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Hello. Thanks for the question.
I'm sorry to hear about your dog. I would be worried about a brain tumor with those signs. Meningiomas are common brain tumors in older medium and larger breed dogs. They cause many of these signs- circling, staring into space, head pressing, loss of potty training, seizures, ect.
The diagnosis is tough to make without an MRI or CT of the brain. If we suspect it, we'll often times use steroids (Prednisone) to help reduce tumor related swelling. That can help with the signs. It's not a cure, but it can help. If you want to cure this, then we're talking an MRI and brain surgery. This is often not an option due to limited availability and cost.
I hope this helps, let me know if you have any other questions.
Sorry for the wait.
Yes, it's an MRI that we use on brains. To help keep him calm, you may want to talk to your vet about using Trazodone or Clomicalm or Acepromazine. These are all good sedatives to help with anxiety.