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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 29772
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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She will shake and pant at the same time for an hour or

Customer Question

she will shake and pant at the same time for an hour or more
JA: I'm sorry to hear that. What is the dog's name and age?
Customer: lily is 2 years
JA: Is there anything else important you think the Veterinarian should know about lily?
Customer: when this happens she will not lie down or set down , will stand or pace, 23 lbs house dog, part terrier.
Submitted: 8 months ago.
Category: Dog Veterinary
Expert:  Dr. Michael Salkin replied 8 months ago.

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.

Expert:  Dr. Michael Salkin replied 8 months ago.

I'm sorry to hear of this with Lily. Shaking and panting most often indicate pain in our dogs although we can see those symptoms in anxious, fearful, and febrile dogs as well. Which breed is Lily, please?

Customer: replied 8 months ago.
23lb 2 yr mostly terrier
Expert:  Dr. Michael Salkin replied 8 months ago.

Thank you. Do you think that her mentation (mental status) is altered at these times...for example, she doesn't make eye contact or respond to you as usual? When she paces, does it appear to be aimless; does she circle, hug the walls, become trapped in corners?

Customer: replied 8 months ago.
she responds to me when I talk to her, but will not jump into my lap.
Expert:  Dr. Michael Salkin replied 8 months ago.

Thank you. While this must necessarily be conjecture, I'm concerned that spinal pain underlies her shaking, panting, and reluctance to jump.

Degenerative disk disease (a "slipped disk") should be an important differential diagnosis in such a small dog. Supportive evidence of a disk may include vocalizing when approached or lifted, having trouble jumping up or down and navigating steps, ataxia (“drunken sailor”), trembling/shaking (pain responses), a change in posture such as the neck held rigidly and head lower to the ground or a "hunch" in Lily's back, and a change in behavior - a normally social dog becoming aloof or, conversely, a normally aloof dog becoming "clingy". Lily's vet will want to carefully palpate (feel) about Lilly's spine looking for areas of hyperpathia (increased sensitivity) suggestive of a disk. Conservative care involves the use of a nonsteroidal antiinflammatory drug (NSAID) such as carprofen or meloxicam, a narcotic analgesic such as tramadol, and a skeletal muscle relaxant such as methocarbamol or diazepam. These drugs are usually administered for at least ten days. Most simple disks will remiss within a few weeks. It's important to keep these dogs as quiet as possible lest they hurt themselves further.

Should paresis (weakness) or paralysis arise in any limb(s), Lily would need the attention of her vet at your earliest convenience. Such dogs are then surgical candidates for spinal cord decompression.

Please continue our conversation if you wish.

Expert:  Dr. Michael Salkin replied 8 months ago.

I'm just following up on our conversation about your pet. How is everything going?

Dr. Michael Salkin