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 Lisa Your Own Question

Lisa
Lisa, Certified Vet Tech
Category: Dog
Satisfied Customers: 13233
Experience:  AAS Vet Tech. Bully breed rehab & Behavior modification
Type Your Dog Question Here...
Lisa is online now
A new question is answered every 9 seconds

our shihtzu has a protruding tongue which appears paralyzed,

Resolved Question:

our shihtzu has a protruding tongue which appears paralyzed, we took her to the vet and she was diagnosed with a sinus infection, she is unable to eat, and can lap water only a bit, she was given antibiotics and a shot of steroid but does not appear any better, I have been spoonfeeding her rice cereal and water but she is very miserable, our vet wanted her to go to a clinic 200 miles away for another opinion, a trip we are unable to make
Submitted: 1 year ago.
Category: Dog
Expert:  Lisa replied 1 year ago.

Hello! My name is XXXXX XXXXX it will be my pleasure to help you with your dog today.

 

How long has Buttons been having this problem?

Did they send out antibiotics, or was it just an injection?

Can she move her mouth, or it is the whole area that seems to be affected?

 

Is she up to date on vaccines before this happened?

Customer: replied 1 year ago.
for about 3-4 days, however earlier this year she did have a similar problem and was diagnosed with Horner's syndrome, which eventually resolved. She is on oral abx for 7 days. it's hard to determine if she can move her whole mouth or not. Her tongue has protruded so far on occasion that we physically have to push it back in. She is up to date on her vaccines.
Expert:  Lisa replied 1 year ago.

Thanks for answering my questions. I really appreciate it.

 

It's hard to know for sure what is going on with Buttons. The first thing I thought was Horner's, especially since she has had that in the past, however, there are several other possibilities.

 

It's possible that this is laryngeal paralysis. We often see this in dogs with the symptom of really harsh, noisy breathing, but from time to time we do see dogs who have a problem moving their tongues as well. Although there's no definite treatment plans, often a dog will need to have surgery to repair this paralysis. You can read more about laryngeal paralysis here: http://www.veterinarypartner.com/Content.plx?A=2331

 

If you live in an area where there are a lot of ticks, then there's the possibility of something like tick paralysis. This is caused by a toxin that is released when the tick bites the dog. I'd give Buttons a real close inspection and see if there's a tick on her anywhere. If there is and it's removed, the dog will often recover in a short time. There's more information on tick paralysis here:

http://www.petmd.com/dog/conditions/infectious-parasitic/c_dg_tick_paralysis


In a middle aged dog, we have to consider the possibility of some sort of nerve damage. The Hypoglossal nerve is the one that controls the tongue/mouth, and if that is injured or has something like a tumor near it, it can cause the dog to love function of the parts near that nerve. Treatment for things like this can range from surgery to medicine, but unfortunately, it often requires a trip to a veterinary neurologist to determine if that is the problem. You can read more about facial paralysis here: http://www.petmd.com/dog/conditions/neurological/c_multi_facial_nerve_paresis

 

I do think that seeing a specialist is the way to go, but understand if it's not possible to make such a long trip. If Buttons were mine, I'd actually see if there was another vet in your area that could see her. It's very common for vets who practice in the same city (and sometimes even in the same clinic) to have very, very, very different educational backgrounds and experience, so it's possible that even though your vet may not know what to try, another vet in the area might.

 

I hope this helps.

Lisa, Certified Vet Tech
Category: Dog
Satisfied Customers: 13233
Experience: AAS Vet Tech. Bully breed rehab & Behavior modification
Lisa and 5 other Dog Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
< Last | Next >
  • You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets! Linh Charleston, WV
  • $1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15 Carol Cedar Hill, MO
  • I think this is the greatest web site in the world. Thanks to all! Judy New Haven, CT
  • I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers. Nina USA
  • I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!! Jasmine's Mom USA
  • Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there! Sonya G Easley, SC
  • Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge! Cathie M Pompano Beach, FL
 
 
 

Meet The Experts:

 
 
 
  • Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
< Last | Next >
  • http://ww2.justanswer.com/uploads/RY/rydergar/2012-6-6_192240_IMG0328.64x64.JPG Dr. Gary's Avatar

    Dr. Gary

    Dog Veterinarian

    Satisfied Customers:

    2534
    DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
  • http://ww2.justanswer.com/uploads/JA/Jav917/2012-2-20_54059_201221802254JoananddavidArchuleta3.64x64.jpg Joan's Avatar

    Joan

    Vet Tech

    Satisfied Customers:

    4544
    Vet Tech for over 30+ years working w/Dogs/Rescues
  • http://ww2.justanswer.com/uploads/JA/jadedangel57/2011-11-8_193134_janenewsm.64x64.jpg Jane Lefler's Avatar

    Jane Lefler

    Breeder,Behaviorist, formerVet Asst

    Satisfied Customers:

    13847
    Former vol Vet Assistant.Breeder 16+ years Dog trainer / behaviorist
  • http://ww2.justanswer.com/uploads/ER/ERPetNurse/2011-11-7_1293_b.64x64.jpg Candy's Avatar

    Candy

    Veterinary Technician

    Satisfied Customers:

    7108
    Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer
  • http://ww2.justanswer.com/uploads/BA/babybloo/2011-3-10_62613_DavidandI.64x64.jpg Theresa's Avatar

    Theresa

    A Voice for Your Pet

    Satisfied Customers:

    4704
    19+ years experience in small animal medicine
  • http://ww2.justanswer.com/uploads/VE/vetforyou/2012-6-20_33122_PearlPhoto.64x64.jpg Dr. Andy's Avatar

    Dr. Andy

    Medical Director

    Satisfied Customers:

    4430
    UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management
  • http://ww2.justanswer.com/uploads/VE/VetAnswers/2013-4-5_8257_prof10.64x64.jpg Scott Nimmo's Avatar

    Scott Nimmo

    Dog Veterinarian

    Satisfied Customers:

    3977
    BVMS, MRCVS.