Kaylee, welcome to the Forum. We are very glad you've joined us. I'm sorry to hear a jump caused a disc episode for Chubbs at such an early age. One of my dogs has a disc episode at age one.
Could you add to the great information you have already provided to fill in the picture for us:
What country are you in?
What are the credentials of the vet you are working with who called for a cat scan and is calling for 2 weeks rest from anti-inflammatory metacam?
--- general local DVM vet?
--- specialist vet: neuro (ACVIM) or ortho (ACVS) In your country a specialist may have different letters after his name.
What was the diagnosis (exact name of disease) either of the vets gave? The diagnosis is key to how they come up with the treatment and to whether this falls under IVDD and it's specific kind of care.
Name of muscle relaxer and dose in mgs 2x/day
name of anti-anxiety med: dose in mgs times per day given?
How much does your dog weigh?
On this forum our area of expertise is limited to one disease: Intervertebral Disc Disease (IVDD). Until we get an update from you on the questions, let me share some top points about IVDD and care.
The more you know the better you can ensure Chubbs is getting the best care, ability to speak up for Chubbs, and better able to understand and discuss things with a vet.
So some points and then a link to bring you fully up to date on the topic.
1.
For the duration of any anti-inflammatory, an acid suppresser such as Pepcid AC (Famotidine) is used to avoid GI tract damage of ulcers causing blood in stool. Here is why stomach protection is important:
dodgerslist.com/2020/05/06/stomach-protection/ 2.
When a vet deems it an emergency to make a switch from one NSAID to another NSAID, having not only
Pepcid AC (famotidine) to suppress acid production but adding another
SUCRALFATE makes it possible to forgo the usual 5-7 days to clear the body of one NSAID before the start of another NSAID.
3. Stopping a NSAID means very likely if all the swelling/inflammation the bad disc caused had not been fully resolved, pain meds would need to be amped up to compensate for lowering levels of NSAID as it leaves the body.
The usual, however with a disc episode, is "the STOP" of a NSAID to find out if any NSAID is still needed. For an accurate test by
you at home, pain meds would also be stopped. Of course if a dog is in pain that is not the time to stop the NSAID. Learn more how an anti-inflammatory is used during a disc episode:
dodgerslist.com/2020/04/18/steroids-vs-nsaids/ 4.
Pain meds are effective for about 8 hrs. That is why they are prescribed typically with a disc episode for every 8 hrs (3x/day). Also there are three sources of pain. Each source is addressed with its own pain med:
traMADol as the general analgesic
Gabapentin for nerve pain
Methocarbamol for muscle contraction pain.
5.
The single most important care during conservative treatment is the healing of the disc. The area of STRICT rest should only be large enough to easily turn around, to fully stretch out the legs when lying down. Tall enough for the dog to stand on all four legs. Too much moving of the vertebrae can further press on a bad disc causing worsening to the extent of damaging the spinal cord with neuro loss (weak legs, paws knuckle under, legs paralyzed, bladder control lost)
Tips for setting up a safe recovery suite with lots of ideas to make the 8 weeks of disc healing go smoother:
dodgerslist.com/2020/05/14/strict-rest-recovery-process/ Information on emergency crate training: dodgerslist.com/2020/02/24/tips-to-help-with-recovery-suite/ Care tips for a heavy dog:
dodgerslist.com/2022/02/10/large-dog-care-tips-ivdd/With Chubbs being off of NSAID, if there would be still swelling, the "more subdued" is likely pain. Expectation is vet adjusts meds over the phone to a more aggressive level to compensate for no NSAID on board. OR...if vet deems an emergency to double protect stomach lining with double stomach protection (Pepcid AC-famotidine) + Sucralfate. Seeing two or more signs of pain nearing next dose of pain meds or when having to move can help you pin point if there is pain to report.
Observations OF PAIN requiring alerting the vet:
⚙︎ shivering-trembling ⚙︎ yelping when picked up or moved
⚙︎ tight tense tummy ⚙︎ arched back, ears pinned bac
⚙︎ restless, can't find a comfortable position
⚙︎ slow or reluctant to move in suite such as shift positions
⚙︎ not their normal perky interested in life selves
We look forward to your next update, so we know best how to help.