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110   Barking, Excessive


                                              •  Regurgitation/aspiration is a common com-  •  Never administer human medications to pets
           Prevention                           plication in comatose and recumbent animals   without first consulting a veterinarian.
  VetBooks.ir  Technician Tips                  tube in an appropriate amount of time and   SUGGESTED READING
                                                with SMR toxicosis. Leave the endotracheal
           Keep medications out of reach of pets.
                                                keep the head of the patient lower than the
                                                                                 Gwaltney-Brant SM: Skeletal muscle relaxants. In
           •  Be  prepared  for  paradoxical  excitement
            (vocalization, paddling) when a sedative is   chest to reduce the risk of aspiration.  Plumlee KH, editor: Clinical veterinary toxicology,
                                                                                   St. Louis, 2004, Mosby, p 324.
            given to patients with SMR intoxication.   Client Education          AUTHOR: Sharon M. Gwaltney-Brant, DVM, PhD,
            Be sure doors are closed to prevent escape,   •  When taking medication, do so in a room   DABVT, DABT
            have the patient on a surface clear of sharp   away from pets with the door closed to   EDITOR: Tina Wismer, DVM, MS, DABVT, DABT
            or breakable objects, and take precautions   prevent pets from ingesting an accidentally
            to avoid being injured.             dropped tablet.





            Barking, Excessive                                                                     Client Education
                                                                                                         Sheet


            BASIC INFORMATION                   physical environments). In these cases, dogs   Differential Diagnosis
                                                may scan at windows, along fences, and at   •  Normal  barking,  especially  alarm  barking
           Definition                           doors. Clients may also describe the patient   by watch and guard dogs selected to alert
           A normal amount of barking that is deemed   as unable to relax.         by barking, reactive barking in terrier and
           unacceptable to humans or a pathologic amount   •  Determining whether barking occurs in the   hound breeds, and working barking in some
           of  barking  as  part  of  an  anxiety  or  other   owner’s absence (e.g., associated with separa-  herding breeds. These barking behaviors can
           behavioral disorder                  tion anxiety) or whether it ends with the   be modified with humane training and
                                                owner’s inadvertently rewarding the behavior,   are typically context-appropriate, although
           Epidemiology                         as with a treat to silence the dog (i.e., learned   inconvenient or undesirable for some clients.
           SPECIES, AGE, SEX                    behavior) is important.          •  Learned  behavior:  barking  that  elicits  a
           •  Dogs of any age and either sex                                       response/reward from the client  (e.g., the
           •  Puppy vocalizations: more often associated   PHYSICAL EXAM FINDINGS  dog barks and it is let out or petted to calm
            with care-seeking behaviors       •  Generally unremarkable            it down)
           •  Adult vocalizations: more often associated   •  Acute excessive barking may lead to inflam-  •  Separation anxiety
            with care-giving behaviors, social interaction,   mation of the vocal cords and surrounding   •  Thunderstorm phobia
            cohesion                            tissue.                          •  Noise phobia
                                              •  Rarely, a source of pain or other physical   •  OCD
           RISK FACTORS                         abnormality can be identified as a trigger   Change in vocalization is described on p. 1039.
           In breeds that have been selected for specific   for excessive barking.
           vocalization behaviors, such vocalizations may                        Initial Database
           become more annoying to clients and/or their   Etiology and Pathophysiology  Minimum database: complete blood count,
           neighbors but be normal.           •  Barking  may  be  used  for  making  contact   serum chemistry profile, and urinalysis to rule
                                                with others (including when reuniting after   out underlying contraindications for psycho-
           CONTAGION AND ZOONOSIS               being apart); to signal alarm, concern, or   tropic medication, if their use is warranted.
           Naive/newly added puppies or adults may learn   distress; and to solicit information from other   Other laboratory or imaging procedures should
           barking by observation.              dogs (depending on pitch, tone, frequency,   address any physical exam abnormalities.
                                                and pattern).
           GEOGRAPHY AND SEASONALITY          •  Spectrographic analysis of canine barks shows   Advanced or Confirmatory Testing
           Dogs kept outdoors, especially if confined and   that their structure varies predictably accord-  Learned behaviors are ruled out if they are
           not walked, are more likely to use barking to   ing to context; barks likely can be divided   extinguished by complete removal of the reward.
           communicate with other dogs in the vicinity.  into contextual subtypes and are thought to   Extinction is a gradual waning in occurrence
                                                convey complex information to canine and   of a behavior in the absence of a reward. The
           ASSOCIATED DISORDERS                 human listeners.                 longer the behavior has been ongoing, rein-
           Barking may be a nonspecific sign in any   •  Studies support the observation that people   forced, and/or rewarded, the longer it will take
           anxiety-based disorder, including separation   can distinguish between barks and can cor-  to extinguish it.
           anxiety, aggression, obsessive-compulsive disorder   rectly identify the context in which a bark
           (OCD), and noise, storm, and social phobias.  was given.               TREATMENT
                                              •  Barking  can  also  be  a  sign  of  an  anxiety
           Clinical Presentation                disorder, including OCD (p. 701).  Treatment Overview
           HISTORY, CHIEF COMPLAINT                                              The goal is to treat the disorder or modify the
           •  Excessive barking is noted by client or from    DIAGNOSIS          normal behavior based on accurate identifica-
            neighbor complaints.                                                 tion of cause.
           •  Barking  can  appear  indiscriminate  or   Diagnostic Overview
            in response to external stimuli. Barking   The diagnosis is made based on history. The   Acute and Chronic Treatment
            associated with an anxiety disorder may   context in which the barking occurs determines   •  If barking is within the normal behavioral
            be accompanied by hypervigilant behavior   whether the behavior is normal but inconve-  repertoire, given triggers, and context, the
            (continuous monitoring of the social and   nient or indicative of a mood disorder.  dog can be taught when (reward good

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