Hi, my name is Paula, what's yours? Welcome to the Forum. I highly recommend boning up on IVDD so you are fully informed on the facts and what to expect for healing times for each of the healing phases. Best place for a quick over all summary of the 4 phases of healing with links to follow in the next days to be fully up to speed:
www.dodgerslist.com/literature/healingpage.htmConfirm you do not see any signs of pain nearing next dose of methocarbamol or when he has to move for potty time.
SIGNS OF PAIN:
◻︎ shivering-trembling ◻︎ yelping when picked up or moved
◻︎ slow to move ◻︎ tight tense tummy
◻︎ arched back, ears pinned back ◻︎ head held high or nose to the ground.
◻︎ restless, can't find a comfortable position
◻︎ slow or reluctant to move much in crate such as shift positions
◻︎ looks up with just eyes and does not move head and neck easily.
◻︎ not eating due to painful chewing or in too much overall pain
◻︎ holds front or back leg flamingo style not wanting to bear weight
◻︎ not their normal perky selves
Let us know you will begin true crate rest as of tomorrow AM 1/9. Inside of the recovery suite is the ONLY place that is 24/7 protective of the disc that a couch, lap, etc is not. Couch cushions can slope, dogs can attempt to jump (too much exertion/movement for the healing disc.)
The centerpiece of "DISC disease" treatment is the healing of the disc via limited movement of the back via a recovery suite. 100% STRICT crate rest 24/7 for 8 weeks provides limited movement to allow good strong disc scar tissue to form.
Super tried and true tips for setting up the recovery suite:
www.dodgerslist.com/literature/CrateRRP.htm PLUS further guidance on conservative treatment on our "All Things IVDD page:
www.dodgerslist.com/literature/healingpage.htm www.dodgerslist.com/healingindex.htmSTRICT means:
- no laps - no couches
- no baths - no sleeping with you
- no chiro therapy - no meandering at potty times.
Carry your dog to and from the recovery suite to the potty place and then allow a very, very few limited footsteps.
Using a sling (long winter scarf, ace bandage, belt) will save your back and help to keep a wobbly dog's back aligned and butt from tipping over. A harness and 6 foot leash is to control speed and keep footsteps to minimum as you stand in one spot. An ex-pen in the grass is an excellent alternative to minimizing footsteps with the physical and visual to indicate there will be no sniff festing going on!
STOMACH PROTECTION is IMPORTANT!
Proactive 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.
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 Let us know for how many days the Metacam Rx is for.