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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 29720
Experience:  University of California at Davis graduate veterinarian with 45 years of experience
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I have a 14-year-old Shih Tzu who came down with ideopathic

Customer Question

I have a 14-year-old Shih Tzu who came down with ideopathic vestibular disease on May 21. He seemed to be recovered after 2 weeks. I noticed yesterday that his back legs are starting to give out when he tries walking. He's also not showing any interest in eating, but is still drinking some. There was an unofficial dx of Addison's disease in April. Could this be causing these recent symptoms?
JA: I'm sorry to hear that. Have you looked to see if there is a wound on their foot?
Customer: No wounds.
JA: What is the dog's name?
Customer: Lucky.
JA: Is there anything else important you think the Veterinarian should know about Lucky?
Customer: I'm not sure how close my scales are to the vet's, but by mine he has lost about 2 lbs since May 21. He threw up some while I was gone to church this morning; there was no food, just a little foam. Make sense?
Submitted: 3 months ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 3 months ago.

You're speaking with Dr. Michael Salkin. Welcome to JustAnswer. I'm currently typing up my reply. Please be patient. This may take a few minutes.

Expert:  Dr. Michael Salkin replied 3 months ago.

I'm sorry to hear of this with Lucky. To answer you directly, the symptoms of Addison's are notoriously vague and often wax and wane over weeks or months. Severeity of signs ranges from a mild, progressive, intermittent course to an acute, life-threatening crisis.

Most common symptoms in dogs include weakness, lethargy, anorexia, and vomiting.

Less common symptoms include generalized or hindlimb weakness, diarrhea (possibly with blood), weight loss, trembling, increased thirst and volume of urine, regurgitation (due to esophageal malfunction), and collapse.

From what you can see, it would make sense testing for Addison's with the ACTH stim test. Please respond with further questions or concerns if you wish.

Customer: replied 3 months ago.
If I just let it run its course, and see that he's comfortable, will he be in any pain?
Expert:  Dr. Michael Salkin replied 3 months ago.

Potentially, yes, as painful gastrointestinal cramping is a feature of this condition. Abdominal pain is caused by a lack of glucocorticoids ("steroids"). Please continue our conversation if you wish.