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My dog is an 8 month old stray I found and adopted. I've had…

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My dog is an...

My dog is an 8 month old stray I found and adopted. I've had him for a month. He's been to the vet and he's up to date on all of his vaccines. During the past 5 days, his appetite has decreased drastically. He would still eat from my hand, but even that has stopped. His eyes are bloodshot. He got super tired tonight on our nightly walk to the point where he just laid down and didn't want to walk anymore. I carried him to the car. He threw up a little bit after we got home. His behavior is normal.

Veterinarian's Assistant: 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 dog?

Otherwise, he seems normal. He doesn't "seem" like he doesn't feel good.

Submitted: 9 months ago.Category: Dog Veterinary
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Answered in 10 hours by:
9/28/2017
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 34,353
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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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.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago

I'm sorry that your question wasn't answered in a timely manner. While his inappetence, bloodshot eyes, and exercise intolerance (followed by emesis at least once) are important symptoms, they're not pathognomonic (specifically indicative) of any one particular disorder. His vet will want to perform a thorough physical exam inclduing diagnostics in the form of blood and urine tests +/- imaging in form of chest X-rays and/or abdominal ultrasound in an attempt to clarify what these symptoms represent. Please respond with further questions or concerns if you wish.

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Customer reply replied 8 months ago
I took him to the vet the next morning. They did a chest/abdomen X-ray. They did a stool sample. No noteworthy findings. He'd eaten eggs that morning (only thing I could get him to eat). Vet said poop smelled very bad & diagnosed him with a bacterial gastroenteritis even though his VS didn't indicate infection (temp, HR, RR, BP all WNL). He didn't do a CBC, electrolyte panel or a urinalysis. I asked him why he hadn't performed these routine diagnostics & he told me "because they'd have cost you a bunch of money & I don't need a white count to tell me he has a bacterial infection". Vet reported allergies as the probable cause for minimal clear eye drainage, reddened sclera, itchy flaky skin & 'reverse sneeze'. When I asked him what I could give him for his allergies, he said "nothing- it doesn't bother him." Discharged with metronidazole 125 mg bid (250 tab halved). Appetite is still minimal. Reverse sneeze is still present though not worsening. Not vomiting. I'm a little worried about why a powerful antibiotic was given without a CBC being done (hello super bugs) and also why nothing was recommended for my puppy's allergies that are OBVIOUSLY bothering him.I'm a nurse so I may not know everything there is to know, but I can tell when a living thing is uncomfortable. What can I do to help alleviate the allergy symptoms? And should I go to another vet so that a blood work up can be done?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago

Ugh. The vet has no business looking into your pocketbook or wallet and playing devil's advocate I must note that an elevated white blood count in dogs indicates stress or inflammation and not necessarily the inflammation associated with infection. Yes, this isn't the vet for you. I want to review a diagnostic panel of blood and urine tests.** If there were an allergic conjunctivitis, an over the counter ophthalmic solution such as Zaditor (ketotifen) can be helpful. There are quite a few ways to address an allergic dermatitis but a vet needs to clarify if a flea allergy dermatitis, atopy, and/or food intolerance exists and if there's a secondary bacterial and/or yeast infection that needs to be addressed as well. You don't need a specialist veterinary dermatologist (www.acvd.org) at this time but you do need a vet interested in "working up" such a patient.

**Once you receive the test results, can you upload a copy of them to our conversation? You can scan them into your computer and then give me the file link or you can photograph the pages and upload them by using the paperclip icon (if you can see that icon) or by using an external app such as dropbox.com/

I not only review the test results but also note which tests should have been performed but weren't.

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Customer reply replied 8 months ago
Thank you so much! I will definitely upload the results & have already contacted another vet. Funny thing is, I have 90% coverage, have already met my deductible & have no annual caps for my dogs insurance so I'm not really sure why he didn't want to do the tests. I have an appointment Tuesday of this coming week. Thank you again for your time! I will be in touch.
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago

You're quite welcome. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.

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Customer reply replied 8 months ago
How do I rate? Sorry I'm brand new. You're the first one I've ever asked.
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago

You should be presented with either stars or smiley faces to click on. If you don't see them, please let me know.

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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 8 months ago
Hi,

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

Dr. Michael Salkin
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