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My dog has been to the vet twice in the last 2 weeks, 1st…

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My dog has been to...
My dog has been to the vet twice in the last 2 weeks, 1st time- weighed 109lbs, severe limp/lame front left leg. Indented shoulder on same side. Xrays showed no fracture, but upon 2nd look, vet showed me a half moon curved area on leg bone that connects to shoulder, said could be arthritis, which doesn't cause sudden lameness/limping, or early stages of bone cancer. Gave us pain killer, come back in 2weeks. Last week, went back, dog was happier, walking better, using leg a little, weighed 120lbs, so vet said just more pain killers for now. Woke up this morning, he moved once, 3 feet, all day. Won't eat, won't go out, won't stand up, won't move, he's dead weight like. Stomach looks bloated, but he's fat, so can't tell 100% if he is, or if it's the way he's laying. Gave him simethicone anyways. His nose is cold, but dry, his gums pale/light pink, and he seems distant mentally. He barely moves his eye brows when we talk to him, or ask if he has to go potty, and this is NOT normal. We have no er vets around here, and used all our care credit in his last 2 visits. We couldn't get insurance on him because he was a rescue. What can I do? What might be wrong with my baby? He's 7 1/2 year old golden retriever. 120lbs.
Submitted: 2 years ago.Category: Dog Veterinary
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Answered in 22 minutes by:
1/31/2016
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Dr. Kara
Dr. Kara, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 18,568
Experience: Over 20 years of experience as a veterinarian.
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Hello, my name is***** and I have over 20 years of experience as a veterinarian. I am sorry to hear that your fellow is having such a rough time of it the past couple weeks, with lameness and changes to his shoulder joint radiographically and now suddenly pale gums, weakness, lack of an appetite, possibly swollen abdomen,and lethargy.

I am not sure that his previous lameness is related to what you are seeing today. I would have to guess that his previous lameness was related to bicipital tendon inflammation/bursitis given the radiographic changes and that it responded so nicely to nonsteroidal anti-inflammatories.

Unfortunately Goldens have a higher incidence of cancer then many other breeds, specifically hemangiosarcoma of the spleen and lymphosarcoma that can invade the abdominal organs and lymph nodes. These tumors can press on the stomach and intestines and make them feel full or, especially the hemangiosarcoma, bleed with increases in blood pressure which would make him feel lethargic and explain his bloated looking abdomen and pale gums. I know that he was seen recently, but it possible that he had a tumor that was too small to palpate at that point given his big size in general. A growing mass would also explain his recent weight gain. The problem with these tumors is that unless they start to bleed, or get big enough to press on other organs or the intestinal tract they seem to feel fine, so we don't know to look closely for anything. We often don't find them until they bleed.

I think an examination, some recheck blood tests, some radiographs of his abdomen, and an ultrasound of his abdomen are great places to start. It will allow them to look at organ structure and look node or internal organ changes and collect aspirates of any abnormal areas. Radiographs are pretty good at looking at organ size and placement, and seeing big changes, whereas an ultrasound will allow visualization of more subtle changes. Ideally given his pale gums and lethargy today he would be seen on an emergency basis, but I realize that may not be possible. But I do think that you need to take him in tomorrow to be rechecked.

I would recommend that you keep him very, very quiet tonight.

To try and settle his stomach today and improve his appetite you can give either:

1) Pepcid-ac (famotidine) at a dose of one 10mg tablet per 20 to 40 pounds of body weight every 12 hours.

OR

2) Prilosec (omeprazole) at a dose of one 20mg tablet per 40 to 80 pounds of body weight every 24 hours.

These will reduce stomach acid and can help settle his stomach. They are quite safe and can be used few days.

Offer a homemade bland diet to stimulate his appetite of 1/3 boiled, lean hamburger or boiled, white, skinless chicken, all fats drained off the meat, and 2/3 boiled, white rice.

Please let me know if you have any further questions.

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Customer reply replied 2 years ago
Unfortunately, he has changed position, and is severely bloated. He won't eat anything, as we have tried all his favorites, including eggs, chicken, and ground beef. We are traveling to an er vet out of town now.
Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago

That sounds like the best plan. I am very worried that he has an actively bleeding mass. Please let me know how things go for your fellow, my best to him, thank you, ***** *****

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Dog Veterinarian: Dr. Kara, Veterinarian replied 2 years ago
Hi Elizabeth,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Kara
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Dr. Kara
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Satisfied Customers: 18,568
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