Thank you for your question. Is he aware of his environment? Responsive to you?
Yes, but very lethargic
And shaking and twitching?
Is he eating and drinking?
Any vomiting and/or diarrhea?
Yeah full body
not that I have noticed
he has been eating and drinking no problem
Is it possible he has gotten into any toxins?
Are you able to take a body temperature (rectal unfortunately only way it is accurate, with a soft digital thermometer)
that's what I wondered but I haven't seen anything he could have gotten into. How long would that take to take effect? He was outside all day yesterday and could have eaten something
he has been with me all day and hasn't eaten anything today
no i don't have a thermometer
Toxins typically take anywhere from 6-24 hours to see symptoms due to the toxin ingestion
I see, it's possible he ate something yesterday
Well the symptoms you describe are certainly concerning. My top two concerns would be a toxin ingestion/exposure or a central neurologic disease
If he is so cold to the point of shivering this could be something else, but still would be very concerning as animals should be able to maintain their body temperature very well
if it was a neurological disease wouldn't we have shown in before?
Not necessarily. It could be from an infection or an immune-mediated process.
It doesn't sound like seizures (because he is aware and responsive), however seizure disorders such as epilepsy can show up at any age, and typically between age 1-5 for the first time
Hmm - it doesn't seem to be significant shaking. More like he's shivering, especially when he lays down
Ok, well he just jumped up and ran outside to pee and he seems to be a little better already. he is moving around and wagging his tail again
the shaking seems to be gone already
i don't know why it changed so fast
Well that is a good sign. Any limping or painful areas? Sometimes shaking is a sign of pain as well.
Will he take a treat from you?
yeah, I just gave him one and he ate it right away
and drank some water right after
no limping and the shaking seems to be gone
Feel him all around and make sure there are no painful areas...
If you aren't able to elicit any pain from him whatsoever, then this is possible this was either a toxin ingestion (that hopefully is being cleared well since you saw such a dramatic improvement) or a waxing and waning neurologic condition.
I checked him everywhere, no pain noises
right now he is 100% back to normal
If you don't see any further abnormal behavior, I wouldn't worry about this and just assume he possibly got into something that has resolved (assuming he continues to eat and drink, have energy, act completely normal)
Ok, i'll keep an eye on him for the rest of the night. Thank-you!
If you do see relapse of this behavior, I would strongly consider having him evaluated for neurologic disease
Any drugs in the house or that he could be exposed to such as marijuana?
no, not any that I can think of
Marijuana can cause ataxia and some shaking, but in a dog his size probably wouldn't cause anything else and would resolve on its own..
Okay, just wanted to check - we see this all the time at the emergency clinic!!
no nothing like that
and I checked the cabinets and there was nothing that looked like he might have gotten into (cleaners and such)
Well good luck with everything, if the shaking/tremoring relapses, have a neurologic workup to rule out concerning underlying things such as immune mediated disease and central nervous system infection
ok I will do that.
Well hopefully this was an isolated incident and you won't see anything further, glad it resolved so rapidly (that is often a good sign)
Good luck with him!
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