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Thank you for your question. My name is***** I have been a small animal veterinarian for 14 years and I'd like to help with our question.
If your veterinarian was able to get a good look (and maybe feel) at the swelling under the tongue he was probably able to make a pretty good educated guess about what it was based on his experience and without any tests. And I think trying the antibiotics and then pursuing something more aggressive if it doesn't go away was the right coarse of treatment. I probably would have chosen an antibiotic that targets the type of bacteria in the mouth better than keflex... such as clavamox, but it wasn't a terrible choice.
As far as her abdomen goes... this is a problem that I do think warrants some diagnostic. Tapeworms are usually pretty benign in dogs and, unless they have such a severe parasite infection that it causes them to have low proteins, I wouldn't expect it to cause a distended abdomen. There are a number of things that can cause an older dogs abdomen to be distended, but an enlarged liver is one of the most common. There is a hormone imbalance called 'Cushings' that is the most common cause of this. Blood work and some specialized testing is needed to diagnose this condition. I do think doing some tests is needed. I don't know if the veterinarian didn't do this because he felt you weren't interested in pursuing it or what? But I would definitely ask for it when you have the tongue rechecked.
I hope that helps, but if you have additional questions please let me know. If not, please rate my answer.