Caring for a Senior Pet in Colorado Springs: Our Lifetime Care Guide

We look after pets from the first puppy or kitten visit through the last one. This page is about the part of that arc most practices treat as an afterthought — the years when a dog or cat is old, the medicine gets more complicated, and the conversations get harder. Senior pets are 44% of the pet population. They need more than an annual vaccine appointment.

Red Rock is open Monday through Friday, 8 a.m. to 5 p.m. We have no overnight staff and no after-hours on-call line. Everything below is what we can do inside those hours, and we say plainly where we hand off.

Start Where You Actually Are

People arrive at this page from three very different places. Pick the one that matches yours.

Your pet just became a senior

Life-stage ranges by species and size, why the exam schedule doubles, and exactly what senior bloodwork screens for.

Senior wellness

You are managing a chronic condition

Arthritis, kidney disease, diabetes, feline thyroid disease, cognitive decline, dental disease, and heart disease.

Chronic conditions

You are near the end

Quality-of-life assessment done honestly, what palliative care and hospice actually mean, and how to think about timing.

End-of-life care

When Does a Dog or Cat Actually Become a Senior?

There is no birthday. AAHA defines senior by proportion of expected lifespan — the last 25% of it — which means a Great Dane and a Chihuahua do not become senior in the same year. The common shorthand that dogs are senior at seven is wrong often enough to matter: it makes large-breed owners late and small-breed owners anxious. Treat the ranges below as practical approximations, not thresholds.

Small-breed dogs

Often not senior until around 12. Small dogs live longer, so the last quarter of life starts later.

Medium-breed dogs

Between the small and large ranges. This is the group where an individual assessment matters most — ask us where your dog actually sits.

Large-breed dogs

Senior as early as 7 to 8 years. A large dog is frequently senior while it still looks and behaves young.

Giant-breed dogs

Earlier still than large breeds. Great Danes, mastiffs, and wolfhounds age on a compressed schedule.

Cats

Senior is over 10 years old. Cats aged 7 to 10 are classed as mature adults — a real life stage worth screening, not a rounding error.

The life stage is not a label. It sets the screening schedule, changes how we read normal-looking bloodwork, and changes how your pet should be handled in the exam room.

Senior wellness

Twice a Year, Not Once

AAHA recommends senior pets be examined at least twice a year. We go a step further and run the full senior panel every 6 months, at the shorter end of the recommended range. The reasoning is simple and worth stating honestly: a year is a large fraction of what a senior pet has left, and a chronic disease can appear and advance completely within a single annual interval.

We want to be precise about what that claim is and is not. It is sound clinical reasoning endorsed by AAHA. It is not a proven survival benefit from a trial, and we are not going to tell you that two visits a year will keep your pet healthy. What earlier detection does is widen your options while options still exist.

Complete blood count

Red cells, white cells, and platelets. Changes here are often the first sign of disease that has not yet produced anything you would notice at home.

Biochemistry panel

Organ function and metabolic status — protein, liver enzymes, glucose, kidney values, and electrolytes — read against your pet's own previous results rather than against a population average.

Urinalysis with urine protein:creatinine

Not optional and not redundant with the bloodwork. Urine specific gravity can show the kidneys losing concentrating ability before creatinine moves, and protein in the urine flags damage a chemistry panel alone misses. That is the honest answer to 'why do you need a urine sample too?'

Thyroid (T4 and free T4)

Especially important in cats, where hyperthyroidism is the most common hormonal disease of old age and is frequently mistaken for a cat who is simply getting old.

Pro-BNP — cats

A cardiac marker that can flag heart disease in a cat with no murmur and no symptoms. Feline heart disease is often silent until it is a crisis, which is exactly why it is on the standing panel rather than added later.

Infectious disease screening

Heartworm and tick-borne disease testing in dogs; FeLV, FIV, and heartworm in cats. Fecal screening for both.

Added when the picture calls for it

Pancreatic lipase where signs or bloodwork point that way. Blood pressure, which matters most in cats — untreated hypertension takes eyesight. NT-proBNP is strongly considered before any anesthetic event, and an ECG annually in breeds at high cardiac risk such as Boxers and Dobermans.

Four things that make the appointment better

  1. 1Take a phone video of your pet moving at home — stairs, getting up off the floor, the first minute of a walk. AAHA specifically endorses owner video, because a stressed pet on a slick exam-room floor hides exactly what we need to see.
  2. 2Bring a complete list of everything your pet takes, including supplements, joint products, and CBD. This is not a formality: NSAIDs given alongside steroids cause gastrointestinal bleeding, some melatonin products are made with xylitol, and St. John's Wort, SAM-e, tryptophan, ginseng, and turmeric interact with drugs we use constantly in senior patients. We ask without judgment.
  3. 3Point out every new lump. We measure each one in three dimensions and aspirate it for cytology. We will not tell you a mass is probably just a fatty tumor — mast cell tumors can be clinically indistinguishable from lipomas, and a pet can have both at once.
  4. 4Write down the questions you actually have before you get here. Senior appointments cover a lot of ground, and the question people forget is usually the one that was worrying them.

What it costs, and what happens if you decline

Our standard exam is $79 and a same-day urgent exam is $109. Those are starting prices, and they are the exam only — a senior workup adds diagnostics, and we quote those to you before we run them. If cost is the constraint, say so out loud.

AAHA's guidelines are recommendations, not requirements, and declining a panel does not end the conversation — it changes it to what we can do instead. Guilt is not a clinical tool and we do not use it. For the standard adult wellness schedule, see our wellness care page.

Arthritis Is Routinely Missed in Senior Pets

Roughly one in five dogs is diagnosed with osteoarthritis at some point. That is a diagnosis rate, not a true prevalence — the real number is higher, because most owners read the signs as age and never report them.

In cats it is worse. More than 60% of cats have osteoarthritis in at least one joint, and cats almost never limp. Feline arthritis is usually bilateral, so both sides hurt equally and there is nothing to favor, and cats rarely have the crepitus in affected joints that gives dogs away on a physical exam. In one radiographic study, owners had recognized lameness in only two cats, and no obvious pain was detected on palpation in any cat with limb arthritis. A separate retrospective radiographic study found degenerative joint disease in the limbs of 74% of 101 cats screened. The cat is not fine. The cat is quiet.

What arthritis looks like in a dog

  • Hesitating at stairs, or taking them one at a time
  • Slowing on walks, or lagging on the way home
  • Difficulty rising after a rest, then loosening up after a few minutes
  • No longer jumping onto the couch or into the car
  • Restlessness, pacing, or a changed sleep pattern
  • New irritability when touched, lifted, or brushed

What arthritis looks like in a cat

  • Jumping less, or jumping to a lower surface than before
  • Stiffness, or a gait that has lost its fluidity
  • Less activity overall, especially at night
  • New resistance to being picked up, petted, or stroked along the back and hind legs
  • Hesitating at a high-sided litter box, or missing it entirely
  • Hiding more and grooming less

The joints most often affected in cats are the hip, stifle, hock, elbow, and the thoracolumbar and lumbosacral spine.

Weight is the highest-leverage change you control

Calorie-restricted diets have been shown to increase longevity in dogs, with an ideal body condition score of 4.5 to 5 out of 9. In cats, a score up to 6 out of 9 is associated with increased longevity, and underweight cats fare worse.

Note the asymmetry, because it catches people out: weight loss in an older cat is a red flag, not a success. Senior cats become less able to digest and use nutrients, so a thinning old cat needs a workup, not congratulations. Long-chain omega-3 fatty acids are noted for osteoarthritis.

Changes you can make at home this week

  • Traction where your pet has to push off: runners on hardwood, toe grips, or non-slip boots
  • Ramps, and a hand in and out of the car
  • A padded, supportive bed that an arthritic dog can get out of without a struggle
  • A support harness for a dog that needs help with stairs or standing
  • Food, water, and the litter box moved onto one level, with a low-sided box for a stiff cat
  • For a pet that can no longer move itself, being walked or turned every few hours

This lands differently on the Westside. The housing stock here runs to older homes with stairs, steep driveways, and hardwood floors, and Colorado's outdoor-dog culture means senior dogs are still being taken on trails they can no longer handle. Soreness the day after a hike is a reason to book a mobility assessment.

Librela and Solensia: what we will not oversimplify

Both are anti-NGF monoclonal antibodies given as a monthly injection in the clinic, and both are real options that have given a lot of old animals their comfort back. Solensia (frunevetmab)for cats was FDA-approved in January 2022 — the first monoclonal antibody approved for any animal species. In its clinical studies the most frequently reported adverse reactions were digestive signs such as vomiting and diarrhea, and skin signs such as dermatitis and hair loss. It is not for breeding, pregnant, or lactating cats.

Librela (bedinvetmab)for dogs was FDA-approved on May 5, 2023, and remains approved and on the market with no recall. It also carries a genuine, actively evolving safety signal, and describing it as simply "FDA approved" would be leaving out the part you need. In February 2025 the US label added a Post-Approval Experience section listing ataxia, seizures, other neurologic signs such as paresis and recumbency, urinary incontinence, increased thirst and urination, and death including euthanasia. The label now directs veterinarians to provide a client information sheet and to discuss the potential for adverse events with the owner before administration. In March 2026 the European Medicines Agency's veterinary committee recommended adding very rare musculoskeletal adverse events to the product information, including very rare suspected cases of abnormal osteoarthritis progression. Librela kept its European authorisation.

The other half of the honesty matters just as much. Adverse event reports are voluntary, unverified, and do not establish that a drug caused what was reported — an elderly arthritic population develops serious disease for many reasons, and that is a large confounder. The word regulators used was "very rare." So we will not tell you Librela is dangerous, and we will not tell you it is risk-free. We will tell you what is known, ask about your dog specifically, and decide with you.

We carry both Librela and Solensia and give them here. For many arthritic seniors they are the single biggest quality-of-life change available, and for a cat who cannot be reliably pilled they can be the difference between treated and untreated pain. They are also not the whole plan. Weight, surfaces, activity structure, and the rest of the multimodal approach do at least as much work, and we would rather build all of it than hand you one injection and call it managed.

Two firm rules

If your dog is already on Librela, do not stop it because of something you read online, including this page — call us at (719) 204-3647 and we will work through it. And never give a pet human anti-inflammatories — ibuprofen, naproxen, aspirin, or acetaminophen — or adjust a veterinary NSAID dose on your own. Acetaminophen is lethal to cats, and an NSAID given alongside a steroid causes gastrointestinal bleeding.

The Conditions That Define the Second Half

These six account for most of what we manage in senior patients. Almost all of them are managed rather than cured, and we would rather use the word manage than pretend otherwise. Day-to-day monitoring, medication adjustment, and recheck scheduling live on our chronic disease management page.

Chronic kidney disease

What you might notice

Drinking and urinating more, drinking from the tap or the toilet when they never used to, weight loss, a dull coat, reduced appetite, occasional vomiting. Colorado's dry air increases the water a pet loses just by breathing, which is worth accounting for in a cat already struggling to conserve it — multiple water stations, wet food, and a fountain are sensible here.

What we do about it

CKD is staged 1 through 4 using the IRIS system, from fasting creatinine and/or SDMA measured on at least two occasions in a hydrated, stable patient — not from one blood draw on a dehydrated pet. In cats, Stage 1 is creatinine under 1.6 mg/dL, Stage 2 is 1.6 to 2.8, Stage 3 is 2.9 to 5.0, and Stage 4 is above 5.0; the canine thresholds start slightly lower. Each stage is then sub-staged twice more, by urine protein:creatinine ratio and by blood pressure, because proteinuria and hypertension change the plan. SDMA matters because it rises earlier than creatinine and is less affected by lost muscle mass, which is the exact trap in a thin old cat whose creatinine looks reassuring. In one study, 80.9% of cats aged 15 to 20 had kidney disease — and the great majority of affected cats were Stage 1 or 2. Most of what screening finds is early, which is the whole argument for screening.

Diabetes mellitus

What you might notice

Drinking more, urinating more, eating more, and losing weight anyway. Owners often describe a pet that seems ravenous and is still getting thinner.

What we do about it

Diagnosis, a treatment plan, and — for cats — a diet strategy: high protein, above 45% of dry matter, and low carbohydrate, under 15%, fed in small frequent meals to blunt the post-meal glucose spike. Continuous glucose monitoring sensors can track a diabetic pet for up to 14 days, which shows far more than a single stressful in-hospital glucose curve. Ask us whether that is the right approach for your pet. The thing to know before you need it: diabetic ketoacidosis is a life-threatening emergency. A diabetic pet that is vomiting, refusing food, weak, or has sweet-smelling breath needs an emergency hospital immediately, including on a Saturday.

Hyperthyroidism in cats

What you might notice

Weight loss despite a good or ravenous appetite, increased thirst and urination, vomiting, restlessness or night vocalizing, and a coat that has gone unkempt.

What we do about it

Diagnosis is generally a total T4 above the laboratory reference interval, run at a reference lab rather than in-house and ideally at the same lab each time. Options are methimazole, radioiodine, a prescription iodine-restricted diet, or surgical thyroidectomy. Here is the nuance that matters most, and the one owners are most often not told: hyperthyroidism artificially raises kidney filtration and can hide concurrent kidney disease. Somewhere between 15 and 50% of hyperthyroid cats have masked CKD, and roughly 20 to 25% become azotemic after treatment regardless of which treatment is chosen. That is not a treatment failure and not a mistake — it is the mask coming off. It is why we check bloodwork, urine, and blood pressure before starting, and why reversible methimazole is often trialed before committing to permanent radioiodine. Radioiodine requires a specially licensed facility and is not something a general practice can provide; we refer.

Canine cognitive dysfunction

What you might notice

DISHAA is the framework: Disorientation, altered social Interactions, disrupted Sleep-wake cycles, loss of House training and other learned behaviors, changed Activity levels, and increased Anxiety. In dogs it usually looks like sleeping through the day and pacing at night, less interaction, getting stuck in familiar rooms, and new anxiety. Cats tend the other way — more vocalizing, more clinging.

What we do about it

Roughly 14 to 22.5% of dogs over eight have age-related cognitive impairment. About 1.9% are diagnosed. That gap is not a diagnostic failure; it is that owners file the changes under old age and never mention them, which is why we ask directly at every senior visit. Cognitive dysfunction is also a diagnosis of exclusion, and the workup is the point rather than a formality: night pacing may be arthritis pain, house-soiling may be a urinary tract infection or kidney disease or diabetes, and disorientation may be high blood pressure or an intracranial tumor. Selegiline is the only FDA-approved drug for canine cognitive dysfunction, with improvement reported in up to 70% of dogs, and it is paired with enrichment, dietary support such as medium-chain triglycerides, and anxiety medication where anxiety is a genuine component. None of it reverses the condition. It slows and softens it.

Dental disease

What you might notice

Bad breath that everyone in the house has normalized. Chewing on one side, dropping food, pawing at the face, more drooling, or simply hiding more — cats in particular conceal oral pain well.

What we do about it

By age three most dogs and cats already have periodontal disease, with reported prevalence in dogs over three of 80 to 89%. Seniors carry a specific risk worth naming: tiny and small senior dogs can have significant periodontal bone loss and a higher incidence of pathologic jaw fracture, which is why full-mouth dental radiographs are not optional — they show the extent of bone loss and confirm which extractions are appropriate. Anesthesia is required to do any of this properly, and there is no legitimate anesthesia-free alternative. Our standard dental is $999; extractions and oral surgery are separate and quoted before we do them.

Heart disease

What you might notice

A new cough, tiring sooner on the same walk, or a resting breathing rate that has crept upward. In cats, heart disease is frequently silent until the day it is not.

What we do about it

Canine mitral valve disease is staged A through D by ACVIM consensus, and the distinction that changes treatment is B1 versus B2: a murmur with normal-sized heart chambers, versus a murmur with left atrial and ventricular enlargement. Stage B1 dogs get no cardiac medication. Stage B2 dogs get pimobendan, which in the EPIC study delayed the onset of congestive heart failure by a median of about 15 months. Telling B1 from B2 requires echocardiography, or at minimum radiographs — and echocardiography is a referral service, not something we perform in-house. One of the most useful things you can monitor at home costs nothing: count your pet's breaths for 30 seconds while they sleep and double it. Dogs and cats generally sleep at 15 to 30 breaths per minute, and a sleeping rate consistently above about 30 is abnormal and can mean fluid accumulating in the lungs.

One caution that applies across all six: senior presentations overlap heavily. Increased drinking may be kidney disease, diabetes, or thyroid disease. Night pacing may be arthritis, dementia, or high blood pressure. Nothing on this page diagnoses your pet, and it is not meant to — it is meant to get the right things onto the table at the exam. Where anxiety is a genuine part of what you are seeing, our behavioral management page covers how we assess it; a lifelong itch that has followed a dog into old age is covered on our allergy testing and treatment page. For the dental side of senior care, see our dental page; for cats specifically, our cat clinic explains how the feline side of the building works.

Knowing our edges

What We Do, and What We Hand Off

Red Rock is a general practice. Three veterinarians — Dr. Robbie Unsell, Dr. Dan Muelhaupt, and Dr. Jaime Clevenger — plus in-house bloodwork, digital radiographs, ultrasound, a surgical suite, and dentistry. That covers most of senior medicine most of the time. Here is what it does not cover, stated plainly, because a senior-pet family deserves to know before the crisis rather than during it.

  • We are open Monday through Friday, 8 a.m. to 5 p.m., and closed Saturday and Sunday. There is no overnight staff and no on-call line.
  • We cannot hospitalize a pet on intravenous fluids overnight. That is decisive in senior medicine specifically: a uremic crisis, diabetic ketoacidosis, congestive heart failure, and a fragile post-operative patient all need continuous overnight care. When your pet needs that, we stabilize, call ahead, and transfer with records.
  • We do not have board-certified internal medicine, cardiology, oncology, or neurology in-house, and we do not perform echocardiography, CT, MRI, or radioiodine therapy here. We refer, and we send records ahead so the specialist is not starting from zero.
  • Colorado State University's veterinary teaching hospital in Fort Collins, about two hours north, is the region's referral center for oncology, cardiology, internal medicine, and advanced imaging. Its Flint Animal Cancer Center is a genuine regional asset, and we will say so when it is the right door.

None of this is a limitation we are embarrassed by. It is the difference between a practice that knows its edges and one that finds them the hard way at 9 p.m.

For a Senior Patient, Fear Free Is a Measurement Problem

For a young healthy dog, low-stress handling is kindness. For a senior patient it is clinical accuracy.

Stress raises blood pressure and blood glucose. Those are two of the numbers a senior visit exists to produce. A high blood pressure reading taken from a terrified cat that has just spent twenty minutes in a waiting room full of dogs tells us close to nothing about whether that cat needs treatment for hypertension, and stress hyperglycemia can look like diabetes. If the number is wrong, the medicine that follows it is wrong.

Arthritic patients also cannot be handled the way young patients are. A senior dog with hip and stifle arthritis should not be hoisted onto a steel table or asked to hold a position on a slick floor. We examine seniors on the floor, on non-slip surfaces, on padded mats, in whichever position hurts least — and if your pet's stress rises during a procedure, we stop and try a different approach rather than push through it.

A Red Rock veterinarian crouched on a padded mat listening to a senior golden retriever's chest while the dog licks peanut butter from a mat
A cardiac exam on the floor, on a padded mat, with a lick mat doing the restraining. The dog is not being held still — it is choosing to stand still, which is why the heart rate we hear is the real one.

The building does some of the work. Cats and dogs have fully separate waiting, exam, and treatment areas — we are the only hospital in Colorado Springs that separates all three — and you can wait in your car and text us at (719) 355-8343 rather than sit in a lobby with a painful old cat in a carrier. More on how and why in our Fear Free care page.

Age Is Not a Disease

"Old age is not a disease" is something veterinarians are taught and owners are rarely told. AAHA states it directly, and goes further: advanced age is not the only criterion for a medical decision and does not preclude surgery or other significant intervention. Senior pets can safely undergo multiple anesthetic events.

What decides risk is not the birthday. It is organ function, cardiac and pulmonary reserve, concurrent disease, and the plan. For a senior patient that means pre-anesthetic bloodwork, NT-proBNP strongly considered before an anesthetic event, tailored induction, preoxygenation where there is cardiac or pulmonary disease, active warming, carefully padded positioning, minimized anesthesia time, and longer recovery monitoring.

The sentence we hear most often is "she's too old for a dental." Sometimes the honest answer is that the anesthetic risk is real and we should manage the mouth medically instead. Far more often the honest answer is that she has been in chronic oral pain for two years, and the risk of one anesthetic is smaller than the cost of another two years of it. Our dental page covers the anesthesia and monitoring protocol in detail, and our surgery page covers how procedures are staffed.

One real limit, planned for in advance rather than discovered at 4:45 p.m.: if a senior patient would need to stay on intravenous fluids overnight after a procedure, that is a scheduled transfer to a 24-hour hospital, not a night in our building.

End-of-life care

Comfort Care, Hospice, and How to Think About Timing

Two words get used at families at the worst possible moment, usually without anyone stopping to define them. Palliative care is not the last chapter. AAHA describes it as care that belongs on the table as soon as there is a chronic, progressive, or terminal diagnosis, and says the first conversation about it should happen early in the course of the disease. Raising it is not giving up. It is the opposite: it is deciding, while you still have room to decide, what a good remaining life looks like and how to protect it.

Hospice is the end stage of palliative care — the additional support a later-stage terminal patient needs, through to either humane euthanasia or a palliated natural death. Those are the definitions, and they are worth knowing before anyone uses the words at you.

What that means here, plainly: inside our hours we manage symptoms and pain, adjust medication, and keep having the conversation as things change. For our established clients we do offer in-home euthanasia, subject to availability — it depends on the day and on who is in the building, so it is something to ask about early rather than to assume on the afternoon you need it. We are not a full hospice service. Where a family wants ongoing hospice support at home, that is a dedicated hospice or mobile end-of-life provider, and we will say so rather than stretch what we are.

The HHHHHMM quality-of-life scale

The most widely used framework is the HHHHHMM scale developed by Dr. Alice Villalobos. It scores seven domains from 0 to 10 for a total out of 70, with roughly 35 as the reference point: consistently above it generally means quality of life remains acceptable and supportive care can continue, and a total that stays below it is the signal to have a fuller conversation.

Hurt

Is pain controlled, and can your pet breathe comfortably? Breathing comes first.

Hunger

Is your pet eating enough, and without a fight?

Hydration

Is your pet drinking, or holding hydration with support?

Hygiene

Can your pet stay clean and dry, or be kept that way comfortably?

Happiness

Does your pet still engage — with you, with the household, with anything?

Mobility

Can your pet get up, get outside, and get to food, water, and the litter box?

More good days than bad

Over the last two weeks, which column has more marks in it?

What this scale is not

AAHA states plainly that very few quality-of-life scales for animals are validated, and that most of the ones found online are not. HHHHHMM has had a single partial validation, in a narrow sample. It is a structured framework, not a diagnostic instrument, and a score is not an instruction to do anything. What it is genuinely good for is structure: it makes you look at seven specific things instead of drowning in one enormous feeling. A second tool works nearly as well and costs nothing — mark a calendar, one mark for a good day and another for a bad one. Almost nobody can tell you the ratio from memory, and almost everybody is surprised by the calendar.

The moments that should trigger the conversation

AAHA names these specifically. If any of them describes where you are, book the appointment — not because a decision has to be made that day, but because these are the points at which having the conversation early is measurably kinder than having it late.

Not eatingSymptoms progressingSevere or unrelenting chronic painDeterioration during active treatmentA persistent cough even at restCognitive dysfunction that keeps advancingMobility that has failed

How we run that conversation

Slowly. We start with your understanding of what has happened and what your pet is currently taking. Then a full physical exam with a pain assessment. Then the diagnosis, the prognosis, and realistic outcomes. Then your goals — yours, not ours. Only then the options: continued treatment, symptom and pain management with us, referral to a hospice or mobile end-of-life provider, or humane euthanasia.

We will ask about things that are not strictly medical, because they decide the outcome anyway: what you are afraid of, what you believe, whether you are physically able to lift and carry and medicate a large dog three times a day, and what this costs in money, time, and energy. If you are overwhelmed, we stop and schedule another time. We do not make this decision for you, and we will not pretend a number on a scale made it for you either. Tell us when you book that this is what the visit is about.

We will also talk through the plan for the death itself in advance if you want to, including where it happens. Those decisions are far easier to make in a quiet appointment than in a crisis at eleven at night. What the appointment itself involves is described on our compassionate euthanasia page.

Two honest things about our hours

We are open Monday through Friday, 8 a.m. to 5 p.m. If your pet reaches a crisis on a Saturday night, we are not the door that is open. An emergency hospital can provide humane euthanasia that night, and mobile end-of-life veterinarians serve Colorado Springs and can come to your home. Waiting until Monday because you would rather it be us is not the kind choice, and we would rather say that here than have you discover it then.

Second: ask us about aftercare before you need it — we will walk you through the cremation options available locally and what comes back to you. It is a five-minute conversation in daylight and a terrible one to have in a parking lot.

When a Senior Pet Cannot Wait for Our Hours

These are the senior presentations that need a 24-hour emergency hospital, not an appointment with us — including during our open hours, because they need equipment and overnight capability a general practice should not improvise.

  • Any difficulty breathing: open-mouth breathing in a cat (cats do not pant normally), increased effort, a stretched-out neck with elbows held away from the body, blue or gray gums, or a sleeping breathing rate persistently above about 30 in a pet with known heart disease
  • Sudden hind-limb paralysis in a cat, especially with screaming, cold hind paws compared with warm front paws, and pale or bluish hind footpads — this is a saddle thrombus, it is excruciating, and many affected cats had no prior heart diagnosis
  • Collapse, sudden profound weakness, pale or white gums, or a swollen abdomen in an older large-breed dog — a bleeding splenic or liver mass is a leading cause of sudden collapse in senior dogs and is a surgical emergency
  • A diabetic pet that is vomiting, refusing food, weak or lethargic, or has sweet-smelling breath — diabetic ketoacidosis needs intravenous care and hospitalization
  • A pet with known kidney disease that stops eating entirely, vomits repeatedly, is markedly dehydrated, or has mouth ulcers or an ammonia smell to the breath
  • A male cat straining in the litter box and producing little or no urine, or any pet of either sex that has not urinated in 24 hours
  • Seizures lasting more than about five minutes, or two or more in a row without a full recovery in between
  • Sudden blindness — bumping into furniture, widely dilated pupils, or visible bleeding in the eye — which often signals severe hypertension and needs same-day evaluation to save sight
  • Unproductive retching with a tight, distended belly in a deep-chested dog
  • Complete inability to stand, or severe unrelenting pain that will not settle. Suffering does not wait for business hours.

Animal ER Care

5520 N. Nevada Ave, Ste 150
Colorado Springs, CO 80918
Open 24/7

Uintah Pet Emergency

1635 W. Uintah St, Ste E
Colorado Springs, CO 80904
Open daily, noon to midnight (not overnight)

North Springs VRC

10520 White Diamond Pt
Colorado Springs, CO 80908
Open 24/7, walk-ins welcome

After midnight, Animal ER Care and North Springs VRC are the doors that are open.

For the full after-hours playbook, including what we can and cannot do the same day, see our urgent and emergency care page.

Frequently Asked Questions

The questions senior-pet owners in Colorado Springs actually ask us.

At what age is a dog or cat considered senior?

There is no single birthday, and the common shorthand that dogs become senior at seven is wrong often enough to matter. AAHA defines senior by proportion of expected lifespan — the last 25% of it — which means size drives the answer in dogs. Small breeds often are not senior until around 12. Large breeds can reach senior status as early as 7 to 8 years, and giant breeds earlier still. Cats are simpler, because feline lifespan varies far less by breed: senior means over 10 years old, and cats aged 7 to 10 are classed as mature adults. Treat these as practical ranges rather than thresholds, and let us individualize it for your pet at the next exam.

How often should a senior pet be examined, and what does senior screening include?

AAHA recommends senior pets be examined at least twice a year. We run our full senior panel every 6 months, at the shorter end of that range. The panel is a complete blood count, a biochemistry panel, T4 and free T4, a urinalysis with urine protein:creatinine ratio, and fecal screening. Cats also get Pro-BNP as a cardiac marker plus FeLV, FIV, and heartworm testing; dogs get heartworm and tick-borne disease testing. Pancreatic lipase is added when the signs or the bloodwork point that way. Depending on findings we add blood pressure, NT-proBNP before an anesthetic event, or an ECG in breeds at high cardiac risk such as Boxers and Dobermans. The urinalysis is not redundant with the bloodwork: urine specific gravity can show the kidneys losing concentrating ability before creatinine moves, and protein in urine flags damage a chemistry panel alone would miss.

My older dog is slowing down. Is that arthritis or just age?

Slowing down is a description, not a diagnosis, and arthritis is the most common thing hiding behind it. Roughly one in five dogs is diagnosed with osteoarthritis in their lifetime, and that is a diagnosis rate rather than a true prevalence — the real number is higher, because owners read the signs as aging. Watch for the behavioral signs rather than an obvious limp: hesitating at stairs, lagging on the back half of a walk, difficulty rising after rest, no longer jumping onto the couch or into the car, restlessness or changed sleep, and new irritability when handled. Record a phone video of your dog moving at home and bring it. AAHA specifically endorses owner video, because a stressed dog on a slick exam-room floor hides exactly what we need to see. It is also worth ruling other things out, since night pacing can be pain, cognitive dysfunction, high blood pressure, or something else entirely.

How would I know if my cat has arthritis? Cats do not limp.

They almost never do, and that is precisely the problem. More than 60% of cats have osteoarthritis in at least one joint. Feline arthritis is usually bilateral, so both sides hurt equally and there is nothing to favor, and cats rarely have the crepitus in affected joints that gives dogs away on a physical exam. In one radiographic study, owners had recognized lameness in only two cats, and no obvious pain was detected on palpation in any cat with limb arthritis. A separate retrospective radiographic study found degenerative joint disease in the limbs of 74% of 101 cats screened. What you will actually see is a cat who jumps less or jumps to a lower surface, has lost some fluidity in its gait, is less active especially at night, and newly objects to being picked up, petted, or having its back or hind legs stroked. Commonly affected joints are the hip, stifle, hock, elbow, and the spine.

Are Librela and Solensia safe?

Both are anti-NGF monoclonal antibodies given as a monthly in-clinic injection, and both are legitimate, currently approved options we discuss case by case rather than recommend or reject on a web page. Solensia (frunevetmab) for cats was FDA-approved in January 2022, the first monoclonal antibody approved for any animal species; the most frequently reported adverse reactions in its studies were vomiting, diarrhea, dermatitis, and hair loss. Librela (bedinvetmab) for dogs was FDA-approved in May 2023 and remains approved and on the market with no recall. It also carries a real, actively evolving safety signal. In February 2025 the US label added a Post-Approval Experience section listing ataxia, seizures, other neurologic signs, urinary incontinence, increased thirst and urination, and death including euthanasia, and the label now expects your veterinarian to provide a client information sheet and discuss adverse events with you before administration. In March 2026 the European CVMP recommended adding very rare musculoskeletal adverse events to the product information, including very rare suspected cases of abnormal osteoarthritis progression. Adverse event reports are voluntary, unverified, and do not establish that a drug caused the event, and an elderly arthritic population gets sick for many reasons. What that adds up to is a real conversation before the first injection. If your dog is already on Librela, do not stop it because of something you read online — talk to us.

What are the stages of kidney disease in cats?

Chronic kidney disease is staged 1 through 4 using the IRIS system, based on fasting creatinine and/or SDMA measured on at least two occasions in a hydrated, stable patient. One elevated value from a dehydrated cat is not a diagnosis. In cats, Stage 1 is creatinine under 1.6 mg/dL, Stage 2 is 1.6 to 2.8, Stage 3 is 2.9 to 5.0, and Stage 4 is above 5.0. Each stage is then sub-staged twice more, by urine protein:creatinine ratio and by blood pressure, because proteinuria and hypertension change what we do about it. SDMA earns its place on a senior panel because it rises earlier than creatinine and is less affected by lost muscle mass, which is the exact trap in a thin old cat. For perspective: in one study 80.9% of cats aged 15 to 20 had CKD, and among affected cats the great majority were Stage 1 or Stage 2. Most of what screening finds is early, which is the entire argument for screening rather than waiting for symptoms.

What are the earliest signs of dog dementia, and how is it different from normal aging?

The clinical framework is DISHAA: Disorientation, altered social Interactions, disrupted Sleep-wake cycles, loss of House training and other learned behaviors, changed Activity levels, and increased Anxiety. In dogs it usually starts as sleeping through the day and becoming restless at night, less interaction with the family, getting lost or stuck in familiar rooms, and new anxiety. Cats tend the other way, toward more vocalizing and more clinging. Roughly 14 to 22.5% of dogs over eight have age-related cognitive impairment, but only about 1.9% are diagnosed, because owners file the changes under old age and never mention them. Cognitive dysfunction is also a diagnosis of exclusion, and the bloodwork is the point rather than a formality: night pacing may be arthritis pain, house-soiling may be a urinary tract infection or kidney disease or diabetes, and disorientation may be high blood pressure or an intracranial tumor. Selegiline is the only FDA-approved drug for canine cognitive dysfunction, with improvement reported in up to 70% of dogs, and it is combined with enrichment, dietary support, and anxiety medication where anxiety is a real component. It slows and softens the condition. It does not reverse it.

Is my pet too old for anesthesia or a dental cleaning?

Age by itself is not a disease and is not a contraindication. AAHA states that advanced age does not preclude surgery or other significant medical intervention, and that senior pets can safely undergo multiple anesthetic events. What determines risk is organ function, cardiac and respiratory reserve, and concurrent disease, which is why the answer starts with pre-anesthetic bloodwork and NT-proBNP strongly considered before an anesthetic event, rather than with a birthday. For senior patients we use tailored induction, preoxygenation where there is cardiac or pulmonary disease, active warming, padded positioning, minimized anesthesia time, and longer recovery monitoring. The honest counterweight to 'she is too old for a dental' is usually that she has been in chronic oral pain for two years. Our dental page covers the anesthesia protocol in detail, and our standard dental is $999 with extractions quoted separately. One real limit: if a senior patient would need overnight intravenous care after a procedure, that is a planned transfer to a 24-hour hospital, because we have no overnight staff.

What is a quality-of-life scale and how do I score my own pet honestly?

The most widely used is the HHHHHMM scale developed by Dr. Alice Villalobos, which scores seven domains from 0 to 10 for a total out of 70: Hurt (pain control and the ability to breathe), Hunger, Hydration, Hygiene, Happiness, Mobility, and More good days than bad. Roughly 35 is the reference point — consistently above it generally means quality of life remains acceptable and supportive care can continue, and a total that stays below it is the signal to have a fuller conversation. Two cautions we would rather state than skip. AAHA notes that very few quality-of-life scales for animals are validated and that most found online are not; HHHHHMM has had one partial validation in a narrow sample, so it is a structured framework, not a diagnostic instrument. And a score is not an instruction to do anything. Its real value is that it makes you look at seven specific things instead of drowning in one enormous feeling. Marking good days and bad days on a calendar works nearly as well and costs nothing.

How do I know when it is time to euthanize my dog or cat?

No web page can answer that for your animal, and any page that tries is selling you a certainty it does not have. What we can do is name the moments AAHA lists as the ones that should trigger the conversation: not eating, symptoms progressing, severe or unrelenting chronic pain, deterioration during active treatment, a persistent cough even at rest, cognitive dysfunction that keeps advancing, and mobility that has failed. Bring those to us and we will work through it properly — your understanding of where things stand, a full exam with a pain assessment, an honest prognosis, your goals rather than ours, and only then the options: continued treatment, symptom and pain management with us, referral to a hospice or mobile end-of-life provider, or humane euthanasia. For our established clients we do offer in-home euthanasia, subject to availability — ask about it early rather than assuming it on the day, because it depends on the schedule and on who is in the building. We are not a full hospice service, so where a family wants ongoing hospice support at home we will point you to a provider who does that. Tell us when you book that this is what the visit is about. We will also talk through the setting in advance if you want to. One thing we have to say plainly: we are open Monday through Friday, 8 a.m. to 5 p.m., with no overnight staff and no after-hours on-call line. If your pet is suffering on a Saturday night, an emergency hospital can provide humane euthanasia that night, and mobile end-of-life veterinarians serve Colorado Springs. Waiting until Monday because you would rather it be us is not the kind choice.

Book a Senior Visit

Call us at (719) 204-3647, Monday through Friday, 8 a.m. to 5 p.m. Tell us it is a senior visit when you book. If you are somewhere harder than that — a diagnosis you are still absorbing, or a decision you are dreading — say that on the phone. We would rather know before you walk in.

Address

3163 W. Colorado Ave
Colorado Springs, CO 80904

Hours

Monday-Friday: 8am-5pm
Closed Saturday & Sunday

Exam pricing

$79 standard exam, $109 same-day urgent exam. Starting prices; diagnostics quoted before we run them.

Call (719) 204-3647