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They have said he has MMM, his head is indented. He is

Customer Question
They have said he...

They have said he has MMM , his head is indented. He is currently on prednisone, what are his chances from recovering? Do you have any ides of what could possibly benefit his situation

Veterinarian's Assistant: I'll do all I can to help. What is the matter with the dog?

He isn't himself he very withdrawn. Is he in pain???

Veterinarian's Assistant: What is the dog's name and age?

Tank and he is 5 years old. A french bulldog

Veterinarian's Assistant: How old is Tank?

5

Veterinarian's Assistant: Is there anything else important you think the Veterinarian should know about Tank?

The only problem he has ever had is skin problems

Submitted: 19 days ago.Category: Dog Veterinary
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Answered in 16 minutes by:
4/3/2018
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 19 days ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,267
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 19 days ago

I'm sorry to hear of this with Tank. His prognosis for acute MM is good when initiation of treatment is prompt and therapy is long term Inadequate dosing or treatment for an insufficient period of time is associated with a high rate of relapse. The prognosis is only fair to guarded for chronic MM when extensive atrophy and fibrosis of masticatory muscles leads to progressive inability to open the mouth. His indentations indicate atropy but fibrosis (scarring) may not have begun.

The acute phase is painful due to muscle swelling/inflammation. Decreased activity, lethargy, fever, regional lymphadenopathy (lymph node enlargement), dysphagia (difficulty swallowing), reluctance to eat, weight loss, drooling, a change in bark to a more high-pitched sounds, and pain on yawning or when grabbing toys are all possible signs. The goal of therapy is to alleviate pain, blunt the inflammatory response, prevent muscle fibrosis, and restore normal opening and closing of the mouth. Prednisone alone should suffice to satisfy those goals and it's usually necessary to maintain dogs on a low-dose alternative-day oral prednisone therapy to prevent relapses for as long as 8-12 months. Please respond with further questions or concerns if you wish.

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Customer reply replied 19 days ago
Will he have this condition forever Or does it go in a "remission" from time to time. Do they know what really causes it?
Customer reply replied 19 days ago
Thanks for your advice. I am somewhat disapointed you couldn't answer the second question without charging me more money. Goodbye
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 19 days ago

It's expected that treatment is curative although relapses do occur. Yes, it's an autoimmune disorder. Please continue our conversation if you wish. There's no additional charge for us to converse indefinitely.

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Customer reply replied 19 days ago
I am sorry, this is a very upsetting thing that my dog has,is there anything I can do to boost his immunity?
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 19 days ago

No worries. Boosting his immunity is the last thing we want to do. Because this is an autoimmune disorder - his immune system is attacking his own tissues - we need to immunosuppress him. That's one of the functions of a glucocorticoid such as prednisone. Please continue our conversation if you wish.

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Customer reply replied 19 days ago
THANK YOU FOR YOUR ADVICE !!!! YOU HAVE A GOOD DAY !!!!! Goodbye
Dog Veterinarian: Dr. Michael Salkin, Veterinarian replied 19 days 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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Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 33,267
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Experience: University of California at Davis graduate veterinarian with 45 years of experience

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