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He recently was diagnosed with Lyme disease. Which he

Customer Question
unfortunately has had before many...
He recently was diagnosed with Lyme disease. Which he unfortunately has had before many years ago, he is on medication and once he is finished we plan on getting him vaccinated for it. But I'm noticing he isn't eating well or as often as he usually does and most recently he hasn't been drinking as much water either...
JA: I'm sorry to hear that. What is the dog's name and age?
Customer: His name is ***** ***** he is 12 years old he is a German shepherd
JA: Is there anything else important you think the Veterinarian should know about Gus?
Customer: No he otherwise was in perfect health, no issues with his hips or anything. Up until the most recent diagnosis of Lyme, now he is having problems with standing and his hip joints seem to be a little more prominent than before which is scaring me because of his eating habits
Submitted: 3 months ago.Category: Dog Veterinary
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Answered in 2 minutes by:
9/4/2017
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago
Dr B
Dr B, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 1,974
Experience: DVM
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HI this is DRB and I would be happy to help you with this....what medication is Gus on?

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

and did he have any bloodwork done at his most recent visit besides the lyme test?

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Customer reply replied 3 months ago
He is on Doxycycline 100 mg
Customer reply replied 3 months ago
he did
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

Is he taking that twice daily and how long has he been on it?

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Customer reply replied 3 months ago
He just started a few days ago and yes twice a day with food he takes his medication
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

were his eating habits good before he started the medication?

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

or were they already waning?

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

I have to go check on a patient...I will be back in a few minutes.....

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Customer reply replied 3 months ago
A few days before his legs stopped working we noticed a slight disinterest in eating then once he got on his medication it seemed to get worse in just wondering is there something we could be feeding him or helping to feed him so he gets fluids and starts to regain weight
Customer reply replied 3 months ago
I'm wondering*
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

So, Doxycycline can definitely worsen appetite.....many times if that happens I will try oral Amoxicillin instead.....if that does not work then I use injectable Penicillin that is the 48 hour long acting version and I will inject these patients every 48 hours which clients can be taught to do this at home...that way no impact on appetite at all....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

The other thing is that Mirtazapine can be used to help with appetite in dogs.....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

I treat alot of chronic lyme and know alot about it......

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

I have it myself....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

Your dog should have had a CBC, chem panel, T4, urinalysis, 4DX test and a full tick borne PCR panelto also check for other tick borne diseases.....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

which could still be done as with antibiotics you actually get more antigen flushing than you would normally due to how most of these diseases are tissue borne anyway.....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

Are you there? And can I answer any other questions?

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Customer reply replied 3 months ago
still here one last question
Customer reply replied 3 months ago
do you think it would be worth me taking gus back into the vet and asking for different medication?
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

You can ask as many questions as you need to.....

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

Personally, if it were me.....I would make sure all the bloodwork we have discussed has been done, but honestly I think your dog should get chest and abdominal xrays too and there could be something more going on that your vet is missing because Gus is older.......don't want to miss something like cancer and putting him through stuff he does not need to go though... I hope that makes sense.....if nothing is found then I would have vet teach you how to do every 48 hour penicillin as it is easy and does not bother stomach at all....and it works...

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Customer reply replied 3 months ago
Thank you very much I'm going to look into this thank you for your help!
Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

I am standing by in case you have other questions.....you can ask for all this and if your vet is worth their weight they will do whatever diagnostics you ask for.....and if you have to pick then leave out tick borne panel and do chest and abdominal rads (xrays), but do all the rest of the bloodwork if not already done...

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

sure thing and feel free to get back to me after your vet visit......

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

Please let me know if I can answer any other questions for you....Sincerely, DRB

Please give me a positive rating as that is the only way I am compensated. A positive rating will not close this question and I am more than happy to answer any follow up questions that you have. ( You can rate me at top right of page).

If you do not have any other questions please rate me as this is how I make money to support my family.

Please remember my answers do not replace or supersede the advice of your veterinarian as my answers do not create a valid client patient relationship as I am unable to examine your pet. Thank you very much! DrB

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

I can answer follow up questions after your vet visit at no additional charge...DRB Just get back with me soon so question not closed...

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Dog Veterinarian: Dr B, Veterinarian replied 3 months ago

If you do not have any other questions please rate me as this is how I make money to support my family.Thank you very much, DRB

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