Chocolate Toxicity

Happy Easter! This weekโ€™s posts are going to be themed around toxins commonly seen around the Easter holiday. Todayโ€™s path rounds are on ๐œ๐ก๐จ๐œ๐จ๐ฅ๐š๐ญ๐ž ๐ญ๐จ๐ฑ๐ข๐œ๐ข๐ญ๐ฒ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
Whatโ€™s Easter without some ๐œ๐ก๐จ๐œ๐จ๐ฅ๐š๐ญ๐ž? Unfortunately for our pets, this makes this holiday quite dangerous, as chocolate can be quite toxic.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
This toxicity primarily affects dogs, although it can also affect cats and other species.

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
Chocolate contains ๐ญ๐ก๐ž๐จ๐›๐ซ๐จ๐ฆ๐ข๐ง๐ž and ๐œ๐š๐Ÿ๐Ÿ๐ž๐ข๐ง๐ž, which are both ๐ฆ๐ž๐ญ๐ก๐ฒ๐ฅ๐ฑ๐š๐ง๐ญ๐ก๐ข๐ง๐ž๐ฌ. These methylxanthines are what is actually toxic to your pet! After the animal eats some chocolate, the methylxanthines are quickly absorbed into the body. The toxins can increase the calcium levels within cells, and block receptors for important signalling molecules. Signs of toxicity can occur with as little as 20mg of methylxanthine per kg of body weight, so keeping your pet away from chocolate is important!

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Ultimately, the main effect of methylxanthines is stimulation of the nervous system, which can result in ๐š๐ญ๐š๐ฑ๐ข๐š (wobbly gait), seizures, tremors, and hyperactivity. It can also cause ๐ญ๐š๐œ๐ก๐ฒ๐œ๐š๐ซ๐๐ข๐š (fast heart rate), which may be associated with ๐š๐ซ๐ซ๐ก๐ฒ๐ญ๐ก๐ฆ๐ข๐š๐ฌ (irregular heart beats). These heart dysfunctions may prevent adequate distribution of blood to the cells, leading to ๐œ๐ฒ๐š๐ง๐จ๐ฌ๐ข๐ฌ (lack of oxygen), ๐ก๐ฒ๐ฉ๐จ๐ญ๐ž๐ง๐ฌ๐ข๐จ๐ง (inadequate blood pressure) or other issues. In severe toxicities, these heart dysfunctions can lead to death.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Diagnosis is typically made based on a history of eating chocolate, combined with the clinical signs. However, if there is no known history of chocolate exposure, diagnosis can become quite challenging!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
The most important aspect of treatment is stabilizing the nervous system effects, often by giving drugs to prevent or treat seizures. If the animal has heart arrhythmias, the type of arrhythmia can be identified on an ๐ž๐ฅ๐ž๐œ๐ญ๐ซ๐จ๐œ๐š๐ซ๐๐ข๐จ๐ ๐ซ๐š๐ฆ to allow for specific treatment. If the animal is stable, the veterinarian may induce vomiting to remove the chocolate, or give a toxin binding medication to prevent further absorption of the toxin.

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Gwaltney-Brant SM. Chocolate toxicosis in animals. Merck Veterinary Manual 2021.

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