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Post by DanielleSarv on Mar 2, 2022 10:48:19 GMT -7
[Original subject line:My Dachshund was diagnosed with IVDD ]
dodgerslist.boards.net/user/8851
i.postimg.cc/BnqHfBN0/Conser-Rest.png☆ 1 Is there still currently pain?- Yes☐ Slow ginger movements☐ shivering, trembling ☐yelping when picked up or moved-Not anymore☐ Tense tummy☐ Not perky☆ 2 Hayu is 23.2 pounds (working on weight loss. He is 8 years old. Methocarbamol-500 mg 3 times per day. Tramadol-50 mg- 1/2 tablet 4-5 times a day. His pain is controlled so we are giving him 4 doses Prednisone-20 mg 1/2 tablet 2 times per day since Monday 2/28/2022. Dropping to 1x per day starting Thursday 3/3/2022 Famotidine 20mg-started it today 3/2/2022 [MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
Methocarbamol 500mgs 3x/day
traMADol 25mgs 4x/day (every 6 hrs
famotidine 20mgs 1x/day as of 3/2] ☆ 3 -- List any red flag GI signs None of these ☆ 4 dachshund Hayu Your name? Danielle ☆ 5 IVDD?Yes -- vet a general DVM? Yes ☆ 6 CONSERVATIVE treatment vet: Monday 2/28/2022 - we cannot afford the surgery. ☆ 7 Can your dog specifically sniff and squat He can
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Post by DanielleSarv on Mar 2, 2022 10:50:21 GMT -7
Methocarbamol-500 mg 3 times per day.
Tramadol-50 mg- 1/2 tablet 4-5 times a day. His pain is controlled so we are giving him 4 doses
Prednisone-20 mg 1/2 tablet 2 times per day since Monday 2/28/2022. Dropping to 1x per day starting Thursday 3/3/2022
Famotidine 20mg-started it today 3/2/2022
Initially told 2 weeks crate rest. Everything I read said 6-8 weeks so that is my plan.
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PaulaM
Moderator. 
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 2, 2022 11:44:14 GMT -7
Welcome Danielle! We are glad you are here. Hayu can be a good candidate for conservative treatment. The key to his success will be your knowledge. More on that later. Right now you have an emergency to get that pain in control. AND with reporting pain to your vet, he would know CLEARLY is would not be time to test to see if there is still pain planned with the 3/3 presnisone taper! A three-day course of prednisone at the anti-inflammatory level (10mgs 2x/day) is pretty short. It often will take more like 7-30 days at the anti-inflammatory to get all swelling resolved. Must know stuff: [🔎READ how Pred works during a disc episode] Advocate that all 3 sources of pain be covered: methocarbamol is for muscle contraction pain traMADol is a general overall analgesic. Advocate for traMADol to be given at the max analgesic dose! So look for your 23.2 lbs/10.52kg dog to be Rx'd traMADol closer toL traMADol 100mgs 3x/day GABAPENTIN is for nerve pain. with three pain meds each addressing a different source of pain, then just perhaps all three pain meds would be/could be Rx'd for promptly every 8 hrs. A 6 hr schedule is done with it has to be done. When there are options for better pain control at 3x/day, that is better for the care and health of the care giver. You need your sleep to do the best job in caring for Hayu. Have no patience at all with pain. When the pain meds are Rx'd for Hayu's needs, pain is in control in 1 hour and remains in control around the clock, dose to dose. DOUBLE CHECK What is the dose in mgs 3x/day for methocarbamol? The whole methocarbamol tablet is 500mgs. What portion of that tablet do you give as a dose? KNOWLEDGE is key to follow thru with conservative treatment ➤ROADMAP: Avoid dangerous detours with the Conservative Roadmap for your fridge. VIEW, DOWNLOAD and print: dodgerslist.com/wp-content/uploads/2020/07/Roadmap-for-Fridge.pdf➤ Shortcut thru IVDD, an overview of disc disease: dodgerslist.com/2020/06/26/time-and-ivdd/ ➤ 💡What to expect for each phase of healing: dodgerslist.com/in-the-right-place➤ 🏠At home tried and true nursing care tips: dodgerslist.com/2020/05/14/strict-rest-recovery-process/ |
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 2, 2022 11:46:33 GMT -7
A bit confused here. You've reported pain to us? What is the CURRENT today pain?
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Post by Danielle & Hayu on Mar 2, 2022 12:54:55 GMT -7
So he is moving gingerly, but is not shivering or tensing up. He moves about in the crate when he needs to shift but is not crying out in pain. IS that because he loopy on drugs or if his pain level is tolerable and under control. I think both
Today when I opened the crate to let him go potty, he tried to run out. I stopped him and picked him up. He is pad trained so when I put him down on his pad, he was more interested in trying to run around than going potty. I picked him up and put him back in the crate. I am going to try again in a little while.
Methocarbamol 500mg pill- He gets one full pill 3x a day.
Prednisone is 2 x a day for 3 days which today is the third day.
I have to call the vet tomorrow to tell him what is going on and he will determine if the prednisone stays at 2x or if I can drop to 1x.
I hope I have clarified further. I apologize if I wasn't clear. My nerves are shot as I am sure most people going through this situation feel the same way. Please let me know if I need to give you more information and thank you for your help.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 2, 2022 13:08:15 GMT -7
A "tolerable pain situation" is clearly pain NOT in full control with pain meds. Moving gingerly, slowly is a sign of pain.
The drop of prednisone tomorrow is to test for pain. IF there is pain today, then there is a need to give another course of pred rather than to carry on with the pred taper tomorrow. Call your vet and report your observations today. Have no patience with pain by waiting a day. Call today and advocate for adjusting pain meds.
Do let us know what the vet thinks about your observations and what he decides on adjusting meds (mgs/frequency, etc).
Famodine last most effectively for 12 hrs. Giving famotidine every 24 hrs (1x/day) is not as effective in preventing bleeding ulcers. Please read up on GI Tract protection why's here: dodgerslist.com/2020/05/06/stomach-protection/
Hayu at 23 lbs should be 10 mgs famotidine every 12 hrs (2x/day)
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Post by Danielle & Hayu on Mar 2, 2022 13:21:10 GMT -7
I have 20mg Famotidine so I can cut and give 2x a day.
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Post by Romy & Frankie on Mar 2, 2022 14:11:18 GMT -7
That's a good plan. Giving the famotidine twice a day will give Hayu the full stomach protection that he needs.
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Post by Danielle & Hayu on Mar 3, 2022 12:22:35 GMT -7
Hello Paula:
I spoke with the vet and told him I am doing 8 weeks of crate rest. I also told him I upped his dosage of tramadol (50 mg) 1/2 pill from 4x a day to 5x a day consistently.
I do not want to taper the prednisone (20 mg 1/2 pill 2x a day) yet and think he needs it still.
I also told him I added▲famotidine 10mg 2x a day. He agreed with all of it.
I noticed a difference in Hayu when I added the extra dose of tramadol. I believe going from every 6 hours to ever 4 hours helped him. I got up at midnight last night to check on him. I walked in and he rolled over on his back with his tail going 100mph waiting for a belly rub and he wasn't satisfied, he wanted raspberries. This makes me think he is not in pain.
I help him potty by keeping him steady. I noticed he was having a tough time with pooping. Thankfully getting involved doesn't bother me and once I pushed on either side of his anus, he was able to poop.
When he is eating, I open the crate door and am partially in the crate with him so that he gets human interaction. I also do this a few other times throughout the day so he is getting lovin. My next follow up call with the vet is Monday.
I will be out of town this weekend beginning tomorrow and coming back on Sunday. My husband will be home with Hayu and I have a very long list of when and how much of each medicine he gets. I also told him no out of the crate period except to potty. If he feels bad, he needs to get on the floor and pet him or talk to him while he remains in the crate.
this is the protocol
Prednisone (20mg) 1/2 pill am 1/2 pill pm
[?]Tramadol (50 mg) 1/2 tablet every 4 hours
"I upped his dosage of tramadol (50 mg) 1/2 pill from 4x a day to 5x a day consistently."
Methocarbamol (500mg) 1 full tab 3x a day
Famotidine (20mg) 1/2 pill am and 1/2 pill pm
He gets fed 2x a day and several times a day, I will offer him water.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days, then 3/7 taper test for _pain/_neuro
Methocarbamol 500mgs 3x/day
traMADol 25mgs ▲5x/day
famotidine 20mgs ▲2x/day]
I work from home so I can continue this schedule for the entire 8 weeks. Any modifications of meds during the process, I will advise you and get your thoughts.
Please let me know if you need further information.
Again thank you from the bottom of my heart. I feel like we have hope again.
Danielle
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Post by Romy & Frankie on Mar 3, 2022 14:33:13 GMT -7
I am glad that the change in meds is now keeping Hayu pain free. Now he will be able to heal in comfort. You are right, he would not have rolled onto his back if it caused him pain.
Has the vet said how long Hayu will stay on the full 10mg 2x/day dose of pred? Usually after about 5 days, if there are no signs of pain, the vet will try another taper.
How often do you offer him water? He will want to drink a lot when on the pred and will need to pee more often.
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Post by Danielle & Hayu on Mar 3, 2022 15:10:46 GMT -7
-I have to call the vet back on Monday [3/7] and give him an update. More than likely he will have me start tapering then. I am comfortable with that. Monday it will be a week he is on the prednisone 2x a day.
-Hayu is not a water drinker at all. I have had him 3 years and have resorted to adding as much water as possible to his two meals to get it into him. Every time I take him out to potty, I offer water and I am taking him out every 3-4 hours. He will usually drink it one time aside from what is in his meals. This has been an ongoing battle with him and my vet is aware.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 3, 2022 19:43:53 GMT -7
Danielle, water intake is a combo of lapping water and water in food. So sounds like you are doing a good job in hydrating his meals.
There seems to be a typo with traMADol. Can you tell us again how often is the 25 mg dose now every 4 hrs or every 5 hrs?
Good job in advocating for adjustment to meds. Fingers crossed that if 3/7 is to be the taper day, that the 7 days of anti-inflammatory level, will have done the job. Meaning you will not see any sign of pain on the taper.
To be able to make a quick pain assessment on the start of the 3/7 pred taper, the pain meds are also backed off or stopped.
If pain would show, then alert your vet so as not to delay getting another 7-day pred course back on board. Quite often the range of days to resolved all swelling can take 7 to 30 days on the pred anti-inflammatory level. Taper days do to count.
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Post by Danielle & Hayu on Mar 4, 2022 4:35:34 GMT -7
We have to give the tramadol (50mg)to him 5x a day (1/2 pill) which is funky math so we are giving every 4-5 hours.
I do have a question. Aside from the prednisone which I know we need to taper. Do we also have to taper pain meds? The vet tech told me they do not have withdrawals from pain meds. My husband read they do. I am calling the vet to confirm this today. If you are aware of withdrawal issues, please let me know. Thank you.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 4, 2022 8:21:55 GMT -7
Danielle, some dogs depending how long they've been on pain meds and what combo of meds.. they could have rebound pain. Therefore it is the vet who needs to decide which he wants for your dog's situation:
---backing off of the pain meds or
-- do a full stop of pain meds on the start date of the taper.
Let us know what your vet wants.
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Post by Danielle & Hayu on Mar 7, 2022 7:29:16 GMT -7
Good Morning:
I was away for the weekend while my husband cared for Hayu. I came home yesterday and [3/6]definitely see some improvement. He can now squat when going potty rather than sitting. I still hold him steady to be safe. He is more animated and I believe pain free still.
I spoke with the vet this morning and we have dropped his prednisone to one time a day (10mg).
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days, then 3/7 taper test for _pain/_neuro
Methocarbamol 500mgs 3x/day delay back off til min pred
traMADol 25mgs 4x/day (every 6 hrs) delay back off til of metho ± end of March
famotidine 20mgs 1x/day as of 3/2]
I have to follow up with him on Thursday (3/10) and he will determine based on progress when to drop to every other day. His plan is to get him to a minimum amount of prednisone or complete stop and then start to wean him from the methocarbamol [last dose in 9 days] which will go from 3x a day to 2x a day for 3 days then 1 time a day for 3 days then every other for 3 days. Then he would start weaning off the traMADol [last dose ±end of March] by cutting it in half and slowly wean down from there. All of this hinges on how well Hayu tolerates the lower doses and that he is not in any pain. Once I follow up ith the vet Thursday I can give you another update. I will also let you know of any other improvements ir issues I see prior to Thursday. Thank you. Danielle.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 7, 2022 10:26:37 GMT -7
Danielle, glad to hear pain meds are still providing full comfort from pain. Is the followup on Thurs 3/10 via phone or a transport into the vet? Be aware, pain meds mask pain. Appears maybe it won't be til the end of March before you have proof if pain exists with the last dose of traMADol. What is your understanding of the reason behind the delay in backing off of pain meds until pred dose is at the minimum? Existing pain (whether masked from your eyes or quickly revealed by lowered pain meds) means it would not be time to continue a pred taper. The nerves in the spinal cord do not like pressure. Whether that pressure comes from the bad disc pressing on cord... from swollen/inflamed tissue around the cord. Unlike pain meds, the reason steroids such the prednisone HAVE TO end in an every other day dose is to signal the body to make its own steroid hormone. This page gives the usual way prednisone is used with a disc episode and the reasoning behind the process: dodgerslist.com/2020/04/18/steroids-vs-nsaids |
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Post by Danielle & Hayu on Mar 7, 2022 11:07:30 GMT -7
The follow up is over the phone. I am afraid to put him in a car since he is so newly recovering. The doctor is ok with a phone consult as long as there are no negative changes. The reason why he is backing off each individually is if there is any issue and he is backing off all at the same time. He won't know which drug was helping him. He said prednisone is the most dangerous of the three so he wants to back off this one first. If he tolerates it and we don't back step he will continue until it is minimal or done. Then go to the muscle relaxer and watch him for any pain or again issues. Then lastly the tramadol.
What I think are positive signs:
He is not sitting down while going potty. He is squatting and his feet aren't sliding out from under him. I still support him. After he finishes pottying he will take a a few steps and again his legs are supporting him. I don't let him go far and then I pick him up and back to the crate it is. he is eating his 2 meals now consistently and he is drinking a bit more water for me.
Please let me know if I need to clarify anything further. Thank you.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 7, 2022 12:11:40 GMT -7
Danielle, is then this type of pred taper basically a priority to experiment on Hayu to know about pain meds? VS. getting as quick as possible assessment in a a few days if the tissue around the spinal cord is still painfully swollen/inflamed and still needs prednisone to work on protecting nerves in the spinal cord. During a disc episode there are 3 usual predictable sources of pain that dictate Rx's. The World Small Animal Veterinary Association (WSAVA) guidelines make perfect sense about use of pain medications with a course of prednisone. No one wants any dog to be on pred one bit longer than necessary. Hence the reason for a short pred course then test for pain: 1. We can’t always know that our patient does hurt, but we can do our best to ensure that it doesn’t hurt. Treat predictable pain.2. Where a dog is judged to be in pain, treatment should be given immediately to provide relief. Positive response to an appropriate treatment is the gold standard to measure the presence and degree of pain. 3. When pain is moderate or severe, the veterinarian should consider combining drugs that act at different sites in the pain pathway to provide optimal analgesia; Combining different classes of analgesic drugs allows the veterinarian to optimize the management of pain. wsava.org/wp-content/uploads/2020/01/Recognition-Assessment-and-Treatment-of-Pain-Guidelines.pdf |
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Post by Danielle & Hayu on Mar 8, 2022 11:46:01 GMT -7
Hayu has slight sensitivity right below where his ribs end. He is not crying, shaking, whimpering or trying to get away. He does turn and look when you touch him there so does it hurt or is it tender or sensitive? I don't know.
The vet said to cut the
prednisone to 1x every other day and the
famotidine to 1 time a day.
Methocarbamol and Tramadol dosing remains the same.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days, then 3/7 taper test for _pain/_neuro
Methocarbamol 500mgs 3x/day; TBA 3/25 backing off
traMADol 25mgs 5x/day; TBA 3/25 backing off
famotidine 20mgs 1x/day as of 3/2]
He also agreed he should remain in the crate for the 8 weeks. He said the fact he is not pain free at this time is not a good sign.
He feels he should be back to almost normal. Speaking with you and reading everything I can get my hands on. My gut is telling me a week is not long enough to make that determination. I have also read that most vets don't typically prescribe the long term rest that you. As I say this. I trust my vet and I think he is good but in this particular instance I feel my plan is what I am going to stick with. If this doesn't work, then at least I know I did everything I could to help him and keep him comfortable. I am a little deflated at the moment but I am not giving up yet.
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 8, 2022 13:02:47 GMT -7
Danielle, nothing seems to have changed since your last post. -- pain meds remain on board preventing you and your vet from correctly assessing about existence of swelling pain as the prednisone is tapering. A dog when touched who turns to look, means he can sense your touch. If he did not like the touch because it hurt he would nudge your hand away, would yelp. So apparently if there would be pain, you could not know because pain meds are blocking you from seeing pain. No one, not you nor your vet can know if Hayu's pain is actually gone. Hayu does not display any signs of pain you could have reported if you saw any, but have not. Therefore with pain meds still on board, one can only guess if there would be pain it is being covered/blocked and Hayu remains in comfort. One can only guess if all the pain meds where stopped/and backed off, then you might see as pred taper started there may be no remains of any signs of pain days ago. Conservative treatment is not rocket science. It is just plain old common sense. Rule of thumb during the tapering of prednisone
Pain= another course of prednisone + bring back all pain meds.
No Pain= finish pred taper. No meds at all are needed. Finish out the 8 weeks of crate rest for the disc to heal.
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Post by Danielle & Hayu on Mar 11, 2022 11:07:29 GMT -7
Thank you. I was about to lose it.
Update on Hayu. He is holding himself up and able to potty on his own without me holding him steady.
He will take a few steps and feet are controlled. I then pick him up and put him back in his crate. He is eating and drinking well and now going potty 5-6 times a day whereas in the beginning it was 3 max.
Prednisone (10mg) 2 x a week
Methocarbamol (500mg) 3x a day
Tramadol (25mg) 5x a day
Famotidine (10 mg) 1x a day
If in 2 weeks [3/25] he is doing well, he will stop the prednisone [taper] and start cutting the other two [pain] meds by 30% to 50%.
Hayu seems happy and tries to RUN out of the crate when I open it but I do not allow him to.
These 8 weeks seem like an eternity but we will power through to get him to the best he can be.
As always, thank you for your input and for setting me straight when I lose my mind.
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Post by Romy & Frankie on Mar 11, 2022 14:29:03 GMT -7
I am happy to hear how well Hayu is doing.
By not allowing Hayu to tun out of the crate you are doing the best thing for him. When our dogs are feeling better, they often try to do too much. They think they are fine. We pet parents know better. We know that 8 weeks of crate rest allows the disc to heal.
Just to make sure I have it right, is Hayu to stay on a tapering dose of pred 2x a week for two more weeks?
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Post by Danielle & Hayu on Mar 11, 2022 19:23:10 GMT -7
Prednisone [tapering] 2x a week for the next 2 weeks then we follow up with the vet again.
He ran out of the crate and across the room before my husband could stop him. I’m terrified he did something to himself. He seems to be resting comfortably so hopefully he’s ok. I will keep you posted if anything changes.
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Post by Romy & Frankie on Mar 12, 2022 14:02:24 GMT -7
Our dogs can do the unexpected in the blink of an eye, especially when they start to feel better. Hopefully Hayu has dodged a bullet and there will not be any consequences
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Post by Danielle & Hayu on Mar 15, 2022 6:32:51 GMT -7
Good Morning. Thankfully, he seems to be okay even after his mad dash across the house last week.
From early last week to today I am seeing definite improvement. He is more animated and happy and is definitely wanting to move around a lot more. I will let him take some steps when he is out to do his business but am on him to make sure he doesn't try to run or jump.
He is having a hard time staying in the crate 24/7 so I did buy a dog stroller and harness him in so he can be next to me while I work and can have contact with me. He has been very good so far about staying in it. When he has had enough and gets restless, I take him to go potty and put him back in his crate. No changes to his meds from Friday.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days; 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days; 3/7 taper test for _pain/_neuro
Methocarbamol 500mgs 3x/day; TBA 3/25 backing off
traMADol 25mgs 5x/day; TBA 3/25 backing off
famotidine 20mgs 1x/day as of 3/2]
I follow up with vet next week. Thank you.
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Post by Romy & Frankie on Mar 15, 2022 13:08:36 GMT -7
Good news that Hayu had no repercussions from his run across the room, and you are seeing signs of improvement.
Many dogs enjoy their strollers and the opportunity to be with their family. I am glad Haayu is enjoying his.
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Post by Danielle & Hayu on Mar 25, 2022 12:38:26 GMT -7
Hello. Hayu is doing very well and is loving his stroller instead of the crate. I do still put him in the crate to sleep and when he starts getting a little to animated in his stroller. The vet is happy with how he is coming along.
He is 100% done with the prednisone.
Today [3/25] I am allowed to cut back his ▼methocarbamol to 2x a day at 500mg and the ▼tramadol to 2x a day at 25 mg.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days, then 3/7 taper test for _pain/_neuro; final dose 3/25
Methocarbamol 500mgs ▼2x/day
traMADol 25mgs ▼2x/day]
He is doing very well. That being said, he is not 100% yet and we are continuing to be very careful with him. When he goes potty, I will let him walk a few feet and then I pick him up and bring him back to his stroller or crate. He is much steadier walking and is completely able to do so on his own and continues to potty without assistance. We ar almost at the end of 4 weeks which I believe is his halfway mark. If he continues this way, I am confident her will recover completely or very close to 100%.
We are both on board as far as not allowing jumping up or down off furniture. We have a ramp for our bed for him which I put away when he initially hurt his back. My husband seems to think the ramp is not good for him. everything I have read says it is the best way for him to maneuver over jumping. I don't have an issue picking him up to put him in the bed when he graduates. Our bed is high, so thankfully he has never tried to jump off. At the same time I do not want to take that chance. Our next decision is when he is recovered do we let him sleep with us or do we crate him at night and let him roam during the day. That is a decision we can make come the end of April. Thank you again. And as always please let me know your thoughts.
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Post by Romy & Frankie on Mar 25, 2022 13:36:48 GMT -7
Excellent news about Hayu!
He is 28 days into crate rest, so halfway through it. His disc is still healing, so he still needs to keep movement to the minimum.
With the tapering of pain meds, keep an eye out for any signs of pain and let the vet know right away if you are seeing anything concerning.
IVDD dogs should never, ever jump up, on the bed or any other furniture. A ramp is the right thing for Hayu. The safest place for him to sleep is on a crate near the bed. If after crate rest you want him to sleep with you, it can be done if done safely. Let him use the ramp, or pick him up onto the bed. Place him in a secure location, like between you and the wall or the headboard. Safer still is to use a soft sided pet carrier on the bed. The goal is really not to ever allow him to jump off. |
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PaulaM
Moderator.
Member since 2007: surgery, conservative . Montana, USA
Posts: 19,928
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Post by PaulaM on Mar 25, 2022 20:34:34 GMT -7
Danielle, good to have those pain masking pain meds now being backed off. Can't wait til their last dose to get proof of all swelling gone!
Mark your calendar for graduation day on April 25.
We will have LOTs of information to share with you in safely introducing Hayu back to family life and activities.
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Post by Danielle & Hayu on Mar 31, 2022 7:19:53 GMT -7
Good Morning. Last night I went to pick Hayu up and I believe I may not have been supporting his hind end as much as I typically do. He let out with a YELP [3/30]. Once I supported him the way I typically do, he seemed fine. Later in the night when my husband took him to go potty he was dancing for food and trying to run back to our bedroom. This morning, I was very careful with how I handled him and he went potty and was walking normally after doing his business. I carried him back to his stroller and fed him. He ate with gusto. I called the vet and explained what happened.
He wants me to keep the methocarbamol and the tramadol as is and give to him 2x a day still. He wants me to re-introduce the ✙prednisone 2x a day (10mg) for 2 days. Then drop to 1x a day for 2 days. then drop to 1 time every other day for 4 days.
[MED LIST/HISTORY- Moderator's Note. Please do not edit
23.2 lbs 8 y.o.
prednisone as of 2/28: 10mgs 2x/day for 3 days, then 3/3 a test taper for: √3/2 pain / _neuro
as of 3/3: 10mgs 2x/day for 4 days, then 3/7 taper test for √3/30 pain/_neuro; final dose 3/25
as of 3/31: 10mgs 2x/day for 2 days, then Sat 4/2 test taper
✙Cefpodoxime Proxetil as of 3/29 100mgs 1x/day for 10 days
Methocarbamol 500mgs 2x/day
traMADol 25mgs 2x/day]
I can call tomorrow if I am seeing anything that isn't good. Otherwise I need to follow up on Monday.
Also, he has a UTI . They taught me how to palpate his bladder to make sure he is emptying it when he goes. I have been checking him every time and I believe he is. He is on ✙Cefpodoxime Proxetil (100 mg) 1 time a day for 10 days and I have to do a urine check in 3 weeks. The issue causing him to be tested was he was leaking after going potty. He started these meds on Tuesday and I notice an improvement already. Hopefully, this is a bump in the road and I did not do something to hurt him. He seems to be fine today and I am watching him like a hawk.
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