Dog Veterinary

Ask a Dog Vet and Get Answers to Your Dog Health Questions

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary

My dog is a 16yo female spayed schnoodle. She has

Customer Question
Hello. My dog is...
Hello. My dog is a 16yo female spayed schnoodle.
She has had stomach issues for the past 2 years. Approx once a week, her stomach gurgles and she is extremely tired and will not eat or drink. Between Jan and April 2015, we were feeding her KD Hills diet and she seemed to be doing extremely well. We recently changed her to the KD dry food and that's when the problems started again.
I changed her back to the canned food for the past 3 days and she's had this gurgling stomach on Thursday and now again today. She recently had a blood panel done and the doctor said that everything looks normal. She was recently diagnosed with Cushing's disease and we gave her 2 doses of Trilostane (Monday night and Tuesday morning). We brought her into emergency on Tuesday evening because of severe back pain and the doctor gave us rimadyl and tramedol. Since the back, stomach issues, we have stopped all meds.
Submitted: 2 years ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 2 hours by:
6/21/2015
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 17,471
Experience: Over 20 years of experience as a veterinarian.
Verified
Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that your poor little one is having so much trouble with stomach upset and pain. I think that she may have several issues going on.
Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
The stomach upset when going from canned k/d to dry is likely explained by slightly different formulations between the two foods. There is likely something in dry k/d that her gastrointestinal tract is irritated by, she likely has a food allergy or sensitivity. Even with a switch back to canned k/d due to the effects of the different diet (dry k/d), and then a switch in diets, her symptoms won't go immediately go away. Her gastrointestinal tract needs to heal from the insult.Was she put on k/d because she has a history of kidney disease?How was she diagnosed with Cushing's disease?Was she eating a tremendous amount and drinking a lot? Did she have muscle weakness and elevated liver enzymes and a pot bellied appearance?I don't tend to treat dogs just based on blood results, I only treat dogs that are symptomatic. The reason for that is that the drugs we use to control Cushing's disease can have significant side effects too. Trilostane can make dogs nauseous, cause poor appetite, vomiting, lethargy, diarrhea, and weakness. Rarely we can see more serious reactions, including severe lethargy, bloody diarrhea, collapse, hypoadrenocortical crisis (hypoadrenocorticism) or adrenal necrosis/rupture which may result in death.We have found that many dogs need lower than recommended doses, so I tend to start them low to see how they tolerate it.I cannot say why she appeared to have back pain but it may be due to the Trilostane, so I think that you were wise to stop it.It may also be unrelated to Trilostane and could indicate a kidney infection or intervertebral disc disease.Was she given any Rimadyl or Tramadol? If so did that help? The chain of events seem to be she was diagnosed with Cushing's and given two doses of trilostane. At that point she was eating dry k/d. Then Tuesday she seemed very painful and was taken to emergency and prescribed Rimadyl and Tramadol. Stomach issues returned Thursday so switched back to canned k/d and stopped all meds. Is that correct?At this point I would not give medications either, especially not Trilostane, as that seems to precede much of her symptoms.To try and settle her stomach today you can give either:1) Pepcid-ac (famotidine) at one half of a 10mg tablet per 10 to 20 pounds of body weight every 12 hours.OR 2) Prilosec (omeprazole) at one half of a 10mg tablet per 10 to 20 pounds of body weight every 24 hours.These will reduce stomach acid and should help if this is related to simple nausea and gastrointestinal irritation from the medications and a diet sensitivity.I would not feed her any food for 12 hours after the acid reducers are started. This should help stop gut spasms and restore normal gut motility. Small amounts of water or ice cubes given frequently are fine as she needs fluids. You can give her pedialyte or low salt chicken or beef broth to replace electrolytes tooAfter her food fast start a bland diet of 1/3 boiled, lean hamburger (or boiled, white, skinless chicken), all fats and juices drained off the meat, mixed with 2/3 boiled, plain white rice. Feed several small meals a day. Once she feels better (no noise for 48 hours and eating well) start mixing in canned k/d dog food very slowly, less bland more k/d with each day. It should take a week or so to convert her back.I highly recommend rechecking with her veterinarian, getting her urine cultured to look for an infection and if they have an ultrasound machine checking her abdomen, looking closely at her kidneys and adrenal glands. She should be checked for any changes in adrenal gland architecture before considering restarting Trilostane. And if Trilostane is restarted I would cut her dose back significantly to start.Please let me know if you have any further questions.
Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Hi Goldine,
I'm just following up on our conversation about Pepper. How is everything going?
Dr. Kara
Ask Your Own Dog Veterinary Question
Customer reply replied 2 years ago
Not well Dr. Kara. Pepper had an ultrasound on Monday and they found a mass on her lower small intestines plus some nodules on her liver. We had surgery on Tuesday for a biopsy. They could not remove the mass as it was in a very dangerous position (I believe near the colon). Anyway, we're waiting for the results but the doctors both believe it is cancer. We have an oncologist appointment next week and we're waiting for the best route (chemo, holistic meds, etc).
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Thank you for the update on Pepper. I am sorry to hear that the news is not good for her. I understand that there are multiple masses in her abdomen, involving her intestine and her liver. I suspect that her primary tumor originated in her intestine and those in the liver are metastatic (spread from the primary tumor). That alone bodes poorly for her as once cancer has spread it is very difficult to fight, but the inability to remove her intestinal tumor is a huge concern as well. No wonder your poor little one was having some many intestinal troubles.I hope that she has the sort of cancer (like lymphoma) that is responsive to chemotherapy since removal of the primary tumor is impossible.Please let me know what the biopsy result is, thank you, ***** *****
Ask Your Own Dog Veterinary Question
Customer reply replied 2 years ago
Dr Kara, how is chemo administered to dogs?
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
It depends upon the drug(s) used, which of course will depend upon the type of cancer and the stage it is in.Some is given slowly intravenously, so it must be given in a hospital setting, some comes in pill form which can be given at home.Once you have a diagnosis then her oncologist can give you a plan of action, and there are often a few options depending upon the type of cancer and your wishes. I highly recommend asking lots of questions from the oncologist as they have the most experience and expertise. It's what they do every day.
Ask Your Own Dog Veterinary Question
Ask Dr. Kara Your Own Question
Dr. Kara
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 17,471
17,471 Satisfied Customers
Experience: Over 20 years of experience as a veterinarian.

Dr. Kara 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

902 satisfied customers

Companion animal veterinarian practicing for over 10 years.

Dr. Andy

Dr. Andy

Medical Director

16,112 satisfied customers

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

Dr. Gary

Dr. Gary

Dog Veterinarian

9,980 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,897 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Scott

Dr. Scott

Veterinarian

9,615 satisfied customers

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

Dr. Bruce

Dr. Bruce

Veterinarian

9,134 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,745 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
Dr my 3 mth old kitten was depressed after the death of his
Dr my 3 mth old kitten was depressed after the death of his sister on Friday. He had not eaten or drunk anything. He was vomiting little yellow frothy stuff evry few hours since 2 days. I gave him sub… read more
Dr. Nicole
Dr. Nicole
Veterinarian
Doctor of Veterinary Medicine
385 satisfied customers
My vet administered a CereniaI injection and a Famotidine
My vet administered a CereniaI injection and a Famotidine Injection to my dog on Wednesday. I gave her the pill form of each on Thursday. She has lost her appetitie and has explosive diarrhea I tried … read more
Dr. John
Dr. John
Veterinarian
Doctor of Veterinary Medicine
5,049 satisfied customers
My 12 year old lab was on rimadyl and my boyfriend took him
my 12 year old lab was on rimadyl and my boyfriend took him in to a new vet who changed his pain med to Metacam and then gave Gabapentin 200mg x 2 also. The Metacam is very expensive so couldn't the G… read more
Dr. Peter
Dr. Peter
Doctors Degree
14,322 satisfied customers
She's having a muscle spasm in her neck/shoulder. Muscle
Hi there, she's having a muscle spasm in her neck/shoulder … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
He was diagnosed with lymphoma. A dog. He was diagnosed with
he was diagnosed with lymphoma when we notices that he had a large knot in his throat … read more
Kelly Jones
Kelly Jones
Doctorate of Veterinary Medicine
248 satisfied customers
I used to give my dog Famotidine for stomach issues. Have
I used to give my dog Famotidine for stomach issues. Have not done it for a while and can't remember how to administer it. I have 10 mg tablets that I cut in half and give one in the morning. Should I… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My dog is starving herself to death. she is a 17 year old
my dog is starving herself to death. she is a 17 year old chihuahua. i've tried everything. cook chicken. salmon, rice, yogurt, ...and still losing weight. bloodwork has come back normal at the vet. i… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My pug is on rimadyl 25mg is ibuprofen an acceptable
My pug is on rimadyl 25mg is ibuprofen an acceptable substitute (otc ) for her pain … read more
DocPaul
DocPaul
Doctoral Degree
680 satisfied customers
Is orange chicken poison dog. Orange chicken from panda
is orange chicken poison dog JA: I'll do all I can to help. Did you see what the dog ate? Customer: yes orange chicken from panda express JA: Is there anything else important you think the Veterinaria… read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
My pug takes rimadyl and benadryl(for allergies). He got
My pug takes rimadyl and benadryl(for allergies). He got gabapentin, methocarbamol, and prednisone this morning that my other pug takes. Will he be okay with all of these in system or do I need to tak… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
What is the risk giving 12.5mg of Rimadyl in the Morning and
What is the risk giving 12.5mg of Rimadyl in the Morning and 1-half tablet Temaril-P tablet (not sure of mg), at night, to a 10-lb Yorkie by accident. Vet originally said to discontinue Temaril-P 1-da… read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
480 satisfied customers
She has had a back injury and was prescribed Rimadyl and
She has had a back injury and was prescribed Rimadyl and ace. I stopped the Rimadyl two days ago, but gave her half an ace tablet to help her sleep night before last due to constant panting. Now she h… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
9,980 satisfied customers
Rimadyl overdose. He ate over 5 pills of rimadyl. Eddie 7
rimadyl overdose JA: I'll do all I can to help. What is wrong with the dog? Customer: he ate over 5 pills of rimadyl JA: The Expert will know if the dog will be able to digest that. What is the dog's … read more
Dr. Peter
Dr. Peter
Doctors Degree
14,322 satisfied customers
Just researching muscle atrophy to the temporal muscle on
Just researching muscle atrophy to the temporal muscle on left side … read more
Dr Linda
Dr Linda
Doctor of Veterinary Medicine
Doctoral Degree
1,307 satisfied customers
I am scared to death. My was sneezing and blood was
I am scared to death. My ***** ***** was sneezing and blood was everywhere on his blanket and on the floor … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,124 satisfied customers
My dog had diarrhea and after feeding him chicken and rice
my dog had diarrhea and after feeding him chicken and rice for a week, he will not go back to his regular feeding schedule and it's been three weeks. He eats sometimes but not always. … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,505 satisfied customers
I have been feed feeding duke chicken and rice for 1.5 days
I have been feed feeding duke chicken and rice for 1.5 days he passed the meat pad, but tonight I have been up every 2 hrs b.c he is having diharrea does the chicken and rice cause diharrea that bad ?… read more
Dr. Christina
Dr. Christina
Small Animal Veterinary Internist
376 satisfied customers
My german shepard just started with famotidine. Is tramadol
Hi my german shepard just started with famotidine. Is tramadol safe to use at the same time?… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
9,134 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