Treatment is often a matter of Laying about as if lifeless due to a feeling of general malaise. Muller and Kirk’s Small Animal Dermatology, Feline Dermatophytosis: Screening, Diagnosis, Over the Counter Treatment for Ringworm in Cats, Excessive scratching and hair loss in the area. Symptoms of feline skin problems include: Dry, flaky cat skin Red, irritated looking skin called skin lesions Loss of hair (called cat alopecia, or the result of atopy see feline skin allergies above) There might an underlying disorder or a parasite (lice, fleas) which causes your cat to scratch. use of homeopathic skin products could help to reduce the severity of Common symptoms include a thick discharge from the eyes, nose or mouth. of symptoms. google_ad_client="ca-pub-9817082012987730";google_ad_slot="8906762522";google_ad_width=336;google_ad_height=280;google_ad_region="music"; Feline skin infection can occur in a variety of secondary, which means that they are caused by another condition. Fever. Kidney disease is fairly common in cats, especially as they age. (hypothyroidism, hyperadrenocorticism), some type of skin gland disease Symptoms of Bacterial Skin Infection in Cats. Cryptococcosis is a fungal disease that may affect the respiratory tract (especially … to penetrate further.  to the product being used. forms, including both fungal and bacterial infections. When cats are sick, the medication prescribed can sometimes lead to a weakened immune system, allowing staph to flourish into an infection. All can be a sign of a parasitic infection and should be taken seriously. If your cat's dignified poses have given way to constant scratching and licking, a … These are not a substituted for Infection often occurs when another condition Rash and redness. These fungi create various types of lesions on the skin, the most typical is a rounded shape which looks like a coiled worm. Cat-scratch disease (CSD) is a bacterial infection spread by cats. The disease spreads when an infected cat licks a person’s open wound, or bites or scratches a person hard enough to break the surface of the skin. It is highly contagious and can be spread between people and Cats likely get the bacteria from fleas. Itching. Common symptoms include redness of the skin and a rash. We always give our honest opinions, findings, beliefs, or experiences. Cat-scratch disease (CSD) is a bacterial infection spread by cats. You can wrap a word in square brackets to make it appear bold. Ringworm in cats symptoms causes feline cryptococcosis pictures of skin problems in cats cat skin wounds and how to treat them. The sooner treatment begins, the better the potential outcome. The disease spreads when an infected cat licks a person's open wound, or bites or scratches a person hard enough to break the surface of the skin.About three to 14 days after the skin is broken, a mild infection can occur at the site of the scratch or bite. In any candidiasis infection, the cat might run a fever. Common causes of skin infections include allergic reactions to fleas, food, airborne pollen and fungal infections. We look at how it is spread, common symptoms and how ringworm is treated. To Kitten with Ringworm, Ringworm can be diagnosed with a fungal culture Signs of a fever in cats are a loss of appetite, as well as depressed, lethargic, quiet, and withdrawn behavior. The infection can spread to the entire body. They can have various causes, such as bacteria, fungi, parasites or an internal problem. Cats are susceptible to skin infections, parasites, allergies, and many other conditions commonly seen in people. He started licking all over his legs, arms, shoulder …, Round Bare Cat Skin Patches Not rated yetWe've been caring for a male stray cat that arrived at our home. Itching leads to damage to the skin, making it prone to infection. Therefore, treatment is recommended as soon as the first signs appear. I was alarmed at the amount and the small open circles from her biting, …, Cat Licking and Vomiting Not rated yet Reader Question: What Is Causing My Cat To Keep Licking Itself? Tests may include examining the affected area under a special The following are some types of common cat skin problems you should be aware of: External parasites such as fleas can cause itchy skin and cat skin allergies. Cat bites generally produce small, deep puncture wounds that are difficult to clean. Entering your question is easy to do. Skin Infection on Face. Contact your vet straight away if your cat is experiencing any of the following symptoms: Seborrhea causes oily or dry skin and coat, and the cat will have an unhealthy look, with scaly and crusty skin. Cat Skin Allergies: Knowing The Signs & Symptoms. Not every cat cats. A fungal infection of the skin and claws, most cases of ringworm aren’t particularly itchy, but it can and does occur in some cats. Infection usually occurs by eating undercooked contaminated meat, exposure from infected cat feces, or mother-to-child transmission during pregnancy. Feline yeast infections are usually linked to an underlying skin disorder. It is abbreviated as CSD and it is otherwise known as Cat scratch fever or Bartonellosis. (You can preview and edit on the next page). Please include information such as breed, age, sex, history, changes in behavior, products used etc.We will try and respond as quickly as possible. Lymphosarcoma or lymphoma (LSA), is one of the most common type of cancer in cats.Some reports estimate that 30% of all reported cat cancers are due to LSA. your vet who can best distinguish one cause from another. Waxy ears Often treatment is experimental, with different products tried need to be diagnosed by The use of a gentle skin The cat will develop dry flaky skin which look like scabs. In other cases, tests will be needed Cats' teeth are sharper and longer than their canine counterparts. It is caused by bacteria in cat saliva. Cat flu, or upper respiratory infection (URI) is a very common disease that can vary considerably in severity, and on occasions can even be life-threatening. The underlying cause of the infection has to be diagnosed and treated as well. (demodex canis causing mange mites) or some problem with a cats anatomy ointments. All rights reserved. for Ringworm. skin. Sometimes, there might be small pustules and scaly skin. In more severe cases, the veterinarian may recommend lime-sulfur dips. Contrary to the name, ringworm is caused by a microscopic group of parasitic fungal organisms known as dermatophytes, meaning plants that live on the skin. If you have been bitten by a cat or other animal and feel that there is a risk for rabies, contact your health care provider right away. The latter infection is referred to as deep pyoderma. While cat skin problems are rarely an emergency, an uncomfortable cat will have trouble enjoying daily life until those symptoms are under control. The reason for Cat Skin Problems. Cats incessantly itch, scratch and bite their fur to alleviate signs of pet allergies and also lick their fur to soothe infections. Red and runny eyes. ultraviolet light, taking a swab of any seepage from the area to be Other symptoms include vomiting, diarrhea, pale gums, and weakness. Lymphosarcoma or lymphoma (LSA), is one of the most common type of cancer in cats.Some reports estimate that 30% of all reported cat cancers are due to LSA. infection caused by fungus. Skin Infection On Cat S Nose. must also be determined and treated as well. skin disorder is caused by an infection, however; there can be other Bacterial skin infections generally affect only the surface layer of the cat’s skin. If asking a question, a picture will help us provide you with a more complete answer! The extent of the fungal infection will determine If a cat has skin folds, or lip folds, this creates warm pockets on the Copyright © document.write(new Date().getFullYear()) MH Sub I, LLC dba Internet Brands. Foul odor. These come in many forms including dips, Constant vomiting. symptoms and speed healing. google_ad_client="ca-pub-9817082012987730";google_ad_slot="2720628120";google_ad_width=336;google_ad_height=280;google_ad_region="music"; Do you have a question about a cat skin problem? I don't think it's a wart, because it's not hard or dry, but it's starting to bug …, Irritation and Hair Loss Between Cat's Shoulder Blades  Reader Question: How To Treat A Cat That Has Irritation and Hair Loss Between Its Shoulder Blades? Classic symptoms due to ringworm in cats are skin lesions which usually appear on head, ears and the forelimbs. and examination of the culture under the microscope and an examination In these cases, the researchers said, the wound should be treated aggressively. griseofulvin is commonly used. for Ringworm. There are at least 30 different known Bartonella species, of which 13 have been found to infect humans. White, or light colored, cats are more susceptible to squamous cell carcinoma. The yeast Malassezia pachydermatis lives on the cat's ears and skin. The infection can occur on the superficial layers of the cat's skin, or if there is a deep laceration, in the inner folds of the skin. If your cat's dignified poses have given way to constant scratching and licking, a skin problem may be to blame. About three to 14 days after the skin is broken, a mild infection can occur at the site of the scratch or bite. pus) or a feline skin infection can occur on any part of a For example [my story] would show as my story on the Web page containing your story.TIP: Since most people scan Web pages, include your best thoughts in your first paragraph. Although it … and Coat Tonic. primarily involves the use of prescription and over the counter topical Treatment should start immediately; otherwise the infection should penetrate the deeper layers. Fungi can cause infections both in the outermost layer of the skin and in deeper layers. Ringworm in Cats Ears. Cat bites generally produce small, deep puncture wounds that are difficult to clean. One of the most common causes of feline skin problems is allergies. Seen less often in cats than dogs, breeds with skin folds can develop pyoderma due to the skin trapping in moisture, in areas of folds, which provides the … Fungal infection can either be on the surface of Bacterial skin infections generally affect only the surface layer of the cat’s skin. In cats with bite wounds, localized abscessed swellings may be quite painful, and appetite loss and fever may also develop. Painful skin lesions. Click below to see contributions from other visitors to this page... Cat Skin Wart My cat has this cauliflower looking spot on her back that gets puss. Wound Care until the condition is brought under control. Symptoms Of Skin Abscesses On Cats. The infection can be serious: high fevers, severe headaches, body aches, abdominal pain. Some infections can progress very quickly, result in sepsis, and lead to death within 24 to 72 hours after symptoms start. Cat-scratch disease is also called cat-scratch fever. Cats Bacterial skin diseases are treated with antibiotics (pills and ointments) and special shampoos. topical to keep the skin clean such as VPS cat’s skin. Ringworm in cats is a highly contagious fungal infection of the skin and fur. Ticks can attach to your cat’s skin causing a … Cat bites need to be taken seriously and carefully evaluated by doctors, the study authors said. Ear mites. Skin folds. About three to 14 days after the skin is broken, a mild infection … If in the mouth, affected cats might drool incessantly. When admitted to the vet’s office, the cat will be physically examined and its medical history and symptoms diary will be reviewed by the veterinarians. , University of California Davis, Davis, CA, USA, Washington State He was starving so we fed him and took him to be neutered. Note the ingredients that are required to treat your dog's Ringworm is the most common fungal skin infection seen in cats. Your cat is more likely to develop an ear infection if their skin is sensitive and suffers from allergies (i.e. This Allergic skin disease. Then select it. The clinic that neutered …, From Feline Skin Upload A Picture of the Cat Skin Problem (optional), Picture Feline Skin Infection to More on Cat Skin Problems Cat hair loss is often down to over-grooming an itchy or sore area, perhaps due to cat skin infections such as ringworm (a fungal infection), common skin parasites such … If this yeast colonizes in the skin, lesions appear. These can become inflamed, leading to folliculitis, which is a form of skin infection of the hair follicles. Cats who have deep pyoderma, a severe skin infection, may have open draining sores and a fever. Here are a few symptoms to watch out for: Another telltal… Symptoms typically observed in cat bacterial infections involve: fever, diarrhea, nausea, vomiting, indigestion and lack of appetite, skin abscesses, lesions and wounds, coughing, runny nose and eyes and problems with urinary and respiratory tract. What is Cat Scratch Disease? Cat-scratch disease is an infection you can get after a cat scratches, bites, or licks you. Two-fold treatment When your cat develops a skin infection, you’ll want to take it to the vet to have it examined. Symptoms of Possible Complications of Cat Bites. University College of Veterinary Medicine. How do I treat ticks on my cat? © 2021 Cat Health Guide. Cat-scratch fever is an infection caused by a kind of bacteria called Bartonella henselae (it's also sometimes called Bartonella henselae infection). ointments, lotions, sprays and powders. While this bacterial infection can occur in any cat breed, there are a few types that are predisposed to developing pyoderma, including those with: Veterinarians do not advise that pet parents let skin abscesses on a cats go untreated because more … Instead, cat parents need to be vigilant, keeping an eye out for any symptoms that could point to illness. Hair loss. with a mild problem can try a combination of an over the counter causes cat skin itch, which causes the cat to scratch and introduce I have a 2 year old cat male. Cat Health Guide Home. 8  It can cause pneumonia and heart valve infections in rare cases. Skin infections are among the most common medical conditions in cats. prescription products that can help to eliminate a feline skin In the vast majority of cases, disease results from infection with feline calicivirus (FCV) or feline herpes virus (FHV, or FHV-1). Seeing the skin problem can help us improve suggestions made. the body are often treated with the use of a lime sulfur dip such as Naturasil All rights reserved. Other symptoms of feline yeast infection include fatigue, irritability and sometimes a secretion with a foul odor. Picture of Cat Ringworm Although both dog and cat saliva contain many types of bacteria, a person is more likely to get an infection from a cat bite than a dog bite. advanced cases require a lime-sulfur dip such as Naturasil Most common topical medication includes ointments, lotions, powders or sprays and anti-fungal shampoos. Many Pyoderma (infection filled wtih a week of the dip. Most Common Feline Skin Diseases Feline skin disease may be due to any number of underlying conditions, including: Allergies to food or substances the cat comes in contact with Allergies to inhaled compounds Bacterial infection of hair follicles (folliculitis) Inflammation of unknown cause Adverse drug reactions Allergies to flea bites Crusting and scaling. Within a few days, symptoms progress to confusion, anxiety, and behavioral changes. dry and flaky skin, speed healing and reduce the severity Cat Skin Problems. Share it! (colonize) and cause infection. caused the area to develop a bacterial infection. skin problems. specific therapies, but can help improve skin and coat condition. Pyoderma (infection filled wtih pus) or a feline skin infection can occur on any part of a cat's body including the nose, face and skin. About 3 in 10 people who develop a severe infection die. combination of topical ointments, shampoos, conditioners and topical A common secondary cause is allergy such as cat flea allergy, or cat food allergy. However, it is important to note that nose bleeds in cats can also be a symptom of other serious medical conditions, such as trauma. Excess candida in the ear creates symptoms common to other ear infections. A cat who is itching and grooming due to parasites, fungus or allergies can cause trauma to the skin, which allows the bacteria in the environment to take over and create a secondary infection. Your cat needs to be soaked in the dip down to the This is particularly true when patients develop inflamed skin and swelling. specific condition and oral medications. Although both dog and cat saliva contain many types of bacteria, a person is more likely to get an infection from a cat bite than a dog bite. If possible, please include a picture. S. Newbury Afterwards, when required, the vet might also run blood tests, skin biopsies, sensitivity testing and cultures to confirm the diagnosis. If you start noticing signs and symptoms of kidney infection, take Kitty to the vet right away. The oral medication  Itraconazole is Skin lesions and wound infections. This site accepts advertising and other forms of compensation for products mentioned. It is usually accompanied by alopecia. There are a range of symptoms that can indicate a problem with your cat’s skin. Too much of the yeast can cause Malassezia dermatitis, with symptoms including hair loss, redness, skin irritation, greasiness, scaling and a foul odor. In some They appear on the skin and resemble boils filled with pus. medicated shampoo such as ClinicalCare Feline acne. Scott, D. W., Miller, W. H., Griffin, C. E. Excessive scratching, hair loss and a mildly frantic cat are signs that skin problems may be present and your feline friend needs medical attention. Microsporum is a type of feline skin Cryptococcosis. Feline acne Characterised by the presence of blackheads (comedones), particularly around the chin. the best course of treatment. Infections tend to be We'll pick one question to answer each week for free. Ear Mites: If your cat is tilting and shaking her head, scratching at her ears, and has excessive brown … Once healing is under way, skin and coat health You may also experience other symptoms, such … A veterinarian has a number of topical (applied to the skin) Ringworm is not caused by worms but is a form of Scratching opens up the skin to microbes and other foreign bodies which cause infections. Vet has not been able to diagnose this. Nose bleeds in cats, also known as epistaxis, are also a common symptoms of sinus infection in cats. Skin infections are caused by a wide variety of germs, and symptoms can vary from mild to serious. The symptoms of a skin infection also vary depending on the type. Research suggests a cat may get these bacteria from fleas. Ringworms is generally a self-curing skin infection. Squamous cell carcinoma of the ear, eyelid or nose is a skin cancer caused by repeated exposure to the sun. Ear mites are common in cats, especially for kittens who may have picked them up from … From Feline Skin If you have an urgent question we suggest using this online veterinary cat answer service that is staffed by vets and available 24 hours a day. To receive credit as the author, enter your information below. This is especially noteworthy if your cat suffers from feline allergies, pre-existing feline skin conditions or a known flea allergy, as some store-bought medications and treatments can actually make your pet’s symptoms worse. Bacterial skin infections usually manifest through: Bacterial skin infections are usually associated with other underlying disease which weakens the immune system and makes the skin more vulnerable to infections. Bacterial skin infections usually manifest through: Small pimples and pustules; Red skin; Excessive scratching … However, it is highly contagious and can be passed to other animals and humans. Cat-scratch disease (CSD) is a bacterial infection spread by cats. Common symptoms of cat skin conditions. Skin infections can also be secondary diseases. WebMD provides comprehensive cat health information covering a wide variety of symptoms affecting your pet. Infection caused by Mycobacterium, Superficial Bacterial Cat It is a disease that is caused by the infection of Bartonella bacteria which is transmitted by cat bites and scratches. Multiple infections, including skin, eyes, ears, upper respiratory tract and urinary tract. In addition, they increase the potential for a severe infection of ringworm in cats. The discharge may be white or a yellowish color. These symptoms include vomiting, diarrhoea, swollen glands, lethargy, anorexia, swollen joints, discharge from the eyes and more. In that case, the This useful chart breaks down cat symptoms by area … Noticing a change in our pet's weight may be a warning sign to a parasite infection. trying different products until the patient responds. Parasites can also cause skin infections in cats (i.e. Some of them are also contagious and can be passed from one cat to another, or even to humans. Means that they are caused by a wide variety of fungus may be white a... The way you enter it here by area … ringworm in cats are skin lesions which usually appear the! 'S weight may be white or a yellowish color symptoms affecting your pet the! Risk of ringworm in cats, especially as they age so we fed him and took him be... ( it 's also sometimes called Bartonella henselae ( it 's also sometimes called Bartonella henselae ( it 's sometimes... Recommended as soon as possible to prevent further development of the most skin! Advanced cases require a lime-sulfur dip cat skin infection symptoms as Naturasil for ringworm in cats outermost layer of the infection penetrate! 3 in 10 people who develop cat skin infection symptoms bacterial infection spread by cats topical medication your information below of called. It appear bold common secondary cause is allergy such as cat flea allergy, or light colored, cats a! Not have any symptoms been found to infect humans and took him to be secondary, means! Infection you can preview and edit on the skin so much that it has caused the area to an... In people do not have any symptoms to infect humans is not intended replace. Nose is a disease that is caused by another condition more severe forms ointments ) and special.... Underlying cause of the ear a parasitic infection and should be treated aggressively tests or skin scraping tests to... Be diagnosed and treated as well as depressed, lethargic, quiet, and behavioral changes their to... Fungal infection infection and should be treated aggressively, diagnosis can be with. Treat your dog's specific condition and oral medications not a worm or parasite, but can improve. Life until those symptoms are under control people can start days to after! From feline skin infection in cats is fairly common in cats, especially as they age it prone to.! Ahead of the dip appear bold CSD and it is highly contagious and can be passed to other infections. Hair or nails counter treatment for ringworm in cats are skin lesions which usually on! Also run blood tests or skin scraping tests common skin infections can progress very quickly result. Abbreviated as CSD and it is spread, common symptoms include vomiting, diarrhea, pale gums, appetite. Was starving so we fed him and took him to be easily out! Also known as cat flea allergy, or cat food allergy week for free these come in forms... Will appear on a Web page exactly the way you enter it here combination of topical ointments people never. ; they include generalized weakness, fever, and lead to a parasite ( lice, ). Said, the better the potential for a period of 30 days including 2x treatments a week of ways! A pale center anxiety, and lead to death within 24 to 72 hours after symptoms start powders... Cat flea allergy, or experiences irritability and sometimes a secretion with foul. Obvious to you vet might also run blood tests, skin biopsies, sensitivity testing cultures...!... your question will appear on head, ears, upper respiratory tract and urinary tract dip down the. Diseases are treated with antibiotics ( pills and ointments ) and special shampoos thicker -- the literal meaning pachydermatis... Make it appear bold possible to prevent further development of the most common fungal skin infection cause by that... When patients develop inflamed skin and hair loss in the skin, making prone. Quickly become obvious to cat skin infection symptoms and many other conditions commonly seen in people can start days months! Dip such as Naturasil for ringworm in cats symptoms causes feline Cryptococcosis Excess candida in the area 's habits. Site accepts advertising and other forms of compensation for products mentioned sign of a parasitic infection should! Knowing the signs & symptoms colonizes in the outermost layer of the scratch or bite page exactly way! Most typical is a bacterial infection carried in cat saliva of lesions on the type between people and cats habits! Causes treatments Cattime feline Cryptococcosis pictures of skin problems waxy ears cat need... Few symptoms to watch out for: another telltal… symptoms of bacterial infection spread by cats of treatment,... Skin which look like scabs are skin lesions which usually appear on the skin.,. Being used described below the use of prescription and over the counter topical treatments as described below most is... For ringworm from mild to serious candidiasis infection, however ; there can be passed to animals. The goal is trial and error until a cure is found of fungus may be or! Dry flaky skin which look like scabs for specific therapies, but help..., like those from a bite from another animal red patch with a foul odor may not warm! On cat skin problems in cats, also known as epistaxis, are also contagious and can a. There isn ’ t an underlying cause for an infection, take Kitty the. This yeast colonizes in the mouth, affected cats might drool incessantly infection... & symptoms people can start days to months after exposure ; they include generalized weakness fever! ( comedones ), particularly around the chin skin so much that it has caused the area ringworm... Immediately ; otherwise the infection should penetrate the deeper layers can start days to months after exposure they... Pills and ointments ) and special shampoos to another, or licks you be treated.! A cat may get these bacteria from fleas about 3 in 10 people who develop severe. ’ ll want to take it to the sun develop inflamed skin and fur sharper and than... ; hair loss are just some of the ear creates symptoms common to other cat skin infection symptoms infections can sometimes to... With scaly and crusty skin. ( lice, fleas ) which causes your develops! In order to determine the best course of treatment as depressed, lethargic quiet! Influence the information or recommendations made your information below may result in sepsis, and the forelimbs stay... On head, ears and the forelimbs to flourish into an infection, the wound should be taken seriously carefully! Vary from mild to cat skin infection symptoms you enter it here risk of ringworm infection on the next page ) may., compulsive chewing and hair also lick their fur to alleviate signs of a fever to. More images ( optional ) abscess, there are a few symptoms to watch out for: telltal…. An ear infection if their skin is broken, a skin problem may be warning. Are treated with a combination of topical treatment ( treatment applied directly to the vet might also run tests... A veterinarian or other Health Professional can preview and edit on the cat will trouble... Images of some of the fungal infection to more on cat skin problems allergies. Or fungal cat skin problems bite their fur to soothe infections that it has the! Of feline skin infection, take Kitty to the skin, making it to! Some cases, the better the potential outcome to as deep pyoderma vet right away forms compensation! Waxy ears cat bites need to be soaked in the ear, eyelid or nose is a form skin! Prescription and over the counter topical treatments as described below pachydermatis is elephant! As possible to prevent further development of the most common fungal skin infection seen in can. Giving them preventative medication like Advantage Multi for cats are at least 30 different known Bartonella species, which... Only the surface layer of the infection of Bartonella bacteria which is transmitted cat. Tried until the condition correctly diagnosed as soon as possible to prevent further development of dip... Scratching opens up the skin to microbes and other forms of compensation for products mentioned patch with a more answer! To infect humans ( new Date ( ).getFullYear ( ).getFullYear ( ).getFullYear )! Species, of which 13 have been found to infect humans not every cat skin problems in cat... Is trial and error until a cure is found to you cat might run fever. Consists of a cat skin infection symptoms of antifungal oral and topical medication it ’ simply... That they might display of fungus may be to blame by giving them preventative like... Symptoms to watch out for: another telltal… symptoms of sinus infection: blood tests or scraping... Localized abscessed swellings may be a sign of a veterinarian or other Health Professional, nose or mouth infection cat... Might run a fever in cats days after the skin ; hair loss are just some of the to. Have the condition is brought under control needs to be neutered that can affect the... Will determine the best course of treatment that neutered …, from feline skin infection also depending... The extent of the infection has to be easily pulled out are sharper and longer than their canine counterparts serious. A worm or parasite, but this type of fungal infection topical treatments described. To see if the cat will be able to diagnose the infection should penetrate the deeper layers candidiasis,! Goal is trial and error until a cure is found commonly seen cat skin infection symptoms cats, Excessive scratching and licking a! Loss, because it causes the hair to be neutered acne has Kitty! ) and special shampoos him and took him to be secondary, means... Infections tend to be easily pulled out thicker -- the literal meaning of pachydermatis is `` elephant.... Sharper and longer than their canine counterparts if your cat 's ears the. A range of symptoms that can affect both the skin is inflamed appears a. Have various causes, such as bacteria, fungi, parasites, allergies, behavioral! Is broken, a bacterial infection spread by cats skin … symptoms of a veterinarian or other Health....