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Post by Sierra on Oct 4, 2019 10:53:12 GMT -7
9 month old puppy Sugarbear Hello, I’m at a loss. My 9 month old corgi mini Aussie mix puppy just got back from the vet due to an immense amount of pain. I’ve never heard of this disease. The vet only said she has a slipped or partial slipped disc and gave me pain meds [Moderator's Note. Please do not edit 16 lbs 10/4 crate rest Carprofen as of 10/4: 12.5mgs 2x/day for 5 days then 10/9 stop test for _pain/ _neuro Tramadol 25mgs 2x/day no GI tract protector, Pepcid AC, on board w/ an anti-inflammatory ! ]
and said if she’s not better by Monday she’ll need X-rays. I’m so confused. I lost my job, I’m a full time college student and I’m at a loss. She can still use all her limbs but stiffly and worst of all it’s a Friday and the vet wasn’t of much help. I looked up her symptoms since the vet didn’t say anything but slipped disc and everything matches this disease. This has all progressed I a 48 hour period and she is on strict crate rest. Please help!!!?
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Post by Romy & Frankie on Oct 4, 2019 13:34:06 GMT -7
Welcome to Dodgerslist. We are so glad you’ve joined us all. We’ve got valuable information we’ve gleaned from the vets Dodgerslist consults with and our own experiences with IVDD since 2002 to share with you! It is important to know that disc disease is not a death sentence! Struggling with quality of life questions for your dog? Re-think things: www.dodgerslist.com/index/SDUNCANquality.htmYou have done the very best thing by crating Sugarbear. It is Strict crate rest that will help the disk to heal. The hallmark component of conservative treatment is the very STRICT crate rest part (no PT, little movement). With little blood supply discs are much slower to form good scar tissue than it takes a blood rich broken bone to heal. Those weeks of a cast for a broken arm to heal is similar to the recovery suite being a kind of cast for the disc. 100% STRICT crate rest 24/7 for 8 weeks provides limited movement to allow good strong scar tissue to form. www.dodgerslist.com/literature/CrateRRP.htmSTRICT means:
◼︎no laps
◼︎no couches
◼︎no baths
◼︎no sleeping with you
◼︎no dragging or meandering at potty times.
◼︎no PT for conservative dogs during 8 weeks to heal disc
◼︎At home laser or acupuncture for severe neuro damage is best. Transports are always a risk to the disc of too much movement. Vet visits must be weighed risk vs. benefit for dogs with little to mild neuro diminishment. Carry to and from the recovery suite to the potty place and then allow a 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! In addition to crate rest and pain meds an anti-inflammatory is needed to diminish the swelling of the spinal cord. It is this swelling that causes the pain and neuro deficits like problems walking.
Could you please tell us exactly what meds Sugarbear was given, including dosage and frequency? Is there still currently pain? These are the signs of pain we look for: ☐shivering, trembling ☐yelping when picked up or moved ☐reluctant to move much in crate such as shift positions or slow to move ☐tight tense tummy ☐can’t find a comfortable position ☐Arched back ☐ Holding front or back leg flamingo style not wanting to bear weight ☐head held high or nose to the ground ☐Not their normal perky selves? Full pain relief is expected in 1 hour and stays that way between doses. If not in control your vet needs to know asap to adjust meds. Your dog should not be in pain. How much does Sugarbear weigh?
All IVDD dogs, which is the official name for dogs with a slipped or herniated disc, should be on a stomach protector like Pepcid AC to prevent stomach damage caused by excess stomach acids. Dogs on anti-inflammatories are particularly at risk of excess acid. The anti-inflammatories cause excess stomach acid but just the stress of pain and body changes can also cause excess stomach acid which can lead to serious stomach damage.
Ask the vet 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).
The usual dose of Pepcid AC (famotidine) for dogs is 0.44mg per pound, 30 mins before the anti-inflammatory and thereafter every 12 hours for as long as your dog is on the anti-inflammatory. www.1800petmeds.com/Famotidine-prod11171.htmlTo summarize, it is very important that Sugarbear starts taking an anti-inflammatory. Please call the vet right away and advocate for this. If there are any signs of pain, the vet should know so pain meds can be adjusted. She should not be in pain.
Kudos to you for recognizing the need to start crate rest. X-Rays are not usually necessary for an IVDD dog. This is because an X-Ray will only show the bones of the vertebrae and not the discs themselves. Generally speaking, X-rays are used to rule out other problems mimicking IVDD. Sugarbear is young for IVDD so maybe the vet is concerned it might be something else.
If Sugarbear is not better by Monday, do not be concerned. It can take up to 30 days on the anti-inflammtory to eliminate the swelling in the spinal cord and nerve damage takes even longer to heal. We encourage you to register and become a member of the Forum. That way it will be easier for you to reply and make it easier for us to track your dog and give the best of comments and support. Tips on registering: www.dodgerslist.com/forumads/RegisterFORUM/register.htmKnowledge is the power to fight the IVDD enemy and win!! The very best thing you can do for YOU, the caregiver, and for your dog is to get up to speed on IVDD as soon as possible. Begin absorbing the must-have overall sense of meds, care and how the treatment works. Your dog will be depending on your ability to learn - excellent video series here:
--PRINT OUT this link and tape to your fridge: www.dodgerslist.com/literature/healingpage.htm --use the printout as your roadmap to avoid dangerous detours in your dog’s care --make notes/highlight to keep yourself on track --follow all the links in the next days to become the IVDD savvy pet parent your dog needs. Use the “search box” to easily locate topics over at our Main www.Dodgerslist.com website:
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Post by Sierra on Oct 4, 2019 16:37:14 GMT -7
Sugarbears pain meds: Tramadol - 50 mg. half a tablet twice a day and there are 5 tablets carprofen- 25 mg. Half a tablet twice daily and there are 5 tablets Sugarbear is 16 lbs and 9 1/2 months old. -she has use of all limbs, seems happier up and about when on her meds. She is a puppy so she wants to play and lounge on the couch. Jumping and fetch are her favorite things. Running fast and tugawar also are. She is Aussie mix so she’s a happy ball of energy. She got X-rays and the vet said everything looks normal and acted as if I pointlessly came in. Said none of her discs are out of place. What next?
Moved to this Forum a post made on Dodgerslist FB mail 11:30am 10/4: Hello, my 10 month old mini Aussie Corgi mix has been show signs of pain. Shivering, lowered head, stiff walk, pain when picked up. I took her to the vet and she told me it’s possible to have a partial or slipped disc. She gave me pain medicine and said if she’s not better by Monday then she’ll need X-rays. I just lost my job, I am a college student and I don’t know what to do. She’s in so much pain and I just don’t know what to do.
10/4 5:01pm: I got her into a 2nd vet and they did some X-rays and he said everything was normal and that she might just have a pinched nerve. The vet told me to give her pain meds over the weekend and check back Monday.
From a fundraising page: But on October 2, 2019 Sugarbear started acting strange, she would let out painful cry’s when picked up or handled, she began to tremble/shake, no longer enjoyed fetch or tug of war. She she would cry trying to jump on the couch and she could no longer bend over to the floor [neck disc indication ] to eat her her food. She has seen 2 veterinarians and I have been told that the has “IVDD” Intervertebral Disc Disease. The vet has notified that in order to properly recover she will need an MRI and surgery as soon as possible before paralysis. Without treatment she will progress. She has progressed this terrible within 48 hrs and I’m really afraid and weak hearted for what is to come. With surgery she will have a 96% chance of full recovery.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Oct 4, 2019 17:02:28 GMT -7
Sierra, could you please register and login. The guest board is a temporary Guest courtesy to get immediate help until you can register. I encourage you to register and login. That way all the features of the Forum are available to you, making it faster to reply and get an email alert about replies. It also makes is far easier for us to track your dog, get timely communication to you, and give the best assistance. Illustrated what to expect during registration: www.dodgerslist.com/forumads/RegisterFORUM/register.htm 10/4 6:54pm I am re-writing this post as the information you wrote us on FB has been brought to my attention and it changes a lot of things I would comment on. Every detail is an important clue to us in best helping a dog. Please let us know you are not letting her out of the recovery suite to protect that damaged disc (slipped disc) from worsening with great protential to in turn damage the spinal cord.
CLEARLY any vet who is in a comfort zone about IVDD would be VERY, VERY suspicious that Sugarbear has a neck disc episode going on! When a dog is on an anti-inflammatory drug (carprofen) AND taking a med that masks pain (tramadol) then what does one expect? One expects the pain to be gone or quite reduced! That is the danger if this is indeed a disc episode. The dog feels better and does too much movement with potential for severe disc damage that in turn can cause severe nerve damage. XRAYs can't prove where a disc episode is as they show hard tissue such as bone NOT soft tissue of the disc and the spinal cord. An xray maybe, might help to suspicion a disc episode with a vet who has a developed a well trained eye. Mostly xray is used to rule out a suspion of other disease not prove where a problematic disc is. Mostly a disc episode is diagnosed without the risky business of taking an xray via the breeds known to be prone to IVDD (doxies, corgies, etc), the way the animal acts at the hands on exam at the vet. So I would be quite wary about letting Sugarbear out of the recovery suite except to be carried to an from the potty place It is the end/stop of carprofen on Oct 9 that is the time for you to monitor for any hint of pain surfacing or neuro worsenng ALL THE WHILE THAT SUGAR remains in his recovery suite. Tramadol would also be stopped so that if there were to still be painful spinal cord swelling it would not be masked. You would be able to give an accurate report to the vet about pain or no pain. Actually for a disc episode in the neck, quite often it takes more than a single 5-day course of carprofen. It may take another 7- or 14- day course of carprofen til all the painful spinal cord swelling is gone. Often, too with a neck disc, because they are so, SO painful, it takes three pain meds. Each pain med covering a differeing type of pain. Please read the extra thing you can do at home to help Sugar. Also at this link are the three pain meds thae are typically on board at the same time to provide full round the clock comfort from pain. EXTRA THINGS YOU CAN DO for a NECK DISC: www.dodgerslist.com/literature/cervical.htmSo until you are sure Sugabear does not have a disc episode (slipped disc), it is important to maintain 100% STRICT crate rest 24/7 only out for a very, very few footsteps at potty time so that the disc can heal by the end of 8 weeks of limited movement. It is also i mportant to get Pepcid AC on board with that Carprofen.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 The pain meds are not yet right if you are still seeing any pain. Please phone rather than risk too much movement by visiting your vet. Vet who know iVDD are ok with listening to feedback from owenrs and adjusting meds over the phone. Advocate that each of these pain meds be given 3x/day (every 8 hours) if you are still seeing pain surface. —Methocarbamol works on the pain of muscle spasms. — Tramadol is the general pain reliever. — Gabapentin works on nerve pain. There should be no sign of pain from one dose of meds to the next. Have no patience with pain as it does hinder healing. Look for your dog to be acting their normal, perky self when pain is fully under control round the clock.
Let us know you are NOT seeing any signs of pain that you had reported earlier this morning.: ◻︎ still? shivering-trembling ◻︎ yelping when picked up or moved ◻︎ slow to move ◻︎ tight tense tummy ◻︎ arched back, ears pinned back ◻︎ yelping ◻︎ restless, can't find a comfortable position ◻︎ slow or reluctant to move much in crate such as shift positions ◻︎ not their normal perky selves +Specific to neck disc episodes: ◻︎ head held high or still? nose to the ground.
◻︎ 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
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Oct 5, 2019 7:15:21 GMT -7
See my post above.... Also REGARDING info found on your fundraising page-- Actually a neck disc has a very good chance to heal with conservative treatment. True, strict adherance to the principals of conservative treatment of meds to relieve painful swelling and the single most important care of 100% STRICT crate rest 24/7 with only a very, very few footsteps at potty time is to avoid a very expensive surgery! Here is an excellent link to bone up on surgery vs. conservative so YOU will be an informed IVDD dog owner armed with correct information to make good treatment decisions based on facts not fear: www.dodgerslist.com/literature/healingsurgery.htm-- To properly heal her disc she DOES NOT need an MRI! Many, many dogs do heal their neck disc and go on to live many happy years ahead. Again knowing the true information, allows you to make decisions not from a "being scared place" but from an informed owner place. Only a board certified neuro (ACVIM) or an ortho (ACVS) are the one to tell you when a surgery might be considered. General DVM vets are the ones who can refer you to a specialist. At this point in time, Sugar has a VERY, VERY good chance to heal properly and in comfort under conservative treatment IF you have the ability to follow the principals of conservative treatment to the "T." Good reading with illustrated tips to help you get a recovery suite set up www.dodgerslist.com/literature/healingdisc.htm-- Most DVMs in a general practice see many different species- hampsters, cats, all breeds of dogs, reptiles, birds, maybe even farm animals. They practice many specialties in the course of a day: pediatrics, dentistry, surgery, internal medicine. Is it surprising, that keeping current and indepth knowledge of each and every disease for every species is probably not likely? However YOU can easily become a mini-expert on one very-important-to-you disease. Knowledge is key with IVDD! IT allows you to sort out misinformation by those well meaning but not up to speed on IVDD. I allows you to dialog with a vet and understand better what he is saying. Knowlege allows you to hire a vet comfortable with their knowlege of IVDD if you need to find a new vet to support you and Sugar. Our treasure trove of IVDD information is available and we are here to answers your questions and support you in caring for Sugar. ---- Treasure trove: www.dodgerslist.com/healingindex.htm-- Did you receive the $3900 quote from a specialist surgeon: neuro (DVM, ACVIM) or an ortho (DVM, ACVS)? Was Sugar seen by a specialist surgeron (that 2nd vet) you saw. Or was the 2nd vet a general DVM vet?
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Post by Sierra’s Sugarbear on Oct 5, 2019 12:48:50 GMT -7
Yes, I called the closest animal hospital in Bryan college station and they quoted an estimate for an MRI not including surgery would be $3,900 give or take with possible half up front with a payment plan. It’s a lot of money and my plans are to do conservative treatment in the meantime since its very unlikely to reach my goal but I figured a go fund me is at least trying and anything is possible. I would prefer a specialist and MRI with surgery but without proper funding; conservative would be the best hope. I won’t give up because even just a little money could be put towards medicine and vet visits. Or maybe even an IVDD vest brace to help guard her spinal cord from another episode. Sugarbear’s trembling is completely gone while on her medicine but when she moves around in her crate you can see some discomfort. She’s not in as much pain as she was before the vet visits. She has regular poops and pee. I do walk her to go potty which is not far since I am in an apartment. Potty is the only time she gets out and you can tell she enjoys it because she wags her little nubby tail. My veterinarian is closed over the weekend and I have only $50 which enough money for the visit fee which is $44. I really hope her pain is gone by then because pain meds might be out of the question once they are all gone. I am doing what I can and I am an artist so I have a commission I will try and finsh quickly to get some money for Medicine.
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Post by Romy & Frankie on Oct 5, 2019 13:21:32 GMT -7
MRI's are pricey but are not usually necessary for a dog being treated conservatively. An MRI is usually used before surgery so the surgeon can know where to operate. Since conservative treatment treats all discs, an MRI is not required. A back brace would not be a preventative measure since the problems are caused by hardening of the disc. Any activity such as turning to lick a paw or putting on and off a brace could be the last straw for a disc that is no longer flexible. You can read the discussion on back braces to learn in more detail why they are not supported by Dodgerslist. dodgerslist.boards.net/thread/826/back-bracesPlease keep her footsteps to an absolute minimum when taking her to potty. It is the immobility enforced by crate rest that heals the disc.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Oct 5, 2019 14:23:10 GMT -7
Sierra, wrong thinking about the pain she is currently in. Avoid vet vists as they cause too much movement of the neck and back. Any vet who knows IVDD will take your pain observations over the phone and write an Rx to where you can get best price on meds.
-- Call in today if not too late to get the pain meds adjusted. --Sugar is being way, WAY UNDER MEDICATED for pain for a 16 lbs dog! Advocate on the phone (NO vet visits should be needed to adjust meds) 1) Tramadol to 50 mgs promptly every 8 hrs. Present this idea of an aggressive pain med approach. Never good idea to self prescribe for your dog, that's the vet's job or find a new vet who is used to using an aggressive pain med approach. 2) Gabapentin which addresses the specific kind of pain: nerve pain also every 8 hrs. 3) methocarbamol. Addresses the specific kind of pain of muscle contraction that is quite typical to a neck disc and often with a back disc as well.
Be up front with your vet about your personal financial situation. Meds from the vet's shelf are a convenience of being right there, no stopping off to fill an Rx.. You pay extra for that convenience.
Do you home work around your town's pharmacies. Prices change often and pharmacy to pharmacy the prices can be way different. --- Price shop cost of maybe ten 500mg tabs of methocarbamol (as your vet would very likley cut them into quarters. Ask where there is a price break maybe it's at 10 pills. --- Price shop cost of maybe ten gabapentin 100mg capsules. Ask where there is a price break for better per capsule of powder cost. --- Price shop cost of maybe 30 tramadol 50mg tablets. Again is there a better price?break quantity.
When it is not time for a surgery such as it as this point in time, Conservative treatment is the correct way to go. Most surgeons would not operate on a dog who can still move their legs in a walking motion! Your vets are really jumping the gun, scaring you.
For conservative treatment to work, it is very important to be using an aggressive pain med approach these vets are not yet using. Pain is not only a kind of torture but studies show it will hinder the healing process.
Call in all chips owed you, pawn something., offer your talent in exchange for $$ now to get that pain in control for Sugar.
Carry Sugar out your apartment over to where the potty place is. Set Sugar down on an old pee spot. Sugar may not take more than a few footsteps (NO WALKING AROUND anywhere). The entire focus on conservative treatment is the critical part of limited movement of the neck and the back. Once Sugar has gone to the bathroom, pick her up and carry her back to a recovery suite.
You can do this!
Let me know what the issue is to getting registered and logging in to the Forum. I may be able to help you navigate any stumbling block you are finding.
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Post by Romy & Frankie on Oct 5, 2019 14:32:53 GMT -7
We always suggest members do not update a previous post but create a new one. If you update, it is possible we may miss some critical information. I am glad that Sugarbear is not in as much pain but Sugarbear should not be in pain at all. Since your vet already has her medical records, you should be able to advocate for a change in pain meds on the phone and not make a vet visit.
Tramadol does not last long in the body and may have to be prescribed three times a day to fully control pain. Sometimes, tramadol alone is not enough to control pain because the pain has different sources. We often see Methocarbamol prescribed for painful muscle contractions and Gabapentin for nerve pain also Rx'd 3x/day added to the tramadol..
Also, going forward you can explain your financial situation to the vet and it is possible that he may agree to a payment plan
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Post by Julie & Perry on Oct 5, 2019 17:50:55 GMT -7
Do you have any Costco's where you live? You don't need a membership to use their pharmacy.
I've found some of my dogs medications are much cheaper there and my vet called them in for me when I explained about my finances.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Oct 7, 2019 8:53:48 GMT -7
Updated information moved to this Forum to keep all members in the loop:
on behalf of Sierra dodgerslist.boards.net/user/7419 posted: I apologize but I was curious of if Kong’s with treats in them were a suitable toy. Something to keep her busy mind distracted? had no choice but 20 mg ✙ Pepcid AC tablet [Moderator's Note. Please do not edit 16 lbs 10/4 crate rest Carprofen as of 10/4: 12.5mgs 2x/day for 5 days then 10/9 stop test for _pain/ _neuro Tramadol 25mgs 2x/day ✙Pepcid AC 5mgs 2x/day]
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,528
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Post by PaulaM on Oct 7, 2019 9:05:47 GMT -7
Sierra, with a neck disc, the all important thing is to limit movement of the back and the nect (via a recovery suite). Kongs would defeat the limited movement so that the disc can heal.
Here are some things you can do: -- Make the recovery suite or ex-pen more cozy by draping a blanket over part of the top. --Move the recovery suite near the sliding glass door, so Sugar can enjoy watching what is going on. Only do this when you are at home to monitor that she is able to watch without getting excited and moving too much.
--Relaxation Music for Dogs! Here's the playlist for all 70+ "tunes"
--Dogs don't just seem to pick up on our subtle mood changes — their brains are physically wired to pick up on them via the tone of our voice or other non-vocal stimuli. Be aware you might be inadvertently training for unwanted behavior. To dogs rewards are: food, looking at them, talking to them, eye contact, approaching the crate, petting. So anytime you see unwanted behavior ignore it, turn your back, leave the room if you have to. Preferable is to start teaching what you do want before there is too much practice in doing the unwanted behavior. Anytime your dog is sitting or lying down quietly, give lavish praise as reward. Soon your dog will see they get rewards quietly relaxing in their suite.
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