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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 26874
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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My 15 year old dausand, (14 lbs.) has Cushman's disease 9

Customer Question

my 15 year old dausand , (14 lbs.) has Cushman's disease for about 9 months. She was treated with Vetoryl capsules 30mg. for about a month and half, but was stopped due to almost completely incapacitated, could barely walk,very weak. This helped cushmans some, as her stomach almost normal now, but eats lots, drinks lots of water, lost weight in her hips, and seems to have joint pain. She gets a "joint" pill daily that helps.
This morning she began walking endlessly all over the house, and practically walked all day. She's panting all along, has to be tired, but will not lay down for more than a few minutes. Whats going on? Is this a sign of the last stage of the disease, or just another symption?
Submitted: 1 year ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 1 year ago.

The endless pacing indicates encephalopathy (brain disorder) involving the forebrain - cerebrum and thalamus. An expanding adenoma (pituitary tumor) which is the most common cause of Cushing's disease in dogs should be suspected. Encephalopathy can also result from extracranial (outside the skull) etiologies such as a poorly functioning liver which is intoxicating the brain. Her vet can check for such a liver disorder in a conservative fashion - a blood test called serum bile acids - but a tumor will only be revealed by MRI - an inappropriate imaging modality for a 15 year old in my mind. I'm afraid that you have a difficult decision to make sooner than later. Please respond with further questions or concerns if you wish.

Expert:  Dr. Michael Salkin replied 1 year ago.
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin