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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 24467
Experience:  University of California at Davis graduate veterinarian with 44 years of experience
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He's not being able to lay down well, can't get up with out

Customer Question

He's not being able to lay down well, can't get up with out assistance most of the time , can walk down stairs, but not up
JA: I'm sorry to hear that. Could be a lot of things that cause lethargy. The Veterinarian will know how to help the dog. What is the dog's name and age?
Customer: Bentley and he's 12 and thx u
JA: Is there anything else the Veterinarian should be aware of about Bentley?
Customer: No
JA: OK. Got it. I'm sending you to a secure page on JustAnswer so you can place the $5 fully-refundable deposit now. While you're filling out that form, I'll tell the Veterinarian about your situation and then connect you two.
Submitted: 7 months ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 7 months ago.
It's reasonable to assume that Bentley is an osteoarthritic 12 year old but we do have to consider other disorders at his age. Are there any other worrisome symptoms you're seeing at this time? Ideally, a senior or geriatric diagnostic panel of blood and urine tests should be performed at this time to make sure that arthritis is the only issue . This is how you might address Bentley's sore joints:We use a multimodal approach to osteoarthritis in our dogs - dietary management, nonsteroidal antiinflammatory pain relief, neutraceuticals, life-style changes and stem cell therapy. When used concomitantly these approaches should synergize and provide the best control of symptoms. For example, Bentley might show considerable improvement if you add fish oil to his diet. The omega-3 fatty acids in fish oil are anti-inflammatory. I use the cost-effective generic human fish oils and dose them at 20 mg/lb daily of the EPA in the fish oil. You'll find the amount of EPA on the label of the fish oil product.Avoid flax oil because it is poorly bioavailable to dogs. They can't metabolize it properly.If you prefer, there are diets that are extremely high in omega-3 fatty acids. Hill's Prescription Diet j/d is one such diet.Many vets feel that injections of Adequan (polysulfated glycosaminoglycan) work better than oral neutraceuticals such as glucosamine/chondroiton sulfate or the over the counter Cosequin or prescription Dasequin (please see here: http://www.amazon.com/Nutramax-Cosequin-PLUS-Chewable-Tablets/dp/B003ULL1NQ/ref=sr_1_1?s=pet-supplies&ie=UTF8&qid=1432474254&sr=1-1&keywords=cosequin). Adequan is injected into Bentley weekly for a number of weeks at his vet's discretion. You can read more about Adequan here: http://www.adequancanine.us/Regenerative stem cell therapy has come into its own and is now available for addressing osteoarthritis in dogs . Please see Vet-Stem's website here for more information:***@******.*** The regenerative stem cells are created from Bentley's fat cells and are capable of differentiating into a variety of tissue types including tendon, ligament, bone, cartilage, and muscle and have been proven to reduce pain and inflammation. I understand, however, that such an invasive procedure may not be appropriate at his age.We have to suspect that just as in people, geriatric osteoarthritis in dogs is painful. If a prescription nonsteroidal antiinflammatory drug (NSAID) such as carprofen or meloxicam isn't sufficient for controlling pain, please consider adding a well-tolerated narcotic such as tramadol to these therapies mentioned above. All of these drugs are available from Bentley's vet. Aspirin dosed at 10 mg/lb with food every 12 hours can be helpful in a pinch.Weight reduction is essential. The less weight his joints need to carry, the better.Please respond with further questions or concerns if you wish.

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