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Guidelines For The Care Of Your Healthy Adult Dog

All dogs can develop new illnesses or diseases over their lifetimes. We believe comprehensive preventative care and responsive treatment are the best approaches to provide your companion with a long, happy, healthful life.

Our recommendations for the healthy adult dog:


  • Annual complete physical exam including dental evaluation
  • Scan microchip – ensure function and placement
  • Heartworm blood test
  • Year-round monthly heartworm prevention (also treats Roundworms, Hookworms, Whipworms)
  • Leptospirosis Vaccine
  • Fecal exam for intestinal parasites
  • Bordetella Vaccine depending on lifestyle – for grooming, boarding, dog parks
  • Canine Influenza Vaccine (only if required by grooming and boarding facility)
  • Bloodwork to evaluate organ and overall physical health
  • Dental cleaning and polish with full mouth X-rays – frequency determined by current dental health
  • Necessary treatment for dental disease found during the oral exam and x-ray evaluation

Every Three Years:

  • Rabies Vaccination (required by Colorado state law)
  • Distemper/Adenovirus/Parainfluenza/Parvovirus – (Distemper/Parvo Vaccine)

As Needed:

  • Nail trim – advise monthly – at home, by hospital staff or groomer
  • Anal gland expression – by hospital staff only
  • Microchip

*If anal glands do not express normally during defecation (pooping) then they will become overly full and painful. If left unexpressed they could become infected and even rupture. Signs indicating full anal glands include: scooting on the rear end, biting at the back end, limping, and having difficulty defecating.

Signs at home that may indicate a change in your dog’s health include vomiting, diarrhea, drinking more water and urinating more, decreased socializing, decreased appetite, and decreased activity.

Laboratory tests are vital in our assessment of your dog’s health and treating underlying disease conditions. Early detection and intervention often allow for successful medical management of serious diseases. When a disease is severe or has progressed it is more difficult and more expensive to manage.

In a matter of 30 minutes, we can perform a Complete Blood Count (CBC) and Chemistry panel (evaluates blood sugar for diabetes, kidney function, liver status, electrolytes, and many other health indicators).

Often a urinalysis is indicated to look for infection and evaluate kidney function. Other, more specialized, tests can provide specific understanding of disease processes and help determine treatment and prognosis.

When indicated we will recommend lab work and other diagnostics, such as X-rays and ultrasound, with most illnesses. Northgate Animal Hospital strives to recommend diagnostics and treatment based on the best interest of the patient. We will base our recommendations on our evaluation and consideration of each patient, and family, on an individual basis. Animals age more rapidly than humans and lab values should be reviewed yearly even if they are apparently healthy.

Dental Health

Healthy dog teeth are vital to maintaining a healthy dog. Dogs, like humans, build up plaque (soft and gooey) which turns into tartar (cement-like) in 24 hours if not brushed away. Bacteria in the mouth and tartar on the teeth combine together to cause gingivitis (gum inflammation). Tartar and gingivitis result in periodontal disease (infection of tooth root structures) which often requires extraction or root canal of the diseased teeth. Chewing is an excellent way to clean teeth, but hard objects such as bones, antlers and Nyla bones are too hard and will break teeth. Broken teeth are painful and susceptible to root infection as well. NGAH is highly motivated to help you maintain your furry friend’s dental health and can recommend many at-home dental care options including teeth brushing and CET dental health products. The rule for chew toys: If you hit your kneecap with it and it hurts, then it is too hard for your dog’s teeth and will break them!


At NGAH our doctors and staff are highly trained and attuned to non-verbal/non-vocal communication from your companions. A large part of our efforts is to perceive/interpret/diagnose and treat pain in our furry friends. Guardians often misinterpret silence and average behavior as comfort. Although animals will often cry out with sudden pain, animals often do not vocalize chronic pain. Consequently, many guardians do not perceive more subtle cues as indicators of pain. We often are told by guardians that their limping dog is not in pain. However, a limp indicates pain in an animal just as a human who limps is in pain. Many dogs will show pain by an abnormal sit posture, chewing food on one side, dropping food, and decreased activity.


The level of grooming will vary greatly by the breed of your furry friend. We are happy to discuss grooming needs for each of your companions based on breed and family lifestyle. Nails should be trimmed as needed every 2-4 weeks. We are happy to teach you how to trim nails at home.


Many adult dogs are happy and well adjusted. However, we can help with emerging and chronic behavior issues as the need arises. Dogs finish physical growth at 1-2 years of age depending on the breed; large dogs mature more slowly. Behavioral growth and changes continue to around four years of age. We see puppies grow out of some behaviors such as chewing and hyperactivity. However, as dogs mature some behaviors become more prominent such as separation anxiety and aggression. Please let us know if you have questions and would like help with behavior issues as we have many management options including handling and training techniques, and medical considerations as well.

Companion Health Insurance

We strongly recommend companion health insurance for every furry companion. Health insurance will ease the stress of financial consideration when making decisions for your dog’s routine and sick health care. Northgate Animal Hospital has no direct relationship with any insurance company. Clients file claims directly with their chosen insurance company. Following are some companion health insurance companies to consider:

Reliable Websites

Nutrition for the Healthy Adult Dog

Companion nutrition is a very confusing topic with all of the choices we have for food and diet recommendations from many different and conflicting sources. The companion food industry has become a multi-billion dollar industry in the last several years. While it is wonderful that our furry friends are such an important part of our families, this extreme and rapid growth is leading to many niche diets that are based on fads and media exposure of many human issues that may or may not be relevant or even appropriate for canine nutrition. We often see gastrointestinal distress directly caused by the well-intentioned but misguided attempts of companion guardians trying to provide what they have been told by the sales representatives of many commercial diets.

Guidelines for choosing a diet for your healthy adult dog:

Plentiful, clean, daily fresh water is vital to your furry friend’s health.
While some animals can free feed (food left out at all times) we recommend meal feeding a measured amount at least every 12 hours (twice daily) so that you can more easily manage your companion’s weight, and know if there is a decrease in appetite.

1) Dogs are omnivores, not strict carnivores. This means dogs need meat protein, carbohydrates, and fat.

2) Carbohydrates may be provided by grain sources and/or non-grain sources. Dogs are not inherently grain sensitive. Some dogs may be grain sensitive but many are not.

3) Dogs are fat sensitive. This means that high fat foods-even “just a bite” or even if “she has eaten this all of her life”-can cause a spectrum from mild to severe, gastrointestinal upset and even pancreatitis. GI upset/pancreatitis can cause vomiting, diarrhea, refusal to eat, and pain. Severe cases require hospitalization on IV fluids and supportive care.

4) Bones/antlers are very dangerous for dogs. They can cause mild to severe GI upset, pancreatitis, obstruction of the intestines and perforation of the intestines. All of these conditions can be very painful, expensive and even life threatening. Although bones are great for cleaning teeth, unfortunately they are also really great for breaking teeth. Broken teeth are painful, require surgical extraction, can cause additional disease affecting other teeth and other vital organs of the body.

5) Raw meat is an incomplete diet source, may cause GI upset, and can even be the source of life threatening infections of Salmonella and E. coli. Please read the included AVMA policy on raw food diets.

6) Meat by-products (heart, liver, spleen, empty/clean intestines, blood, kidneys) are actually highly nutritional and do not include hide, hair, hooves, and teeth.

NGAH recommends companion animal nutrition providers who have been developing and researching appropriate canine nutritional diets for decades. These companies spend millions in research dollars to determine the best sources and ingredients for balanced canine nutrition.

NGAH recommends:

Weight management

Obesity is a common problem in our adult furry friends. At NGAH we are very proactive in assessing a healthy body condition score and weight for every patient. Obesity leads to joint problems, pain, increased workload on the heart, breathing complications, inability to go for walks, and even diabetes mellitus. Obesity significantly reduces lifespan by several years. We are very happy to help you develop and maintain a healthy diet, feeding, and exercise program for your furry friend.

Dietary Supplements

Dogs on a high quality balanced diet do not need vitamin supplements. However, Essential Fatty Acids (fish oils) are very beneficial for healthy skin in our very dry Colorado climate.

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