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I recommend a specialist in orth. or an internist. ASAP.
yeah I am in agreement but also neuro as well as they can all three work together to figure out quickly what is going on so best to be at a specialty hospital.

I always think when it does not get resolved quickly with a vet then a specialist is in order for next exam
 

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Oh! your poor baby :( I hope she feels better soon, and that they figure out what the problem is. You feel so helpless when they are like that.

My bichon did not vomit or have any other symptoms except the shivering and arching, obvious pain, especially when picked up or moved, but the elevated levels in her blood convinced the vet it was pancreatitis

Don't you just wish they could talk? Does sound like more investigation is going to be needed.
 

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Oh! your poor baby :( I hope she feels better soon, and that they figure out what the problem is. You feel so helpless when they are like that.

My bichon did not vomit or have any other symptoms except the shivering and arching, obvious pain, especially when picked up or moved, but the elevated levels in her blood convinced the vet it was pancreatitis

Don't you just wish they could talk? Does sound like more investigation is going to be needed.
usually the amylase and lipase are elevated if pancreas is affected but cpli is the most accurate test for this. Sounds like your little one had a mild case and they caught it fast as usually they are vomitting alot over and over with that. Amylase and Lipase are not always accurate and why they do the cpli but not all vets have inhouse snap cpli test and it takes a couple days to come back when sent out to lab so if amylase and lipase are elevated they tend to treat for it anyway. Pancreatitis is very painful - my guy stuck his butt in air and would toss and turn and could not get comfortable - he never had diarrhea only vomitted over and over and over :( so sad it is the worst thing ever and you feel so helpless.
 

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Discussion Starter #26
Just thought I'd update everyone...

She's not putting any weight on her right front leg. She's limping when she gets up (rarely). I took her out to potty and she peed while favoring her left arm.

I just gave her another Tramadol.

I've felt her arm, gently squeezed it to see how she reacts. She doesn't pull away. You'd think if he hurt her leg, that touching it would make her cry/whimper.

Could it be some sort of pinched nerve???
 

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She sounds worse, since your initial vet visit, no? I would arrange for the appointment to see a specialist now, if possible... it could always be cancelled if she does suddenly start to recover in the next 48 hours with rest. It sounds like she's suffering a lot. On the other hand of course, I'm sure it's not helping every time she is taken for a car ride and bounced around... but it doesn't sound like it's going away on its own.

I still think it's likely to be a herniated disc (or possibly more than one) causing nerve inflammation. As you indicated issues with a front paw, if a herniated disc is the culprit, it's likely located in the neck or shoulder. When the vet manipulated her shoulder and she yelped, it may have pinched/inflamed the nerve further. (I'm not suggesting s/he did anything wrong--it's hard to diagnose it without knowing what her range of motions is and what hurts her. If only dogs could speak!) That's especially likely now that she's not eating--it could be a sign that she's either in severe pain or it's too painful to bend her neck down to eat.

That link someone posted above is very good and puts it all in perspective. Here's some info specifically on herniated discs in dogs. I think you should read it so you know what you're possibly dealing with (all signs still point to this as the most likely problem):

Intervertebral Disk (Ruptured Disk) Disease in Dogs

And read these 2 pages... it sounds a lot like your story, except hers improved quickly on prednisone:
Herniated disc in dogs: Symptoms and treatment - by Susan Hicks - Helium

My dad had a myelogram last time he had a herniated disc too. I believe it's the one where they inject you with a dye and do a scan. (I think I had it twice as a child. I had lots of tests! Long story though.)

Hope that helps.
 

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doh, I'm at work, so I'm slowwwww to get a post typed...

Yes, it sounds like a pinched nerve (likely due to disc herniation). Her leg may be numb, in pain, weak, burning, or tingling. She may feel no change when you touch or squeeze it but if you were to pull or force her weight onto it would hurt tremendously. (Don't do either... it could damage her more. Leave it to the vets to do what they must to diagnose and leave it at that. Try to let her be as much as possible at home and let her decide how to move if you can.)

It sounds like it's basically the same as sciatica in humans. The cause is just a bit different since sciatica usually originates from disc herniation in the lower back. In dogs, they take the impact of landing from a jump in their shoulders, so they can get sciatica in a front leg if a nerve gets pinched in the neck or shoulder area. It may not be injury based so much either... the vertebrae may be getting weak with age or something. Or I may be completely wrong!

Yep, what Nikki's Mom said... I'm only guessing, and no vet. I just know about this one specific problem (which may or may not be what's wrong with her) due to some of my family having slightly deformed, whorled vertebrae that make us prone to this.
 

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Just thought I'd update everyone...

She's not putting any weight on her right front leg. She's limping when she gets up (rarely). I took her out to potty and she peed while favoring her left arm.

I just gave her another Tramadol.

I've felt her arm, gently squeezed it to see how she reacts. She doesn't pull away. You'd think if he hurt her leg, that touching it would make her cry/whimper.

Could it be some sort of pinched nerve???
i agree with the others I would get her in as usually a sprain and things like that resolve pretty quickly.

They could xray leg , neck and spine and see but i would go to a specialty place at this point since she is not eating that is not good and dogs usually do not show pain so when they do it is pretty bad and especiallly if pain meds are not helping.

I am always nervous when pain meds do not help with pain as then I start thinking neurological as usually pain meds will help with orthopedic stuff but with neurological pain meds do not help but higher doses of steroids to bring inflammation down help so honestly this is not something I would mess with further I would really get her in to a specialty hospital that has neuro, orthopedic, and internal medicine. My gut is this is ortho or neuro issue though not internal medicine but i could be wrong as not a vet.

Mine have hurt their paws and lifted leg and limped and i rested for a couple days and it was ok but they never stopped eating.

If you are noticing any neck pain that is not good in this breed and can be very serious so I just do not feel comfortable telling you to rest and wait :(

this is the thing that always worries me in this breed and yorkie breed :( It may be way off but when i hear back pain it scares me as many times it is misdiagnosed as disc issues as Lola on here was at first but hers was back legs but it can also happen to front legs when neck is affected as it can affect top of spine or bottom of spine and symptoms are different for each

http://www.petplace.com/dogs/granulomatous-meningoencephalomyelitis-gme/page1.aspx
 

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another thing to rule out with vet or specialist is lyme disease as leg issues can happen with that as well - did vet rule this out?

just trying to give you everything i can think of with leg issues

we do not have tick issues here so not sure if you have it in your area
 

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Discussion Starter #33
Thanks everyone!

She started to pick up a little bit from 5-8pm... even got her to eat and she's been drinking more too. That said, she seemed to regress a little bit tonight.

One thing we noticed is she's walking around the house. We try to confine her, but she keeps walking around... almost kinda strange-like- For example, she kept walking around the coffee table.

Tomorrow morning we're taking her back to the vet.
 

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Hi,
What your baby is going through sounds very similar to the symptoms my Bubba has experienced. This past July, he wakes up one morning and comes walking out looking like a raccoon. His back was all humped up and his head hanging low, I mean low, tail down. He couldn't seem to find a comfortable position to sit or lay. He would lay his head nose down, but not flat on his chin, as normal. Obviously, something was very wrong. (of course we were packing the car for vacation, never fails. :smpullhair:) When he wasn't walking, he would hold his front leg up and kind of out, like kind of straight. Off to the vet we go. We finally determined a pinched nerve in his neck. The lifting of the leg relieves the pressure on the nerve. My vet said this is about the most painful injury a dog can have. I believe it. He was miserable! He was put on total rest and confinement, pain meds, and prednisone. He recovered and does real well until he decides to make a flying leap off the back of the couch. Every time I say 'Bubs, your gonna feel that tomorrow!' And he does. But not to the extent of the first injury. It's a slow heal. We're still working on teaching him not to jump. We've made progress, but sometimes my nutty Bubba just has to jump.
It sounds to me like this very well could be what you are dealing with. It's serious, but treatable. So that's a good thing.
Hope i made some sense and maybe helped. Good luck with your sweetie. I'm thinking about her.
 

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Thanks everyone!

She started to pick up a little bit from 5-8pm... even got her to eat and she's been drinking more too. That said, she seemed to regress a little bit tonight.

One thing we noticed is she's walking around the house. We try to confine her, but she keeps walking around... almost kinda strange-like- For example, she kept walking around the coffee table.

Tomorrow morning we're taking her back to the vet.
please do take her in just to be safe- so what you are describing is agitation as she cannot get comfortable and circling sounds to me if going around a coffee table

The tramadol is an opiate (?) so it can make their breathing more rapid but when dee dee took it she did not act that way just faster breathing and same with demi.

I would just rather you be safe as if you are noticing things trust your gut as you know her better than any of us all we can do is give info on what we have seen in the breed from our experiences and what we have seen from other pet owners on our dog groups.

I hope she feels better soon as i know it is probably very stressful on you as well not knowing what is wrong.
 

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Discussion Starter #36
Update-

Called the vet this morning and gave update. Dr said for me to come in and pick up some Metacam and see how the next 24-36 hrs go.

If she's not doing better, then we come in and see if we can get a better xray. He said another option would be to send her to a specialist for an MRI. Then we're getting into a whole other issue which is the elephant in the room.

There's no need to worry about that now. We're just hoping the Metacam and Tremadol will take care of the problem.
 

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Update-

Called the vet this morning and gave update. Dr said for me to come in and pick up some Metacam and see how the next 24-36 hrs go.

If she's not doing better, then we come in and see if we can get a better xray. He said another option would be to send her to a specialist for an MRI. Then we're getting into a whole other issue which is the elephant in the room.

There's no need to worry about that now. We're just hoping the Metacam and Tremadol will take care of the problem.
what about steroids? ask about this as you NEVER mix nsaid with steroids as both affect the lining of the stomach and can cause alot of problems and since your dog has been taking steroids I would ask about that as there is a clearing out period off steroids then starting nsaid. It is ok to mix nsaid and tramadol but NOT steroid and nsaid so are you giving steroid still?

I had a really bad experience with my dog who had metacam while on steroids from one dose so I always caution those two being mixed :(

also never give steroids or nsaid on empty stomach and I wouldn't with tramadol either but definitely not steroid or nsaid as it can cause ulcers. I always give 1/2 food then med then 1/2 food and that goes for antibiotics too.

I just really think you should see a specialist to get a good xray as throwing meds at a problem is not always the answer unless you know what the problem really is :( JMHO

The circling also is worrying me :( as not sure they would circle with a pinched nerve but never have had a dog with this so not sure maybe others can help more but circling can be neurological related

has your dog been vaccinated recently?
 

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Discussion Starter #38
Hi Dwerten,

She's been off Prednisone since Oct 29.

I did just get her to eat breakfast- I fed her by hand and she inhaled the entire serving. Hopefully this is a good sign.
 

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Discussion Starter #39
another thing to rule out with vet or specialist is lyme disease as leg issues can happen with that as well - did vet rule this out?

just trying to give you everything i can think of with leg issues

we do not have tick issues here so not sure if you have it in your area

The wife just made a comment about lyme disease... she said she just flicked something off her and it made her wonder about Bess.

We googled Lyme disease symptoms in dogs and it's a checklist of her symptoms!

Of course we're calling the vet tomorrow morning, but I thought I'd ask you all since you've been such help...

When vets do blood work, do they look for Lyme automatically??? Or is this a special test?
 

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The wife just made a comment about lyme disease... she said she just flicked something off her and it made her wonder about Bess.

We googled Lyme disease symptoms in dogs and it's a checklist of her symptoms!

Of course we're calling the vet tomorrow morning, but I thought I'd ask you all since you've been such help...

When vets do blood work, do they look for Lyme automatically??? Or is this a special test?
it is an add on to blood work so it is not usually done as part of blood work but ask vet if it was run. There is that one and infectious disease but not sure if it is one in the same as I have never had experience with this as we do not have deer ticks in this area. Do you have deer ticks there? Do you use flea and tick prevention?

Usually for lyme they use a strong antibiotic called doxicycline

I have a friend who is on a yorkie group I am on that just went through this and her dog would not eat and lost weight and tested positive for lyme and had a limp leg. She is on facebook so you could pm her there if you would like. She had a difficult time of it though with the antibiotic as it affected her liver so it was a tough case. First you need to see if this is what is going on so run it by the vet and see if this can be ruled out

How is she feeling today?

that is a great sign she is eating :)

here is some info on it - I trust this site as it is written by a vet

http://www.petplace.com/dogs/lyme-disease/page1.aspx

I will pm my friend to ask what blood test was done to determine her dog had lyme

here is her facebook you can friend her :) or send her a message too and ask her questions

http://www.facebook.com/home.php?sk=lf#!/profile.php?id=510564569

you can always do searches on youtube.com as well for things and sometimes vets do videos for different things that are very educational as well
 
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