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Welcome to the chat! I am Dr. Altman and am happy to answer your questions today
So sorry to hear Roxxy is showing these signs
Does she need to go to the bathroom or seem uncomfortable at all?
Often at this age we see changes with cognitive function and having issues with this especially at night
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In some cases supplementing high levels of fish oil with omega fatty acids EPA & DHA 750 mg-1000 mg daily can help
Others require medical intervention with medications like anipryl, or even mild sedatives to help sleep overnight
Walking before bedtime can help sleep better overnight
Hill's diet does make a food called B/ D through your veterinarian, "Brain Diet" which includes all the nutrients in higher levels to maintain brain function in senior pets
I also see success with medications/ supplements like proneurozone that has helped my patients (also through your vet)
I am going to change formats in a moment if I see you are still having difficulties with live chat format
She might require additional pain medication if she is uncomfortable from laying for an extended period of time. This might include medications like gabapentin or tramadol or even considering alternative therapies like acupuncture or laser therapy
That is definitely an option as well
I haven't had a lot of success with melatonin but it definitely worth trying
Melatonin is really very safe and the one I would try first
For the melatonin perhaps 1 mg before bed
For benadryl adult formula 25 mg 1 & 1/2 tablet before bed
For the rescue remedy perhaps 1 dropperful to start
If that were the case I would suspect it wouldn't start early morning at a consistent time
Is she leaking urine? Have you discussed medications to help with that so that she can stay in the bedroom with you? This is common in senior female dogs and there are options to reduce the leaking frequency
Yes this is also common in senior pets unfortunately. All cases I have seen are night time issues only. Very frustrating for all invovled
Ah - thats interesting. If I try the sleeping medications, she's not going to wet herself in her sleep or anything is she? She would hate that! :-)
If she is not leaking now the sedatives should not exacerbate things
But I cannot guarantee that! If she does then you need to investigate other options...
I guess that makes sense...
But if the options I gave do not work then I would advise discussing adjusting her pain medications
And I always advise trying any new supplements while your vet is open for the first time to ensure if she has any type of reaction they are open to assist you
I would love to have her back in the room with us if possible...
I imagine she would as well
Haha - yes, I'm sure she would :-)
thanks for your help - where does this "chat" get saved so I can check it later?
You should be able to reenter your account and the page should be listed in "my questions"
You can also cut/ paste into a word document or select save after rating our conversation
Can I assist with any additional questions or clarify anything for you today?
No - I think I have enough to start with, thank you.
You are very welcome
I truly wish you luck in a successful night's sleep!
If you have additional questions after you rate the question, you are welcome to request me for additional conversations if I am on-line or by beginning your question "Dr. Altman..." or "Dogdoc4u..." and others will leave the questions for me. Good luck to you both!!!
Would you mind just copying and pasting the whole conversation again - I switched from my phone to PC half way through and don't want to lose what you started with!
In this window? Please give me one moment
Other options are benadryl (diphenhydramine) at 1 mg/ pound or rescue remedy (purchased at a vitamin store also for people)
and yes, will absolutely rate the conversation. Thanks again for the advice
thanks very much - enjoy the rest of your day
Does that all show up?
You as well...
yip - all there
You are welcome!