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Post by mlthackerson on Aug 1, 2013 10:00:49 GMT -7
I have a sweet 5 year old doxie named Jude. We are not sure when exactly she injured her back, but she got into a fight with her Jack Russell sister and just seemed a bit "off" since then. Several days ago I noticed she didn't want to walk and when she did, she was walking funny. Took her to the vet who thought it was her right back leg and did xrays, found nothing but prescribed steroid, muscle relaxers, and tramadol for pain. That evening, after really checking her over and watching her, we realized it was her back and put in a call to the emergency vet. This ended up with continued meds, but upping the dose of tramadol and putting her on crate rest. I have to take her in tomorrow for a follow up. My problems at the moment: 1. Taking her to the bathroom is a nightmare. She screams when we pick her up and set her down. I feel so bad for her I want to cry but I don't know how else to do this. 2. She is eating fine (she loves her food lol!) but she doesn't want to drink, which in turn means she is urinating but maybe once a day. I am going to try a syringe with pedialyte, which someone recommended to hydrate her. 3. She still has feeling in her legs, but I'm not sure if she is incontinent or not with her not urinating. She did have a bowel movement on accident last night, but this was when my husband was trying to pick her up and she was hurting a lot. She hasn't had any other accidents as far a I can tell. 4. When will she not be in so much pain? She seems fine when she is just lying still, but any movement and she screams :/. This is starting her third day of meds so I'm hoping soon. Thanks for reading and any advice or encouragement would be appreciated!
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StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
Posts: 1,335
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Post by StevieLuv on Aug 1, 2013 10:16:40 GMT -7
Hi,my name is Maureen, What's yours? Welcome to Dodgerslist, I am sorry that Jude is having an IVDD episode. There is so much to learn here, and becoming a reader will help you in dealing with IVDD and becoming the best advocate for Jude that you can be. So here are some links and information to get you started: 1. Lift and carry 2. You can also use unsalted/ low sodium chicken broth to help maintain hydration. If you are using pedialyte it should probably be the unflavoured type ( we use that in parrots too!) 3. If she cannot control her bladder or bowel then you can learn to express her. A hands on lesson from the Vet or Tech is ideal. Once you can do this, you are better able to control the where and when of elimination. www.dodgerslist.com/literature/Expressing.htm4. Pain is NOT an option!! If she still is in pain then you need to call your Vet and demand better pain control for her! What is her dose of Tramadol and how often are you giving it? Tramadol has a very short half life (doesn't last long) and can be given every 6-8 hours if needed. Ask your Vet about adjusting the dose or timing, or adding another medication such as gabapentin to her pain control regimen. Info on On healing and pain www.dodgerslist.com/literature/healingpain.htmIs she on 100% crate rest? 100% STRICT crate rest 24/7 only out to potty for a full 8 weeks is the SINGLE most important thing you can do to help Jude- it is the hallmark component of conservative treatment. …. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No baths, no chiro (aka VOM). In other words do everything you can to limit the vertebrae in the back from moving and putting pressure on the bad disc. The crate is the only surface that is firm, supportive for the spine, not inclining, always horizontal and keeps a dog from darting off at a TV doorbell and safe. The rest of the details of doing crate rest to ensure the best recovery in this excellent document: www.dodgerslist.com/literature/CrateRRP.htm The purpose of crate rest is to act as a cast of sorts to let the disc heal… only limited movement of STRICT crate rest allows that to happen…there are no meds to heal a disc. Immediate neuro improvement may or may not come during the 8 weeks of crate rest… as nerves may take more than 8 weeks to heal. Here is another good place to start reading www.dodgerslist.com/healingindex.htmCan you give us a list of all of her medications and their dosages - that will help us to help you I hope that this helps to get you started. We are all here to help, and we are all in this together - you are not alone anymore. Please keep us posted!! Keeping you in thought and prayer:)
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Post by mlthackerson on Aug 1, 2013 13:08:55 GMT -7
Thanks so much! I am taking her back the vet tomorrow to see about her pain meds. She is currently on Tramadol 50mg 2x a day. She also takes prednisone and Robimax(?) 2x a day. I'm not sure of the dosage as I am at work right now :/. We do have her crated and only get her out to use the bathroom. She seems fine (with a little whining) while crated and stays quiet and still. I do move her crate around, depending on we are doing though. I bring her to the room where someone is so she is not all alone. I am heading to the store for chicken broth and pedialyte when I get off work. I am so glad someone answered my post! I can't tell you how good it is to know my baby should be okay! And I don't have to cry alone lol. Thanks so much!
Oh and this site is so informative it even answered my question about using a chiropractor! My boss has a friend who is a chiropractor and he said he could fix her back, but I was too afraid to try! Glad I found this information!
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Sabrina
Helpful Member
My Charley-dog, a Dodger'sList grad enjoying life!
Posts: 471
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Post by Sabrina on Aug 1, 2013 13:30:28 GMT -7
Hi! I'm Sabrina, my dachshund Charley is in the midst of his first IVDD episode. Dodger'sList has been such a blessing - I would be totally lost without it. I'm so sorry you and Jude have to go through this, too. )))Hugs!((( Hopefully your vet will be proactive with the dosage/possibly additional pain meds so that Jude is out of pain as soon as possible. But do read up on the pain control link so you know what to advocate for if it comes to that. Are you handy with DIY projects or do you know someone who is? My husband made me a "dolly" for Charley's crate out of a piece of sturdy wood and four caster wheels (he got them at Walmart for under $3 each) so that I can roll Charley's crate from room to room. That keeps the crate level and makes it so much easier to keep him close to us. Jude is so lucky to have you. Well done for researching so that you know not to take her for chiropractic work. www.dodgerslist.com/literature/chiropractic.htmwww.dodgerslist.com/literature/chiro.htmMore )))hugs((( - hang in there.
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Post by mlthackerson on Aug 1, 2013 14:25:05 GMT -7
Hi, Sabrina! I was just thinking about making something so we could wheel the crate around easier! I'm sorry about your, Charley. I always knew dachshunds were prone to back problems, but I had no idea what that would entail! I just feel so very bad for poor things! (((((HUGS)))) back to you!
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StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
Posts: 1,335
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Post by StevieLuv on Aug 1, 2013 14:37:19 GMT -7
Can you put in a call to yopur Vet today and ask about increasing the frequency of the Tramadol? A stomach protector should also be on board - Pepcid AC is available over the counter at the drugstore - We follow proactive vets and give our approx 13-20 lbs doxies 5mg 30 mins prior to Prednisone. Phrase the question to your vet in this particular way: "Is there any medical reason my dog may not take Pepcid AC?" I'm glad that you are finding this site helpful
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Post by mlthackerson on Aug 1, 2013 16:20:25 GMT -7
After reading more on the meds, I realized the Robaxin she was given as a muscle relaxer is also listed as a pain med. I decided that since that an the tramadol are both twice daily, I would alternate them instead of giving them both at once. I take her to the vet again tomorrow so I will discuss that and the Prevacid with him. She seemed to be doing better when I came home from work and was excited to see me and she drank the chicken broth and some water, thank goodness! She was also sitting in urine though :/. Idk if she doesn't have bladder control or she just didn't want to move. Her pain does seem to be less. I have her crate set up like this site suggests so she should be comfy and she seems to be moving her back legs more than before and she just looks more comfortable!
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Post by Pauliana on Aug 1, 2013 19:24:42 GMT -7
Hi, I am Pauliana, what is your name? Yes Robaxin is for the pain of muscle spasms.. Tramadol is a general pain reliever and is more effective given every 8 hours. It's a very short acting drug, as Maureen mentioned above.. I wouldn't alternate them but speak with the Vet about changing the frequency to 3 times a day.. Glad she seems to be feeling better but if she seems to be in any pain at all, that slows down the healing process. Disc episodes are extremely painful and it takes communication with your Vet to get the pain meds right as well as the dosages and frequencies.. If one medication doesn't work then there is another one that will. So watch carefully, if she isn't pain free dose to dose, adjustments need to be made until she is.. While on Prednisone she will be very thirsty and also have to pee more frequently like every 2 to 3 hours, that is likely why she was sitting in her urine.. She either has no bladder control and overflowed or needs to go outside more frequently.. is there anyone home during the day to take her for potty breaks (or to express her)while you are at work? The way to tell if she has bladder control is to gently carry her supporting her front end and back end to a favorite pee spot and see if she sniffs and releases urine.. If she does, she has bladder control, if she doesn't, then she needs to be expressed. Also it would be a good idea to take a urine sample into her vet to have her tested for a UTI. By the way it is Pepcid AC 3) minutes prior to Prednisone which should be given with food.. It is faster acting than Prevacid which doesn't kick in for several days while Pepcid kicks in within 30 minutes.. I know how upsetting this is, I have been through it with my Tyler..but you can be instrumental in Jude's recovery by learning all about IVDD so you can advocate for her and help her get back to her happy life.. Sending comfort your way...
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Post by Yvonne & Billy on Aug 1, 2013 20:03:13 GMT -7
I just wanted to send you some hugs. All of us on this forum need hugs. =)
Sending good karma and healing vibes your way...
Yvonne
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Post by mlthackerson on Aug 2, 2013 6:11:56 GMT -7
I'm sorry I forgot to introduce myself... My name is Maradith I feel so much better prepared for the visit to the vet this afternoon! I know what to ask him about and for specifically. I'm happy to say Jude is at least feeling better this morning. When I picked her up to take her outside, there was minimal crying, thank goodness. And she is more herself. She hasn't had anymore accidents but she hasn't gone to the bathroom when I've taken her outside either :/. She did a little sniffing around then just and looked at me lol.
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Post by mlthackerson on Aug 2, 2013 14:24:28 GMT -7
Just got back from the vet. Meds are straightened out! Everything actually looked better except for her bathroom issues. She hasn't been urinating and when the vet picked her up she peed about a gallon all over the place lol. So looks like we will be expressing her bladder. The vet gave me a lesson on it and hope I can do it!
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Post by Pauliana on Aug 2, 2013 21:06:39 GMT -7
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Post by mlthackerson on Aug 3, 2013 8:16:11 GMT -7
Expressing is hard! So far nothing -_-
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Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
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Post by Marjorie on Aug 3, 2013 9:59:38 GMT -7
When I first started expressing Jeremy, I didn't think I'd be able to do it but with some practice, it got a lot easier. If Jude is tensing up, you can use a warm towel to relax her, which might help. The bladder is like a balloon that keeps slipping away. As the urine releases, the bladder gets smaller and moves around. Sometimes if it slips away, you have to gently feel around for it. It might be back by her hip area. You should express until the bladder is flat so no urine lays in the bladder, which can cause a UTI. Keep trying - you'll get it!
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Post by mlthackerson on Aug 3, 2013 10:33:18 GMT -7
Took her back to the vet for another lesson lol. It wasn't that we were necessarily doing it wrong, but that she is so tensed up. He got her emptied and we have a better idea of what to do.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Aug 3, 2013 11:26:11 GMT -7
I quickly learned where I was expressing was part of the tensing up problem with Clark. Outdoors there is too much going on, too many smells that made him tighten his tummy and I could not feel the bladder. Can you express indoors on either a pee pad or on the shower stall floor with a traction mat? The warm towel from the dryer Marjorie mentioned can also help to relax them. Keep us posted on your expressing today….you will be successful… it is just a matter of practice.
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Post by mlthackerson on Aug 3, 2013 17:47:48 GMT -7
We tried expressing Jude again with no luck. About an hour later she was whining so I took her outside and thought maybe it was worth a shot to try, and she peed on her own!!! I have never been so happy for a dog to pee lol!!!
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Post by Pauliana on Aug 3, 2013 19:18:42 GMT -7
That's wonderful.. Sometimes they tense up and refuse to be expressed when bladder control is returning! I am so glad for you and Jude!!
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