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He is almost 15 years old and has slowed down in the last 6…

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He is almost 15...

He is almost 15 years old and has slowed down in the last 6 months. Except when he gets a bath or hair cut he acts like a 2 year old again. I believe he has arthritis and just needs some pain relief. What can I give him to help relieve some pain? He eats and drinks normal, but his eye are really draining almost like sleep or puss. He cries a lot.

Submitted: 3 months ago.Category: Dog Veterinary
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Answered in 3 hours by:
1/6/2018
Dog Veterinarian: Dr. Altman, Veterinarian replied 3 months ago
Dr. Altman
Dr. Altman, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 14,161
Experience: Practicing small animal veterinarian for 18 years.
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Welcome to Justanswer! I am Dr. Altman and happy to assist you today! Please give me a few moments to respond and I will be back momentarily!

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Dog Veterinarian: Dr. Altman, Veterinarian replied 3 months ago

I am sorry to hear your dog is having this issue and no one has assisted you both today. I do strongly advise a veterinary exam to prescribe appropriate pain medications for your senior friend. Over the counter pain medications may not be safe for his stomach, liver, kidneys and are not as effective as the ones formuated for pets

There are so many options available to us now to help our beloved four-legged friends outside of the normal nonsteroidals (rimadyl, previcox, metacam, deramaxx). I will list them individually but all can be used in combination to assist your dog in getting comfortable

1.) Gabapentin- this is called neurontin in people. It works by dulling the nerve firing associated with pain and is my top choice for senior pets because it is not metabolized as readily by the liver and is easier on a senior pet. The pros are that it is not pricey, has no high end dose so if the pain escalates as your pet gets older we simply adjust the dose, and is easier on older pets. The cons is that it has to be given consistently because withdrawing it suddenly causes what is called rebound of pain which is higher then original level, can cause mild sedation initially

2.) Tramadol- this is in the opioid class so it is given as needed for pain when there are bad days. It can be given longterm to senior pets two to three times daily if needed

3.) Alternative medicine: laser or light therapy, acupuncture, physical therapy, massage therapy. All are fantastic ways to help minimize pain, increase strength, and allow rest more comfortably. If there is a physical therapy facility in your area they would have all of these. Typically I will start with acupuncture and/ or laser therapy and then add in the physical therapy once we are more comfortable to build strength. I often see remarkable results with one to two sessions

4.) Adequan injections. These are pricey but given twice weekly subcutaneously (I have owners give the medication at home after a demonstration to minimize the visits) for four weeks then taper frequency as improvement is seen and if there are bad periods then increase frequency once again

5.) Supplements: Glucosamine sulfate 1500 mg daily, fish oil with 1500 mg EPA & DHA daily, Vitamin E, Ester C are all great to slow progression of disease and assist in comfort

6.) Depending on your pet's size, a help em up harness that is used to support standing and moving to minimize injury to your back but also prevent further injury to you pet. http://helpemup.com

Please let me know how else I can assist you both today

If you have more questions or if I can help in any other way, please do not hesitate to ask! If you would like to accept my answer, please press RATE OUR CONVERSATION. Bonuses are always welcome (I am not compensated in any other way). Thanks!

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Dog Veterinarian: Dr. Altman, Veterinarian replied 3 months ago

I am glad to see you were able to view my responses

Please let me know if I can be of any further assistance to you both

If the information I have provided was helpful I would be grateful if you would rate our chat with the stars at the top of the screen so I am compensated for my time. Thank you and best of luck to you both, truly!

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Dr. Altman
Dr. Altman
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Category: Dog Veterinary
Satisfied Customers: 14,161
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Experience: Practicing small animal veterinarian for 18 years.

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