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Is your dog Tiger truly 20 years old? That is quite elderly for a canine.
Are we talking human years or dog years?
Can you tell me if his ears are hot to the touch or have a smell inside of them?
What breed of dog is Tiger?
If he feels warm he may have a fever. Normal Canine temperatures range from 99.5 -102.5. If you are able to take his temperature rectally we could check for this. It usually takes 2 people one to hold the dog and the other to lubricate the thermometer and insert it rectally.
Once we know his temperature we can see if he is febrile. Because dogs run so much warmer than we do it is easy for us to think they are warm when they normal.
Does he have any other medical conditions that you are managing?
I am glad I could help. I would still see if you can take his temperature or take him to the vet and have a nurse help you take it so we can make sure he is not running a fever
Can you also check Tiger's gums for me and tell me how they look and feel? That will help me tell you if he is hydrated.
If they are pink and moist he is hydrated if they are pale and sticky tacky to the touch he is dehydrated. If he is dehydrated we can offer him a mix of 1 cup broth and 1 cup water warmed up. This is the dog version of gatorade and will help boost his electrolytes and hydration and if he is febrile will help his fever.
I Hope this helps
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Dr. Meghan Denney