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Yellow male lab 9.5 years old - seems to be having back

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Second opinion] Hello - yellow...
Second opinion] Hello - yellow male lab 9.5 years old - seems to be having back pain. He is in good shape and active. Having difficulty standing up. Having him lying down in our bed at the moment with a heating pad on his lower back intermittenlyJA: I'll do all I can to help. What is the dog's name?Customer: BaxterJA: Is there anything else the Veterinarian should be aware of about Baxter?Customer: healthy dog ok
Submitted: 1 month ago.Category: Dog Veterinary
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Answered in 11 hours by:
3/14/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 month ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,266
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 1 month ago

I'm sorry that your question wasn't answered in a timely manner. I reviewed your previous conversation with Heath Wilkerson. "Having difficulty standing up" is consistent with hip dysplasia (osteoarthritic coxofemoral joints), the cauda equina syndrome (narrowing of the most caudal/toward the tail spinal canal), and myelopathies (spinal cord disorders) such as intervertebral disk disease (a "slipped disk"), fibrocartilaginous embolism (an interruption in the blood supply to the spinal cord), or neoplasia (cancer) in or around the spinal cord. Baxter's vet will want to palpate (feel) Baxter's hips and back looking for areas of hyperpathia (increased sensitivity). X-rays may be recommended. Depending upon findings in the exam and X-rays some combination of a nonsteroidal antiinflammatory drug (NSAID), skeletal muscle relaxant, and narcotic analgesic may be prescribed. Surgical intervention (e.g., spinal cord decompression) may be recommended for dogs who have lost conscious proprioception (knowing where one's legs are in space) and nociception (deep pain perception) in their hind legs.

As for over the counter analgesia, caretakers are constrained to aspirin dosed at 10 mg per pound of body weight with food at 12 hour intervals or acetaminophen which can be dosed at 7 mg per pound of body weight thrice daily but isn’t antiinflammatory as is aspirin. You can give aspirin and acetaminophen concurrently which should provide better analgesia than either drug alone. If given for more than 5 consecutive days, the dose of acetaminophen should be redudced to 5 mg per pound of body weight twice daily. You must avoid the toxic ibuprofen and naproxen in dogs. Please continue our conversation if you wish.

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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,266
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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