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My name is Rebecca. I am a veterinarian and will do my best to help. I am sorry to hear about your puppy having these painful episodes.
Sorry, terrible with abbreviations; what do you mean by SM? Syringomyelia or Chiari like malformation? That indeed is the first thing to check for in a Cavalier this young that is yelping in pain. Pain is the first thing seen in these dogs. Scratching at the head and neck are another. I would not wait until she gets more symptoms, I would have her checked for this condition as soon as you can.
You can start her on pain medication such as tramadol and see if that helps, but getting a diagnosis is best so you know what to expect.
Let me know what else I can answer or help with.
I hope you were able to see what I sent; I did not hear back from you. Please let me know if this was helpful and if you have any more questions.
I had only opened the conversation, and was waiting to hear back from you. I am glad that she is doing better; thank you for the update.
The initials SM could stand for many different things and so in veterinary medicine at least we call syringomyelia by its name, not SM.
Thank you for the update.