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. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 24436
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
55012488
Type Your Dog Veterinary Question Here...
Dr. Michael Salkin is online now
A new question is answered every 9 seconds

My 7 year old 13lb mix started w regeritation

Customer Question

***** *****. My 7 year old 13lb mix started w regeritation on Tuesday morning and had an ileus. They drain it using an NG tube. Since then he can't lift his head up all the way. All bloodwork is good, urine good, abdominal US good, endoscopy good, x rays good, echo cardiagram good. But he's still lethargic, nauseous and can't lift head all the way
JA: Thanks. Can you give me any more details about your issue?
Customer: Potassium level 3.2. Neuro exam normal. Takes diltiazem and digoxin for svt. Digoxin levels normal
JA: OK got it. Last thing — Dog Specialists generally expect a deposit of about $19 to help with your type of question (you only pay if satisfied). Now I'm going to take you to a page to place a secure deposit with JustAnswer. Don't worry, this chat is saved. After that, we will finish helping you.
Submitted: 7 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 7 months ago.
I'm sorry that your question wasn't answered in a timely manner. Dogs who have difficulty lifting their head are finding it painful to do so. This is seen with both cervical (neck) disorders such as degenerative disk disease (a "slipped disk") or spinal meningitis as well as encephalopathies (brain disorders) such as meningoencephalitis. A neurological exam should rule out many disorders but an MRI might be necessary to identify a lesion in his brain or neck. Nausea is consistent with encephalopathies but not pathognomonic (specifically indicative) of them. Please respond with further questions or concerns if you wish.
Customer: replied 7 months ago.
I had 2 neuro exams done and both are negative, as were X-rays. He moves his neck side to side and tries to go all the way up but puts it down mostly. The vet thinks there may be a blood clot. His WBC is good temps and BP have been good. He drinks but doesn't want to eat although he seems interested. Today he had half a chicken nugget and we syringe feed him 40cc of ID food (liquified). Do you think I should get him a spinal tap?
Customer: replied 7 months ago.
He is being treated w anti nausea meds. He was regeritating not vomitting on Wednesday then was diagnosed w and ileus. So right now we are assuming it's nausea causing him to not eat but unsure.
Expert:  Dr. Michael Salkin replied 7 months ago.
That's certainly a reasonable consideration but I would have expected an antiemetic such as maropitant (Cerenia) to address nausea well. I would give his neurologist a call and tell him/her what you're seeing with your dog's head carriage. Either an MRI or spinal tap or perhaps both might end up being recommended. I can't think of another reason for the difficulty raising his head. I would have thought that a thromboembolic disease process would have been present in order for the vet to consider a blood clot. From the history you posted, no such disease process is present.