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Post by Megan & Bruce on Jul 31, 2014 22:32:20 GMT -7
Hello,
My name is Megan and my dog Bruce has recently been diagnosed with a slipped disc in his lower back. He is almost 9 years old and is a beagle.
We took him to the vet 11 days ago when we noticed that he was in pain and walking funny. He has since been put on strict crate rest and we carry him in and out to go to the bathroom. He is currently taking .125mg of dexamethasone once a day, combined with 10mg of pepsid ac twice a day. He is also on tramadol 3 times a day.
Since his visit to the vet, he has not gotten worse but I have not seen much improvement. For the most part, he is comfortable snoozing in his crate and can still wobbly walk to go to the bathroom. However, on average once a day, usually following a bathroom break, he is in intense pain, shaking and panting, and sometimes takes more than an hour and a half to calm down. We try to give the pain killer before he goes out to avoid this but we are having a hard time getting this under control once it starts. Aside from one incident of pain today, he has been very comfortable. When we spoke to the vet about this, she said it was probably because of the effort it takes him to move around to go to the bathroom.
my question is - is this all part of the process? How soon can we start to see improvement? How long does the dexamethasone take to remove the inflammation? We are getting discouraged and hate to see him in pain. Any feedback is much appreciated.
thanks, megan
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,611
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Post by PaulaM on Aug 1, 2014 7:54:16 GMT -7
Megan, welcome to Dodgerslist, we are glad you found us. First things first Bruce can be a good candidate to heal under conservative treatment. You are doing necessary STRICT rest. Your vet however is seriously under medicating for pain. You will need to do some reading and be able to strongly advocate for aggressive pain meds OR you will need to find an IVDD knowledgeable vet pronto. Pain hinders the whole healing process not to mention it is plain torture. Before discussing pain meds, these articles can give you good background information: www.dodgerslist.com/literature/healingpain.htmwww.dodgerslist.com/literature/healingsweling.htmDetails on the pain medications typically used with a disc episode. vasg.org/g_drugs.htm#GABAPvasg.org/t_drugs.htm#TRAMwww.petplace.com/drug-library/methocarbamol-robaxin-v/page1.aspxMichael Richards, DVM: When pain relievers must be given after an injury has occurred it sometimes takes much higher doses to tamp down the pain and get it under control. It is good to keep this in mind, because many people make the mistake of using low doses of pain reliever initially, hoping they will work. It is probably better to start with high doses and then to cut the dosage if it becomes apparent that lower dosages will work. Another way of thinking about it [pain] is like a seesaw. You can put a rock on the high end of seesaw and it might not cause it to go down. If you add a second rock that might not move it, either. But eventually you will reach the point where the weight on the upper end suddenly causes the high end of the seesaw to fall. This is how pain threshold works. You really don't feel pain even though something has the potential to cause it until there is enough "weight" to tip over the pain threshold -- then you feel it suddenly. www.vetinfo.com/dpain.htmlOnce you have phoned the vet and indicate you concern about the pain Bruce is being subjected to til the pain meds are RX'd to be just right for him, then please fill us in on a few more details. -- Pain should be fully under control in one hour and thereafter dose to dose of the pain meds - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? -- How much does your dog weigh? Would you give us a list of exact med names currently given, their doses in mg's and frequencies? -- Eating and drinking OK? How are poops today- normal color and firmness, no dark or bright red blood? -- Currently can your dog wobbly walk? -- If there is pain or neuro diminishment, dogs can benefit greatly with acupuncture or laser light therapy. These therapies can be be started right away to help relieve pain and to also to kick start energy production in nerve cells to sprout. So if this therapy is in your budget, seek out a holistic vet. ahvma.org/Widgets/FindVet.html www.serenityvetacupuncture.com/index.php/faq_/ [one vet's overview/prices] Chiropractic is not recommended for IVDD dogs. Never give up, stay focused, stay postitive and stay strong! You and Bruce will get through this bump in the road of life.
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Post by Megan & Bruce on Aug 1, 2014 18:01:11 GMT -7
Hi Paula,
Thank you so much for your response. It is great to finally get some answers. We called our vet today and left a message to adjust the pain meds. In the mean time, we have increased the dosage of tramadol.
Bruce weighs approximately 12 kilos and he is taking the following medications:
.125mg of dexamethasone once a day (we break a .5mg pill in fours to give him a quarter a day) 75mg of tramadol 4 times a day 10 mg of pepsid twice a day
I suggested the the additional meds that you mentioned and we're waiting to hear back. Already with the increase of tramadol, Bruce has had a much better day. No panting/shaking episodes so far and we're starting to see his personality coming back - he gets up and wags his tail when we walk into the room, etc.
He is eating and drinking ok. He was not as keen to eat his usual meal, however, with a few pieces of cheese sprinkled on top, he finished the bowl. His poops are increasing in firmness though still soft - he had diahrea along with a bit of blood a few days ago, but we have since ensured that the pepsid is given half an hour before the dexamethasone and we have seen improvement (no longer any blood in his stool).
He is currently able to wobbly walk. He continues to cross his hind legs and sometimes drags his right hind paw, but he seems to have a bit more control while finding a spot to go to the bathroom.
My question about the acupuncture, is does the dog need to be relaxed and lying down in order for it to be effective? Typically Bruce is a rather anxious dog and we usually have a tough time calming him down whenever we take him to the vet.
Once again, thank you so much for your help. I am trying to stay positive and I hope that Bruce has another good day tomorrow.
Megan
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Post by Pauliana on Aug 1, 2014 22:10:50 GMT -7
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