Dog

Get your dog care questions answered by Experts

Ask an Expert,
Get an Answer ASAP!

Doctor I have a 12 year old Maltese with the same conditions…

Customer Question
Doctor I have a 12...
Doctor I have a 12 year old Maltese with the same conditions as described above. He also has hip dysplasia in the left rear leg and the abdomen seems bigger ie rounder than the rest of the body. What could this be?
Submitted: 6 months ago.Category: Dog
Show More
Show Less
Ask Your Own Dog Question
Answered in 4 hours by:
10/14/2017
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 33,268
Experience: University of California at Davis graduate veterinarian with 45 years of experience
Verified

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.

Ask Your Own Dog Question
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

I'm sorry that your question wasn't answered in a timely manner. Regretfully, I can't see what you're referring to as "the same conditions as described above" and so I'll need you to describe what you're seeing in your Maltese. If his abdomen appears swollen, it's either distended by gas in his intestinal tract, organomegaly (enlargement of his vital organs), or an abdominal effusion (free fluid in the abdominal cavity) which can occur from heart, liver, kidney, or bowel failure; or neoplasia or infection in the abdominal cavity.

Ask Your Own Dog Question
Customer reply replied 6 months ago
Hi Doctor sorry I had replied to a page above. I thought you would be able to see it.My 12 yr old maltese is a bit wobbly on his back left leg. His front shoulder bones protrude a bit and i feel that the hip bones at the back also are extra bony and can be felt. His weight is 4.15 - 4.25kg but his spine on the lower side can be felt and his tummy is round
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

Thank you for the additional information. His back left leg (including his hip) may be osteoarthritic at his age or perhaps he has suffered a knee joint injury such as a ruptured anterior cruciate ligament. Conservative care involves the use of a prescription nonsteroidal antiinflammatory drug (NSAID) such as carprofen or meloxicam. Aspirin dosed at 10 mg per pound of body weight (22 mg per kg of body weight) with food at 12 hour intervals or acetaminophen (e.g., Tylenol) dosed at 7 mg per pound of body weight (15 mg per kg of body weight) thrice daily can be helpful if the prescription drugs aren't available where you live. Acetaminophen isn’t antiinflammatory as is aspirin, however. You must avoid the toxic ibuprofen and naproxen in dogs.

His tummy appears to be "pulling away" from the rest of his body making those bones appear more prominent. I would thoroughly examine such a patient and include X-rays of his abdomen as part of my examination. Please continue our conversation if you wish.

Ask Your Own Dog Question
Customer reply replied 6 months ago
Hi doctor he has had meloxicam before but doesnt seem to be in much pain. Is the aspirn anti inflammatory or for pain. He is still active up and down stairs and plays for a little while with our other maltese every day. Can i send you a picture or is xray the only way to diagnose. What is the meaning / significance of abdomen pulling away and how can this be treated.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

Aspirin is analgesic by its antiinflammatory action. An abdomen that is filled with fluid or has enlarged organs inside it will sag ("pull way from the rest of the body") and when it sags the spine, shoulders, and hips become more prominent. I'd like to see a photo(s). You can upload photos by using the paperclip or add file icon in the toolbar above your message box (if you can see those icons on your particular device) or you can use an external app such as dropbox.com/

Please check that the photo(s) is in focus prior to uploading it.

Ask Your Own Dog Question
Customer reply replied 6 months ago
Some pics are enclosed. He still eats ravenously. Also his bowel movements are normal.Some of the files are older but you can see they are labelled by date.https://www.dropbox.com/sh/rpy5btxe9l21g74/AACpAV0pMIFRv7VACvGeW3BDa?dl=0
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

Thank you. He's actually ataxic ("drunken sailor") rather than lame. That's usually due to degenerative disk disease (a "slipped disk") in his spine although I need to consider fibrocartilaginous embolism (an interruption in the blood supply to his spinal cord) and a tumor in or around his spinal cord as well. I don't see abdominal distension in these pics or videos. You mentioned that he eats ravenously. Is he also drinking excessively?

Ask Your Own Dog Question
Customer reply replied 6 months ago
No he doesnt really drink a lot. He is drunken sailor indeed his back legs sway. I had considered tumor but hadnt been able to find any lump. His pain also doesnt seem to be markedly noticeable.Is there another view for a picture you would like. How do we rule out interrupted blood flow or tumor.And what is the treatment for slipped disk.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

Thank you once again. Only an MRI could "see" an embolism or spinal tumor (unless the tumor were so large it could be seen in an X-ray). Acute treatment involves a drug such as meloxicam, a skeletal muscle relaxant such as methocarbamol, and a narcotic analgesic such as tramadol. His ataxia isn't acute, however, and so it's unlikely that any of those drugs would be of value. As long as he isn't painful...and there's no indication that he is...treatment isn't necessary. No, you were thorough with your pics and videos. I don't need addition ones. Please continue our conversation if you wish.

There's likely to be geriatric muscle wasting around those bones which makes them more prominent. We can't make him younger!

Ask Your Own Dog Question
Customer reply replied 6 months ago
What would be the indication to give him meloxicam or not. Is he fine without medication? Should he be going for daily walks or is his walking around the house sufficient. Some days he jumps up onto the sofa and most days he is happy to climb up and down the stairs. Is there a hind leg brace / harness like orthodog that would give him relief.
Customer reply replied 6 months ago
Do you rule out hip dysplasia?
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

I would consider meloxicam if he were painful but there's no evidence of pain (inappetence, shaking/trembling, vocalizing) and so he'll do just as well without medication. Yes, he should be allowed to move about uninhibited; he's not in the acute phase during which he movement should be restricted. No, bracing is contraindicated. A harness rather than a leash makes sense because his back problem could also be in his neck. He may be dysplastic as well but hip dysplasia doesn't cause ataxia. It does cause lameness, however.

Ask Your Own Dog Question
Customer reply replied 6 months ago
a forced walk for about 10 minutes every couple of days and the rest moving around the house is ok. He also jumps off the bed a lot whereas he has stairs to climb up on it which he doesnt always use. These are different from the house stairs which he also does as i mentioned on occassion
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

Yes, all of those activities should be considered good physical therapy for him.

Ask Your Own Dog Question
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago
Hi,
I'm just following up on our conversation about your pet. How is everything going?
Dr. Michael Salkin
Ask Your Own Dog Question
Customer reply replied 6 months ago
His condition is chronic so some days are good and some slightly worse.
Dog Specialist: Dr. Michael Salkin, Veterinarian replied 6 months ago

I understand. Chronically affected dogs don't respond to medication as well as acutely affected dogs. 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.

Ask Your Own Dog Question
Was this answer helpful?
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 33,268
33,268 Satisfied Customers
Experience: University of California at Davis graduate veterinarian with 45 years of experience

Dr. Michael Salkin 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

3,044 satisfied customers

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

Joan

Joan

Vet Tech

5,447 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.

5,173 satisfied customers

BVMS, MRCVS. { Glasgow UK }

Dr. Andy

Dr. Andy

Medical Director

4,900 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

3,294 satisfied customers

Small Animal Medicine and Surgery

< Previous | Next >

Related Dog Questions
He started having diarrhea this morning, has pooped 4 more
He started having diarrhea this morning, has pooped 4 more times than usual, and thrown up twice. When he poops, the last few drops are fresh blood. His vomit is free from blood. He is acting normal o… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
My 6 yr old Great Dane is not eating. He recently had a cyst
Hi.....my 6 yr old Great Dane is not eating. He recently had a cyst removed and had blood work completed at that time. The work up shows a high RBc, low platelets, and ALP 168, ALT 145.....not sure wh… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
My dog has a red rash around her anus. When I press it, it
Hello! My dog has a red rash around her anus. When I press it, it doesn't bother her. She licks it, but not frequently. Are there any home remedies I can do? … read more
Joan
Joan
Vet Tech
Private
5,447 satisfied customers
I have an old chihuahua, 10 I think, no teeth, cataracts and
I have an old chihuahua, 10 I think, no teeth, cataracts and she has developed a cough, which seems to be worse when she's awake … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
My dog has been diagnosed with diabetes his glucose level in
My dog has been diagnosed with diabetes his glucose level in his blood was 16.2 the vet hasn't started insulin yet as she said there's no rush as his level is quite low compared to other dogs. He's du… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
My chiweenie had 5 puppies 3 weeks ago. They seem to be
My chiweenie had 5 puppies 3 weeks ago. They seem to be growing well and mom does feed them, but it's short term and the puppies are always crying now. I know I am supposed to let nature do it's thing… read more
Dr. Leah Hill
Dr. Leah Hill
Veterinarian
Doctor of Veterinary medicine
30 satisfied customers
His skin on his stomach is bright red. I just gave him a
His skin on his stomach is bright red . I just gave him a benldy … read more
Joan
Joan
Vet Tech
Private
5,447 satisfied customers
She has severe diarrhea this morning. This afternoon she
She has severe diarrhea this morning. This afternoon she came in from outside and I noticed blood colored dried area on her analysis and butt area. She has not been acting I'll and has been eating nor… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
5 wk old toy morkie who is constipated. Brownye. He is
He is crying and keep trying but it is stuck in his anus… read more
Dr. Schmidt
Dr. Schmidt
Associate Veterinarian
DVM
894 satisfied customers
Golden doodle is staying overnight at vet. She has not had a
Golden doodle is staying overnight at vet. She has not had a bowel movement in several days and is eating very little. Her calcium level is at 15. Is there anything other than cancer that could be cau… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
I have a miniature Maltese he is almost 6 years old. I have
I have a miniature Maltese he is almost 6 years old. I have never had him fixed. He started yesterday licking his testiculs and he has licked them so much they look raw. And now he is acting very stra… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
I'm currently on a flight with my chihuahua/pug mix and she
Hello. I'm currently on a flight with my chihuahua/pug mix and she isn't panting heavily. Should I be concerned? … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
My 5 pound yorkie ate a little bit of a paper towel. Will
Hello! My 5 pound yorkie ate a little bit of a paper towel. Will she be fine? Or do i need to worry about blockage in her intestinal tract? … read more
Dr. B.
Dr. B.
Veterinary Degree (BVMS)
3,465 satisfied customers
Dog ate grapes yesterday. I just found out they're poisonous
Dog ate grapes yesterday. I just found out they're poisonous today! One dog is 60 lbs. he ate two or three, the other is 12 lbs he ate two. Neither has shown signs of vomiting, diarrhea, stomach pain,… read more
Dr. Michael Salkin
Dr. Michael Salkin
Veterinarian
33,268 satisfied customers
My was just had puppies and she looks like she is losing
My was just had puppies and she looks like she is losing hair, so I googled it and the signs are mainge … read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 satisfied customers
I have a 5 year old Australian Shepherd, he is a miniature
I have a 5 year old Australian Shepherd, he is a miniature and weighs 20 pounds. He was staring out the window and started to tremble. I don't think it is because he was cold, he has very thick full h… read more
Dr. Rachel
Dr. Rachel
Doctor of Veterinary Medicine
727 satisfied customers
Coughing and gagging like he has something stuck in his
Coughing and gagging like he has something stuck in his throat … read more
Dr Scott Nimmo
Dr Scott Nimmo
Small Animal Veterinarian.
5,173 satisfied customers
My pregnant dog has dark discharge, she's 47 days pregnant,
My pregnant dog has dark discharge, she's 47 days pregnant, my sister did an ultrasound and saw that there were 2 significantly smaller pups close to the birth canal, the other 7 are triple in size, w… read more
PitRottMommy
PitRottMommy
Veterinary Nurse
Associate Degree
10,110 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