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There are a number of different reasons he might pace like this. Have you noticed any change in his appetite, or amount of thirst/urination?
Yes, I was definitely thinking about joint pain/discomfort as the possible underlying cause. It could also be due to a metabolic disease such as kidney disease, hypothyroidism, or even a urinary tract infection.
I think it would be best to have him evaluated by your local vet. I would start with a physical exam and some blood testing for tick borne diseases and a senior profile. If this identifies any problems, we can treat these specifically. Otherwise, if it is all normal, I would start a trial of pain medication for him to see if he is able to settle and sleep well once we manage any pain he may have.
Certainly. If the above is not sufficient, we can also consider anxiety medication or even just a supplement of melatonin at night.
Some dogs develop Cognitive Dysfunction Syndrome as the age, which is essentially senility. They often have disrupted sleeping, abnormal behaviors, confusion, etc.
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