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Post by Erin & Bailey on Sept 9, 2019 19:43:30 GMT -7
☀︎1-- Which breed? Standard dachshund male named Bailey. My name is Erin ☀︎2-- 16 pounds ☀︎3-- Not sure but i think specialist surgeon? ☀︎4--Date of surgery was 09/02/2019 ☀︎5-- 4-6 weeks crate rest, with the exception of short walks with a sling, and PT including passive range of motion and stretching
☀︎6-- How many weeks did the surgeon want for crate rest? 4-6 weeks
☀︎7--No signs of pain ☀︎8-- Please list the exact names of meds currently given, the start date, their doses in mgs and how often you give?
Meloxicam 0.78mg once a day Gabapentin - 100 mg 3x/day (every 8 hours) Cephalexin 250 mg 3/4 tab 2x/day Prazosin 1 mg tablet 3x/day (every 8 hours) Trazadone 25 mg as needed
☀︎9-- Cannot move legs, wag tail or walk at all ☀︎10--wet bedding or leaks on you when lifted up? Sometimes, but still have to express bladder ☀︎11--Eating and drinking fine. Poops okay but is incontinent.
I am concerned because it has been a week since surgery and he has shown no signs of improvement. Before he went in for surgery, he was still able to walk, had deep pain sensation and still had all his motor functions. He seems to be worse off now than he was before surgery. He does not seem to be in pain but he cannot walk at all and does not seem to have any feeling in his hind legs. Should there have been improvement by now?
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Sept 9, 2019 19:44:15 GMT -7
Erin, welcome to Dodgerslist Forum. It is still quite, quite early in the nerve healing department. The surgery itself will cause a temporary setback in neuro function till all that swelling goes down in about 2 weeks. Then you and the surgeon will have a better idea of the direction of nerve healing. What is the name of the hospital where the surgery was performed? What country if not in the USA? Are you expressing every 3-4 hrs. If stil leaking you may have to express a bit sooner til you reach the proficiency level needed. That is you can almost feel your other hand as you press because the bladder is so flat, so empty. review video and don't hesitate to go for another hands on top of our hands expressing lesson. Also note you can epxress for poop..watch that video here: www.dodgerslist.com/literature/Expressing.htm For how many days will be be on Meloxicam WHY Pepcid AC 5mgs twice a dayProactive vets don’t wait til there is lip licking of nausea, not eating, vomit, diarrhea leading to serious bleeding ulcers, red or black blood in stool due to the extra stomach acids anti-inflammatory drugs cause such as Meloxicam. Pepcid AC (famotidine) blocks the production of acid. The usual dose of Pepcid AC (famotidine) with a disc episode is 0.44mg mg per pound every 12 hours. Pepcid AC has a very limited potential for side effects. Ask if your dog has any health issues to prevent use of Pepcid AC (famotidine)? (doesn’t need it, we wait til there is problem…are NOT answers to your question!) If you get a “no health” issues answer, then go to the grocery store to purchase over the counter Pepcid AC containing one single active ingredient (famotidine).
HEALTH ISSUES: “Mar Vista Vet reports: Pepcid AC has a very limited potential for side effects, the reason of release to over-the-counter status. The dose of famotidine may require reduction in patients with liver or kidney disease as these diseases tend to prolong drug activities. There have been some reports of exacerbating heart rhythm problems in patients who already have heart rhythm problems so it may be prudent to choose another means of stomach acid control in heart patients.” marvistavet.com/famotidine.pml
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