Dog Veterinary

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

Ask a Dog Veterinarian,
Get an Answer ASAP!

Dog Veterinary
This answer was rated:

Our 13 year old dog had a seizure 7 weeks ago when we were

away. We were told...
Our 13 year old dog had a seizure 7 weeks ago when we were away. We were told by two vets it was a probable brain tumor and he was started on pheno. He was a stoner dog but did make some progress (according to the dog sitter) in getting up and getting in and out of the house. When we were finally able to get home, he got progressively worse and the we saw him have another seizure so finally accepted the brain tumor theory. He can't walk without us holding him up but will still go potty outside. He can eat--and wants to alot but has no personality like before. He whimpers and twitches which we were told could be small seizures. We insisted on him being put on steroids but it wasn't until this week after hearing a friend's stories about how much they helped her dogs and cats in similar situations. We are pissed no vet (at least 3 we consulted) mentioned this option earlier and maybe we could have slowed the progression and seen our dog again before it was too late. Now we are struggling with when to put him to sleep. He has no quality of life but he is eating. We don't know if he's in pain but he looks miserable. We haven't had him on steroids more than 5 days and it helped some but don't know if it's the most change we will see. We don't want him to suffer for just the possibility of improvement. Do you know if he is likely to improve anymore on steroids? When do you know it's time to put a dog to sleep?
JA: I'm sorry to hear that. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else important you think the Veterinarian should know about your friend's dog?
Customer: it's our dog. his blood work after the seizure came out ok so we didn't have him retested to look for some other cause.
Show More
Show Less
Ask Your Own Dog Veterinary Question
Answered in 46 minutes by:
8/20/2017
benedetta7
benedetta7, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 473
Experience: Companion animal medicine and homeopathy
Verified

Hello, this is Dr Benedetta, and I would like to help.

I am truly sorry this is happening to your dog, it is a tough situation.

To have an accurate estimate of the situation, the best thing would be to consult with a neurologist and have an MRI done.

This will give you better answers. There are also different antiseizure medications that can work better than phenobarb, and give less side effects. Again, a neurologist would be the best person to help.

Steroids are useful to decrease inflammation and sometimes reduce the size of a tumor for some time, but are not curative, at best they give respite. The positive effect is usually pretty quick to show, then it plateaus, when it happens at all.

Having said all that, unfortunately your dog has an incurable disease, and is not responding well to palliative medication.

There is no answer to your question" when is it time?" it varies for each dog and each owner. If he looks miserable, has no quality of life and is not likely to improve, it might be kinder to make peace with this horrible situation and let him go.

I am so very sorry for all you are going though, it is tough, and it is a difficult decision!

If I can be of further help, please let let me know!

Benedetta Sarno, DVM

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
What does it mean that they respond to steroids 'pretty quick'? How long should it take to see the most results and is it possible to increase the dose to see better results? Why didn't the other vets recommend steroids early on? It could have saved his quality of life for quite a while longer. I don't see the point in doing an MRI if it's incurable.

Usually for neurological disease, we start steroids at a fairly high dose, and the most response happens within 24-48 hours.

But that depends on the type of disease, it helps in encephalitis with a lot of inflammation, or in some traumatic conditions, not really on tumors. There are some cancers that respond to steroids, like lymphoma, but this tumor has not been diagnosed with any accuracy. Imaging would be useful to confirm the tumor, and visualize the extent of it.

It is not routine standard of care to start a dog on steroids for a presumed brain tumor, so I am not surprised it has not been recommended. And a brain tumor is statistically and clinically the most likely cause of seizure in a 13 year old dog.

So steroids are not generally indicated in these situation, but they are worth trying if anti-seizure meds don't achieve good control.

Hope this information helps!

benedetta7
benedetta7, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 473
Experience: Companion animal medicine and homeopathy
Verified
benedetta7 and 87 other Dog Veterinary Specialists are ready to help you
Ask your own question now
Customer reply replied 4 months ago
Since he's been helped by 5 mg of steroid twice a day, would it help to give him more to see if he gets even more improvement?. He weighs about 18 pounds.

sorry for the delay!

5 mg twice a day is a good dose for his weight, using steroids at an immunosuppressive level.

You could go up to 7.5 mg twice daily, still within the recommended dosing range, but I would not expect much change.

Still, given his miserable state, you don't have much to lose by trying!

Ask Your Own Dog Veterinary Question
Customer reply replied 4 months ago
He had an ear infection and a cyst under his ear (that appeared to have caked and oozing pus) when we got home (very bad pet sitter). A vet told us it would heal on its own but we did treat the ear infection. Is it possible that a bacterial or viral infection could have or still is causing seizures or symptoms like he's having? We may be grasping at straws but we don't want to put him down unless we are sure he has something incurable. We were told by the vet that his blood work at the time of the seizure looked ok (his BUN, PLT, and MCHC were all a bit high but she told us that could be normal since he'd just had a seizure). We don't want to put him through more unnecessary tests but just wondering about other things that could cause the same symptoms--can't walk much and turns to the right in circles, disoriented at times, heavy or labored breathing. Still eats like a fiend and can let us know when he needs to go out to pee and poop but has to be held up mostly. The days he's had 2 steroids he has walked on his own a little bit. Just let me know if there are other things that could cause these symptoms and the others I listed before. Thanks.

Thank for the extra information!

A bad ear infection that has perforated the tympanic membrane and has gone to the inner ear has the potential to cause meningitis.

Which can then cause seizures.

Also, old dogs are prone to vestibular disease, for unknown reasons, with falling over, circling, nystagmus.

However, that is different from full seizure, and it resolve itself in a few days.

So yes, at this point, infectious meningitis could still be on the table. But without an MRI, we would not know.

If you want to rule out other possibilities with some degree of certainty, he needs more testing,

Empirically a course of antibiotics,like clindamycin that penetrates the blood brain barrier, and a very good ear exam under light sedation, and/or radiographs of the head to look at the tympnaic bullae for evidence of disease could be tried.

Ask Your Own Dog Veterinary Question
Ask benedetta7 Your Own Question
benedetta7
benedetta7
benedetta7, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 473
473 Satisfied Customers
Experience: Companion animal medicine and homeopathy

benedetta7 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
He recently had a couple of seizures however now he is
He recently had a couple of seizures however now he is walking in circles standing in corners etc … 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
My Dog Charlie is having bad Seizures since Christmas. He is
my Dog Charlie is having bad Seizures since Christmas. He is 12 year old Weimaraner with multiple tumors. We think he has a nasal/brain tumor that is causing the problem. He seems to be in pain. Can I… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
My friend has a dog who has a large brain tumor. She seems
She seems to think that conventional vet care is useless and is going for alternative whidh i dont agree with … read more
Dr Z
Dr Z
Small Animal Veterinarian
Doctoral Degree
3,715 satisfied customers
My 7.9 lb Maltese mix was given 75 mg Clindamycin twice day
Hi, my 7.9 lb Maltese mix was given 75 mg Clindamycin twice day and her blood work showed high hct levels during the Rx time of taking. Could that have caused the high hct levels? … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
After several seizures my dog is completely incoherent and
After several seizures my dog is completely incoherent and can't walk. Is this normal … read more
Dr. Gabby
Dr. Gabby
Veterinarian
Doctoral Degree
4,408 satisfied customers
She had an episode this am... like a seizure or stroke. I
She had an episode this am... like a seizure or stroke. I took her to the vet immediately. Her blood test, X-rays and blood pressure were normal. No cancer in her body but the think it could be a brai… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
He was diagnosed with a brain tumor in February. Just today,
He was diagnosed with a brain tumor in February. Just today, he has been eating almost nonstop. Should we be worried. … read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
480 satisfied customers
Is clindamycin an acceptable antibiotic for dogs? Louise.
She has redeveloped an infection in her left foreleg… read more
DocPaul
DocPaul
Doctoral Degree
679 satisfied customers
He is 14 years old and just had a grand mal seizure that
He is 14 years old and just had a grand mal seizure that lasted over 1minute. … read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
9,980 satisfied customers
Dog chewed up a tube of clindamycin phosphate and benzoyl
Dog chewed up a tube of clindamycin phosphate and benzoyl peroxide gel. Don't know how much of it he may have ingested. It was about an hour ago. I just found the tube. … read more
DocPaul
DocPaul
Doctoral Degree
679 satisfied customers
My 13 yr old dog Max was diagnosed with lymphoma cancer 5
My 13 yr old dog Max was diagnosed with lymphoma cancer 5 months ago. He is being treated with prednisone. Today I noticed a large tumor on the outside toe of his paw. It looks "seedy". He has a few o… read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
She is on Phenobarbital and steroids for a brain tumor...has
She is on Phenobarbital and steroids for a brain tumor...has had radiation...She is limbing on her one back leg she had TPLO surgery. Can I give her Tramadol for pain with these drugs? She may have a … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,450 satisfied customers
My car has been having seizures. He is now on 16 mg of
My car has been having seizures. He is now on 16 mg of phenobarbital x2/day and half a mg of Xanax for breakthrough seizures. The vet just added clindamycin in case it is toxoplasmosis. I was concerne… read more
Dr. Gary
Dr. Gary
Dog Veterinarian
Doctoral Degree
9,980 satisfied customers
My dog had a tumor on his ear, they removed it half an ear
My dog had a tumor on his ear, they removed it half an ear is missing and it seems it's coming back again, and he has a lymph swollen … read more
Rebecca
Rebecca
Dog Veterinarian
Doctoral Degree
7,745 satisfied customers
Low Grade II Mast Cell Tumor on ear. Found Tumor on ear and
Low Grade II Mast Cell Tumor on ear. Found Tumor on ear and vet removed sent off for testing came back mast cell tumor grade II, the recommend taking most of the ear flap off staying it was fast growi… read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,450 satisfied customers
I am not sure. I think my dog may have a tumor in brain? We
I am not sure. I think my dog may have a tumor in brain? … read more
Dr. Kara
Dr. Kara
Doctoral Degree
5,383 satisfied customers
I have an older dog with a possible brain tumor (saw doggie
Hi. I have an older dog with a possible brain tumor (saw doggie neurologist who saw signs of brain tumor in proprioception and high stepping) dog is 14 … read more
Dr. Meghan Denney
Dr. Meghan Denney
Doctor of Veterinary Medicine
Doctorate of Veterinary Medicine
1,845 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