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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
Hi, Sharon. Can you give me some additional info?1) What medications are you giving currently and how long has Henri been on them?2) What medications have been tried and how long was he on them? 3) When did this begin?
I'm curious if any medications have been tried longer than the 3-4 week time frame? Typically most companies recommend 6 weeks on the medication before judging how well it will work for the companion.
I agree with your vet, though I thought I'd share that tidbit of info, as well. I've seen some very strange behavioral abnormalities. The last fly biter that I saw was a German Shorthair Pointer who had a history of ticks. A tick panel eventually revealed that he had Rocky Mountain Spotted Fever.Medications that I have seen work that you may want to talk to your vet/neurologist about include: Sertraline, Buspar and Propanolol. I have also seen some benefit from gabapentin in dogs with suspect behavioral issues who might also be having seizures. If nothing else, it gives you something to chat with your vets about if these haven't been tried yet.
Texas is actually moderately afflicted by RMSF cases. Is there any chance that Henri had ticks before you owned him?Has your vet discussed a CT scan yet to see if they can find anything abnormal within the brain which might be causing the symptoms?
I'm impressed considering it's Texas and warm practically 80% of the year, longer if you're further south. Know that a single tick bite prior to your ownership could certainly cause a medical issue like RMSF. It would not hurt to have him checked.Can you clarify "expensive tests"? Has he had any bloodwork by your vet or the specialist? Any other diagnostics? If not, I think you've reached a point where it's time. As you say, you're desperate for answers but getting nowhere. That's when it's time to reach for the expensive tests which may well be able to give you answers.
If Henri was my dog, I'd have a recheck performed with the neurologist and push for more options. I'd be a bit shocked if the neurologist professed to be "stumped" but didn't push forward for more diagnostics. The more advanced testing is often what we reach for when we have no explanation for why an animal is not improving with conventional methods of treatment. My suspicion is that the neurologist intended to convey that they felt fine trying some medications since the neuro eval was normal, along with bloodwork, but that they did want to see you back if he continued to not respond to treatment. I don't think it's fair to yourself or Henri to not pursue those diagnostics knowing they may well lead to an answer for his behavior.
Checking in. How is Henri?
Glad to hear it. Keep me posted if I can help further or you have additional questions.