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 seems to be keeping her mouth pen as if she cannot

Customer Question
close it. It is...
My dog seems to be keeping her mouth pen as if she cannot close it. It is causing her to drool especially when she eats or drinks. When she eat or drink she is excessively drooling everywhere. The vet checked her mouth to see if there were any broken or cracked teeth and everything was fine. The vet thought the dog might have hit a nerve but was sure. She sent us home with a week's worth of gabipenten. I am not sure what we should do next.
JA: I'm sorry to hear that. Problems with drinking can be serious. I'm glad you noticed it. The Veterinarian will know what to do. What is the dog's name and age?
Customer: Shiloh and I beleive she is about 6.5 years old.
JA: Is there anything else the Veterinarian should be aware of about Shiloh?
Customer: She freaked out during the fireworks on New Years Eve. That's why the vet thought she may have pulled a nerve trying to dig her way out of her metal crate. However she hasnt really gotten any better so I am not sure if it had anything to do with the fireworks?
Submitted: 10 months ago.Category: Dog Veterinary
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 18 minutes by:
1/8/2017
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 10 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,765
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

You're speaking to Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Ask Your Own Dog Veterinary Question
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 10 months ago

I believe that you're describing a trigeminal nerve (cranial nerve V) neuropathy. Please review the following synopsis of this disorder and then return to our conversation with further questions or concerns. The synopsis was designed for vets but you'll get the gist of it.

Definition of trigeminal neuritis/”dropped jaw”

An idiopathic, self-limiting inflammatory condition that involves the motor and sensory branches of the trigeminal nerve and (on occasion) the sympathetic innervation to the eye (i.e., Horner's syndrome).

Epidemiology

Dogs most commonly affected; rare in cats

Genetics and Breed Predisposition

No sex or breed predilection; golden retrievers may be overrepresented.

Risk Factors

Other immune-mediated disease

Associated Disorders

Possible paraneoplastic (a cancer elsewhere in the body) association

Clinical Presentation

Bilateral paralysis of the masticatory muscles that primarily affects the mandibular branch of the trigeminal nerve

History, Chief Complaint

Acute or subacute onset of an inability to close the mouth. The dog cannot prehend food, may hypersalivate, and has difficulty drinking water.

Physical Exam Findings

Bilateral paralysis of the masticatory muscles

Affected dogs are bright and alert and do not appear as though they are in pain. Most have no other detectable neurologic abnormalities.

In some cases, there is decreased facial sensation bilaterally, and Horner's syndrome may be observed.

Trismus/inability to open the mouth does not occur with trigeminal neuritis.

Etiology and Pathophysiology

Most common neurologic cause of an inability to close the mouth in the dog

Etiology is unknown, but extensive bilateral nonsuppurative inflammation, demyelination, and, in some cases, axonal degeneration of all portions of the trigeminal nerve and its ganglion, with no brainstem lesions, have been reported at necropsy.

Complete recovery is observed in 2-3 weeks (rarely, may take several months), with no drug therapy being reported as useful.

Facial sensation is usually preserved. Occasionally, Horner's syndrome may be observed, presumably because the postganglionic sympathetic axons course with the ophthalmic branch of the trigeminal nerve.

Diagnosis

The diagnosis is based on characteristic clinical signs, absence of other neurologic deficits, and elimination of the possibility of orthopedic (mandibular, temporomandibular joint) disorders. Advanced diagnostic testing is generally reserved for cases showing additional or unusual neurologic deficits, when spontaneous resolution does not occur, or if rabies is possible (quarantine/euthanasia).

Differential Diagnosis

Rabies

Traumatic mandibular injury

Inflammatory or infectious central nervous system (CNS) disease

Initial Database

CBC, serum chemistry profile, urinalysis: usually within normal limits

Screening for infectious diseases such as protozoal, fungal, and viral diseases is recommended, as clinically and geographically appropriate.

Advanced or Confirmatory Testing

Unnecessary in most cases

Cerebrospinal fluid (CSF) analysis may be normal or show mild increases in protein concentration. Lymphocytic pleocytosis is rarely observed.

Electromyography may reveal increased insertional activity and other mild changes.

Computed tomography or magnetic resonance imaging of the brain: within normal limits

trigeminal nerve biopsy: not recommended

Treatment

Spontaneous resolution usually occurs in 2-3 weeks with no treatment.

Acute General Treatment

Maintenance of hydration and alimentation is critical.

Percutaneous gastrostomy (a feeding tube) may be helpful in severe cases.

Chronic Treatment

Signs will typically resolve spontaneously in 2-3 weeks but in some cases will take months to fully normalize. If signs do not resolve in the 2-3-week period, other differentials should be considered.

If sensory deficits are observed, the recovery period may take longer.

Nutrition/Diet

Will most likely need a slurry or canned food gruel in the immediate period since the patient is unable to close the mouth but the tongue is still functional

Ask Your Own Dog Veterinary Question
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 30,765
30,765 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience

Dr. Michael Salkin 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

16,087 satisfied customers

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

Dr. Gary

Dr. Gary

Dog Veterinarian

9,949 satisfied customers

DVM, Emergency Veterinarian, BS (Physiology)

Dr Scott Nimmo

Dr Scott Nimmo

Dog Veterinarian

9,704 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

8,945 satisfied customers

15 years of experience as a small animal veterinarian

Rebecca

Rebecca

Dog Veterinarian

7,442 satisfied customers

More than 30 years of companion animal practice.

< Previous | Next >

Related Dog Veterinary Questions
I have a 5 month old English Cream Golden Retriever. The
Hi - I have a 5 month old English Cream Golden Retriever. The last couple of nights he's been vomiting during the night/early morning - usually nothing comes up. It happened a few nights ago, then aga… read more
divealot1
divealot1
DVM
6 satisfied customers
My golden retriever ate 2 supplements of my husbands. One is
My golden retriever ate 2 supplements of my husbands. One is called prostate SR and the other is prostate 2.4 … read more
Dr. Deb
Dr. Deb
Associate Veterinarian
Doctoral Degree
556 satisfied customers
Two Golden retrievers ate a 37oz. Bag of Halloween candy
Two Golden retrievers ate a 37oz. Bag of Halloween candy (m&ms, snickers, Milky Way and Twix) One dog is 80lbs the other is 50lbs. They ate wrappers and all. Take them to the vet? … read more
Pet Doc
Pet Doc
Senior Small Animal Veterinarian
BVSc
2,782 satisfied customers
No vomiting, no food no water, no paralysis of either
No vomiting, no food no water, no paralysis of either side,-panting and the shivering came in waves … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
We have a 14 year old Golden Retriever....Ii cannot reach my
We have a 14 year old Golden Retriever....Ii cannot reach my vet tonight :( We are thinking he might have had a stroke. He is up to date onn all … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,765 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
1,244 satisfied customers
My 1.5 year golden retriever has vomited the last two days
My 1.5 year golden retriever has vomited the last two days about 5 hours after his morning kibble (2 cups kibble soaked with 1.5 cup water for 10 min). He is acting normal otherwise. … read more
DocPaul
DocPaul
Doctoral Degree
663 satisfied customers
Golden retriever 6l# age 9-10 yrs - got couple cups of
golden retriever 6l# ***** 9-10 yrs - got couple cups of RAISIN BRAN CEREAL - don't know exact amount - should he be checked? … read more
Dr. Altman
Dr. Altman
Veterinarian
Doctoral Degree
9 satisfied customers
11 yr old Golden Retriever injured rear foot running across
11 yr old Golden Retriever injured rear foot running across lawn 2 years ago. The foot curled up but no sign of pain when I examined it. Our Vet only prescribe Previcox which the dog is still on. I su… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,564 satisfied customers
My 4 year old golden retriever is being treated for
My 4 year old golden retriever is being treated for epilepsy. He is currently taking Phenobarbital 64.8 mgs - 4 daily , Keppra 1000 mgs - TID , gabapentin 100 mgs - TID,Bayer chewable aspirin 81 mgs a… read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,460 satisfied customers
My golden retriever has small black bugs, no legs. Emma 5
my golden retriever has small black bugs, no legs JA: I'm sorry to hear that. What is the dog's name and age? Customer: emma 5 years JA: Is there anything else the Veterinarian should be aware of abou… read more
Denise Cudiamat
Denise Cudiamat
Veterinarian
Doctor of Veterinary Medicine
341 satisfied customers
My 7 month old golden retriever just swallowed about 2
Hi. My 7 month old golden retriever just swallowed about 2 tablespoons of mineral ice ointment. What should I do please? … read more
DocPaul
DocPaul
Doctoral Degree
663 satisfied customers
I have a 4 year old golden retriever. The other day me and
Hi I have a 4 year old golden retriever. The other day me and my wife noticed he has a rash on his lower belly and inbetween his legs. Today we checked it out again and he has a swollen red lump in hi… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
8,564 satisfied customers
My 6 month old Golden Retriever (who's been vaccinated for
Hi, my 6 month old Golden Retriever (who's been vaccinated for rabies) managed to lick a chicken drumstick on the dinner table before I was able to take it away from him. I took him to the other room … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,765 satisfied customers
Golden retriever has lump under eye. It changes colour now
Golden retriever has lump under eye. It changes colour now and then and looks like it has a pimple dot in the middle. It does not bother him at all. … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
30,765 satisfied customers
My golden retriever was bitten by a groundhog in her ear. Is
My golden retriever was bitten by a groundhog in her ear. Is did bleed but not constantly bleeding. Should I take her to be seen tonight at an animal ER? … read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
My 80 pound golden retriever got into the trash where I had
My 80 pound golden retriever got into the trash where I had used Neupro patches. A couple of days later she died. I know that the package has a warning to keep away from pets. What I want to know is h… read more
Dr. Bruce
Dr. Bruce
Veterinarian
Doctor of Veterinary Medicine
8,945 satisfied customers
On an ultrasound of my Golden Retriever they saw what looked
On an ultrasound of my Golden Retriever they saw what looked like liquid, and aspiration showed it was blood. They are not sure where the blood is coming from. They offer to do a more comprehensive ul… read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,376 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