Dog

Get Your Dog Care Questions Answered by Experts

Ask an Expert,
Get an Answer ASAP!

Dog
This answer was rated:

I have a GSD who has seen 3 vets in the last 3 days. One is

a specialist and the 3rd...
I have a GSD who has seen 3 vets in the last 3 days. One is a specialist and the 3rd vet was visited for a second opinion. The dog has very obvious temporal muscle atrophy mostly on the left side, although the muscle on the right side may have been impacted to an extet. That is not so obvious. He does not have any jaw pain. Although about six weeks ago I called his usual vet when he showed signs of excessive drooling after trying to lap water, and he had some difficulty in eating a denta stick and getting his mince meat into his mouth. The vet at the time suggested he may have received some sort of chemical burn which impacted on the back of his throat. He told me to observe for a few days. The obvious symptoms disappeared quite quickly. But six weeks later we are looking at a dog whose head looks caved in on one side, this has happened very quickly. Neither of the vets he has seen have wanted to put him on any treatment. I wont say why..... and I was interested to get really what is a fourth opinion. They say that it is unlikely that the muscles will recover and they say that his longevity should not be impacted by this.
Show More
Show Less
Ask Your Own Dog Question
Answered in 18 minutes by:
10/10/2013
Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 19,882
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
Verified
Hello, I'm Dr Gary. I've been practicing veterinary medicine since 2007. I look forward to helping with your questions/ concerns.

It sounds like you're seeing a condition called MMM (masticatory muscle myositis). This is an auto-immune disease that we can see in dogs. Typically it occurs on both sides, but it can be one sided. We will often also see pain when opening the mouth and a clenched jaw. I think the reason you're not seeing these classic signs is because it's only on one side. If it were both sides, he would have the more classic look.

The diagnosis is made with muscle biopsies. I would have this done if you can. We then treat with immuno-suppressant meds as this is an auto-immune disease. I would put him on steroids (Prednisone) + another immuno-suppressant like Imuran (Azathioprine) if needed.

I hope this helps, let me know if you have any other questions.

Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 19,882
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ
Verified
Dr. Gary and 87 other Dog Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

Drug treatment was not considered as an option for him. MMM was discussed although as you mentioned he is not classic because his atrophy is not bilateral and his jaw has not been impacted. The general assumption by the vets is that his body is in recovery mode, although the damage has been done. It appears that the acute phase was missed and that is when the drugs would have been most effective. Would you also agree that treating him now with the drugs you have mentioned would not be effective as the condition has moved from acute to chronic?

I would want the biopsies to know for sure whether meds will help. If all of the muscle has turned to scar tissue, then steroids may not help. If there is still an active phase, then we can still benefit. It's hard to make that determination without the muscle biopsy and microscopic exam.
Ask Your Own Dog Question
Customer reply replied 4 years ago

Thankyou Dr Gary, I must say that I tend to agree with you, and I am confused as to why the biopsy was not considered an option. Although we are in Australia and the specialist vet, (who is a member of the American Veterinary Association) said that testing for this is only done in the US and it would take 2 to 3 weeks for the results to be returned. Maybe it has something to do with the delay and the disease moving on in that time. Even so, at least then we would then know for sure what his problem is. Cost was no issue for me and the vets here knew that.


Last question if I may. If this is a recurrent episode, as I mentioned I first called the vet 6 weeks ago and his concerning symptoms disappeared in a short time and were not diagnosed as MMM. Without seeing the dog I realize it is probably hard to say, but knowing what I have told you would you consider this latest episode as acute? You have been very helpful, thankyou.

I think we're probably past the acute stage at this point, but I would think there can still be some benefit from steroids now. I would get the samples sent out and then start steroids in the mean time. I think that would give you the best chance of recovering.
Ask Your Own Dog Question
Customer reply replied 4 years ago

Thanks Gary... your answers have prompted me to seek another opinion and Kaiser is now having further tests and CT scans! Without your advice I may not have continued to push this as I have! I am very happy with the service.

Good, I'm glad he's getting the care he needs. Best of luck.
Ask Your Own Dog Question
Ask Dr. Gary Your Own Question
Dr. Gary
Dr. Gary
Dr. Gary, Dog Veterinarian
Category: Dog
Satisfied Customers: 19,882
19,882 Satisfied Customers
Experience: DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ

Dr. Gary is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

You are a light at the end of scary tunnel when $ are tight, but people need professional help to turn to for help with their dear pets!

LinhCharleston, WV

$1,000 spent at his vet, and I finally get the correct diagnosis from Nancy Holmes for $15

CarolCedar Hill, MO

I think this is the greatest web site in the world. Thanks to all!

JudyNew Haven, CT

I have referred several friends to your web site. I'm impressed with how easy it is to use your site, the Experts available and the quickness of answers.

NinaUSA

I am completely pleased with the quick response that I received in our time of need for our dog, Jasmine. I couldn't believe how quick the response was and I thank you. It's good to know you're there!!

Jasmine's MomUSA

Please let everyone involved with your site know that your Expert, Dr. Lucy, has saved my dog's life. I will recommend your site to all my pet loving friends. Thank you again for simply being there!

Sonya GEasley, SC

Last night my Expert spent close to 3 hours working with me on my dog's illness. Thank you so much for this opportunity to share in her care and knowledge!

Cathie MPompano Beach, FL

< Previous | Next >

Meet the Experts:

Dr. Gary

Dr. Gary

Dog Veterinarian

19,882 satisfied customers

DVM, Emergency Veterinarian; BS (Physiology) Michigan State Univ

Joan

Joan

Vet Tech

5,320 satisfied customers

Vet Tech for over 35+ years working w/Dogs/Rescues

Candy

Candy

Veterinary Technician

7,973 satisfied customers

Practicing Veterinary Technician for 26 years.Former Veterinary Practice Owner, Technician Trainer

Dr Scott Nimmo

Dr Scott Nimmo

Small Animal Veterinarian.

5,120 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Andy

Dr. Andy

Medical Director

4,898 satisfied customers

UC Davis Graduate, Interests: Dermatology, Internal Medicine, Pain Management

Theresa

Theresa

A Voice for Your Pet

4,705 satisfied customers

19+ years experience in small animal medicine

Dr. Drew

Dr. Drew

Veterinarian

3,292 satisfied customers

Small Animal Medicine and Surgery

< Previous | Next >

Related Dog Questions
My pregnant dame went to the vet today because we planned
My pregnant dame went to the vet today because we planned her mating with our stud. I noticed a bulge growing by her inner thigh so we wanted to check it out and have an xray to confirm the pregnancy.… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
He is shaking panting and has a warm nose. Sparkles little
He not himself he always love to play and he slept al day and now he is sitting up almost in my face… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
Clinging, panting, shivering and licking my skin. Oliver, 14
I am currently looking after 2 small dogs for a friend . These dogs are regular companions of Oliver. He also has a brother. All are small dogs. Oliver weighs 16 lbs… read more
Dr. Christina
Dr. Christina
Small Animal Veterinary Internist
399 satisfied customers
My dog keeps stretching...definitely not normal. Stretches
My dog keeps stretching...definitely not normal. Stretches his front legs out and hikes his rear, like he just got up from a nap....but this is like every 5 mins or so. He will get up from laying down… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My dog threw up and it smells really bad. It's with a mucus
My dog threw up and it smells really bad. It's brown with a white mucus like substance … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My Toy Maltese just got into a chicken burrito with red
My Toy Maltese just got into a chicken burrito with red sauce. He has a super sensitive stomach and can not handle any people food at all. Always stars vomiting and gets diarrhea. He's only 5 lbs and … read more
Scott Perry
Scott Perry
Veterinarian
Doctor of Veterinary Medicine
1,527 satisfied customers
My teacup 13 week old Yorkie is sick. He's been throwing up
My teacup 13 week old Yorkie is sick. He's been throwing up I recently changed his food i don't know if it's that, but he threw up twice tonight and has been really inactive and still. He hasn't moved… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My morky is not acting his perky self. Hubby has been
My morky is not acting his perky self. Hubby has been carrying him up the steps the last dayor two. We thought maybe he was hurting due to our extreme cold temps and he is 7 years old. We gave him a b… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My 30 lb dog ate a small amount of my 20mg lexapro
My 30 lb dog ate a small amount of my 20mg lexapro pill...not even 1/4. She is taking metronidazole for colitis and pills look similar. Thankfully she spit it out. … read more
Rebecca
Rebecca
Veterinarian
Doctoral Degree
445 satisfied customers
My dog vomited up his food this afternoon and now tonight he
My dog vomited up his food this afternoon and now tonight he has vomited blood … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
He was whimpering out of no where. his tail is tucked and
he was whimpering out of no where. his tail is tucked and gives out a little yelp if we try to really inspect. excessive panting in spurts and he trembling on and off. its the middle of the night.. sh… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My Italian Greyhound ate about half of a CET Enzymatic chew
My Italian Greyhound ate about half of a CET Enzymatic chew without chewing it. Will it cause any issues? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My 7 month old pup ate bunch of leaves in her day care's
My 7 month old pup ate bunch of leaves in her day care's back yard. Friday night she started having little diarrhea and threw up leaves twice. We gave her one dose pepto bismol. Saturday diarrhea stop… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
My 8 pound dog ate part or all of a single piece of a dove
My 8 pound dog ate part or all of a single piece of a dove truffle, I'm not sure it was a whole piece but I'm assuming it was . That was a hour ago and is not acting unusual and is sleeping on the sof… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dog ate a latex glove I️ tried peroxide but she hasn't
My dog ate a latex glove I️ tried peroxide but she hasn't thrown up at all … read more
Dr. Christina
Dr. Christina
Small Animal Veterinary Internist
399 satisfied customers
My 4 year old chihuahua terrier mix recently started
Hi, my 4 year old chihuahua terrier mix recently started dripping 3-4 small drops of bright red blood after peeing today. She has gone pee about 4 times, all attempts have been normal enough with a no… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
He may possibly ate one women's one a day 50+ multivitamin.
He may possibly ate one women's one a day 50+ multivitamin. He weighs 14-15lbs … read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
DVM
3 satisfied customers
My dog got some sort of reaction to the plastic bowl I was
My dog got some sort of reaction to the plastic bowl I was using and she began itching at it and the lumps on her chin opened up, she has since been switched to metal bowls and I've been cleaning her … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
9,186 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x