13/08/2024
I’ve been reflecting lately on just how much physical wellbeing contributes to emotional health and wellness. I know it from my own experience and from observing our dogs. And of course this is now widely recognised by canine professionals - at least those who are focused on the experience of the dog.
But what we don’t always consider is that physical wellbeing is a very complex thing. It includes consideration of illness, injury, nutrition and fitness, all of which influence each other.
Getting to the bottom of a physical health issue is not easy. There may be multiple symptoms to consider - sometimes these are linked in an obvious way but sometimes not.
I have been trying to get to the bottom of my own physical symptoms for over two years. I can’t fault the NHS at all. I have had referrals to at least three different hospital departments, MRI and CT scans and a whole bank of tests and, though we have ruled out lots of things and found a cause for a subset of symptoms, the majority are still unexplained (more tests to come and dietary changes - I am hopeful!).
But if this is how difficult it can be to untangle the physical health of a human who is able to articulate what the symptoms are, when they occur and how and where it hurts, what chance does a vet have of establishing the physical health of a dog in a 10 minute check-up?
When we ask our clients to have a vet check before a behaviour consultation, getting the all clear does not mean the dog is not experiencing pain or illness. It means that there were no obvious signs in that moment.
Gut issues may not result in changes in p**p or temperature but that doesn’t mean the gut is healthy. Joint issues can be masked by raised adrenaline. And some dogs are exceptionally stoical. Being in pain does not always stop movement or play - especially when it is chronic.
This is in no way a dig at vets. They have an impossible task and can’t practically do extensive testing when they are asked for a simple health check.
But as professionals we often see dogs over a more extended period and need to always keep physical health in mind, even if a vet has declared the dog healthy.
Asking guardians to keep a diary can be really helpful, looking particularly at changes in behaviour through the day, when these occur and what might be triggering them. Does behaviour change happen after eating, for example, or before? Are things better before a walk or after?
We can look at posture, gait, coat patterns, as we do in ACE, to note anything unusual.
And as we gather this data, we can look for patterns that can help our client’s vet get a broader picture to inform their diagnosis.
Not every behaviour concern is a result of physical illness but improving physical health and wellbeing will always improve emotional wellness.