genie
New Member
Posts: 5
|
Post by genie on Aug 24, 2013 14:40:16 GMT -7
--What is your dog's name? Choco.
--What breed is your dog and did you specifically get a diagnosis of IVDD? Mini dachshund; yes.-- What was the date you saw the vet and started 100% STRICT crate rest 24/7? Friday, August 16.-- Is there still currently pain - shivering, trembling, yelping when picked up or moved, reluctant/slow to move head or body, tight hard tummy? Tight hard tummy only when I pick him up... hard to tell if he's in pain or not. No longer shivering or trembling like he was when we first brought him in to the vet. -- What are the exact names of meds currently given, their doses in mgs and frequencies? Prednisone 5mg 2x a day; methocarbamol 250mg 2x a day; Pepcid AC 1x a day; tramadol 1/4tablet 2x a day (just started the tramadol today after I took Choco to the vet for a follow-up). -- Currently can your dog wobbly walk? no. move the legs at all? no. or wag the tail when you do some happy talk? yes! -- Do you find wet bedding or leaks on you when lifted up? I did in the beginning constantly, but since I started expressing him every 3-4 hours, he hardly has any accidents. Sometimes it seems like he has bladder control though -- for example, when I take him outside, as I get closer to the grass he starts squirming, and when I put him down he starts peeing immediately, before I start squeezing. He's only done this a few times though. Most of the time I have to express. -- Eating and drinking OK? Definitely. Appetite very healthy.-- Poops OK - normal color no dark or bright red blood? Normal poop.I'm so glad I found this website; I've been reading all of the articles religiously since this happened a week ago, but just now discovered the forum. He seems like he feels okay and is as "healthy" as ever except for the part where... he can't walk. At all. Lucky for me, I crate-trained Choco when he was a puppy and he LOVES being in his crate, so getting him to stay in it has been very easy. I've gotten very good at " expressing" him, but the past couple days, it has gotten more difficult. His stomach feels very tight and tense. I am wondering if this is because he is in pain, or because he (hopefully) is regaining bladder control and is resisting my attempts to squeeze the pee out of him. I am really hoping that he will regain hind leg movement in the next 6-8 weeks, but I'm prepared to buy him a wheelchair if necessary. I got Choco for my 16th birthday present when he was only 8 weeks old, and he really is my baby. I feel guilty because, during the 4 years I was at college, Choco stayed with my mother and, though she also loves him with all of her heart, she is an older woman and didn't stop him from taking stairs, jumping off the couch, etc. I feel like those 4 years really took their toll on Choco and that's why he has IVDD at only 6.5 years old. He's also just slightly overweight at 11.5 pounds. I feed him IAMS Proactive Health, 1/4 cup twice a day, and 4-5 baby carrot sticks as a snack also twice a day. Lots of water. 1 fish oil pill with each meal. I want him to lose some weight during his healing process so he will have less weight to carry around when/if he regains hind leg movement. Any tips on ways to effectively do this are much appreciated!
|
|
|
Post by frenchiemom on Aug 24, 2013 18:08:00 GMT -7
Hi Genie, I don't have much to add. Wish I did, but I am new here too. I just wanted to say hello and wish you luck and a speedy recovery for Choco.
|
|
Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
|
Post by Marjorie on Aug 24, 2013 18:38:51 GMT -7
Dear Genie, welcome. I know how hard it is to deal with seeing your beloved pet paralyzed. Wonderful that you've been reading through all the literature on the site. Learning everything there is to know about this disease is the way you can best help Choco.
Great job on giving him the Pepcid AC, too, to protect him from the steroid side effects. However, that should be given half an hour before each dose of Prednisone.
The tight, tense tummy when being picked up is a sign of pain. You mentioned that you just started the Tramadol today. The Tramadol should have his pain under control in 1 hour and then there should not be any sign of pain between doses. If you still see a tight, tense tummy or other sign of pain, you need to immediately call your vet and speak to him about adjusting the pain meds. Tramadol is typically given every 8 hours, which is 3 times a day. What is the dosage of the Tramadol in mgs?
The best treatment you can give Choco is the strict 24/7 100% crate rest, only to be carried in and out to potty with very few steps being taken during potty time? 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). That's wonderful that he's crate trained so he's adjusting so well with being in the crate. Makes it a lot easier when they're content in there!
To check if he has urine control, take him to a spot where he's peed before, let him sniff there and if he releases urine after sniffing, then control is returning.
Try not to feel guilty about what's happened. Choco was born with this disease and it usually strikes anytime between 3 and 7 years of age and a disc episode can happen even if you've taken all necessary precautions. Just keep educating yourself and do what's best for him now. The 8 weeks is the time it takes to heal the disc but the nerve damage may take longer than that to heal, even months to a year or more. Hopefully, the nerves will heal but even if they don't, know that Choco can live a very happy life indeed.
Please keep us updated. Blessings to you both.
|
|
|
Post by Pauliana on Aug 24, 2013 19:06:09 GMT -7
Welcome to Dodgerslist Genie! Please let Choco know with your utmost confidence that things are going to be ok…because they will. With this disease self education is critical not just so you make sure the right things are being done for the best recovery but for your own emotions. The unknown is simply a scary place. Get ready to fight this disease now and in the future by knowing all things IVDD. There is no better place to start than on our main web page with "Overview: the essentials" and then read all you can as soon as possible. Here's the link www.dodgerslist.com/healingindex.htmA tight hard tummy is a sign of pain. Since he just started Tramadol have you noticed any improvement of the tight hard tummy? Any shivering or trembling or reluctance to move? Monitor him for pain, if it doesn't improve, ask the Vet if you can give it 3 times a day for better pain relief and if that doesn't work ask for an increased dosage. The important thing about pain relief is the healing aspect. Pain is detrimental to healing. Genie, please don't waste your energy on guilt.. IVDD happens because it is a degenerative disease our dogs are born with.. My Tyler had his first episode at 3 years old.. IVDD symptoms begin to appear between the ages of 3 and 7.. You had no way of knowing what was going to happen in the future while you were at college.. You can do a lot now to care for Choco during his recovery and to advocate for him with his Veterinarian.. After crate rest is over, prevent stairs and jumping but keep in mind the nature of this disease, there is no way of knowing if Choco will have one episode his entire life or more..All we an do is give them the best of care..and live with this disease the best way we can.. With knowledge. The best tool for healing short of when surgery is indicated is just what you are doing– Crate rest— 100% STRICT crate rest for 8 weeks. That means 24/7 in the crate except for potty breaks. It's lack of movement that heals. No laps, no couch, no sleeping in bed with you, no meandering, scooting or dragging around during potty times. No baths, no Chiro, no VOM. The rest of the details of doing crate rest: www.dodgerslist.com/literature/cratesupplies.htmwww.dodgerslist.com/literature/CrateRRP.htmDon't worry about a wheelchair yet. A lot can happen in 8 weeks and by then you will be better able to see where the money can be best spent..A wheelchair or physical therapy. The true success with IVDD is measured by the most important goal of returning your dog to a pain free, happy and full-of-love quality of life after crate rest. Should paralysis occur, please know that dogs do not view the lack of ability to walk as a minus as humans do. Dogs adjust to what is and then get on with the business of fully enjoying all that life has to offer until nerves repair! www.dodgerslist.com/index/SDUNCANquality.htmREGAINING NEUROLOGICAL FUNCTION has no time limit for nerves to heal. Nerve repair is individual as each injury is different and each dog’s ability to heal is different. If deep pain perception (DPP) is present, even in paralyzed legs, there is a chance your dog may be able to walk again. For those dogs who have lost DPP, do know nerve regeneration can take place and that function may return. Once deep pain perception is regained, your dog has a chance at a walking recovery. Thousands of dogs on Dodgerslist have regained functions in as little as 2 weeks, others 11 months, and still others 3 years later. IVDD is a disease of patience to allow the body to heal on its own terms. Acupuncture and Laser Therapy stimulate the cell’s metabolism that leads to the body’s natural repair abilities and can be started at any time. So glad you are doing so well with Expressing Choco.. If he becomes difficult to express sometimes that is a sign of bladder control returning.. Maybe his enthusiasm peeing outside is a good sign.. Take care and know we are here to help..
|
|
genie
New Member
Posts: 5
|
Post by genie on Aug 26, 2013 16:04:23 GMT -7
Sorry for the late responses, all! I thought I'd get an email when people responded... luckily I decided to check on the thread, and saw that people did respond! I'll check daily now . marjorie- The Tramadol pill bottle doesn't say the dosage, for some reason. But the pill is very very small, and he gets 1/4 pill twice a day. I found some Tramadol pills online that look similar and are 50mg/pill, so I think he is getting 25/mg/day, split into 2 dosages. Is this not enough? Should I call my vet and ask about upping the dosage? Also, I give him 1 Pepcid pill once a day, but I give him his Prednisone 2x a day, morning and night. Should I break the pill in half and give him a 1/2 pill 30 minutes before each Prednisone dose? Or give him one pill with each Prednisone dose? pauliana- The vet gave me the phone number of an acupuncturist nearby, but I haven't called yet. It costs about $80/1-hour session and I can't afford that, not right now anyway. In your experience, is acupuncture an invaluable expense? I don't mind paying as much as I can to help Choco. Also, I do think he has deep pain sensation, because when I put my finger in between the webbing of his back paws, he pulls them towards his body. I'm not sure if he's aware he's doing it or if it's just a physical reflex. Also, his tail wags whenever I take him outside. Thanks, all! Genie
|
|
Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
|
Post by Marjorie on Aug 26, 2013 16:39:54 GMT -7
That sounds like a low dosage of the Tramadol, Genie. Does Choco still show signs of pain, have a tight hard tummy when you pick him up like he was two days ago? If so, yes, you do need to immediately speak to the vet about Choco's signs of pain. As Pauliana said, ask your vet if you can give Choco the Tramadol three times a day and if that doesn't help, ask if the dose can be increased. Pain must be under control and if not, the pain is detrimental to healing.
You should be giving 5 mg of Pepcid AC 30 minutes before each dose of Prednisone, so that would be twice a day.
As for the acupuncture, you're already doing the best treatment for Choco - the strict crate rest. If you can afford the acupuncture, then it would be helpful. But if not, just continue with the crate rest. The main thing right now is to get his pain completely under control. Please let us know how Choco is doing pain wise.
|
|
Sabrina
Helpful Member
My Charley-dog, a Dodger'sList grad enjoying life!
Posts: 471
|
Post by Sabrina on Aug 26, 2013 16:43:35 GMT -7
Hi Genie! I'm Sabrina. If you want to get email notifications: Go to your profile, then click on the "Edit Profile" button. From there select the "Notifications" tab and you'll be able to select to receive a daily email if a thread you participated in has a new reply.
))Hugs(( -Sabrina
|
|
PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,929
Member is Online
|
Post by PaulaM on Aug 26, 2013 16:44:32 GMT -7
Genie, you can get an email alert when someone responds. The image below will show you how 11.5 pounds. Tramadol 25mg 2x day Prednisone 5mg 2x a day Pepcid AC ? mg 2x a day (should be 5mgs of Pepcid AC 2x a day)</div>During crate rest when the body is working hard on many repair jobs is not the time for dieting. What you can do now is to avoid extra high cal treats. Instead a treat can be a piece of carrot, apple or a frozen broth ice cube that takes a while to lick. Try to avoid tickling his paws as jerking and pulling in can cause undo back movement. When he is off all meds and pain free you will need to keep his joints flexible and circulation up in his muscles. The info highlighted in PINK pertains to a paralyzed dog. www.dodgerslist.com/literature/massagepassiveexercises.htm
|
|
genie
New Member
Posts: 5
|
Post by genie on Aug 27, 2013 16:44:45 GMT -7
I agree the Tramadol dosage seems low. Maybe he put Choco on a low dosage since he's already on Prednisone and methocarbamol? In any case, he still has a tight tummy when I pick him up. His front, left paw also jerks a lot when I'm holding him. I called the vet and left a message, I will call back in an hour, I think they are busy right now. He's been having more accidents lately because he's been getting harder to express. So I take him out, try to express him, and fail. Then I let him sniff around and he doesn't pee, so I take him back inside. Then he has an accident! Sigh. I've started breaking his Pepcid into two 5mg halves instead of 1 10mg pill and giving it to him 30 minutes before his Prednisone. Thanks for the heads up, guys! I have to say, taking care of Choco for the past 1.5 weeks has given me a renewed appreciation for all MOTHERS! Watching over him has been emotionally and physically exhausting. Right now he is peacefully sleeping besides me. In an hour or so I'll give him dinner, which always gets his tail wagging. Thank you all again for your help. I will be taking Choco back to the vet this Friday for another check-up. Hopefully his condition will have improved a little bit. I am noticing a little bit more strength in his back legs, more in his left than right. Here is a picture of Choco all doped up on his drugs, which I've taken to calling his "cheese ball o' drugs" since I have to use shredded cheese and use it to coat the pills in order for him to eat it, heh. I was forcing them down his throat the first few days, like I saw the vet do, but I worried that I was causing his spine more damage, so I decided giving him a few extra calories was better than potentially causing any more problems with his back!
|
|
Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
|
Post by Marjorie on Aug 27, 2013 17:17:22 GMT -7
Please be persistent in getting through to your vet, Genie. The Prednisone is to bring the swelling in the disc down and the Methocarbamol is for muscle spasms. The Tramadol is for pain. It sounds like he's still having muscle spasms - the jerking of his front paw. Please immediately let your vet know about the jerking of Choco's paw and the tight tummy.
The accidents that Choco is having are from his bladder overflowing. That isn't good as it can stretch out the bladder. You might want to try to express Choco inside the house, either in the bathtub on a rubber mat or on a pee pad. Sometimes dogs will get excited when they get outside and make it difficult to express them. You can try a warm towel on his belly, too, to try to get him to relax. You should talk to the vet about the difficulty you're having in expressing Choco, too.
Adorable photo of Choco! Yes, taking care of an ill dog can be very emotionally and physically exhausting. Great that his legs seem to be a bit stronger. You're doing great with him. You just need to get the vet on board about what you're seeing with the tight tummy and leg jerks.
Please let us know what the vet says after you've spoken to him.
|
|
|
Post by Nancy & Polly on Aug 27, 2013 18:39:33 GMT -7
Love the doped up picture. He looks pretty happy!
|
|
StevieLuv
Helpful Member
Conservative Treatment 3x. It really does work!
Posts: 1,335
|
Post by StevieLuv on Aug 28, 2013 6:53:08 GMT -7
He's a cutie pie! Marjorie is right - he is still having pain. Have you had any luck with the Vet?? Don't be afraid to be firm in your demands for relief for Choco - he'll heal better when his pain is controlled. I hear what you are saying about feeling like a new M0m - I remember telling my Vet that it felt like caring for a newborn. Keep us posted
|
|
genie
New Member
Posts: 5
|
Post by genie on Aug 28, 2013 17:36:36 GMT -7
Hi! The vet said to give him a 1/2 tablet at each dose▲ [tramadol] instead of a 1/4 tablet. So he will get one full tablet of Tramadol/day instead of half of one. I'll let you know how he does with the new dosage asap. (To reiterate, his only pain symptoms were that whenever I picked him up for potty time, his stomach would tighten/tense, he would start crying, and his front left paw would jerk uncontrollably.) The rest of the time, though, he seems a bit too happy... in that I'm worried he'll hurt himself! When I come home from work and check up on him, he flips over on his side and squirms around while his tail wags, which is his sign for "RUB MY BELLY, NOW!!!" It's totally adorable, but I'm worried he's slowing his recovery process by doing that :/. Speaking of which, is it okay for me to rub his belly? I'm not sure how much petting I can do... I try to stick to just scratching behind his ears, which he also loves. Is there anything he can wear (harness, shirt) that would help keep his back straight? It's still very curved. My other dog, Grim, has probably been feeling very neglected since all this . Anyone else have other dogs and encountered this same problem? Any advice to "make it up" to my other doggie? (We found Grim a little over a year ago wandering the streets, extremely hungry and without a collar. After trying to find his owners and failing, we decided to keep the little guy. He was already house broken, so I think his previous owners must've just abandoned him . )
|
|
Marjorie
Moderator~
Member since 2011. Surgery & Conservative
Posts: 5,724
|
Post by Marjorie on Aug 28, 2013 18:50:10 GMT -7
I'm very glad you were able to get through to the vet, Genie, and that he increased the Tramadol. Please let us know if you still see signs of pain with the increased dosage. I hope this will resolve his pain completely. He shouldn't show any sign of pain from one dose to the next dose. Yes, when they start feeling better, they can be very worrisome! The pain medication is masking his pain so he feels he can do anything. The main thing is to try to limit his movements as much as possible. If rubbing his belly while he's lying on his side calms him down, then by all means, rub away. If it makes him squirm more, than don't do it. Stay away from petting his back at all. When you say his back is curved, do you mean curved to the side? If his back is arched, that is also a sign of pain or discomfort. As for back braces, I know the moderators here have said that there isn't enough research on them to support their use. Plus there's the risk of causing more pain or damage to the back putting them on and off. So that's not something you would want to do while Choco's back is healing. Just give Grim lots and lots of hugs and kisses and try to spend time with him, too.
|
|
genie
New Member
Posts: 5
|
Post by genie on Aug 29, 2013 12:44:02 GMT -7
Update: Choco seems to be in less pain, as his tummy doesn't tense up anymore, but his front left paw still jerks when I pick him up. I'm not even sure he's aware he's doing it. Another concern, though, is that he hasn't peed since last night. I've taken him out this morning at about 8:30am and again at 12pm, and each time I tried to express him nothing came out. So I let him sniff around a little and walk a few steps (with me holding his back end of course), but still nothing. Am I right to be concerned? Should I call my vet? He doesn't seem uncomfortable, but the fact that he hasn't peed or had any accidents in his bed is unusual...
|
|
|
Post by Pauliana on Aug 29, 2013 19:45:19 GMT -7
Hi Genie,
Yes, a call in to your vet regarding Choco, not peeing is definitely in order. Glad to hear he seems to be in less pain but not peeing since last night is a major concern. Hope he has peed by now..
|
|
PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,929
Member is Online
|
Post by PaulaM on Aug 29, 2013 19:49:51 GMT -7
Genie, good job on advocating for his pain med to be increased.
The longer urine stays in the bladder, the more invitation for bacteria to start breeding (UTI). If he is drinking water normally or should be more as he is on Pred, he should be either be releasing urine voluntarily by sniffing and peeing or if he does not yet have bladder control to sniff and pee ..you need to express him. I would have the vet see what is going on.
Has there been any change to his pred..still 5mg 2x a day?
|
|