Ive already made a post but its not appearing, idk why it would be removed but i’ve never posted anything on reddit so i’m not exactly sure.

My dog is a 1 year old male patterdale terrier, he had surgery last week on Friday to remove a testicle stuck in his abdomen. Ive tried very hard to prevent him from licking his cut, as i heard it can infect and reopen the wound. However, i noticed just now that a stitch is undone. Im going to try and get a vets appointment asap but i don’t want to be in pain and would really like some advice on what to do and if its dangerous or will cause him pain. If he licks his wound more will it get worse? Is this something serious that i should be really worried about?

Ive been trying to put him in an inflatable cone but he can get around it at the right angle, he also gets very snappy and hates it. Its the same when i try to tell him not to lick, he will bite at my hand and growl.

Please just help me, sorry if i’m being dramatic, i really just care about him a lot and id hate for him to be in pain or need another operation.

I took my pup to the vet after she stepped on some glass and sliced part of her ankle. It was not a big wound, maybe the size of a penny, not enough to need stitches for sure. Her vet took a look, cleaned her and bandaged her up, and said that she should heal just fine. It's been about a week of rebandaging and having her on antibiotics, but she is an escape artist and has gotten out of every cone, bandaging, socks, etc i have put her in - I have spent a fortune on different cones alone. She ripped off her bandaging and cone again today, and it it looks like she has an open flap of tissue where the initial wound is. It's not bleeding, but it is definitely open. Can I seal this with a liquid bandage, or should I keep bandaging her normally until it's completely healed? Is there such thing as laceration closers for dogs? I will take her back to the vet if needed, but I want to see what I can do to prevent her from being put under for stitches. Btw my process for wrapping her up is neosporin, sterile gauze pad, medical bandage wrap, medical tape, and a clean compression sock over her ankle and knee. Nothing is too tight or too loose. I also place her in a cone (I've used soft cones, inflatable ones, fabric, plastic, collar attachments, etc) to prevent her from chewing off the bandage, but she is persistent. Any advice is greatly appreciated!

My dog was do with this and we were told prescription food only which is $$$, I’m just wondering if anyone else had a dog with this condition, how it was diagnosed and treatment. If you know a specialist in this area of expertise please share 😊

Species: Dog Age: 6 Sex/Neuter Status: Female, spayed Breed: Pit mix Body weight: 38lbs History: Nothing relevant Clinical signs: inflamed mass on her back paw knuckle and inflammation of the same leg popliteal lymph node Duration: about a month General location: NC, USA

As stated above, we noticed a mass on our dog’s back paw about a month ago- mostly on a toe but going into the knuckle. Cytology showed the presence of mast cells.

We brought her to an oncologist who performed an abdominal ultrasound that was clear. However, the popliteal lymph node on the same leg was inflamed, and a cytology showed the presence of mast cells.

She is currently on 20mg prednisone daily, plus famotidine and Benadryl. The lymph node is no longer inflamed and the foot tumor has shrunk, but the oncologist/surgeons do not think surgery is a viable option due to the location and risk of it not healing.

We also started her on Palladia (45mg 3 times a week), and she seems to be tolerating it. The oncologist has proposed conducting palliative radiation, but has also brought up the possibility of amputation.

Our dog is perfectly normal otherwise- high energy, high appetite, and in good spirits besides nerves about visiting the vet. We were leaning towards radiation, but now are thinking amputation of the affected leg may hopefully just get rid of all the mast cells in the foot and lymph node (assuming it hasn’t spread). She is in good health and very resilient, so we think she would bounce back well. What would your recommendation be? In your opinion, is amputation too drastic here and we could likely get the desired result with targeted radiation plus Palladia? We’d like to have as much time as possible with our girl and give her the best quality of life.

Thank you, and let me know if you have questions.

My husky shepherd mix has been having trouble eating & drinking since Monday. We tried to check her teeth & she just screamed in pain. Now she is drooling uncontrollably & her tongue sticks out the side of her mouth slightly. I brought her to the vet who referred us to an emergency vet who can sedate her & do a full work up since she wouldn’t let them into her mouth. I tried giving her wet food with the vet & the food would just fall out so they’re concerned about dehydration. They also think it could be neurological. We are taking her to the emergency vet shortly, but I am curious if anyone has seen this before & can share the outcome?

hi everyone! my baby zeus is 10 and i understand that's old for a pittie but he's grown this massive mass on his leg and i'm not sure what it is. he's my family dog and im not the one who watches him anymore (haven't in years) my dad refuses my advice to take him to the vet and has been calling me saying he's loosing motor skills in his rear legs and drinking excessive amount of water and not eating often or easily... he recently changed to wet dog food and that helped. he's been showing this behavior for months and im at a loss... i dont know what should be done any advice is helpful! if its his time i understand that and dont want him to suffer but i also dont want him to be put down prematurely either!

thank you!!

She’s had it removed as much as she could about a year ago but it’s back again. The vet can’t do surgery because the tumor is swelling up her face/nasal area on the right side. They said it would probably cost $2,000, IF, the specialist is able to do surgery. She got an antibiotic today and a med for pain. I don’t know what else to do. I can’t afford $2,000. I gave her a cbd oil that’s supposed to stop cancer growths and other diseases. Just said a prayer in the vet office. Any advice will help. 🙏

My 1 year old dog had surgery to remove a testicle that was stuck in his abdomen last week. I’ve tried my best too keep him from licking the cut as i’ve heard it can cause the wound to reopen and get infected. There are 2 stitches i think, one at the top and one at the bottom. The bottom stitch has become untied and i’m not sure if its dangerous for him. Should i get a vets appointment asap?

Sorry if im doing this wrong, i havent ever posted something on reddit lol.

My kitten (male, 5.5 ish months, mixed, not yet fixed) had a worm problem and has since been dewormed but I found out because of blood in his stool. He’s currently on antibiotics, anti acid medication, flatly for cats, and vitamin K shots and yet the bleeding stops and comes back. I’m very confused on what it could be.

Is it possible it’s food sensitivity? He’s healthy otherwise and loves eating, playing, and sleeping

My kitten has been feeling unwell the past couple of days and has inflamed mammary glands (mastitis) per the vet. She's now on pain meds and antibiotics for the next couple of weeks. But can anyone tell me how a young kitten gets mastitis? I hunted on Google for awhile, but didn't have any luck about kittens.

My vet believes my cat is stressed, based on all the tests we've done, which didn’t indicate any other issues. I asked her about antidepressants, and she told me that they aren't a long-term solution. She even suggested it might be better to put him down rather than use them, since he'd just feel drowsy for the rest of his life. I’m wondering if that’s really true and whether long-term or short-term antidepressants could help at all. She said no, but then I’m left questioning why antidepressants for cats even exist if they’re supposedly bad.

His symptoms right now:

Severe self-harming (scratching and causing sores only on neck and ears)

Constant itching

Occasional moaning while walking around the apartment

Occasionally peeing outside the litterbox

Runny eyes at times (nothing serious though)

Runny nose when I pet him only

Lethargy (eats and sleeps a lot, but not much else)

Reduced interest in playing and almost everything else besides treats

Low patience, and he gets annoyed quickly when I pet him

Occasionally pulling hair out

Not covering his pee with litter

Sitting in one spot, not moving around much

Not giving me affection at all anymore

And the symptoms get worse and worse with time so i need a fast solution.

Hi everyone,

So I currently have my dog covered with pet insurance and lately I have been looking to upgrade my plan to increase coverage and get better reimbursement. I am considering switching to Figo as I get a discounted rate through costco and it would give me better reimbursement and comparable coverage to Nationwide which I have now (would be about $30 cheaper through costco per month). My only issue is, I have been in talks with my vet about my dog maybe having mild environmental allergies and we've gone over some paths I can try. Nothing has been officially confirmed with testing, but I am wondering if I change providers, then need to get prescribed allergy meds for my dog, would that not be covered as a pre existing condition if we've discussed it? I'm not sure how all that works, and wonder if it would be better for me in the long run to just upgrade it coversge through my current provider.

I have a 4 year old cat that was diagnosed with hepatic lipidosis this past Friday and had a nasogastric tube placed for feeding. She still isn't eating any food, so we are doing tube feedings of 36ml Royal Canin Recovery Convalescence four times a day (every 6 hours) as per vet instructions, but her weight continues to decline. Is she getting enough calories on the liquid diet?

Her normal weight was 11-12 lbs, she was 9.7 lbs when I brought her to the ER on Friday, and today she is down to 9.0 lbs.

Milo my 15 week old kitten developed “cat flu” a few weeks after we received him. I have taken him to the vets twice and he has received 2 sets of antibiotics and 2 different kinds of eye drops.

He never stopped eating,drinking or playing and im wondering if it was cat flu? As my other cat pickles never caught it and shes bright as ever!!? Ever since Milo has developed a snotty nose (he still seems to be breathing through his nose) and sneezing a lot. He hasn’t lost any weight and is growing normally! And he is as playful as ever and is still asking for food and drinking plenty! I keep asking a close friend of mine how he is as I can’t settle because I’m so scared of loosing him he’s such a big part of the family and we’d be lost without him! His blocked nose isn’t getting worse but isn’t clearing either!

Im getting worried that my friend will drift away from me and get annoyed if I keep asking because I just keep worrying, overthinking and getting paranoid.

Is it normal for him to be congested or could it be that the weather has gotten colder and it’s taking an effect!? PLEASE HELP I don’t want anything to happen to my baby!

TIA

I do have a call in to his vet, just looking for some guidance while we wait on a response from our very busy clinic. Name: Buddy Sex/status: male 3 weeks post neuter Age: not specifically known, 2 years? Weight: 9 lbs Breed: stray short hair History: came to us as a stray 5 months ago, 5.4 lbs with Respiratory infection, diarrhea, fleas and an Ulceration on tongue. Over time developed allergy with intense itching. At neuter 4 weeks ago a full exam was done and biopsies taken. Removed a large, benign, nasopharangeal polyp. Biopsy of tongue lesion came back as eosinophilic in nature. Skin biopsy showed allergic response. Eosinophils at the time were 5,200. Started on Hydrolyzed protein food. Atopica every day began 2 weeks ago. Currently finishing a taper of Prednisolone. Itching has resolved. A few days ago started sneezing and mild congestion. Now quite congested, sneezing, and sleepier than usual. Appetite good, drinking plenty of water. Question: should we stop the Atopica until this resolves? Reduce to every other day? Keep as is? Vet seems likely to prescribe an antibiotic in case of infection. Is URI common with Atopica? Are there antihistamines or decongestants that work for cats?

My dog, a small sized mix dog breed (minpin-chihuahua) was sitting on my bed with me and suddenly started rolling around, as if trying to scratch an itch. It seemed uncontrollable and he kept turning his head back and forth, kicking his legs, and outstretching his paws. It started to look like a seizure, with jerking, and his jaw looked tense, so I held him in a spot devoid of blankets and rubbed his chest until he calmed down. When he finally stopped he rolled over and his whole body stiffened completely for maybe half a minute. I eased him out of that also, and I’ve been watching him since. My sister also told me, while I wasn’t home, that he was acting as if he needed to throw up. I’m scheduling a vet appointment, but until then could anyone tell me what this is? And are there precautions I should take until I can get him to a vet?

Hello! My 6 year old boxer/lab/shepherd mix has been bleeding from his paw since yesterday morning. I think it happened when lunged on a walk. His entire bottom foot seems sensitive to the touch. It spontaneously bled again today, but he was fine on a walk. He’s not limping, but pulled away when I tried to get better look (he let me look at his other foot with no problems). What’s the best way to to about making him feel better/ensuring this doesn’t get infested?

* Species: Domestic Cat
* Age: 15
* Sex/Neuter status: Spayed
* Breed: Korat or Russian Blue
* Body weight: 12.7 (up from her usual weight of 10lbs)
* History: No health issues other than sensitive stomach, lots of barfing throughout her life. It's stopped in the last year though
* Clinical signs: Severe bloat, belly distention on either side, loss of fur, loss of dexterity in hind feet
* Duration: its been approximately 2.5 months
* Your general location: San Diego
* Links to any test results, X-rays, vet reports etc. that you have: Her blood work came back with high levels from Liver and Pancreas. It was treated with a round of antibiotic for possible triaditus - no change. The X-rays showed no masses, no fluid in the belly. One Kidney appears smaller than the other.

So about 2.5 half months ago my girl started to gain wait - I thought she was just getting fat as she is food obsessed...but the distention continued and didn't abate when I dialed back her food intake.

• She is not sensitive in that area - I can palpate her belly and she doesn't react
• she has not lost her appetite - if anythign, she is MORE food obsessed
• she is pooping normally and regularly
• did a full blood panel that showed just the high levels for Liver and Pancreas
• no fluid in the belly
• no mass
• no diabetes
• She eats Blue Buffallo Tastefuls Wet food and I have been giving her Purina HydraCare Liver Flavored supplement
• I use Cheristen once a month to keep fleas away

So yeah, the vet is kind of not really sure what is wrong with her and I am not sure what to do now. She seems to not be suffering? Curious if anyone here has any ideas we might investigate...

A few years ago she did lose all her fur on her belly for a period of time and then it just resolved itself, so I chalked it up to a food allergy as I had switched foods, and I have wondered if that might be the situation here? Going to switch up her food and see how that goes...

My cat Oscar (4years old) suddenly started limping earlier on, he’s never done this before so I immediately panicked. Within the space of 10 mins he was losing balance and it seemed like he could hold his own weight.

He’s also walking backwards a few steps before he tried to move forwards again (this scares me)

I took him to the emergency vet’s and they checked his bladder (half full) ears and did a feel of his body and legs.

The vet put Oscar on the floor to walk and he seemed to be able to walk ok, he even jumped on the chair.

As soon as I got home he’s back to having this issues.

I’m really unsure as to what to do next

Oscar is an indoor cat FYI

This is an ultrasound taken today of my cat (1y 3m old male). The second two pages are the urinalysis taken a few months ago.

He has taken two rounds of the antibiotics he was sensitive to and his bladder still looks like this. It's actually worse than before.... The vet said it's sediment or "cells"??

Can anyone explain the ultrasound and urinalysis to me a bit better?

Another urine sample was taken today, we are waiting for the results next week.

I forgot to mention, Babycat already has IBD, is on digestive food (Virbac), we recently started Prednisone (3rd pill today). He takes digestive enzymes and probiotics.

My female Labrador (unspayed as of yesterday), ~3yrs old, no prior history or pregnancies, presented a foul smelling whitish vaginal discharge yesterday. Last heat was about 2-3 months ago, and she's been gaining weight and been a bit lethargic since then. She was eating well, drinking water normally (no excess thirst), no distended abdomen, no obvious pain... But the discharge was enough to warrant a visit to the vet.

The vet took X-rays, and showed us an enlarged uterus, almost the diameter of a kielbasa. He said her uterus was infected and recommended she was spayed. We agreed. She should have been spayed a long time ago anyway.

We called in last night to ask how the surgery went and whether she was ready to come home. She was to stay the night, but the surgery went well, and she was negative for pyometra. I told her I was confused, as that was the whole reason for the surgery. At that point she got a bit standoffish and told me if I had further questions, I'd have to speak to the vet the next morning when he was in.

This morning we pick her up, and waited over an hour to speak to the vet over the phone because apparently he was off today. I asked him how the surgery went, and to clarify if she did or didn't have pyometra. Vet said she did not have pyometra, but that her uterus was infected, and that's why it was enlarged. Anyway, the office assistants are extremely curt and really rush you at this clinic, so I left it at that. When we were walking out I could hear them whispering "I knew it, I freaking knew they were going to ask that".... But like, why is me asking that a problem.... Now I'm left thinking, what was that huge uterus in the x-ray then if not pyometra? Could it have been her intestine, was she misdiagnosed? Was that even our dogs X-ray? I thought a uterine infection was pyometra?

Our dog randomly started throwing up all her food and foamy stuff a good bit, so we took her into the vet to get her checked up, they did a xray and everything looked fine but she kept doing throw up burps, and throwing up water. She fasted throughout the night with no water or dinner and We took her in the next morning for another xray so they could see if anything changed and they said everything seems fine but obviously you can’t see plastic or certain objects that could be stuck in her. They put her on a bland diet that’s in a can called EN, Purina and gave her a medicine that’s supposed to keep her from vomiting. So far she has eaten a soon full every hour, so like 4 times by now. She threw up twice, one small and another a little bigger but it was mainly water not much food. If she doesn’t keep it down we’re going to have to take her to get an ultrasound and if she needs surgery, it’ll end up costing around 5-6k leading to us having to put her down. I honestly can’t stand prices. She’s only 6 years old and she doesn’t deserve this, I’m devastated.

Hi everyone. Things are feeling scary but I have a growing gut feeling that my cat is headed towards the rainbow bridge and I guess I want some confirmation or reassurance, just some thoughts about what everyone else would do in this situation.

My cat is 14 years old now. She's technically my mom's cat as I couldn't take her when I moved away and she's lived with her since I was gone, but now that I'm back to sharing a living space with my mom she's back in my household. She was overweight her whole life until around a year and a half ago when she began vomiting (she never really did before) and is now underweight. My mom took her to a vet then, the vet just said "oh she's getting old" but blood work indicated some issues with her kidneys on the horizon. But they didn't prescribe anything or recommend anything for that then.

Fast forward to now, I noticed she was wheezing occasionally and doing other things that indicated heart issues. Mom once again chalked that up to being old and thinking there wasn't anything that could be done. All the while she's been throwing up and getting more and more sensitive to food. Then about a month ago I pointed out her ears were sensitive, she was shaking her head more often, and she was miserable. That caught her attention too and we went to a DIFFERENT vet who immediately diagnosed her with hyperthyroidism and asthma. She said based on how her heart sounded and other things on exam, her heart was probably enlarged, and likely with treatment for hyperthyroidism it was going to unmask kidney issues. She did have ear infections that she got antibiotics for. My cat tolerated a liquid medication very well. After just a week of treatment for hyperthyroidism she bounced back. She had energy, she was playful, cuddly.

Two weeks later... ear infections are back. Vomiting and not holding down any food. No longer eating dry food, only seems to want chicken, and will eat that eagerly, but she can't keep it down. She seems so miserable. She's constantly going towards water. Horrible diarrhea. Likely we unmasked the kidney issues that have been brewing untreated for years.

She has a follow up appointment in a week. With all of this, depending on how the blood work comes back to check for kidneys and cardiomyopathy markers, I think my mom is considering putting her to sleep. If it were just kidney and hyperthyroidism I think we'd be able to treat it, but my concern is now the pain she's in with infections that aren't going anywhere with treatment and potential cardiomyopathy. I don't want to be one of those people who sees their pet struggling with no remaining quality of life and going, "oh well with this, that, and the other, we might get another six months of suffering" but I also don't want to prematurely make the call if other people have been in this situation before and it's just part of the process of treating this stuff. I don't think my mom will OK any surgery or extreme measures because she doesn't view it as financially responsible if multiple systems are deteriorating anyways.

I don't know what to do now that I'm in the situation myself. It's so easy to read other stories and think "Oh obviously you can still fight this" or "clearly you know the right answer and it's time to begin saying goodbye." I feel like I already know the right answer but I don't know if that's so many other terrible things happening recently that's making me a doomer or what. It feels so crazy because two weeks ago we were sure she was going to be okay and suddenly it feels like everything is crashing down.

My cat is a neutered 1 year old domestic longhair. He’s been perfectly happy and healthy since we had him. Today he came inside and immediately darted for the litter box (he usually goes potty outdoors), and couldn’t seem to get anything out. Since then he’s been squatting as if he’s going to poop, and straining/groaning in pain when he does so. He’s been hiding, laying in corners, and acting strange overall, sometimes kicking his back legs seemingly uncontrollably while laying on my bed. I’ve been providing him with water and the best care possible today, but my local Vet is out of town until next week. Should I seek another vet or let this ride out for 24 hours? Any advice is appreciated.

Sincerely, a highly worried cat owner.

I feed my two year old cat three times a day. 7am: wet food, 12pm: dry food, 7pm: wet food. I've always thought this is okay and normal but I'm scared now that I could potentially be overfeeding her and I've seen everyone say online that overfeeding your cat is abusive. Would this still be the case for me if I didn't know and she isn't overly fat? I think maybe her stomach is a little fat but she's not extremely overweight or anything, I'd notice otherwise.

Hi all!

My dog got spayed on Sunday & she’s been eating everything besides her kibble. If she tries to eat it, she’ll pick at it then drop it. I’m so confused because before her surgery this was her regular food. I’ve tried mixing food toppers & chicken in her food, and she’ll only eat that but not her kibble. She seems to be acting normal, no issues with her incisions. I’m not sure what to do, has this happened to anyone else before?

My dog has had 2 seizures now in her lifetime. One being back in March and another today. I’m still on hold with the emergency vet and sending my husband to pick her up from daycare. Is this normal? The first time we took her to the emergency department and they found nothing and said it wasn’t a big deal since it’s been once and didn’t last for more than a minute. The handlers at her daycare today said it lasted one minute as well. How serious is this? Since they didn’t find anything last time is this just a thing dogs do? She’s my first and I have no idea what to think or do. She’s part husky part staffie and is 3 years old. Is this common? Should I be worried?

Could someone help me better understand why my vet recommended Atopica, an immunosuppressant?

My dog has always had “bad skin” with frequent skin infections. This year it’s been off the chart bad with recurring infections.

We went to the vet dermatologist today who said it is most likely all related to allergies and gave us a bottle of Atopica to start, and said to only treat the infection with topicals until culture comes back.

My confusion is if we have an active infection that’s been resistant to meds, why would we start an immune suppressant before that infection is gone?

I’m not questioning the vet’s professional advice. They went to school for a long time and know their stuff. I just need help to understand why we’d suppress an immune system that’s been struggling to fight an infection or maybe I’m miss understanding how this medicine works.

Thank you so much for helping bridge the knowledge gap here. Thank you!

Species: dog Age: 10 Sex/Neuter status: female spayed Breed: Shih Tzu pekingese Body weight: 10lb History: Several years long history of frequent skin infections (fungal and bacterial) 2-3 a year, have tried changing food (including RX and novel proteins) and household environments with no change to skin symptoms. Does have seasonal allergies that are controlled with Benadryl and cytopoint. Previously had UTIs but none in past 2 years. Has several cysts on body. Both eyes have stable cataracts. Clinical signs: For the past year she’s had an almost nonstop skin infection. It started out last winter as a yeast infection that took several rounds of meds. Then she immediately got a bacterial infection that hasn’t gone away in months for more then 2 weeks at a time. She has taken several rounds of meds. We follow instructions exactly. We just did the skin scrap for culture to identify exact bacteria and are awaiting results, but the tape and impressions show likely cocci bacteria. The infections started before pollen season started this past winter and have contained to now after pollen season over. Today we were advised to continue topical treatments, and start on Atopica. Duration: one year. Your general location: Great Plains / Midwest, United States.

Crazy scenario?

My wife and I are in Pakistan, she was scratched by a pet cat that her brother owns. The pet cat sometimes goes out. Ok here is the confusing part. Her brother got the cat a rabies vaccine the day before the scratch. Is it possible that the cat could be shedding the rabies virus and somehow survive via vaccine while infecting my wife? Making the 14 day rule not work? 14 day rule being that if a cat survives past 14 days then it could not have been shedding the virus. I know this is crazy but my ocd sometimes centers around my wife getting sick because I had a loved one pass away from sickness.

I was told earlier today by my vet that my kitten has toxoplasmosis and he's on treatment but I'm very confused at what the vet told me and what the internet is saying about the long term implications of this. He's an approximately 10 week old kitten, he was found as a stray 2 weeks ago (by us, and no one has claimed him), his only symptom is diarrhoea, and otherwise seems healthy and is running around, eating and drinking, and is playful and friendly. The toxoplasmosis diagnosis came after a stool test because of his diarrhoea, and he's been prescribed zodon clindomycin hydrochloride for 28 days. He tested negative for FIV.

The vet stressed that he will have the toxoplasmosis for the rest of his life and that the medication will not cure it, and she said that the diarrhoea will probably be forever and that we might try different diets and oralade to help it. She said it can spread to different cats and I asked if he should be an indoor cat then, and she said yes because if he goes outside he might poop outside. It's only since getting home and reading advice about it I've read in several places that toxoplasmosis stops being transmittable in stool after 2 weeks? My reading really seems that, while he will technically have the dormant toxoplasmosis cells in his body, he won't actually be ill with it? I'm planning a hermit indoor life for my cat meanwhile between 20-60% of cats have the parasite in them?is this right, or is there something different happening?

We have two other cats who have been living alongside the kitten for the last two weeks, they're separated in the house now and we're sending off stool tests for them. I also have a 9 month old dog we have been introducing the kitten to, the vet said that him getting toxoplasmosis isn't a risk so he isn't getting tested, but looking online this also seems possibly incorrect?

Would really appreciate any help understanding my current situation and what I am meant to do moving forwards Thank you in advance