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I am Dr. Bowers, and I can try and help you today with Tyson. What kind of dog is he? Is he uncomfortable in his belly because of his weight gain, or under his jaw because of the swollen glands?
Is he on any medications?
Hi there. Yorkies and Yorkie crosses are prone to a disease called lymphangiectasia, which causes some fluid to build up in the belly. I'm wondering if that might be whats going on vs. just him being fat. He shouldn't be that uncomfortable if he is just overweight. Luckily, if this is what is going on, it is treatable. I would suggest getting him back in to the vet to check his protein levels, as they would be low with this disease, and then treatment can be started to get him feeling better.
If thats not whats going on, your vet should be able to prescribe some pain medication, even if its just at nighttime, like an opioid pain medication, to keep him comfortable.
I hope this helps! Let me know if you have further questions!
Warm compresses could help. Sometimes we will try antibiotics and steroids as well. Steroids are one of the treatments for the lymphangiectasia as well so maybe ask your veterinarian about that.
GI side effects can be a risk with steroids, however, they are usually well tolerated in dogs at normal doses. :)