HI, I'm Dr STeve. I am sorry to hear about your puppy's problems. Is the shaking any worse after nursing or eating or is it pretty much the same intensity the whole time she is awake?
There is a condition in puppies called Portosystemic shunt that can cause brain problems that can result in shaking as seen in shaking puppy syndrome . This is usually worse after eating.
This cause of shaking doesn't sound like what is going on with your puppy.
In most cases of shaking puppy syndrome the cerebellum is involved and the exact cause is not known definitively. There are some that think it is a viral infection that affect the cerebellum. Regardless of the cause, once the cerebellum is involved the only hope for improvement is for the body to try to heal itself. The fishoil has antioxidants tha can help reduce inflammation and free radical formation and won't hurt to try .
Unfortunately there isn't any one treatment that works consistently, but some puppies may improve as they age , even though they may not come out of it completely , they may improve enough to have a relatively normal life. My opinion on this syndrome is that the owner ( you) need to be informed and understand that the prognosis for complete recovery is not good. After understanding this point, I leave it up to the client to choose to put the dog to sleep or continue to take care of it and give it a chance to see if it will improve.
The fish oil is and high quality nutrition are the best things that can be done to help with this problem. Again, my opinion is that as lng as the dog can nurse or eat, isn't in pain and can lead some sort of relatively normal life ,there is nothing wrong with giving it a chance. If the tremors get worse or if the puppy's quality of life declines, then it may need to be put to sleep at that time, but at least it was given a chance to get better.
There are differing opinions on this subject as you know, but who's to say which one is more right? Some people tend to give up on a "problem" before others and some would rather have the "problem" go away sooner rather than have to make this decision inthe future.
Again , this is totally your decision and I would respect which ever route you choose. There is no "right": answer. There are valid points to both choices and it really comes down to what your "gut " tells you. It sounds to me like you aren't the kind of person to give up without trying and that is commendable. If or when it comes time that the puppy is not doing well from the shaking or if it stops growing, then the situation will have changed and choosing to euthanize may be in the puppy's best interest at that time.
I haven't seen antibiotics as being very helpful in classic shaking puppy syndrome. The only way it would help would be if your puppy happened to be suffering from a bacterial brain infection. IN this situation, I would expect to see a fever and lethargy with a poor appetite. She would basically have a meningitis in order for antibiotics to be effective. Unfortunately there are no quick tests to see if if she has meningitis other than the symptoms I have mentioned. Talking to your vet about giving antibiotics wouldn't hurt and if he is ok with that, trying a week's worth would at least address this remote possibility, but I wouldn't get my hopes up too high. This would be more of a benefit to you knowing that you tried to address all the possible causes of her condition.
Honestly this is more of a "giving the brain time to heal itself" kind of treatment.
You are very welcome. I hope this has helped you know what is best for you and your puppy. If you have more questions, please continue. I will be online throughout the weekend and most evenings if you have further questions. Thanks for using just answer and good luck. Have a nice weekend.
No problem, there are a lot of antibiotics that may kill the bacteria , but only a few would actually get into the brain tissue. Penicillin, amoxicillin and ampicillin would be ones that would help in this situation if there is a brain infection.
It has been my pleasure