos of… well, everything, it’s easy to let time slip by. One day you realize your cat hasn’t been in for their annual wellness exam or a cat vet checkup in a year… or two… or maybe longer.

Here’s the important thing to know: your veterinarian isn’t here to judge you. You don’t need to feel embarrassed or guilty if your cat is overdue on vaccinations or has missed a wellness visit. What matters most is getting your cat back on track now — and it’s absolutely not too late.

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for indoor cats. Book by September 30 and enter to win a LitterBot.”

You’re Not Alone

If you’ve fallen behind on your cat’s routine vet checkups, you’re in good company. Many caring, responsible pet parents do. Maybe your cat bolts under the bed the second they see the carrier. Maybe you thought, “They’re an indoor cat, they’re safe.” Or maybe life just got busy, and months turned into years before you realized your cat hasn’t had a wellness exam in quite a while.

The truth is, you’re not alone, and you don’t need to feel guilty. Cats are masters of disguise when it comes to health issues. Unlike dogs, they rarely show pain or weakness until a problem is advanced. That means even cats who seem perfectly fine at home may actually be hiding serious conditions.

Some of the most common illnesses veterinarians find during a routine cat vet checkup include:

Kidney disease – one of the leading health issues in aging cats.
Dental disease – painful infections that affect the mouth and can spread to the heart and kidneys.
Diabetes – increasingly common in overweight and middle-aged cats.
Hyperthyroidism – an overactive thyroid that can cause weight loss, heart issues, and restlessness.
Cancer – which can sometimes be detected early through subtle lumps or changes.

The earlier these problems are discovered, the better the outcome. A simple cat wellness exam with updated vaccinations and basic lab work can mean the difference between catching a condition early — when it’s easier and less expensive to treat — versus waiting until your cat is seriously ill.

Skipping visits doesn’t make you a bad pet parent, it makes you human. The important thing is recognizing the gap and taking steps now to get your cat back on track.

Your Vet is On Your Team

One of the biggest worries for pet parents who have missed appointments is fear of being judged. But here’s the truth: veterinarians and their teams are not here to lecture you. They understand that life happens, and their job is to help you move forward.

When you bring your cat in after missing a year (or several) of care, the team will start where you are. They’ll begin with a gentle, thorough cat health checkup. This typically includes:

A physical exam of your cat’s weight, eyes, ears, coat, teeth, and overall body condition.
Listening to the heart and lungs to check for early signs of cardiac or respiratory issues.
Checking for lumps, bumps, or changes in muscle tone.
Updating any overdue cat vaccinations to protect against preventable diseases.
Recommending screening tests such as bloodwork or a urinalysis, especially if your cat is older.

Just as importantly, your veterinarian will want to know about your cat’s daily life, their eating habits, energy levels, litter box use, and even personality changes. These details provide valuable clues about your cat’s health that you might not connect to medical issues.

Together, you and your veterinarian will build a plan that works for your cat and your budget. This may include preventive care, lifestyle adjustments, or recommended follow-up visits. What you won’t find? Guilt trips or shaming. The veterinary team’s only goal is to help your cat live a longer, healthier, happier life.

Think of your vet as a partner, not a critic. They’re on your team, and they’re here to support you no matter how long it’s been since your cat’s last visit.

Why Now is the Perfect Time

So why not wait until your cat seems sick to schedule care? Because by the time you notice something is wrong, many conditions are already advanced. Cats are excellent at hiding pain and visible symptoms often appear only when a disease has progressed.

Scheduling a routine cat wellness exam now gives you peace of mind and helps protect your cat’s future health. At an annual checkup, your veterinarian can:

Catch hidden problems early: A small weight change, increased thirst, or subtle behavior shift may reveal conditions like diabetes or kidney disease.
Update overdue vaccinations: Core vaccines help protect against serious, preventable illnesses such as rabies, feline distemper, and upper respiratory infections. Even indoor cats benefit, since viruses can travel on shoes, clothing, or through open windows.
Give you a health baseline: By tracking weight, bloodwork, and other health markers yearly, your vet can spot trends long before they become emergencies.
Provide personalized advice: Whether your cat is a playful kitten, a mellow middle-ager, or a senior with changing needs, your vet will offer tailored guidance on nutrition, exercise, and preventive care.

Preventive care doesn’t just protect your cat, it protects your wallet, too. Treating advanced illness often costs significantly more than maintaining routine cat wellness exams and vaccinations. A small investment in regular care can save you from the stress, worry, and expense of an emergency later on.

Most importantly, getting back on track today means more healthy, happy years with your cat. They don’t care if you’ve missed a year or two, they just care that you’re here for them now.

A Special Invitation from Pieper Veterinary Hospitals

If it’s been a while, now’s the perfect time to get back on track. Pieper Veterinary Hospitals is offering a free first cat wellness exam for cats who haven’t visited in over a year. Schedule your appointment before September 30, and you’ll also be entered to win a LitterBot automatic litter box.

Your cat doesn’t care about the time that’s passed — they just care that you’re here for them now. Let’s make this their healthiest year yet.

Book Your Free Exam Now

How to Get Your Cat to the Vet Without Losing a Limb

Many cat owners agree: the hardest part of a cat wellness exam isn’t the bill, it’s getting your cat there in the first place. Some cats seem to know the moment you even think about pulling out the carrier. Suddenly, they vanish under the bed or turn into a writhing, hissing ball of claws.

But skipping the vet isn’t an option if you want your cat to live a long, healthy life. A routine cat wellness exam can catch hidden issues like kidney disease, diabetes, hyperthyroidism, and even cancer, often before your cat shows any obvious symptoms. If you’ve ever wondered how to take a cat to the vet without all the stress, here’s how to make your next cat vet appointment calmer, safer, and easier for both of you.

Step 1: Choose the Right Cat Carrier

A sturdy, secure carrier is essential for a stress-free vet appointment. The right carrier doesn’t just keep your cat safe; it sets the tone for the entire trip. Think of it as your cat’s portable safe space.

Look for one that:

Opens from both the front and the top (this gives you more options when placing your cat inside).
Has enough space for your cat to turn around comfortably without feeling cramped.
Is hard sided for extra durability and security (though soft carriers can work well for shorter trips).
Has a removable top, which allows your veterinarian to examine your cat inside the carrier during a cat vet checkup, minimizing stressful handling.

Skip the makeshift options like cardboard boxes or totes. They’re often flimsy, can collapse under stress, and don’t provide the safety your cat needs during travel. Some cats even manage to claw their way out, which can be dangerous if you’re on the road.

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for indoor cats. Book by September 30 and enter to win a LitterBot.

Step 2: Make the Carrier a Familiar Place

If the carrier only appears right before a cat vet checkup, your cat will instantly associate it with something negative. Instead, integrate the carrier into your home so it becomes a regular part of their environment.

Place it in a quiet corner with the door open and make it cozy. Line it with a blanket that smells like your cat or add a favorite toy. Toss in a few treats or even feed your cat their meals inside occasionally. Over time, they’ll start to see the carrier as a safe den rather than a trap.

Cats that view their carrier positively are far easier to transport for their cat vet appointments. This simple step can make the biggest difference between a stressful battle and a smooth trip.

Pro Tip: If your cat loves cardboard boxes or sunbeams, put the carrier in one of those favorite spots. The goal is to associate the carrier with comfort, not conflict.

Step 3: Use the Power of Scent

Cats rely heavily on scent for security and familiarity, so tapping into that instinct is key before a cat wellness exam.

Here’s how you can make scent work for you:

Place bedding or a towel from your cat’s favorite sleeping spot inside the carrier. Familiar smells help lower anxiety.
Spray the inside of the carrier with a feline pheromone spray like Feliway 10–15 minutes before loading your cat. These synthetic pheromones mimic the “happy” scents cats naturally release, signaling safety.
Avoid cleaning the carrier right before your cat vet appointment. Harsh chemical smells or “new” smells can unsettle your cat.

Step 4: Stay Calm Yourself

Your cat is incredibly in tune with your emotions, if you’re anxious about how to take a cat to the vet, your cat will pick up on it. Calm energy is contagious.

On the day of your cat vet appointment:

Move slowly and speak softly. Quick, jerky movements can make your cat think something is wrong.
Avoid chasing your cat if they resist. Instead, try gently coaxing them with treats, toys, or even a small meal placed inside the carrier.
Keep your voice calm and steady. Even cats who don’t understand words respond to tone.

If your cat senses you’re calm, they’re more likely to cooperate. Remember, the goal isn’t to force your cat into compliance but to make the process feel safe and predictable.

Step 5: Make the Car Ride Comfortable

For many cats, the ride itself is the most stressful part of a cat vet checkup. The carrier is moving, there are strange smells, and the environment is unfamiliar. But you can take steps to make it less scary.

Cover the carrier with a light blanket or towel to block outside sights. This creates a “cave-like” effect that feels safe.
Keep the car temperature moderate — not too hot or too cold.
Drive smoothly and avoid sudden stops or loud music.
Place the carrier on the floor behind the passenger seat or secure it with a seatbelt for stability. Cats feel calmer when the carrier doesn’t shift around.

Resist the urge to open the carrier mid-trip. Even a calm cat can panic and escape, which is extremely dangerous in a car.

Pro Tip: If your cat is especially anxious, talk to your vet before the visit. They may recommend mild anti-anxiety medication to make travel easier.

Step 6: Practice Short Trips

Practice makes perfect, and that applies to vet trips too. If your cat only ever gets in the carrier to go to the vet, the negative association is hard to break.

Take your cat on short rides around the block without a destination. End these practice trips with rewards like treats, playtime, or even dinner. This helps your cat learn that the carrier and car don’t always mean needles or thermometers.

Over time, these “fun rides” make actual cat vet appointments much easier. The more your cat views travel as routine, the less likely they are to resist.

Why Stress-Free Vet Visits Matter

Getting your cat to the vet is worth the effort. Routine cat wellness exams help your veterinarian catch problems like kidney disease, dental disease, diabetes, or cancer early — when they’re easier (and less expensive) to treat.

The less stressful the trip, the more likely you are to stick with those regular checkups that can add years to your cat’s life.

Special Offer: Free First Cat Wellness Exam

Right now, Pieper Veterinary Hospitals is offering a free first wellness exam for cats who haven’t been in for a while. Schedule your cat’s vet checkup before September 30 and you’ll also be entered to win a LitterBot automatic litter box.

Don’t wait until your cat is showing symptoms — by then, many illnesses may already be advanced. Book your appointment today and make your next cat vet visit a calmer, healthier experience.

Book Your Free Exam Now

When a dog starts acting “off,” it can be easy to chalk it up to age, injury, or even personality. But some subtle changes in behavior or movement could actually point to an issue with the nervous system. Neurological signs in dogs can range from mild to severe – and early diagnosis is critical for the best outcome.

At Pieper Veterinary, our Neurology & Neurosurgery team uses advanced diagnostics like MRI to get to the root of these complex issues. If you’ve noticed something unusual in your dog, here’s what you need to know.

Common Neurological Signs in Dogs

Dogs can’t tell us when something feels wrong—but they often show us. Neurological problems may affect the brain, spinal cord, or nerves, leading to a wide variety of signs, including:

Wobbliness or unsteady walking (Ataxia)

Your dog may look drunk, sway side to side, or have difficulty maintaining balance—especially on slippery surfaces or stairs.

Sudden weakness or collapse

If your dog suddenly can’t stand, seems weak in the limbs, or collapses without warning, it could be a spinal or neuromuscular issue.

Seizures or twitching

Any abnormal shaking, muscle tremors, or full-body seizures should be evaluated by a vet immediately. Do your best to get a video of your dog’s behavior at home – its very unlikely they’ll repeat it in front of the doctor.

Head tilt or circling

These signs may point to vestibular(balance) dysfunction or a brain lesion and often worsen without treatment.

Neck or back pain

Dogs with spinal problems may cry out when touched, resist movement, or walk with a hunched back.

Paralysis or dragging limbs

Partial or full paralysis (especially in the back legs) can be caused by intervertebral disc disease (IVDD), spinal cord injury, or infections.

Changes in behavior or awareness

Confusion, aggression, staring off into space, or not recognizing family members may indicate a neurological event.

Loss of bladder or bowel control

Incontinence, especially when paired with mobility changes, may signal spinal compression or nerve dysfunction.

Call us at (860) 431-3025 to Schedule an Appointment.

When to See a Veterinary Neurologist

Your primary veterinarian is the best place to start – but for more advanced signs or unclear diagnoses, a referral to a veterinary neurologist can be life-changing.
At Pieper Memorial, our Neurology & Neurosurgery team offers:

Expert neurological exams

Our specialists perform comprehensive neuro exams to pinpoint where the problem lies within the nervous system.

MRI imaging for advanced diagnosis

MRI is the gold standard for evaluating brain and spinal conditions in dogs. It’s safe, non-invasive, and incredibly detailed.

Treatment for complex conditions

From seizures and brain tumors to disc herniations, vertebral fractures and meningitis, our team has experience with the most challenging cases.

Surgical and non-surgical care

Whether your pet needs surgery or long-term medication management, we work with you to find the best solution.

Want to take the next step? Learn more about our neurology services.

Don’t Wait—Early Action Matters

Neurological issues can progress quickly. The sooner you seek care, the better the chances of recovery. If your dog is showing any of the signs listed above, talk to your vet or ask about a referral to our Neurology & Neurosurgery department.
At Pieper Veterinary, we’re proud to offer compassionate, expert care when it matters most. If your dog needs advanced diagnostics or neurological support, our team is here to help.

Quick Reference: Dog Symptoms and When to Get Help

Dog Vomiting

Common causes of vomiting in dogs

When vomiting requires veterinary care

Dog Diarrhea

Common causes of diarrhea in dogs

When to call a veterinarian for dog diarrhea

Dog Shaking or Trembling

Possible causes of shaking in dogs

Dog Lethargy

Common causes of lethargy in dogs

Dog Not Eating (Loss of Appetite)

Reasons dogs stop eating

Dog Bloated Stomach: Know the Warning Signs

Emergency signs of bloat (GDV) in dogs

When Multiple Symptoms Occur Together

Symptom combinations that require veterinary care

When to Visit a Primary Care Veterinarian

When to Seek Emergency Veterinary Care

Keeping Your Dog Safe

What is a CCL Injury in Dogs?

Common Causes of CCL Tears

Signs and Symptoms to Watch For

Does My Dog Need CCL Surgery?

What is the Recovery Process?

A Note for Cat Owners

We’re Here to Help

Understanding Your Dog’s Development (Ages 1–3)

Physical and Behavioral Development

Common Health Concerns Ages 1-3

Nutrition for Dogs Ages 1–3

How Much Should I Feed My 1–3 Year Old Dog?

Transition to adult food:

Feeding guidelines:

How to Tell if Your Dog is Overweight: The Rib Test

Dog Treat Guidelines:

Foods to Avoid:

Exercise Needs for Young Adult Dogs

How Much Exercise Does a 1-3 Year Old Dog Need?

Types of Exercise

Why Annual Wellness Exams Matter

What we check:

Preventive care basics:

Common Health Issues (Ages 1-3)

Foreign Body Ingestion

Allergies

Ear Infections

Dental Disease

Activity Injuries

Dog Health by Breed Size

Frequently Asked Questions

How often should a 1-3 year old dog see the vet?

How much should I feed my 1-3 year old dog?

What are signs my dog is overweight?

How much exercise does a young adult dog need?

What are most common health problems ages 1-3?

When should my dog transition to adult food?

Do young dogs still need heartworm prevention?

When to Call Us

Your Action Plan

The Bottom Line

What is the difference between urgent care and emergency care for pets?

The Short Answer

At Pieper, we offer both:

What Is Pet Urgent Care?

Common Reasons Pets Visit Urgent Care in Connecticut

Where to find Urgent Care in Connecticut

What Is a Pet Emergency?

How To Decide Where To Go

Choose Urgent Care if:

Choose Emergency Care if:

Why Pieper Offers Both Urgent and Emergency Care

Where To Go for Care

Pieper Madison – Urgent Care

Lebanon Veterinary Hospital – Urgent Care & Primary Care

Pieper Memorial – Emergency & Specialty Care (24/7)

Why Cats Who Never Go Outside Still Need the Vet

Vaccines Recommended for Indoor Cats

Rabies Vaccine

FVRCP Vaccine