Dog Veterinary

Ask a dog vet and get answers to your dog health questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

My 13 yr old Chihuahua hurt his back. He was given a hydromorphone…

Customer Question
My 13 yr old Chihuahua...
My 13 yr old Chihuahua hurt his back. He was given a hydromorphone injection last Friday and sent home with Metacam and methocarbamol. When I checked the methocarbamol online, there were warnings about renal failure and bloodwork done last week showed elevated BUN (65 mg/dL) and creatinine (2.4 mg/dL) levels. I gave him the metacam but thought I would ask his vet about the methocarbamol tomorrow. He was not seen by his usual vet on Friday. On Saturday evening, he had two seizures. I don't know if it was brought on by the Metacam or possibly the pain. My question is: Should I continue with the Metacam or take him to the Emergency Vet for an injection until he can see his vet tomorrow? Thank you.
Submitted: 3 years ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 2 minutes by:
6/14/2015
Dog Veterinarian: Dr. G., Dog Veterinarian replied 3 years ago
Dr. G.
Dr. G., Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 2,166
Experience: Private Practice Veterinarian
Verified
Hello, my name is***** am a licensed veterinarian and I will try and help you as best as I can.
I am sorry to hear Timmy is having these problems. I will need a little more information to help you better.
Was the bloodwork done before or after the medications?
Any previous history of back pain?
Any previous history of elevated kidney enzymes?
Has he had a chronic history of back pain?
Ask Your Own Dog Veterinary Question
Customer reply replied 3 years ago
He was lethargic and not eating Sunday evening, May 31st. I took him to his vet on Tuesday Morning and she had blood tests done (he was diagnosed with liver failure in July 2014). The results came back on Monday, June 8th. The ALT levels were now normal but the BUN/Creatinine were elevated. We started fluids the same day.Timmy hurt his back in 2005 and was prescribed Metacam. I am not sure how he hurt his back this time but the xrays shows little space between the vertebrae from the neck to the mid back.No previous history of elevated kidney enzymes. I am hoping they were elevated because he was dehydrated. Apparently, he was having trouble bending to drink water. I work so did not monitor his water intake and there are other animals in the home.This is only the second incident of back pain. However, the vet who saw him said that it will become chronic.
Customer reply replied 3 years ago
He seems to be in pain right now.
Dog Veterinarian: Dr. G., Dog Veterinarian replied 3 years ago
I see. Intervertebral disc disease (IVDD) is very common in this breed. It sounds like that was what happened before and has happened again. This is a very painful injury.
Regarding the question about the medications:
1) metacam can cause some liver and some renal (kidney) damage. This is a trade off at this point: NSAID medications are the best for pain and inflammation in a patient like this, however they can further disease with a damaged liver/kidneys, so this is something that needs to be a risk/reward conversation. Given his pain, he needs something now. Typically a combination of metacam, methocarbamol, gabapentin, +/- tramadol is given. Which brings me to my next point.
2) methocarbamol can cause some side effects related to liver and kidneys, however this is very rare. The metacam is much more likely (low likelihood, but still likely) to cause damage.
Given his pain, he needs pain medication now. Chronic kidney disease in dogs is something that progresses very quickly (unlike cats which can have manageable disease for many years). The metacam may speed this up, but the alternative is a steroid for inflammation, which can make the disease progress as well. What I recommend is another vet visit today. He needs better pain management. I would recommend adding in gabapentin and possibly tramadol as well. Another option is application of a fentanyl patch. This is a patch attached to the skin that slowly releases a strong opioid over a few days. This offers excellent pain control.
If your vet is open I would call them right away, otherwise you will likely need to head to an emergency hospital. The current kidney values would indicate IRIS Stage III chronic kidney disease, however without urinalysis results (urine testing), we do not know the full extent of kidney disease versus this being related to dehydration and/or liver disease.
Please let me know if you have any further questions. This is a lot to read and take in.
I wish you both the best. I will stand by and await your response.
Ask Your Own Dog Veterinary Question
Customer reply replied 3 years ago
Thank you Dr G. I will make take him to the emergency room.
Dog Veterinarian: Dr. G., Dog Veterinarian replied 3 years ago
You are very welcome.
I wish you both the best.
Have a great day!
Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. G., Dog Veterinarian replied 3 years ago
I strive for 100% Customer Satisfaction. Please feel free to reply back to me if you need any further information or if you are unsatisfied with this chat. Otherwise, please leave accept this answer and leave positive feedback for this conversation. Thank you very much and have a great day!
Ask Your Own Dog Veterinary Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a dog veterinarianLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. G. Your Own Question
Dr. G.
Dr. G.
Dr. G., Dog Veterinarian
Category: Dog Veterinary
Satisfied Customers: 2,166
2,166 Satisfied Customers
Experience: Private Practice Veterinarian

Dr. G. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! And, yes we do love our kitty - she makes our life complete!

Bev & GeorgeBoca Raton, FL

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Debbie

Dr. Debbie

Dog Veterinarian

904 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,416 satisfied customers

UC Davis graduate, emphasis in dermatology, internal medicine, pain management

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

10,633 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Gary

Dr. Gary

Dog Veterinarian

10,086 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr. Bruce

Dr. Bruce

Veterinarian

9,682 satisfied customers

15 years of experience as a small animal veterinarian

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

15 years of small animal, equine and pocket pet medicine and surgery.

Rebecca

Rebecca

Dog Veterinarian

8,719 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
My 7 month old Chihuahua mix is not eating and she has
Hi. My 7 month old Chihuahua mix is not eating and she has thrown up several times and has loose stools in the past 2 days. … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
2,717 satisfied customers
My chihuahua has had runny stools, she eats and drinks,
My chihuahua has had runny stools, she eats and drinks, probably not 100 percent, but 60-90 percent average. I took her to a local vet this past Tuesday. Reportedly, her WBC was elevated, she was bord… read more
DocPaul
DocPaul
Doctoral Degree
714 satisfied customers
A 12 old chihuahua is not eating or drinking. Any thing I
A 12 old chihuahua is not eating or drinking. Any thing I can give her to avoid dehydration? … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
He is a 6 y/o Chihuahua, great health. He's eating, pooping,
He is a 6 y/o Chihuahua, great health. He's eating, pooping, and sleeping well. we noticed on his right side , the back part of his jaw, it is swollen. He has not gotten bit or anything. We can't figu… read more
DocPaul
DocPaul
Doctoral Degree
714 satisfied customers
He hasn't been eTing. Eating. Pug mixed with chihuahua. He
He are the furry stuff that comes out of the dryer and since then I notice he dont eat he got super skinny from one day to another… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
8,719 satisfied customers
Listless, will hardly eat. Maggie, 8 months chihuahua mix.
eats grass and weeds when outside, eats feces if I don't remove it right away… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,711 satisfied customers
Just caught my 6 pound Chihuahua eating some Amdro Ant
Just caught my 6 pound Chihuahua eating some Amdro Ant poison (hydramethylnon) granules. Not sure how many she ate. Should I make her vomit? If so, how? … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,326 satisfied customers
Not eating. Or pooping. 5 month chihuahua. Remy. She's not
She's not eating she's not pooping, she drinks water but throws it up after.… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,409 satisfied customers
My Chihuahua is not eating for 2 days and I keep saying eat
my Chihuahua is not eating for 2 days and I keep saying eat eat she wont what am I supposed to do… read more
DocPaul
DocPaul
Doctoral Degree
714 satisfied customers
I have a 16 year old chihuahua he's not had a seizure but 2
I have a 16 year old chihuahua he's not had a seizure but 2 times a long time ago. He had one today my vet is out of the office today so please please help me. I haven't been tending to his fleas for … read more
Dr. Nicole
Dr. Nicole
Veterinarian
Doctor of Veterinary Medicine
874 satisfied customers
My new 3 month old chihuahua doesn't eat much. He is
Hi dr my new 3 month old chihuahua doesn't eat much. He is otherwise healthy, curious and active and has been checked by vet to be healthy except a bit underweight. I'm currently feeding him 3 times a… read more
Heath Wilkerson
Heath Wilkerson
ER/ICU & Exotic Animal Veterinarian
Doctor of Veterinary Medicine
417 satisfied customers
My 2 yr old Chihuahua had a seizure in March. I took him to
My 2 yr old Chihuahua had a seizure in March. I took him to an emg vet who chalked him over and ran blood tests and found nothing. I am now in SC and he had another last night and it was worse. It see… read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,053 satisfied customers
My chihuahua terrier mix has not wanted to eat for 2 days,
My chihuahua terrier mix has not wanted to eat for 2 days, today he won't take water. I saw him eating some grass yesterday. Today he had a long cleat slime drool- 1 strand. I wiped it off, checked in… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,711 satisfied customers
He is having seizures while on Keppra. Some of the seizures
He is having seizures while on Keppra. Some of the seizures make him congested. Can I give him Benadryl? And can I give him Valarian root or melatonin to calm him if he's on Keppra? … read more
DrSarah
DrSarah
Veterinarian
DVM
526 satisfied customers
My 9 yr old chihuahua is on phenobarbital for seizures.
My 9 yr old chihuahua is on phenobarbital for seizures. Yesterday he started screaming if we touched his body. Today he is holding his right eye nearly closed and squinting out of the other. He acts l… read more
Veterinarian101
Veterinarian101
Veterinarian
Bachelor\u0027s Degree
We have a applehead chihuahua and has had seizures
we have a applehead chihuahua and has had seizures occasionally, however, he she having seizures more often now. She had 3 this morning. She is about 8 years old and weighs about 5 lbs. Is their seizu… read more
DrSarah
DrSarah
Veterinarian
DVM
526 satisfied customers
He is a six year old haired Chihuahua who has had seizures
He is a six year old long haired Chihuahua who has had seizures in the past but now this time while seizing he threw up foam like substance … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,479 satisfied customers
My chihuahua had a seizure. It lasted about ten minutes.
My chihuahua had a seizure. It lasted about ten minutes. … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,409 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x