How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Barbara Your Own Question

Dr. Barbara
Dr. Barbara, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1208
Experience:  Over 30 years experience in veterinary medicine and surgery.
56364752
Type Your Dog Veterinary Question Here...
Dr. Barbara is online now
A new question is answered every 9 seconds

my dog has large painful swollen lumps on side and back. she

Customer Question

my dog has large painful swollen lumps on side and back. she also aooears in pain(ocassional shaking) and mild fever. vet gave her antibiotics and some lumps shrank while more reappeared. ultrasound and xrays show negative. vet think inflamation?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Barbara replied 1 year ago.

Dr.Barbara :

Hi, Welcome to JustAnswer. I'm a licensed veterinarian and I'll be happy to help. I'm sorry that Jolene is not feeling well apparently from these lumps. Probably the very best thing to check would be to biopsy or remove one of these lumps and have a pathologist diagnose the cause microscopically.

Dr.Barbara :

I really can't say what they are just by your description, and apparently the cause just by their appearance is not clear to your vet either. They do sound unusual. A list of possible causes would be a bacterial infection (especially secondary to another skin condition like fleas, mites or allergies; an autoimmune skin condition like lupus or pemphigus; or foreign bodies like fox tails.

Dr.Barbara :

Did Jolene also have blood work to check her blood cell counts and her organ function?

Dr.Barbara :

Would you be able to send me pictures of her?

Customer:

Jolene has not had blood work done.

Customer:

I can send you a pic.

Customer:

They aspirated her lump and the pathologist said it was inconlusive. The samples were not very good and they just saw inflamation on the slides.

Customer:

She had been treated for spinal menengitis from March till June 13. That was her last dosage of prednisone.

Customer:

Full Size Image

Dr.Barbara :

A "fine needle aspirate" is sometimes diagnostic, but as you found out, not always. We usually start with this since it is less invasive, and is less expensive.

Dr.Barbara :

I'm glad that the meningitis was resolved. . .you really have had some ordeals with her, haven't you? Did they diagnose a cause of the meningitis?

Dr.Barbara :

Your picture is slowly coming through. . .I'll take a look when it is here and get back to you.

Customer:

She has had her health problems for sure. There was no cause for the meningitis that I was told about. They did a spinal tap and found inflammation then she had pain in her back and couldn't move her neck to the ground so based on all those symptoms the diagnostic was spinal meningitis.

Customer:

just checking to see if we are still in session

Dr.Barbara :

Sorry. . .my sister called! Unfortunately I really can't see the lumps on your picture to give you any thoughts.

Customer:

I'm going to get u

Dr.Barbara :

"Spinal meningitis" is a general symptomatic diagnosis that doesn't tell us the cause. . .which is sometimes not easily diagnosed! It is interesting that she had that and now has these lumps. It makes me wonder about an immune mediated cause since with the meningitis she responded to prednisone which in an infectious situation could have made things worse.

Customer:

yI'm going to send you a better picture

Dr.Barbara :

Thanks!

Customer:

Full Size Image

Customer:

The two biggest lumps are under her fur.

Dr.Barbara :

:( I still can't really see the lumps, even when I magnify parts of the photo. What I can tell is that these are definitely below the surface which does make me think that this is an immune mediated problem. Prednisone may help this also, but having one biopsied or removed would most likely give us a cause ,or etiology, and then treatment could be more specific than just guessing.

Dr.Barbara :

Is this reasonable for you?

Customer:

This sounds like a reasonable next step. Thank you very much. So you would suggested also getting blood work done? What about getting her urine tested?

Dr. Barbara, Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1208
Experience: Over 30 years experience in veterinary medicine and surgery.
Dr. Barbara and 5 other Dog Veterinary Specialists are ready to help you
Expert:  Dr. Barbara replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr. Barbara replied 1 year ago.
A blood profile and a urinalysis would be excellent for 2 reasons here: We are still searching for a cause (or causes) of her dermatitis and meningitis, and she will need anesthesia for a biopsy or lumpectomy (the lumpectomy will involve a little more than the biopsy, but is the best method for getting a diagnosis).
Jolene's illnesses are obviously not the most common so I wish you, Jolene, and your vet good luck in getting to the bottom of her issues. I'm not saying that her meningitis and dermatitis are definitely related. . .but highly suspicious of this!
I'll be checking back in about 1 week and hope to hear from you then.
Take care,
Dr. Barbara

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
< Last | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete! Bev & George Boca Raton, FL
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
< Last | Next >
  • http://ww2.justanswer.com/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    13796
    UC Davis graduate, emphasis in dermatology, internal medicine, pain management
  • http://ww2.justanswer.com/uploads/doggfone1/2009-07-16_133633_vet_pic.jpg Dr. Scott's Avatar

    Dr. Scott

    Veterinarian

    Satisfied Customers:

    9550
    12 years of small animal, equine and pocket pet medicine and surgery.
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    7758
    DVM, Emergency Veterinarian, BS (Physiology)
  • http://ww2.justanswer.com/uploads/AN/andrewDVM/2012-4-27_12585_iStock000011751407XSmall.64x64.jpg Dr. Drew's Avatar

    Dr. Drew

    Dog Veterinarian

    Satisfied Customers:

    6598
    Small Animal Medicine and Surgery
  • http://ww2.justanswer.com/uploads/1I/1ISUDVM/2011-3-1_22028_Honeymoon2005075294928803490646858.64x64.jpg Dr. Bruce's Avatar

    Dr. Bruce

    Veterinarian

    Satisfied Customers:

    6377
    13 years of experience as a small animal veterinarian
  • http://ww2.justanswer.com/uploads/BI/bigislandvet/2013-2-21_214244_IMG0357.64x64.JPG Dr. Michael Salkin's Avatar

    Dr. Michael Salkin

    Big Island Vet

    Satisfied Customers:

    6049
    University of California at Davis graduate veterinarian with 41 yrs. of experience.