naomi
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Post by naomi on May 26, 2013 18:08:13 GMT -7
Hi my name is Naomi, I found out about this site through a friend. I am not sure if I am posting in the correct area or not. I have a Black and Tan Doxie Spencer. We have had him to the vet a few days ago due to he was crying when we picked him up and if you touched his hips he would cry. The vet could not really find anything wrong with him so , could not see any back issues at the time. ( he did not cry at the vet) we had him on Metacam since Thursday but don't seem to work. This evening he was crying a lot and you can't touch his hips at all, he can walk but is being very careful and looks to be walking very stiff. We called the vet who this it may be the last two vertebra and we have to take him in tomorrow. She did call robaxin in to the pharmacy due to want she wanted to give him they could not mix tonight. He had issues with his neck last summer and was on metacam for a month and it seemed to work. I am at a loss and not sure if it is his back or not. I am not sure what to look for here, he did not poop today but don't seem to be hunched when he walks just vert stiff, any suggestions would be welcomed. He will be 8 in June.
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Post by Sherry Layman on May 26, 2013 20:28:06 GMT -7
Naomi, welcome to Dodgerslist. I'm so glad you found us but I'm so sorry Spencer is having troubles. This does indeed sound like it's his back, the stiff walking is a pretty classic sign but the other discomfort leads me to say it's his back as well. So, first you absolutely need to get Spencer in a crate so he cannot move around, this rests his back and allows the disc to heal. Here is a link to our page on crate rest, it explains the rationale and also gives some tips on setting up the crate. www.dodgerslist.com/literature/CrateRRP.htmWhile on crate rest he should only be allowed outside for a few short potty breaks every day and you should carry him to and from the crate. Place him in the yard in a spot you know is a favorite pee spot so he's likely to go quickly without needing to walk around and sniff for an acceptable spot. Take him out on a leash and harness (collars are horrible to the discs in the neck), set him down, you stand still so he only has the area the leash allows, as soon as he's done pick him up and return him to the crate. Here is a link to a video on how to properly carry him to support his back. And since he's so sensitive it would be good if you could place the crate on something such as a coffee table where you can sit on the couch in front of it, place your knees right up to the door and gently quide him onto your lap. This prevents you from lifting him out of the crate and positions him on your lap perfectly to pick him up for the trip out. The metacam is a non-steroidal anti-inflammatory and is used to reduce the inflammation in the disc but is not beneficial for pain relief. It takes time for the swelling to be relieved so in the meantime it's vital that Spencer receive medication to get him comfortable. A specific pain medication (Tramadol is commonly used) and often also a muscle relaxant are necessary to get them comfortable and keep them comfortable. Is it possible for you to take Spencer to an emergency clinic tonight to get him some pain relief? He shouldn't be allowed to be in pain. If that's not possible then when you see the vet tomorrow you need to be an advocate for Spencer and make sure you leave with pain medications. The robaxin you tried to get for him is a muscle relaxant but he also needs a medication specifically for pain. Was your vet giving the robaxin as a liquid or what is the "mixing" issue? See if you can get it as a pill quicker...my vet has prescribed this as a pill before so ask about it. Here is a link to our page on drugs, it is vital that you become familiar with any medications Spencer is taking as well as what is commonly prescribed for IVDD so you can have informed conversations with your vet and be an advocate for Spencer. -- www.dodgerslist.com/literature/drugs.htmThe metacam, as with any NSAID or steroid, is hard on Spencer's tummy. It is vital that he be on a medication to protect his stomach rather than waiting for him to show signs of stomach upset...dogs are stoic and by the time he would display signs the problem could be very severe. Pepcid (generic name famotidine) 5mg twice daily about 30 minutes prior to the metacam is what we recommend. Pepcid can be purchased at most any store. Many vets don't see this as a necessity but it is best if you ask if Spencer has any health issues that would mean he shouldn't take this medication, if he doesn't then give it. Likely he did not poop because his back hurts and attempting to poop is painful. You can make this easier for him by giving him 1 teaspoon plain canned pumpkin daily to make his poop softer and easier to pass. I would start this as soon as you can get some pumpkin to prevent him from becoming constipated. Is Spencer eating and drinking normally? This is something to keep a close eye on as it can indicate increased back pain as well as stomach upset. When he poops note the color. Black indicates the presence of blood and you would obviously want to note also any obvious fresh red blood. Both require immediate attention from your vet. Here is a link to our IVDD101 page. Lots of good info here so you need to bookmark this page and become familiar with it. This is a disease Spencer has for the rest of his life so knowing signs and symptoms, prevention of flare ups and proper treatment for flare ups is vital for Spencer's future. -- www.dodgerslist.com/literature.htmPlease do let us know what your vet says tomorrow as well as how Spencer is doing. Hang in there. We've all been through this and we'll help you get him comfy and get you both through this episode.
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naomi
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Post by naomi on May 27, 2013 8:03:19 GMT -7
I worded my last post a bit wrong I think. We did have him on robaxin a pill last night. We took him to the vet today, she did a x-ray and she could see a calcified disk down by his tail area, she said usually where this is that it don't usually cause a dog to go paralyzed. We have him on strict crate rest as well as Metacam 0.3 ml every 24 hours and Gabapentin 0.3 ml every 8 hours. As well I spoke to her about Pepcid and she said I could give him 5mg a day. As well we are going to give him a robaxin once or twice a day for the first few days. The vet and pharmacist said he may get sleepy with it mixed with the Gabapentin, and see how he makes out with it. And if need to give the robaxin just once a day. So far he has had the robaxin at 8 this morning and soon he will get the Gabapentin and the metacam at 6:30 this evening. He did eat and drink today as well as he did pee and poo so that is good. We got a wire crate for him now and will keep him in that. The vet told us to monitor him as a calcified disk may not necessarily mean a ruptured disk. She said watch and make sure he is going to the bathroom. She is also going to call the neurologist in Montreal and see what they have to say. As that is the closest area to get a ct scan or anything else but we are hoping that it is not that bad and with the meds and crate rest he will be fine. I am montiering him so I guess we will see, thank you so much for getting back to me and any info and other suggestions you have I welcome . His poo was normal color so I was happy with that.
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PaulaM
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Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on May 27, 2013 8:33:16 GMT -7
Naomi what was the date you started 100% STRICT crate rest 24/7 only out for potty breaks. We use that date to keep track of disc healing and when graduation will be in 8 weeks time. You have a vet who is very comfortable in treating disc disease… She is exactly right a disc problem is not necessarily where a calcification shows on xrays. Xrays are used more to rule out other things that mimic IVDD such as fractures, tumors, etc. We building a directory of IVDD recommended vets… would you add yours here: dodgerslist.boards.net/board/10/guidelines-postingSpencer is a good candidate to recover under conservative treatment again. You will find some very good information to refresh your mind on how conservative treatment works, the meds, what neuro functions to monitor for etc on this page. Well worth a look in addition to what Sherry has recommended: www.dodgerslist.com/healingindex.htmFor some dogs it make take three pain meds (gabapentin, robaxin and Tramadol) to fully control pain dose to dose. Pain control is the first part of healing that must take place in a matter of an hour when the med are properly prescribed for Spencer and thereafter dose to dose. Pain control is not a one size fits all deal….so do not hesitate to give feedback and work with your vet. Do let us know you are not seeing any signs of pain. - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy, holding leg flamingo style not wanting to bear weight? Often it takes being at the anti-inflamamtory for 1-2 weeks or even for some dogs more like a month before all the swelling is gone. On the stop of Metacam when the vet makes a guess all the swelling might be gone is the time to assess just how well reduction of swelling is going by observing for any pain arising again. Do keep us posted on your Spencer.
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naomi
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Post by naomi on May 27, 2013 9:22:42 GMT -7
We just got off the phone with the vet, she spoke to the neurologist in Montreal and they recommended we take him out for surgery because of where the calcification is that it won't go away and we will be going through this every few months with him in alot of pain.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on May 27, 2013 9:38:27 GMT -7
Naomi, do take advantage of the good information on surgery we have for you. An informed owner can make the best decisions in consultations with a vet and feel comfortable they have chosen the right course of action. www.dodgerslist.com/healingindex.htmCalcifications will never go away… they are not usually the location of where the current disc episode is happening. Dogs who are still able to move their legs are usually not a surgical candidate because the vets want to try the least invasive method first….. conservative treatment. If after repeated attempt to go off the anti-inflammatory and pain will not subside then surgery would be a consideration. All about surgery and what to expect… very good background information. www.dodgerslist.com/literature/healingsurgery.htmWe'll be here to support you whether surgery or conservative treatment.
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Post by Maylin & Molly on May 27, 2013 13:24:01 GMT -7
Good luck Spencer, you are in good hands. Xo
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naomi
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Post by naomi on Jun 1, 2013 6:39:46 GMT -7
Hi I just wanted to give you an update on Spencer . He was at the hospital in Montreal. They did an MRI and what was showing on the x-ray here was not what showed up out their. It showed he had a disk extrusion in the t-zone area not the lower back area. Now we are not aware of him having pain in this area. He was having pain in the lower back area. The neurologist said that he would not be having pain in that area from this. As well his mobility is good. She got a second opinion and they agreeded that this right now is not an issue so they did not do sugary due to it could do more damage than good. An orthopaedic surgeon looked at him as well and he was just showing some discomfort in the lower back but it is not disk related. He is on his way home now , they advised us to crate him for 3 weeks and to keep him on Gabapentin 0.3 only for two weeks. No metacam or robaxin. I am very happy that he does not need surgery and they said he could go the rest of his life and that never be a problem. He did have minor calcification but they said he was in really good shape for his breed. They also advised me to make sure that my other Doxie does not try to hump him ( she do and we do stop her) because that could hurt him. This is something I would never have thought of. So hopefully after his meds and rest my little man will be good.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Jun 1, 2013 8:24:48 GMT -7
Naomi, keep in mind no matter where the problematic disc is… in the back or in the neck, the same amount of time is needed for it to self repair…. 8 weeks. There are no medications to help a disc heal. That only happens with limited movement of the spine and with time. The purpose of meds are for something different.. they are to get the swelling down which causes pain and to provide relief from pain.
So my question is if there is a pain medication (gabapentin) prescribed for 2 weeks, then why is no anti-inflammatory such as Metacam prescribed to work on getting swelling down?
If there is no pain, then why would a pain med (gabapentin) be prescribed? How did the vets explain the thinking behind the prescription they gave?
Can you update us on the pain status as you currently observe Spencer. Any signs of pain nearing the next dose of gabapentin - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy?
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