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Dr. Andy
Dr. Andy, Medical Director
Category: Dog Veterinary
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Experience:  UC Davis graduate, emphasis in dermatology, internal medicine, pain management
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My golden retriever is losing weight, black stools, no appetite,

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My golden retriever is losing weight, black stools, no appetite, labored breathing, and her hind legs are very weak and she has trouble walking because of the weakness. Up until now, my vet has said she has back trouble and that is the cause of the weakness in her hind legs. But now he feels there is something going on in addition to the back. He did an ekg yesterday, but it was inconclusive. Any suggestions?
Submitted: 3 years ago.
Category: Dog Veterinary
Expert:  Dr. Andy replied 3 years ago.
Hello,
Sorry about the delay in responding.
It appears most of the experts did not want to answer your question because it is difficult.

First, very concerned about the black stools. This suggests there is bleeding occurring somewhere in the digestive tract (specifically, anywhere from the esophagus, stomach or first part of the intestine). If it were red blood, then the bleeding is in the colon.

You need to immediately inform your vet, as they may strongly recommend stopping the Metacam due to the bleeding issue.

Torbutrol, I am assuming is being given for pain.
If so, not very effective. I would instead talk to your vet about Tramadol or Gabapentin.

Labored breathing, if currently, warrants immediate veterinary assistance! No delay
It is likely suggestive of pain (either abdominal, orthopedic, or elsewhere) and/or nausea.

Not sure about the EKG. I am assuming that was only done because he heard a heart arrhythmia. If not, can't explain that.

I truly feel an immediate blood test and x-rays of the chest and abdomen need to be performed immediately. In addition, a abdominal ultrasound may also be necessary to get some good detail as to what is going on inside that abdomen and with the intestinal tract.

Good Luck with Honey.
I truly hope some better supportive care can be given, but you need those tests to figure out what to try.

Dr. Andy

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Dr. Andy, Medical Director
Category: Dog Veterinary
Satisfied Customers: 28058
Experience: UC Davis graduate, emphasis in dermatology, internal medicine, pain management
Dr. Andy and other Dog Veterinary Specialists are ready to help you
Customer: replied 3 years ago.
I went back to my vet and asked for more testing. The outcome was kidney failure. My dilemma now is do I try various remedys or do I accept the inevitable. He gave me 2 - 6 months. Her urine and blood test showed 50% failure. Can any treatment stablize her for longer term? She is still on torbutol but I can change to tramadol. Nighttime is when she is most restless and has a hard time sleeping.
Expert:  Dr. Andy replied 3 years ago.
Not exactly sure what 50% means. Kidney failure does't really work that way.
So, I am more inclined, hopefully, to think it is kidney disease at this point and not failure.

Therefore, dietary modification including restricted protein intake, phosphorous binders (if even needed), can help those kidney values.

Stabilize long term? Not sure

It may be well worth getting a consultation with a internist for a second opinion on treatment alternatives.

Dr. Andy

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