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Hi, I would be glad to help you tonight. Can you tell me the names of all the current medications he is taking?
If you give me one second, I can run upstairs and get the names
Also, thank you for speaking with me
I know off the top of my head
Ivermectin (increasing dose, oral, liquid)
750mg BID Cephalexin
I am more than happy to help
Tramadol (if he seems agitated, haven't really used it though)
How much does he weigh?
Those all started last Thursday
What he was started on was just Dermalone
ok, give me one minute...
That's been the last month and a half
Thanks Dr. J
Oh, and I've been wrapping the leg wound with gauze first, then No-Chew vet wrap, and then putting lickguard on top of it. He freaks out and hits things in an e-collar, and destroys any other wrapping I try to put on
The no-chew started 3 weeks ago. The lick guard on top of it started last week.
My suspicion is that it is the Cephalexin knocking down his appetite. This does happen in some dogs for reasons we don't really know. (especially at higher doses). Cephalexin is a good drug but it does cause inappetance in some dogs. Usually the Ivermectin does not affect the appetite. I would call your vet and ask them if they have a drug called Convenia. It is a Cephalosporin but it is an injection that lasts 2 weeks and does not usually affect their appetite because it does not have to pass through GI tract.
Sorry if I'm giving you too much information. No one seems to be able to figure his eating issue out. The vet hasn't been much help.
The appetite issues began about 3 weeks before I started the cephalexin though. When I first noticed the sores.
I'm terrible at explaining haha. The sores began about a month ago. He started the ceph. last week
Ok, sorry I did not get that from your original history. Ok, have they done any bloodwork on him?
I think so. He was dewormed at the beginning of the summer (precautionary, I moved from NC to VA)
The skin cytology shows it is demodicidosis
He's healing though. My worry is really the eating issues.
This is his latest workup: http://f.cl.ly/items/3R311X3G1j301S1z3A0j/Bentley-32815.pdf
OK, if they have done bloodwork and it looks normal, and not related to drugs (though I bet the drugs have made it worse) then it must be behavioral. I have always fed my dogs by meal feeding and giving them 20 minutes to eat and taking it up. Also I do not wet food down or add anything to it as that makes dogs more finicky. Also changing foods can make some dogs extremely finicky. I would recommend that you pick a good food and maybe one that has a canned version. Give him dry with a couple of tablespoons of canned mixed in well. GIve him 20 minutes to eat it and if he does not take it up. By making so many changes, you are essentially confusing him and he will never learn to eat well. Do this and stick to it.If he will not eat well, then have your vet give him a shot of Convenia so he does not have to take oral antibiotics so as not to upset his stomach.If you do all this and he is not losing weight and still slowly growing then you are in business. You need to give this new protocol some time. If he does not eat at all after 3 days then you should revisit your vet. But I think the main problem is that we have confused him. Does this make sense? Animals learn only by association.
May I write my understand of what you said, just in case I mix something up?
*write my understanding
You wouldn't believe it, but I am an English teacher. It's just late for me, haha.
of course, I want you to totally understand everything.
1. Give him 20 minutes to eat. 2. Do not add water to the food. 3. Add a little bit of the canned version of the same brand of dog food to the dry dog food.
If he doesn't eat at all after 3 days, see my vet.
Yes, that is totally correct. But since he needs antibiotics, make sure you don't wait to long to get the Convenia injection which he can have even if he is not eating well.
Can I mix brands? I have about 3/4 of a huge bag of 4Health left (stocked up before I left NC), but don't have a "Tractor Supply" (4Health is their in-house brand) near me at all
So I was going to switch him over to blue buffalo once the bag has about 1/4 left. They're similar in ingredients and overall rating (via https://www.dogfoodadvisor.com)
Again, thank you so much for working with me on this. I really do appreciate your time.
Ok, are you telling me that the food you are using is a house brand from a tractor supply place? Blue Buffaloe really is much better. And you can get canned as well. I would get rid of the tractor supply brand...no offense but I don;t like house brands.
It is possible that the palatability of his current food is not helping.
I understand. https://www.dogfoodadvisor.com/dog-food-reviews/4health-dog-food-dry/ I'm not a fan of house brands either, but this stuff is actually really good. It's made by Diamond Pet Foods. However, I will take your advice, and start him on Blue Buffalo tomorrow. Thank you so much for your time and help!
Diamond pet foods was actually one of the brands that had a huge recall for Salmonella I believe it was about 2-3 years ago. Are you sure you don't have any further questions? I am happy to assist you until you feel completely informed.
I think I'm good for right now. I'm definitely giving you an "excellent service". This is my first time using this site, but you've definitely far exceeded what I thought it was going to be like. Thank you again!
You will always get that type of service from me.Get back with me if you need follow up help!Cheers! DrJ