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You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.
Kelly, I'm sorry that your question wasn't answered in a timely manner. Fatty tumors don't pop and leak. Can you upload a photo(s) of representative skin to our conversation? You can upload photos by using the paperclip icon in the toolbar above your message box (if you can see that icon) or you can use an external app such as dropbox.com/
There are quite a few considerations in dogs as you've described - sterile nodular panniculitis, idiopathic sterile granuloma and pyogranuloma, vasculitis/panniculitis, and cutaneous drug reaction all are important considerations.
Thank you! Give me a moment to take a look, please...
The photos are out of focus. Can you try again, please? The first photo is suggestive of all of the differential diagnoses I mentioned except a cutaneous drug reaction.
Thank you! The most expedient manner in which to diagnose this skin condition is to have Roscoe's vet take a few punch biopsies of these lesions. You should have a diagnosis within just a few days. Roscoe's systemic signs - lethargy, inappetence, and urinary incontinence - suggest that more than his skin is involved in the disease process as might be seen with immune-mediated disorders such as those I mentioned above. Because he's urinary incontinent, it would be prudent to have his urine checked for infection. The infection may or may not be related to infection present in those skin lesions.
Please continue our conversation if you wish.
Thank you for the additional information. He'll need his urine checked once again. The urine can be taken in the most sterile manner (cystocentesis/percutaneous aspiration of his bladder through his abdominal wall) at the same time punch biopsies are obtained.
I understand your financial constraints. I regret that Roscoe has a condition that can't be diagnosed and a treatment recommended without additional testing. I'll opt out which will allow another expert to offer another opinion.
Kelly,Can you tell me more about your situation? Has Roscoe been placed on any medications for the urinating?Where have these lumps appeared?
As Dr. Salkin had mentioned, it's very difficult for us to give you a determination on what is wrong when growths like these appear. Not only can we not see them in person but often cellular analysis must take place for a diagnosis to be made. Underlying conditions like immune-mediated disorders can be one of many causes of these types of skin eruptions. And we can also see anemia present with immune-mediated disorders.That being said, I don't think the urinary issue is linked directly to the skin issue but it would still be worth talking to your vet about medications in the near future to help with sphincter control so that he isn't having these accidents at night. We do typically test the urine to ensure that no infection is present, as well, so that we aren't masking actual symptoms with medication and possibly causing more issues.I'd be interested to know if these growths are infected or have a yeast component due to their smell. It will not hurt for you to use regular neosporin on these areas up to three times daily.
The urine was tested after the urinating in bed occurred?
You can use a holistic immune booster to see if this helps. Most people will see results in 1-2 weeks, if it helps. It's called Thuja. You can administer the liquid or pellets:http://www.onlynaturalpet.com/products/Newton-Homeopathics-Thuja/161016.aspxYou can give 3 drops or 3 pellets every 12-24 hours by mouth. It is typically recommended to start with once in a 24 hour period for 2 weeks and increase to twice daily if no improvements are noted.Keep in mind that if you see any worsening at all, he needs to be examined. If this is, by chance, an immune-mediated disorder and anemia is a concern he may experience gradual weakening, loss of coordination, profound lethargy, etc. Any of these symptoms or others, please consult your vet promptly.
It depends on what type of disorder it is. Typically diagnosis like bloodwork are needed. The treatment varies depending on immune-mediated disorders, too, but typically medications are needed and in some cases hospitalization, blood transfusions, etc.
Checking in. How is Roscoe?
Did you mean Cephalexin?The bloodwork that was run, did they check his organ function?
A blood panel is nonspecific. I would assume that this means the organs were checked too, but I cannot tell you for sure that they are. We might have to wait until Monday when you can call to see if this was the case. If his organs are not fairing well, this might explain why he's not feeling well but at the same time anemia can cause profound lethargy.
Did you mean Cephalexin on the antibiotic?
I think trying some other options would be wise. Here are some things I would suggest:-Boiled rice and boiled chicken breast without skin or bone (you can also bake the chicken breast but it needs to be without butter or seasoning, just bland)-Rice and cottage cheese-Pureed baby food in chicken, turkey and similar flavors without onion or garlic in the ingredient panel. This can be given directly or mixed into food.-Canned dog food-Esbilac puppy milk mixed into any variety of foods to increase palatability, can be used alone in limited quantities
Good luck! Let me know if I can help further.