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Took 8 yr old Lhasa to VCA vet today with yeast infection in…

Took 8 yr old...

Took 8 yr old Lhasa to VCA vet today with yeast infection in her ears. Sophie has epilepsy. Hasn’t eaten for 4 days. Vet gave her a steroid shot and ear and eye meds. She has allergies and gets about 4 shots a year. Said she had swollen glands close to throat. She has only had water for 4 days and this evening she throws up the water. There is a sort of brown colored matter in the liquid she throws up. Of course she is weak. She seems to cough and then hiccup before she throws up. She has drank a lot of water today only to throw it up and it’s very warm. She doesn’t seem to have a high temp. Lots of towels to wash!! She is very very tired. She hid under a bed about 2 hours ago and we couldn’t find her! Scared us pretty bad!! I used just answer a month ago. Texted a doctor in Colorado. Great help. Sami Yelton Tulsa OK

Veterinarian's Assistant: I'll do all I can to help. This sounds like it might be serious. I'll let the Veterinarian know what's going on ASAP. Is there anything else the Veterinarian should be aware of about the Lhasa?

Her epilepsy is under control with meds.

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Customer reply replied 3 months ago
Sophie is a dog! Took her to her VCA vet today. Yeast infection in her ears. Eyes are bad too. A little fever. 4 swollen glands in neck. He said it was in just her head. Couldn’t find any problems elsewhere. Have her a steroid shot and ear and eye meds. She hasn’t eaten for 4 days. Only drinks water then throws it up. Very restless. Very very tired. She has epilepsy and we keep it under control with meds. She also has allergies. She did a strange thing around 4:00am. I have been watching her closely and I couldn’t find her. Finally found her under a bed. She didn’t answer when we called her. She has never gotten under the bed before!
Customer reply replied 3 months ago
You sent me a note that read The cat veterinarian is working on your question and will respond....... Sophie is an 8 year old Lhasa Apsa female dog!!!
Answered in 4 hours by:
4/29/2018
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,538
Experience: University of California at Davis graduate veterinarian with 45 years of experience
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I'm sorry that your question wasn't answered in a timely manner and I'm sorry to hear of this with Sophie. Thank you for the history you provided but I'm concerned about what wasn't done as well. It's not standard of care to send home a dog who hadn't eaten for 4 days. These dogs are hospitalized with supportive care - IV fluids and feeding - until the results of diagnostics in the form of blood and urine tests return and we might clarify how Sophie can best be treated. Can you tell me more about her swollen glands? If there were any mention of lymphoma causing the swelling, a needle aspirate of a swollen lymph node should have been taken in addition to the blood and urine tests. That aspirate is then examined microscopically for neoplastic (cancerous) cells and/or evidence of infection. Her drinking only to vomit will leave her dehydrated and electrolyte imbalanced...another reason for her to be hospitalized to be given fluids IV. It's nigh impossible to medicate a vomiting dog orally. Please respond with further questions or concerns if you wish.

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Customer reply replied 3 months ago
Thank you so much for your reply. I actually thought as you do, but not until we got home! I appreciate your answer. Her main doctor was off yesterday and we saw a doc that we had not seen before. I gather you think we should take her to an emergency hospital so she can be treated as you would treat her. Thank you so much.

You're quite welcome. Yes, unless Sophie has spontaneously gone into remission, I'd be more comfortable knowing that she was being attended to at a 24-hour facility. Please continue our conversation if you wish.

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog Veterinary
Satisfied Customers: 35,538
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified
Dr. Michael Salkin and 87 other Dog Veterinary Specialists are ready to help you
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Thank you for your kind accept. I appreciate it. 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 3 months ago
We are at a 24 hour emergency veterinary clinic. They are going over her meds now. I will get back with you as soon as we get information. Thank you again for your valued opinion. Sami Yelton

Sorry for the delay. I've been off hiking. I'll watch for your next post.

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