ask an expert > pain management
Ask Dr. Robin Downing about Pain Management
As the founder and past president of the International Veterinary Academy of Pain Management, Dr. Robin Downing is one of the world's leading experts on pain management in animals. She was the third veterinarian in the world to acquire diplomate credential from the American Academy of Pain Management. As of today, fewer than a dozen veterinarians worldwide hold this credential.
Dr. Downing was co–chair of the task force that authored the "2007 AAHA/AAFP Pain Management Guidelines for Dogs and Cats." She also owns The Downing Center for Animal Pain Management, LLC, the only comprehensive pain management and pain prevention practice for pets in Northern Colorado.
Pain Management Questions (87)
Is limping a sign of pain or arthritis?
I have a black and white mutt that is 8 or 9 years old. He has been limping on his right back leg. He has never been hit by a car either. Do you think he has arthritis?
Greetings - -
While your dog may well have arthritis, there are many potential explanations for limping. The best thing is to schedule a visit to your veterinarian for a diagnosis so that you and your veterinarian can create an appropriate treatment plan.
Dr. Robin
Is pain causing dog’s lethargy?
My boxer puppy is 13 weeks old. He is usually very energetic and likes attention from people. Yesterday, he was fine in the morning, but after taking a nap, he was whining and limping on his left hind leg. There was no visible trauma to the leg, so I thought it was just cramped or something. I decided to just observe if it will go away. It didn't and by the evening, he refused to eat and was lethargic. Now he just wants to lay down all the time and sleep. What could be the possible cause of this?
Greetings - -
While this could be a simple sprain or strain, it is possible for there to be a more serious limb injury. Please have this little guy seen as soon as possible in order to get an accurate diagnosis!
Dr. Robin
How can we keep our dog with kidney failure pain-free?
We have a Yorkie that is 10 years old and suffering from kidney failure. She has shivers, which we have been told indicates she is in pain. We know she does not have long to live, but we would like to keep her as pain free as possible. Is there anything that will help her?
Thank you.
Greetings - -
I am sorry for your baby's illness...
You are correct that there are strategies available for keeping her comfortable in her final time here on earth. Please find out if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org). If not, you might want to look for an IVAPM member in your area to help you ensure her comfort. This is a challenging time...
Dr. Robin
Is it pain or arthritis?
Lately, I've been noticing that my 3 year old English springer has been having trouble getting around. She seems to be having pain getting up after lying down for awhile, and just isn't as active anymore. I mean she still plays plenty... but a mommy knows when her baby hurts.
She normally will follow me around everywhere, no matter what, but for the past few months she will just sit at the bottom of the stairs when I go up them. I don't want to push her, so it’s not like i make her go up, i just feel bad. She will sit there and whimper, and most of the time, does eventually come up. I just want to know what's wrong with her. I'm beginning to wonder if it could possible arthritis. Any ideas? If it is arthritis (or even if its not) what could i do to help her?
Greetings - -
You are describing classic signs of pain. It is time to seek the assistance of a veterinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org). This would be someone who is tuned into the most current information about treating pain in pets.
You should also consider working with a Certified Canine Rehabilitation Practitioner (CCRP) because physiotherapy/rehabilitation can make a world of difference in returning a dog to optimal function once the pain is under control.
Good luck.
Dr. Robin
How can I manage pain in by golden with cancer?
My 11 year old Golden Retriever has a fast growing cancer in her face, right now mainly gums and upper part of her mouth. Any suggestions for pain management are appreciated.
Greetings - -
There are many excellent ways to provide comfort care if this cancer is not going to be treated.
Find out if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) as this would put him/her in contact with the most current information about managing pain in pets.
Do not be afraid to seek a second (or third) opinion for pain management.
Good luck.
Dr. Robin
How do I find a specialist for my cat with cancer?
Hi,
I have a 15 year old cat (who is my world) and she has just been diagnosed with a tumor under her stomach (pressing on her stomach, bladder, and small intestine). She can't really eat anything (although she has been drinking water and she licks at her canned food). She has lost a tremendous amount of weight and although she is still very active, her movements have slowed and she obviously has a hard time walking (though she does it anyway).
I can tell by the look on her face and the tone in her meow that she is in pain. I will do right by her if it comes to that but I want to know (and I know without examining her you can't say for sure), but do I have any other options here? My vet said there's nothing more we can do for her (then again, all she did was feel for it and take some x-rays--no biopsy or anything). And am I wrong by any chance--could she not be in as much pain as I think?
Also, are there any resources for us here in Georgia? I looked for a vet oncologist but only found one (and yes, I'd spend all the money I have on her if it'd help, but they are quoting a price that I just can't meet--the funds just aren't there right now).
Thanks for your help. Have a good day.
Greetings - -
I am very sorry for the devastating disease your feline friend is facing...
It is probably worth getting a second opinion to get an actual diagnosis - - ultrasound is a great, non-invasive way to acquire much information. Also, you might want to look for a veterinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) as this person would be in touch with the most current information about managing pain in pets.
There are many valid strategies for providing comfort until it is time for euthanasia.
Good luck with this.
Dr. Robin
My dog has chronic pain – how do I know if his meds are helping?
I have a 2 year old boxer who developed HOD when he was 12 weeks old. He was in extreme pain and paralyzed for many weeks but has pulled through. His legs are shorter and front are bowed. Back legs are quite crooked but he copes well. He was on Tramadol and intravenous pain meds during the first 2 months but now he is active and enjoys life. My question is -- as a stoic dog that has experienced great pain how do I know when he is in pain now. At the end of a day his joints feel very warm and he often pulls his legs away if you try to massage them.
Tramadol was suspended as it appeared to make him slightly aggressive. Vet has recommend Rimadyl when necessary.
Greetings - -
HOD is a very devastating disease, and you are correct to presume that he may still be dealing with pain. There are some very effective strategies for dealing with chronic pain in dogs - - particularly when we combine treatments in what is called a multi-modal approach.
Find out if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) - - this would put him/her in contact with the very most up-to-date information about managing pain in pets. If you encounter resistance, then seek a second opinion - - very stoic dogs can be challenging to diagnose.
We now know that to give a medication like Rimadyl "when necessary" is not an appropriate strategy - - by the time we think it is "needed", the animal has been in pain a long time...
Best to have an ongoing plan in place.
Good luck with this.
Dr. Robin
My arthritic dog seems to be in pain
Hi My lab X is 14 years old and has arthritis in her legs. Earlier this week she had difficulty getting up as her legs just splayed on the floor. About 2 years ago she had Norocarp 50 tablets from the vet and I have given her some of those again but today she is crying and can't stop licking her legs or the carpet. Is she in pain and if so should I take her to the vet?
Greetings - -
Your description certainly sounds like pain, and she should be evaluated by someone with expertise in chronic pain management. We know that a multi-modal approach is best. Ask if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org), as this is a great way for him/her to be on the leading edge of helping pets in pain.
Good luck.
Dr. Robin
My dog seems to be in pain – should she go to the ER?
my 1 year-old Boarder Collie was acting listless, just lying around. My husband commented on it so when I reached down to touch her, I very gently touched the tip of her nose. She yelped in pain and ran to my husband shaking like crazy. Now she will not come out from under the table and within 1 hour, she will not play with her ball nor open her mouth. I cannot see anything, but she will not let us get close enough to see if there is a problem. I am so very scared for her right now, she is the most lovable dog ever and I think she is in so much pain right now she will bite me. I did not see this happen and I have no idea when or where she hurt herself. She has no visible cuts or bleeding anywhere, but has no interest in moving or going anywhere. Should I take her to the ER???
Greetings - -
This level of unusual behavior certainly warrants a trip to the emergency room. I hope all is resolved for your canine friend.
Dr. Robin
How can I prevent pain in a dog with dental problems?
This isn't so much a pain question my puppy doesn't seem to hurt but to avoid pain I have a question I have a Great Dane who is 5 months old and has extremely crooked teeth. The incisors are not centered on maxillary and mandibular arches and are crooked along with his canine teeth. Is this because the baby teeth have not fallen out and his adult teeth will come in to their correct places once they are ready or are his teeth damaged and we should bring him into a vet to eliminate later problems.d products. What is your advice on which plans are best?
Greetings - -
Great questions! You are correct that this boy should be evaluated to prevent future problems. Look for a veterinarian who is a member of the Veterinary Dental Society, or one who is board-certified as a veterinary dentist. Here are a couple of links:
Good luck with this.
Dr. Robin
My cat’s legs seem weak but not sure if it’s pain
Why would my older (about 12years old) indoor cats back legs get weak and give out. He doesn't seem to be in pain, he's just having a hard time walking, walking straight and standing. He kind of just plops down after trying to walk a little ways. He's still really affectionate like always, and everything else seems to be fine. He did lose about 5lb. before he started to have this problem. Do you know what the problem could be?
Greetings - -
The symptoms you describe actually ARE consistent with pain. There could also be a problem with the nervous system. He needs to be seen by a veterinarian who is sensitive to pain issues in cats - - you might ask if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) - - or look for a veterinarian who is. This would ensure someone who is in contact with the most current and up-to-date information for managing pet pain.
Good luck with this.
Dr. Robin
Is meowing a sign of pain or wanting attention?
my cat wont sit down and i don’t understand why. i mean she will crouch down and perk her butt up in the air and when you try to pet anywhere near her tail she freaks out. When she thinks she’s alone she sprawls out on the floor and meows louder and louder until she gets someone’s attention and i don’t know what’s wrong. I’m worried about her cause she acts like she’s in pain how can i help her.
Greetings - -
You are very insightful to think that she might be in pain... She needs to be evaluated by a veterinarian who can deal with pain if it is present. See if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) - - this would put him/her in touch with the most current and up-to-date pain management information.
If you receive resistance, do not be afraid to seek a second opinion.
Good luck.
Dr. Robin
Is aspirin OK for dog pain?
Our dog is a female Labrador- Chesapeake mix. She is about 8 years old. She has pain in her hips and front leg joints. Is an aspirin regime of 325 mg twice a day the best answer for her. She is not more than 5 lbs overweight and we exercise her everyday. We do live in Montana, so its cold in the winter.
Greetings - -
PLEASE STOP GIVING ASPIRIN TO YOUR DOG!!! You have a very real risk of killing her with it... And you will degenerate the cartilage in her joints.
There are several very safe and effective non-steroidal anti-inflammatory drugs FOR DOGS that are FDA approved and on the market. If your veterinarian is unaware of the dangers of suggesting aspirin for your dog, ask him/her to join the International Veterinary Academy of Pain Management (www.ivapm.org) in order to become acquainted with the most up-to-date information about appropriate pain management. Alternatively, seek help from another veterinarian.
Good luck.
Dr. Robin
Is human glucosamine OK for dogs?
can my 13 yr old dog take glucosamine chondroitin triple strength tabs for people? he has bad hip pain.
Greetings - -
Please do not give your dog human preparations. There is actually a reliable canine glucosamine/chondroitin product, so talk to your veterinarian. A better choice would be to feed the only scientifically proven joint support diet - - Hills Prescription Diet j/d Canine.
Dr. Robin
If my dog doesn’t eat, does it mean his teeth hurt?
my dog is not eating. does that mean that his teeth hurt him? we don't brush them.
Greetings - -
Not eating may be due to mouth pain, that is true. However, there are many other and perhaps more serious reasons for a dog not to eat.
The next step is a visit to the veterinarian to get a diagnosis. Then you will be able to make the best decisions for your friend.
Dr. Robin
Can I give my dog household medications instead of Rimadyl?
My eleven month old rottweiller dislocated his hip. The vet could not pop it back into place. He gave me some rimadyl for any pain he may have. I was wondering what type of household pain medication i can give to him. And i also wanted to know if you may now of any foundations that could help with the price of surgery for him.
Thank-you for your time!
Greetings - -
I am sorry for the problem your dog is facing.
There is absolutely no medication in your home medicine cabinet that is safe or effective to give him for pain.
Clearly, at 11 months of age, he is young enough that this problem really needs to be fixed. You might try to find a non-profit hospital or a humane society in your area that can assist with finances. Otherwise, you may have to consider finding him another home where he can get the work done that he needs.
Dr. Robin
My dog had a cast removed but still won’t use her paw
I recently took my Maltipoo to the vet because she had hurt her paw. The vet said that she had dislocated her growth plate in her paw. The vet put her under and fixed her paw and then she was in a cast for 2 weeks. She just got the cast off on Friday, Dec. 2nd, however she has yet to use her paw. She is also still caring it like it is hurt. Should I be concerned and take her back to the vet, or is it common for her not to want to use her paw yet?
Greetings - -
It is NOT normal for her not to use her foot at all. I assume a follow-up x-ray was taken to confirm proper alignment and healing. Certainly that should be done. She may need a supportive bandage for a while. If you feel you are not getting good answers to your questions, do not hesitate to seek a second opinion.
Good luck to her.
Dr. Robin
Is declawing painless?
I own a 7 year old cat and want to know if it would be safe and painless to have her declawed?
Greetings - -
Declawing cats involves amputating the last digit of each toe on the front feet. It is NEVER painless! It is actually illegal in most developed countries.
There are excellent alternatives to declawing - - scratching is a natural cat behavior. Our job is to help them know what to scratch and what not to scratch. There are excellent training strategies - - talk to your veterinarian. We can use "Soft Paws" to cover the nails and prevent the toenails from catching on carpet or fabric. Your veterinarian can help you use "Soft Paws".
Good luck.
Dr. Robin
My 5-year-old dog doesn’t want to jump
I have a 5 year old male pit bull mix. He's always been extremely active but the past week I've noticed that he doesn't want to jump up on the bed or into the bathtub for bath time. He still runs normally, doesn't limp, and I've only heard him whimper once or twice quickly. Should I be really concerned, or do you think he's probably just getting older and being a little stiff?
Greetings - -
Certainly "old age" is not a disease, and a 5 year-old dog is NOT "old"! It is time to seek a diagnosis for the changes in your dog's behavior, as they may very well be pain-related.
Ask if your veterinarian is a member of the International Veterinary Academy of Pain Management (www.ivapm.org). This would put him/her into contact with the most current and up-to-date information about managing pain in pets. You may want to seek a veterinarian in your area who is a member of the IVAPM or a practice that has a CCRP (Certified Canine Rehabilitation Practitioner) - - these are practitioners who have been trained to apply physical therapy techniques to dogs. Those of us who are CCRPs tend to be a bit advanced in our knowledge of pain and pain management.
Good luck.
My dog limps and tests show nothing
My eight year old Wheaton Terrier has had problems with his right front paw. After running he will limp. He has been treated twice for lyme disease, which he did not have but showed high levels in his blood of possibility. He has had x-rays. They find nothing. He is on joint pills and it still happens. He cried for the first time the other day. What can I do?
Greetings - -
No way of knowing just what medications your dog is taking or has taken...
He behaves as though he is in pain, so that issue must be addressed. Look for a veterinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) as that individual will be in contact with the most current and up-to-date information about treating pain in pets.
Good luck with this.
Dr. Robin
teacup chihuahua
my chihuahua is having seizure like fits and now his head leans to the right what can i do?
Greetings - -
Your dog will benefit from seeing a veterinarian as soon as possible. You may want to consider asking for a referral to a board-certified neurologist (specialist of the nervous system) if it turns out that he is really having seizures.
Best of luck.
Dr. Robin
great dane help
I have an elderly great dane named Lexie, she is about 9 1/2 years old and in the past 2 months has lost A TON of weight. she still walks around goes up stairs , no signs of trouble, and potties outside, normal bowl movements. she has been acking like normal but like I said she has lost TO MUCH weight for me not to be concerned. she is also up to date on all shots and in perfect health. We switched her to wet food to help get her to eat because he wasn't eating very much dry food,but her teeth look great and none look like they are loose or bothering her. We have been feeding her the wet food for about 2 weeks now and I think she is still loosing too much weight. what do you think might be wrong with her and what do you think I should do to help her gain some weight back
Greetings - -
You make the comment..."she is...in perfect health..."
Well, not really... or she would not have lost so much weight unexpectedly. She needs a complete and thorough workup by a veterinarian - - including blood work, urinalysis, and a blood pressure measurement. Something is out of balance, and a veterinarina can assit you in finding out what that is.
Good luck getting to the bottom of the mystery.
Dr. Robin
whats wrong
my cat has a bump on her face and it has gotten bigger since this morning what should i do. it hurts her when i push but not touch. she is a outdoor indoor cat.
Greetings - -
Lumps and bumps on outdoor cats are always suspicious and may reflect an infected wound. She should be seen as soon as possible.
Dr. Robin
Grooming
Can I use Johnson's de-tangling spray on my long-haired cat?
Greetings - -
There are excellent grooming products available for cats - - please do not use human hair products on your cat - - they are not properly pH balanced.
Dr. Robin
Can cats get diaper rash
My cat is 21 lbs and cant clean himself after he uses the litter box. We've noticed that he has residule feces still on his back side when he leave the litter box and cant clean it. He recently started to loose all his hair around his rectum and tail and it is now raw and red. What is this a sign of and can we use desatin or a diaper rash remedy until we can afford to get him to the vet?
Greetings - -
Your cat is morbidly obese and on a very fast track to diabetes, cancer, and osteoarthritis to name just a few impending disasters.
He needs to see a veterinarian who knows lots about cats and who can help you use a high-protein/low-carb prescription nutritional product to get the weight off (very affordable when it is used correctly - - about 30 cents per day to feed).
Please help him soon.
Dr. Robin
dont know what to do for a very sick puppy
my puppy is a toy poodle one year old, she has porto systemsks chunt, is there a chance of a cure?
Greetings - -
The term is "porto-systemic shunt", and the most common treatment is surgery. You will need to see a board-certified veterinary surgeon, and there are some additional diagnostics that will need to be done to clarify if surgery is really the best treatment.
Good luck with this challenging issue.
Dr. Robin
does my cat have arthritis
My cat has to be sedated to go to the vets.We just took her 3 weeks ago for a check up and vaccines. she was limping a little and the vet couldnt check her walk as she was hard to handle. she is about 14 years old and 12lbs. Im worried as she is limping on another leg. After she walks a little doesnt limp. Do cats get arthritis and what can I give her?
Greetings - -
Cats do indeed get arthritis, and there are treatments available. The first step, however, is an accurate diagnosis.
A housecall veterinarian is probably the best place to start, since she gets so stressed going to the office.
Since she is limping, we must presume she is experiencing pain, so she needs help!
Dr. Robin
My dog can't seem to go to the bathroom?
My dog suddenly can't seem to go to the bathroom and now she won't do anything. what can I do?
Greetings - -
Time to get to a veterinarian immediately. Even if that means going to an animal ER.
Good luck.
Dr. Robin
pain
I just ran over my shih-tzus paw with my car. what pain medicine is safe to give him?
None!
Get him to an animal ER a.s.a.p. for a diagnosis and appropriate pain management!
Dr. Robin
My cat has yellow pee and makes runs every 5 mins to the litter box.
Well about a week ago last tuesday May 19 I had to take my cat to the vets he had a bladder and Kidney infection and was put on meds, and has special cat food to eat. After all of this he will not eat nor drink water. After taking all of his meds and going back to the vets a week later May 26 the doc said he was all good. Today May 30 he is making runs to the litter box every 5 miins but has yellow pee what does that mean? I plan to take him to the vets tomarrow May 31 to find out what wrong. If there are other ways to treat this problem I would like to know. I don't know what other way to make him eat n drink lots of water. Can you help me please.
Greetings - -
Hopefully this kitty's issues are resolved. One thing to consider in encouraging drinking (cats almost never drink enough...) is to get him a circulating water fountain - - be sure it has a charcoal filter - - Drinkwell is a great brand.
Good luck with this.
Dr. Robin
my neo mastiff is 8 and she limps and has much pain in her elbow and shoulder, what can we do?
My 8 year old neo mastiff is limping and in severe pain.Is it her elbow or her shoulder, and what can we do? She does this every few months.
Greetings - -
If this is happening "every few months" as you say, then there is not yet a complete, thorough, and accurate diagnosis. So, that's the first step and only then can you know how to get her comfortable and keep her that way. Be sure you see a veteerinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org) if at all possible. Whatever veterinarian sees her should take xrays of BOTH front legs (to compare right to left) as well as doing bloodwork to evaluate her metabolic status.
Best wishes getting this sorted out for her.
Dr. Robin
Limping Right back leg
My 3 month old dane male puppy started limping on his back right leg. When I consulted my vet he said that puppy lacks calcium and needs supplement. But after reading through several websites on dane. I am in doubt that he is having some issue. It is almost a week now and limping is not eased.
I will also like inform that my puppy got shots for accidently hurting his front leg. But he recovered and he has no issues with the front leg. Immediately after 2 days of getting the shot he started limping on hind leg. Today i got him a rabbies shot as per his vaccination calendar and the limping got worst.
Could you please guide me as to what is happening to him?
Thanks,
-Lokesh
Greetings - -
Sounds like it is time for a second opinion! You do not yet have a diagnosis as to precisely what these problems are, in spite of multiple visits to the veterinarian.
Because he is having a pain issue, look for a veterinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org).
I have had Danes for the past 12 years, so I have special appreciation for your concern!
Dr. Robin
FOOT PADS
If the pad on a dogs foot has been damaged and is raw (not infected) is there a way to ease the pain until it heals?
Greetings - -
The best strategy is to protect the foot with a bootie or a sock until it has time to heal... If it is painful, get to your veterinarian for appropriate pain medication (I often prescribe a non-steroidal anti-inflammatory drug - - NSAID - - for a few days to al least take the edge off).
Dr. Robin
Heavy Mucus, Coughing,Gagging
Does a lot of coughing,gagging, and mucus runs out of nose,
Dog is a 15 year old Pomerian.
Greetings - -
These symptoms can be consistent with many different conditions, and the best thing is to make an appointment with your veterinarian as soon as possible.
Dr. Robin
My 10 year old dog is limping on her left front leg?
My 10 year old dog is limping on her left front leg what do i do?
Greetings - -
The first step with any limping pet is a visit with the veterinarian to establish an accurate diagnosis. Ony then can you have any idea what should be done.
Dr. Robin
My dog limps on her right hind leg
I have a 3 year old Boxer who recently began limping on her right hind leg after waking in the morning and after laying for long periods of time. After walking for a minute or two the limping subsides but it has not stopped happening. I have limited her running and other activities but has not seemed to help. Any ideas as to what might be the problem?a
Greetings - -
Any time we see persistent limping, we know there is something wrong, and that means getting a diagnosis from the veterinarian. Be persistent, so if you do not receive a specific diagnosis and plan to treat these persistent sympotoms, seek a second opinion. This dog is quite young, so it is in his best interest to be treated appropriately and aggressively to correct whatever is going on.
Dr. Robin
Blooy fecal matter
My 2 year old dog relieved himself on the floor of my bedroom and when I went to clean it up, it was fecal matter with blood. I don't know if I should take him to the doctor or just not feed him anything today until his stomach is better. Please tell me what I can d? Thank you.
Greetings - -
Blood in the stool can be very serious. If he seems to be feeling OK today, he may be able to wait until tomorrow to see your veterinarian. If, on the other hand, his diarrhea and blood persist today, have him seen at an emergency hospital to get a diagnosis and treatment as soon as possible.
Dr. Robin
cats legs cracking
My cat is 13 years old and has yearly check-ups(his last check-up was in April). He weighs 16 lbs. His weight has been consistent for as long as I can remember. Recently I noticed a cracking sound that his legs make when he goes up the stairs or jumps up to his window seat. I'm guessing that it is his joints making this cracking sound. I've looked online and can't really find any info. and don't want to pay for a vet visit again if I don't need to. Is it just his old age and weight, or arthritis? Would there be a medicine that the vet could give him? Is it hurting him? Thanks!!
Greetings - -
At 16 pounds your cat is morbidly obese. I am sorry that you have not seen a veterinarian who has been willing to take this issue seriously. You are describing some of the symptoms we see with arthritis, and arthritis is painful. And, for the record, old age is not a disease.
It may be time to seeka veterinarian who understands how to take feline health issues, and pain issues in particular, seriously. My advice is to look for a practitioner with several qualifications:
1. A practice that is accredited by the American
Animal Hospital Association
2. The veterinarian is a member of the American Association of Feline Practitioners
3. The veterinarian is a meber of the International Veterinary Academy of Pain Management (www.ivapm.org)
Step one is an accurate diagnosis of his issues, step two is to make a plan for dealing with those issues, and step three is to have regular reassessments to mark and measure progress.
Dr. Robin
Lumps
Hi there,
I am hope you can help me with this. I am in quite a sticky situation. My dog has grown lumps over the past couple of months. Yes, i would take her to the vet. But she lives with my grandmother, Which has a phobia of leaving the house. She is worried that my dog will need surgery and that she will die in it. She will not take her. I do not want to wait until they get worse or until my dog passes. Im really hoping i can get some insight on this.
Please reply back, I would appreicate it very much!
Thank you,
-Tina
Greetings - -
So sorry that I do not have much to offer. Your dog needs a diagnosis in order to understand if these lumps are even something to worry about. That means a biopsy, and biopsies are most appropriately performed in the controlled setting of a veterinary hospital.
I hope you can resolve this challenging issue by reassuring your grandmother that veterinary medicine is quite sophisticated at this time.
Dr. Robin
My cat is dying
He's 14 years old and is my parent's outdoor cat.
5 days ago he started throwing up, and each time we feed him, he throws up a little bit more. Now he just lays down in our basement like a statue, only moving to use the litter box or to sip water. We check up on him regularly to take care of him.
He has become so weak that his back legs barely function and wobbles in a very bad way. We found him hiding in several spots and he's been avoiding eye contact with people.
Are these signs of possible symptoms of stomach cancer?
Greetings - -
The symptoms described here could be caused by several important medical problems, some of which are more treatable than others. Step one is an accurate diagnosis so that you can make good decisions on his behalf.
Dr. Robin
cat seems to be panting / heavily breathing
My 9 yr old cat seems to be panting & breathing more heavily then normal. I have 2 cats both, males & both appx 9 yrs old. I just noticed this behavior today yet he seemed fine yesterday. I leave them 1 day a week and this didn't exhibit itself until 2 days after I returned home. I have been having problems with 1 of them, yet I can't determine which one. Sometimes I find that 1 of them poops outside my bedroom door yet I can't figure which of the two is exhibiting this behavior.
Is this the panting a health problem & is the occasional pooping related or a behavior issue?.
Greetings - -
The cat that is "panting and breathing more heavily than normal" needs to be seen by a veterinarian who can accurately and completely diagnose the problem (or multiple problems if present...). This means labwork, chest x-rays, and a heart ultrasound as these symptoms could be explained by several different (very serious) conditions.
The inappropriate elimination behavior should be considered a separate issue and addressed as such. It may very well be a behavior issue, but there may be an underlying medical component.
Dr. Robin
Althernating Limping
I went Mt. Biking on saturday and took my Blue Heeler, Roadie, along. Re ran with us for four hours on an unexpectedly tough trail.
I am concerned because on sunday he looked stiff and seemed to be babying his rear left foot, monday he started limping badly on his front right foot and when I got home from work he ran up to me and just fell over like he was super stiff, also had a hard time getting up and laying down, and also threw up all over my living room, and today he was back to babying his right rear foot, seems like he is alternating.
Additionally I want to mention that we found a tiny tick on his nose on sunday which we picked off. I am concerned that it is Lyme disease and if not, I need to know how to help ease his pain.
Greetings - -
I'll bet Roadie had a wonderful time on his trail run, in spite of ending up with an injury!
The symptoms you describe are certainly consistent with pain and stiffness form being a "weekend warrior", and the best thing for Roadie is to have a visit with his veterinrian to determine where he is painful, and to make the best recommendations for correcting the issue and preventing a problem in the future.
As for the tick, you are correct to be concerned about Lyme disease, as it is transmitted by ticks. When you see Roadie's veterinarian about his pain/stiffness, be sure to talk about the tick and your concerns about Lyme.
Best wishes.
Dr. Robin
Samoyed is loosing hair, getting sores
My Samoyed is almost 14 yrs old. In March of this year her stomach flipped. The surgery seems to be a success; however, she has gotten a bladder infection that is MRSA. We seemed to have cleared up the MRSA but she still has a bladder infection. In addition, she is loosing hair around her tail and back area and has gotten a sore on her neck and edge of her mouth. She has authritis and has been getting accupuncture treatments, but they have stopped helping. She has been tested for Cusions Disease, Addison's disease and thyroid, but all are negative. She is having difficulty getting up because her back end is very week. If helped up, she is able to walk. There are times she pants a lot and licks her front paws. She is very restless at night, but is able to relax and appears to be comfortable during the day. Do you have any suggestions or ideas what is going on? Thanks for your assistance.
Greetings - -
Sorry for the complex issues your girl is dealing with...
"...We seemed to have cleared up the MRSA but she still has a bladder infection..." You don't reference if the bacteria causing the infection is known. If not, a culture and sensitivity testing of her urine should be done.
Because of the very complex and potentially inter-related issues she is dealing with, it is most appropriate to try to see a board-certified internist. An internal medicine specialist has the best training and background to try to put all these very challenging pieces together to create the most appropriate treatment plan.
Good luck with this difficult case.
Dr. Robin
My dog's urine has a little bit of bleeding
I've noticed a little bit of bleeding with my dogs urine. He is about 8 years old, 12 lbs.
Greetings - -
Blood in the urine of a male dog can mean a problem with the kidneys, with the bladder, or with the prostate. There could be bladder or kidney stones, prostate infection, a prostate tumor, or a bladder tumor. These are just the most likely potential explanations. The best first step it to get an accurate diagnosis of the issue. This means bloodwork, a urinalysis, a good thorough physical examination (including a rectal exam to feel the prostate), and x-rays or an ultrasound (or both, if necessary) to understand the source of the blood and the best way to proceed with treatment.
Best wishes with this.
Dr. Robin
How can I strengthen my labs paws
My 3 year old lab has sensitive paws. Our family loves to camp and go to the river with our pets; but my dog can only walk in the rocks for 2 days and than she is to sore to even move. We have tried booties and socks and those just come off. What can I do to help her so that she can play the whole vacation?
Greetings - -
Is the issue the pads on her feet, or does she have pain in the toes and other structures of her feet?
For protecting her pads, booties really are the best choice, and there are several different designs. You may just have to experiment with a different brand than you have tried up to now.
Once you find the right design for her, she can really enjoy her outdoor time with you!
Dr. Robin
Hernia
Hello,
I have a 9yr old unspayed male Weimaraner who is sick. He has been diagnosed with epilepsy and it currently on Phenobarbital. He has some benign tumors on his skin, the vet has called just fatty patches. Also he currently has a perineal hernia. He has been living with the hernia quite some time but recently I am very scared that it is on the verge of bursting.
I’m always poking and pinching him myself to check his skin and I always feel the hernia. Mainly it’s just fat. But recently its hard, when I massage it whatever that’s hard goes back into wherever it popped out of. My mom says that its probably some feces that is trapped. What do we do?
Please email me back asap as I don’t know what to do and I’m worried.
Thank you in advance
Elana Novo
Greetings - -
So sorry your friend is dealing with such a major issue...
It is important that this dog be evaluated by a board-certified surgeon (specialist in surgery) so that you may know the best option for managing his perineal hernia.
The biggest worry about this hernia is that his bowel may become trapped in the hernia pocket, have compromised blood supply and the tissue could die, leading to a bowel rupture. In addition, this is a painful condition. The fact that he is intact has probably contributed to the hernia developing, so be prepared for the recommendation that he be neutered at the same time.
The reason you really NEED to see a board-certified surgeon is that perineal hernia repair is a fairly complex surgery, so you want experienced, trained hands doing the work. That said, our patients who have had this surgery have done very well...
Good luck with this tough problem.
Dr. Robin
Hyperventilating Cat
I just took in a new rescue, she has been fending for herself for an undetermined amount of time outside. She is less than two years old, has been checked out by a vet and found to be healthy.
She seems comfortable around me, sitting quietly while enjoying me petting her. However her breathing is very rapid. I'm concerned she is in pain, or is she just still very nervous. Other than the hyperventilating, I don't observe any obvious wounds. Should I wait to see if she calms down or take her to the vet immediately?
thank you.
Greetings - -
Good for you!!! Very exciting that you have given her a new lease on life!
So, if she has been examined and the veterinarian found no problems, she is probably not painful, but keep an eye on things. Is she eating & drinking OK? Is this panting thing something new since she was examined - - if so, she should be seen again...
If she is OK, then here are some resources to help you help her get into a routine and get comfortable, and begin to feel secure...
You need a product called "The Ultimate Puppy Toolkit". You can Google it and purchase online - - the very best product for helping you understand how to help her - - very practical, very easy to use, will change her life.
You need a Gentle Leader Head Harness with the instructional DVD (NOT a Halti!). This will help so much in teaching her what to expect.
One website to consider for training info is www.clickerdogs.com . I have found good tips here.
Best wishes for this newcomer...
Dr. Robin
hard time going up the stairs
My boxer is 22months very happy energetic, all of a sudden i noticed he cant go up the stairs as well as he use to,the problem seems to be on his back legs when trying to get comfortable for his naps hes having a hard time bringing down his back side to the floor..whats wrong? Is he in pain?
Greetings - -
You are very insightful to think that your boy may be painful... I certainly can't offer any diagnostic ideas just from your description, but you need to see his veterinarina as soon as it is feasible. Because pain issues are VERY uncommon in such young dogs, be prepared for the possibility that you may have to see an internal medicine specialist for advanced/unusual diagnostics.
Good luck with this challenge.
Dr. Robin
Dog with hip dyslplesia
Hi I took my 5yr old maltese-winnie dog mix for a walk, halfway home she started limping vet did tell me she does have hip dysplesia but she has been fine.. usually dont take her for walks alot lately.. she is walking really stiff, and i touch her hip and she swirms so i know its got to be her hip! I am thinking of taking her to the vet monday, but wondering if there is anything else i can do for her pain until then...
Greetings - -
I am sorry to hear that your baby is experiencing pain. Be aware that you should request as complete a diagnosis as possible. If she truly has hip dysplasia, it will be VERY unusual as this is generally a disease of large breeds dogs. An xray of her hips should be taken if dysplasia is the suspected explanation for her limping.
There are many things that can be done to help a dog with osteoarthritis, including prescription food (be sure to follow the scientific evidence), nutritional supplements, as well as injections of a medication called Adequan that can be delivered under the skin by you at home.
Good luck getting to the bottom of this!
Dr. Robin
Heterobilharzia Americana
This may seem as an out of the ordinary question but my mom recently lost her dog... One of the problems she had was heterobilharzia which is evidently a sickness that comes from snails. Hannah (her dog) was a very closely watched dog because she also had stomach problems and was on all sorts of medications so she was not allowd the same freedom as a well dog would have been. Such as free time in a yard or things of that nature. The point is, is that it was highly unlikely she ate a snail. Hannah was not even allowd treats because of her special diet. So are question is, how is heterobilharzia contracted? Must a snail have been eaten, must she have come in contact with standing water (also unlikely), can it be contracted through skin? Any information on how this illness is contracted or passed along would be appreciated. We are at a lost to how this happened. Her regular vet didn't pick it up and the specialist we took her to had only seen 6 cases prior to Hannah in are area (Galveston County TX). Also is this something that should be reported to someone somewhere? Since this is not a common illness for this area... Thanks for any information or direction you can give... As we seem to have no where alse to turn.
Greetings - -
So sorry to learn of your mother's loss...
Probably wise to clarify that this dog did NOT have to eat a snail in order to acquire this parasite... She just had to be in contact with water where a snail with this parasite had been, and the parasite generally enters through the skin.
You do not mention how this was diagnosed - - it is a difficult disease to diagnose, to I presume the specialist is confident of the diagnosis? Was the disease diagnosed on autopsy? It is treatable if diagnosed in time.
The specialist is the best person to ask aboput reporting this diagnosis to the local and state veterinarians.
Once again, soryy for the loss.
Dr. Robin
lump in back hip moving down into inner thigh
What could a lump signify in a 9 year old mini-dachsund? It is soft, a bit larger than a quarter and has moved from his back hip to his inner thigh on the same leg. A hard lump has formed at the base of his tale just over his hip. Dog is not having bowel movements either, and will not jump up onto his spot on the couch or the bed.
Greetings - -
All lumps and bumps in cats and dogs should be investigated thoroughly, and they should be considered dangerous (possibly cancer) until proven otherwise.
Please have your dog examined as soon as possible by his veterinarian. If you do not get a difinitive answer about the lump, then please seek a second opinion...
Dr. Robin
RE: Heterobilhazria Americana
Hannah first had inflammatory bowel disease and was on several medications for that including metaclopramide, prednisone and prilosec and on a very strict and measeured diet of zd ultra, rice and pumkin. No treats at all. She had battled this since puppyhood. Several weeks ago mom noticed an increase in her want for water... She had never been allowed to tank up on water as even her water intake was monitored. Also her stool had been slightly off right prior to this but seem to be better by this time. She was taken to her regular vet who did some normal blood work and found that her calcium level was high which then was reported to the specialist as the specialist had basically become almost the only vet that could handle hannahs case. The specialist then ordered additional blood work and that is when they found the heterobilzaria. With treatment it seem to get worse before it got any better. Then there was an upturn in her appetite and mood following this she immediately went back down hill even refusing water which was what she was most craving before hand. They went back to the specialist for more blood work and noticed swollen lymph nodes. The specialist drew a sample and found that it was cancer. There wasnt much left to do for her she had already fought for so very long and didn't seem to have any fight left for the cancer. The decision was made to put her to sleep. The specialist diagnosed the heterobilzaria with a different type of stool sample that is not common in a regular vets office. You mentioned the contact with water. Does this even consist of simple puddles? Mom lives on a canal that has a muddy bottom but hannah was never allowed in it. Its salt water and mom hates salt water. Could a high tide bring it in and leave it in the grass? or must it be standing water? Mom is in great fear of any puppy she may have in the future possibly catching the same thing.
Greetings - -
Thanks for the additional information.
I suspect that part of why this dog became ill (and then developed cancer on top of everything else) is the fact that she never actually had a normal immune system. We don't see childhood-onset illness with normal immune system function...
I would have to hypothesize that another dog (provided the immune system is functioning normally) would NOT have an excessive risk to acquire this same kind of complicated illness. Please remember that this illness was not that familiar even to the specialist.
So sorry for this incredible challenge.
Dr. Robin
LEG BROKEN?
I HAVE A ONE MONTH OLD KITTEN AND I THINK HER LEG IS BROKEN SHE WONT WALK ON IT AND WHEN I LOOK AT IT SHE HISSES AND CRY WHAT CAN I DO UNTIL I BRING HER TO A VET OR IS THERE ANOTHER WAY
Greetings - -
I will presume that this kitten has been to the veterinarian for appropriate treatment and is now on the road to recovery...
Dr. Robin
my dog copper
my dog copper is vry sick and i do not know wht to do wih hm. When threw up everytime he drinkys warter he any been wathing much food. when he use the bath room it ismostly bloodthat comes out can ayall please help me out
Greetings - -
I am sorry to learn that your dog is not doing well... Hopefully, you have seen either Copper's primary care veterinarian or you have been to a veterinary emergency center by now to get a diagnosis of what is going on, and a plan for appropriate treatment.
If not, then do not delay, as the signs you describe are VERY serious!
Dr. Robin
Arthritis
Our cat is 21 and about 6 lbs. She is still bring and would like to do her daily routines but her arthritis is worsening--especially her hips. It was treated w/Medicam daily then alternate days with 5 mg. Prednisolone. Now she's on Pred every day and experiences some relief but is still in pain. I know Pred. effects kidneys, liver etc. Is there any other form of pain management (perhaps other than anti-inflammatory drugs)? Our vet indicates Prednisolone is all that is available. I don't know whether to seek another vet or, because of her age, the advice will be the same.
Greetings - -
Congratulations on your success as a pet parent, in assisting your cat to live such a LONG life!
As for her arthritis pain - - certainly there are several excellent alternatives to prednisone (in fact, I rarely use it any more...).
One excellent medication choice for cats with arthritis (that will NOT have an adverse effect on the kidneys or liver) is gabapentin - - the appropriate dose must be used, and any veterinarian can get in touch with me directly to learn the appropriate dose as it is not in the reference books yet...
Also, I use a medication called Adequan. It is injected under the skin, but this is an easy technique to learn, so we teach our clients to do it...
In addition to medication, I use acupuncture, low level laser, and certain chiropractic adjustments.
My recommendation is to find a veterinarian who is a member of the International Veterinary Academy of Pain Management (www.ivapm.org). You can seek a member practitioner in your area.
Good luck with this...
Dr. Robin
itching rash
7 month old jack russell parsons that gets a really bad itching rash on his chest, stomach, inner legs, and feet that bothers him a lot. The only thing that has taken it away is steroids. We have a medicated shampoo and he has tried allergen food and pills from the vet and nothing seems to take it away besides the steroids, but the minute we take him off the steroids it comes back. What can we do to make it go away for good with out keeping my dog on steroids?
Greetings - -
It is time for you to seek a second opinion - - try to find a board certified dermatologist (skin specialist). Steroids are NOT an appropriate choice long term...
I am willing to bet that you have not used a TRULY hypoallergenic food - - unfortunately many veterinarians still do not understand how to use this prescription diet... This will be a very important cornerstone to treatment...
Good luck with this challenging issue.
Dr. Robin
Chemotherapy and Immune Boosters
Hi there! I was hoping to get some advise about my dog and complementary vitamins and food to his chemotherapy. He is a 8 year old Pembroke Welsh Corgi and was recently diagnosed with lymphoma; we started him on chemotherapy and Pretzone (steroid, not sure of the spelling). I was hoping to get some advise on sorts of vitamins, supplements, and food ( we have him going into a grain free diet, but he HATES treats(they are like cardboard) and what are some other foods that he may like). I know the immune system is greatly affected by the chemo and I wanted to know some safe multivitamins to give him that will help boost it. Thank you so much for your help :-)
Greetings --
So sorry to know your dear friend is dealing with lymphoma... The good news is that we have actual scientific evidence that allows us to know how we can best help him have the longest and best remission...
You mention chemotherapy and prednisone - - probably pretty important for me to clarify that in this setting prednisone IS chemotherapy. This is the cornerstone of treatment.
"...we have him going into a grain free diet..." Please understand that this is kind of information is basically hogwash... Here's what the science tells us:
There is a SINGLE nutritional product available that was actually created, developed, and proven to improve survival in dogs with lymphoma. It is available only in a canned formulation. It is called Hills Prescription Diet n/d Canine - - "n/d" stands for "neoplasia diet" - - the word "neoplasia" is the medical term for "cancer". The key to n/d's success is the nutrient 'balance' - - how all the components fit together - - but the basic idea is high protein, low carb (like Atkins). The balance is so precise, though, that it is impossible to cook at home and achieve the same effects.
Proven to enhance life expectancy AND life quality in dogs with cancer - - developed in lymphoma patients, but we know that cancers of all types have the same negative effects on the body. I do cancer medicine in my practice and every single canine cancer patient I deal with moves to n/d. My personal Great Dane used n/d as part of her treatment for osteosarcoma (bone cancer), alongside surgery, radiation , and chemotherapy. She enjoyed 5 years of remission (most dogs are dead within 18 months...), and when she died, she died of herat failure, NOT cancer...
I can easily help your veterinarian understand how to use n/d properly should he/she contact me directly...
"...I wanted to know some safe multivitamins to give him that will help boost it..." The very best strategy for providing appropriate vitamins is to use n/d as the primary nutrient source. In addition, I use additional omega 3 fatty acids -- specifically DHA, based on the scientific research. For this to be effective, we need to use the correct dose, using a product that has reliable quality, and use a product that was developed specifically for pets (NOT people).
I am happy to have direct contact with your veterinarian to assist with this process.
In addition, I will make you aware of the book "Pets Living With Cancer: A Pet Owner's Resource". I wrote this book specifically to equip pet owners with the information they need to make fact-based decisions when helping their pets live with cancer and remain as healthy and happy as possible.
Best wishes with this journey.
Dr. Robin
Modern declawing techniques - specifically laser declaw
Dear Dr. Downing,
A while ago I considered declawing my cat; he isn't aggressive, but his "play" techniques were not very friendly to the arms, hands, and face.
Since becoming an adult he has settled into a much more manageable cat, and so declawing has become unnecessary. But I am still curious about the declaw surgery my vet recommended (he recommended FIRST that I NOT declaw): laser declaw surgery.
What is this, and how painful / damaging is it to the cat? Are there indications that there are psychological ramifications to declawing a cat?
Thanks for your insight,
Colin
Greetings - -
Great questions. I am relieved that you have chosen NOT to declaw your cat. Declawing involves amputation of the last digit of each toe and results in permanent altering of the anatomy and architecture of the feet.
Hopefully, someone has spoken to you about re-training your cat to play with inanimate objects, rather than your body parts! Here is a link to just one of the gazillion sites out there to find toys that you cat use to play with your cat that allow him to engage in normal "hunting" behavior, but don't involve hunting YOU!
http://www.cattoys.com/kong-kitty-wubba-teaser.html
If a declawing surgery must be done, it is best to be done using CO2 laser. this allows for a more precise surgery, as well as reduced inflammation and reduced pain. Also, be SURE to confirm that the cat receives LOCAL ANAESTHESIA injected around the wrist (called a "ring block"), as this is EXTREMELY important to avoid unnecessary pain and suffering around the surgery, but also helps prevent any long-term pain in the amputated toes.
While there are NO scientific studies to support the idea that cats become "psychologically damaged" after a declaw, many cats seem to become more 'orally fixated' and apt to bite
All in all, I prefer to educate my clients about appropriate play, creating appropriate scratching objects, and keeping the cat's feet intact. I have had as many as 17 cats at one time (down to 8), and do not declay them.
Cheers.
Dr. Robin
Arthritis
We have a 2yr old male boxer with sever arthritis.He's on Rimadyl 100mg's 1 a day Glucosamine chondroitin 1/8 tsp x 2 a day,l for the last weeks. Still sever difficulty setting standing or walking ,not eating much or drinking. Help ? Vet say,s he was born with arthirtis.
Greetings - -
I am sorry such a young guy is having such an important issue.
It is time for you to seek a second opinion. This dog potentially has lots of life ahead of him, and you want to help him live as comfortably as possible.
His issues need to be managed from a much broader perspective than the 2 treatments you have mentioned, including a very complete diagnosis of his issues.
You should try to find a member of the International Veterinary Academy of Pian Management in your area (www.ivapm.org ). Also, I do provide remote consultation on individual pain cases (www.downingcenter.com ).
Good luck with this challenging issue.
Dr. Robin
My dog diagnosed with bone tumor in pelvis
My almost 5 year old golden retriever has been diagnosed with bone tumor cancer in her pelvis. She has undergone a core biopsy, but I have not gotten the results yet. I do give her glucosomine and rimadly for pain. I am waiting to hear what options I have. Can you give my any advise please.
Thank you for your time.
Josie
Greetings - -
I am sorry you are facing this challenge with your lovely girl...
Please know that there are many strategies for keeping a dog with this type of tumor comfortable. I suggest you seek out a member of the International Veterinary Academy of Pain Management (www.ivapm.org ) for help.
Because every pain patient is unique, I'm afraid I don't have any 'canned protocols' to share. Medications like gabapentin, amantadine, and morphine are some examples of the options that can be leveraged.
Best wishes,
Dr Robin
dryskin
my 3month old puppy has bumps under his fur all on his back and now they are showing up on his sides.He also has very dry skin now and has a few patches of fur missing.Is it his food or shampoo or fleas biting him like crazy.???
Greetings - -
Unexplained "bumps" in the skin demand a visit with this pup's primary care veterinarian. It could be a bacterial infection, a skin parasite, or an indication of some other immune-system problem.
The best first step is an accurate diagnosis.
Best wishes,
Dr. Robin
My cat can hardly drink let alone eat anything because it pains him so much
about a week or so ago i noticed that my cat began getting sores around his mouth and nose. His breath smelled awful, he had a stuffy nose, and he is drooling excessively. I don't know if it is something he ingested or an allergic reaction or because he is not used to the weather and has a bad cold. When I checked inside his mouth he had patches on his tongue that were dark red and the little barbs that were there aren't anymore in those certain patches. I give him water through an eyedropper, but even that is very very painful for him. I also gave him some tuna the other day (which is his favorite food) but he ate a little bit before it became too painful for him to continue eating. He has lost a lot of weight as well. I don't have money right now for a vet but I will soon and was wondering what I should do until I can get him to a vet.
Greetings --
Hopefully this cat has been seen by a veterinarian, as this is the only way to get to the bottom of symptoms like this. Unfortunately, this sounds pretty serious, and could be the result of several issues.
Dr. Robin
Cats eyes & nose keep dripping yellow stuff
This cat I found has yellowish crud around her eyes & yellowish snot coming out of her nose & she sneezes frequently. What could her problem be?
Greetings - -
Certainly we have to consider an upper respiratory infection, and she needs to see a veterinarian for a diagnosis and appropriate treatment.
Best wishes getting to the bottom of this.
Dr. Robin
sickness
my dog i think he is in pain and dont know what is wrong he wont eat or drink as well he pukes everywere he wont use his toung and dont want to move i wonder if he had a stroke. when he walks heis useing the top of he paws now he is 10 years old any kind of idea please help me
Greetings - -
Please get this dgo to a veterinarian just as soon as possible. Any number of things could be going on, and certainly pain could be a factor. Dogs CAN have strokes, though it is relatively uncommon. I thorough diagnosis and appropriate treatment is the place to start.
Dr. Robin
cancer
My 3 1/2 y.o female Bullmastiff recently had an ear removed due to cancer. She has had a hacking cough for weeks. In the three weeks since her ear removal, I have noticed several more lumps. One is the size of my fist. The coughing is producing small amounts of blood. We are heartbroken but can not afford VERY expensive vet bills. We just would like to know how soon we should start thinking about euthanizing her. We don't want her to suffer. Any ideas?
Greetings - -
I am so sad to learn of your very young friend battling such a devastating disease.
Many tumors that originate in the skin and surrounding tissues can metastasize (spread) to the lungs. For this reason, the next step you should request from your veterinarian are chest radiographs (x-ray pictures). The knowledge of the presence of lung mets and the extent of those mets will help you in your decisionmaking around the end of her life. Chest radiographs are straightforward to take, and should not need any sedation, etc.
This is a very challenging and emotionally painful position to be in. Best wishes as you work through this process.
Dr. Robin
my persian cat won't eat her foodsincefriday after she had local anesthetic on thursday for lionclip
my persian cat had a local anesthetic given to her thursday morning for a lionclip shave. she ate when she got home thursday night, a little on friday morning. I gave her treats out of my hand which she ate and some wet tuna today. she is drinking water and resting. should I worry. she is 11 years old and 8 mo. shewasshaved close becauseshe was very matted. did she have a reaction. she is very lethargic. she's crying like a kitten. she has thestrength to climb on my bed andcouch. she isbeing kept warm . the apt is well heated and my bed has flannel sheets.I'm calling her vet tomorrow.what do I do?
Greetings - -
"...my persian cat had a local anesthetic given to her thursday morning for a lionclip shave..."
I'm not sure what this comment means... we use local anaesthesia to make an area of skin numb in order to place a suture or remove a small growth, but not to shave hair. Perhaps your cat was given a GENERAL anaesthesia during the haircut (although I strongly advise against this technique).
You are correct to plan to have her seen first thing in the morning, but if she is still acting as strangely as you describe here, I would suggest that you have her seen tonight at an emergency room. She is a geriatric and may be having a very serious reaction that can get out of hand.
Dr. Robin
Dog has Hemangiosacoma
History:
Around June 2009, we noticed our six year old female yellow lab struggling to get up from the lying down position. My wife and I thought she had strained a muscle in her leg chasing squirrels in our backyard.
August 16th she began to have flu like symptoms and became very weak and I’ll. She began walking around panting, throwing up, drooling, accelerated heart beat and her breathing became very raspy for the rest of the night. I recall seeing very small blood splatters on the wall and the wood floor sometime around that date. However, she did not have any blood on her or around her body. The next day she bounced back and I thought she had eaten something bad. A few days later I took Bella on an overnight backpacking trip and she walked/ran all 12 miles with no issues.
October 7th, Took her to Vet after finding a large hard lump on neck area that seemed to have appeared overnight. The Vet found 2 other tumors and She was diagnosed Hemangiosacoma by the Vet. After the blood work was completed the Vet said the cancer is too far along and they can’t do anything. Other then her raspy breathing and accelerated heartbeat she appeared to be fine.
October 15th @ 7pm Approximately 9 hours after her two mile hike in the woods she began having the same symptoms as she had on August 16th (we did not see any blood this time). By mid morning the next day she appeared to be feeling better and wanted to go on three short walks that day.
She continues to have the raspy breathing and an accelerated heart beat. Two of the three tumors appear to have become smaller. Today, she is sprinting after squirrels and trying to steal food from the refrigerator.
Questions:
She loves the trails we have in our area, should I continue to let her run? Or should I consider slower walks on her leash?
Why would the tumors appear to be getting smaller?
Would palladia help our dog, with this type of cancer?
Will she die in a lot of pain or should I have her euthanized soon?
Greetings - -
So sorry to learn of this crisis with your beloved lab... Hemangiosarcoma is a terrible disease...
Let me try to address your questions in the order you have asked them...
1. Should you choose to let her run, just be aware that she could have a massive hemorrhage following exertion and die very suddenly. Slower walks would protect her from herself.
Hemangiosarcomas can bleed into the surrounding tissues and then, once the bleeding stops, the blood can be reabsorbed. This may be what you are seeing.
Palladia has provisional approval only for mast cell tumor - - a different cancer than this one.
You will probably be faced with euthanasia rather than witnessing her dying on her own. Most hemangiosarcoma patients I have treated during my 23-year career have required euthanasia because as they began to hemmorhage they could no longer remain comfortable... That's not a "sure thing", but certainly something to consider.
I am very sorry for the difficult times ahead. I hope this is a peaceful process for her.
I will keep you in my thoughts.
Dr. Robin
cracking sound
l have a boxer puppy,his back legs when he gets up from lying down make cracking sounds,just want to know if l sound be worrying.
Greetings - -
When a puppy demonstrates the signs that you are describing, one possible explanation is that there may be a problem with the joints - - particularly the hip joints. I certainly recommend that you have your puppy looked at by an orthopedic specialist to determine if there is such a problem. If a joint problem is caught early, there is the possibility that it can be corrected.
Good luck.
Dr. Robin
Ill dog
8 yr. old Lab. who sleeps with her hips against a cold brick wall.Yesterday she limped all day, wouldn't/couldn't go up steps, no appitete for 2 days. Drinks a few times a day, had bought a different kind of dog food and she didn't like it so she would only eat a very small amount, then we went and got her the dog food she likes, her nose is warm on and off and so is her head slightly......Today, she followed me around the house, ate some people food, not her REG. dog food, her nose/head is warm on and off, she really doesn't do much else besides lay down ..she is also having her monthly..please don't recommed just going to the vet .I.who told me to give her aspirin..I would appriciate your opinion..not the vets
Greetings - -
Well... She really DOES need to see a veterinarian... However, NO veterinarian should EVER tell a pet owner to "give an aspirin"!!! We have known for well over 10 years that aspirin is simply NOT the right medication for a dog...
In any event, she is clearly not feeling well, and any number of things could be going wrong with her. The first step for her is an accurate diagnosis so that you can make the best decisions on her behalf...
Best wishes as you try to help her.
Dr. Robin
small 6 year old pom with low calcium seizures
xray show large liver and mass in belly, ultra sound the same. biopsey was unconcluesive. She is acting fine,with a big belly. Not sure what my next step is. The vet said she could bleed out. I couldnt handle that. any advice would be great.
Thank You Brenda
Greetings - -
Any "large liver and mass in the belly" is abnormal and should be addressed as soon as possible. It may be most appropriate to seek a second opinion from a board-certified surgeon (rather than a general practitioner) who can best address the special safety concerns that need to be in place for such an intervention.
Regardless, no "masses" are normal or completely benign. You still do not have a definitive diagnosis. Surgery and histopathology will provide that.
Best wishes with this challenging issue.
Dr. Robin
Hairballs
Our cat wheezes from hairballs about 20 times each day. We have tried numerous things, including Allerderm Efa-Caps (which the cat will not take), Hartz Hairball Remedy Plus, cat treats for hairballs, and Purina One Hairball food. Nothing seems to work. Please help.
Greetings - -
No cat "wheezes from hairballs... 20 times each day"... This cat is dealing with a different issues - - quite probably feline asthma, which has the potential to be life threatening. Please see your veterinarian ASAP - - your kitty needs an accurate diagnosis so that appropriate treatment can be started. If you do not get an answer, please think about seeking a second opinion...
Best wishes or this kiddo...
Dr. Robin
My dog is falling down and seems to be deaf
My 10 year old cocker spaniel began wobbling and falling down yesterday, and is pacing the floor constantly, very wobbly. He also seems to have lost his hearing just today; doesn't respond to any sounds at all. I'm disabled and can't afford a vet. Is his pacing a sign of pain, and is there anything that I can give him to help him. Can I give him human pain pills? He's my child almost, and I'm afraid that he's dying. What can I do to help him? Thank you for any help you can provide.
Greetings - -
I am very sorry for the problem your dog is having. Please DO NOT give ANY human medications to him without the input of a veterinarian who has examined him.
You may be able to find a humane society that has a veterinarian who can see him for you at a reduced fee.
I wish I had more to offer, but he really needs to see a veterinarian - - perhaps a friend can help you out for this.
Dr. Robin
what to do for pain when a vet is unavailable
my chocolate lab woke in the morning crying. He has limited movement while at rest. when he does move or get on his feet he cries in pain. Walks slower than normal almost like he is afaid of the pain he may cause. To lay down again its very difficult and he cries. What do we do for him until we can get him into a vet,
Greetings - -
Hopefully you now have an answer for why your dog was exhibiting classic signs of pain... I hope he is being treated successfully, and is feeling better.
Best wishes,
Dr. Robin
terribly sick cat
Angle, my sisters cat is terribly sick. She is lathargic, dehydrated, and stiff. She won't stop twiching her tail. We can't get her to eat or drink. I noticed it yesterday morning when I went to feed her in the garage (she lives out side), but I didn't think much of it. We gave her a shot of penacilin a few hours ago. She's had her first distemper and tetnus shots, but never had any bosters. We don't have much money to take her to the vet either. Please help!
Greetings - -
Would love to help, but this kitty absolutely needs to see a veterinarian. Perhaps a friend or family member can help you with the cost.
Dr. Robin
Drop Jaw??
Hello. Last week my 7 year old chocolate lab all of the sudden could not shut her mouth. She is unable to eat without us putting it in the back of her mouth and we have to give her syringes of water to keep her hydrated. she was taken to a vet hospital, where they ran numerous tests. No real diagnosis was made except they believe she could have Trigeminal Neruopathy. I was wondering if this is painful for her as her mouth is constantly hanging open.
Greetings - -
I hope your girl is doing better by now... I actually DO believe that conditions affecting the ability to open and close the mouth are painful. I also find that acupuncture is an exceptionally useful modality to use to re-establish balance in the nerves that serve the facial/chewing muscles.
If she is still experiencing issues, you may want to pursue a consultation with a veterinary acupuncturist.
Dr. Robin
Pain from dog bite
I have a Mini Pin who was attacked by a Pitt bull today. He has a gash on his neck and he hasn't eaten or drank anything since the attack. I can tell he is in pain and was wanting to know if there is anything over the counter I could give him to help with the pain. I have cleaned the wound and put peroxide on it and it fized up a whole bunch.
Greetings - -
Hopefully the wounds your dog sustained have been repaired by a veterinarian.
We now know that we should NEVER use hydrogen peroxide on an open wound as it damages tissue.
Also, there is ABSOLUTELY NOTHING that is available over the counter for pain relief in dogs. There is NO over the counter human pain medication that is safe for dogs.
Dr. Robin
Hip Dysplasia
We picked up a puppy who had been dumped. Not sure of his breed, guessing perhaps Pit Bull/Akita maybe? He is black and white, huge paws and long legs with a very large head. A very sweet and loveable dog. He is probably 8 months old now. He whimpers a lot. Lies around a lot and it looks as if it pains him to rise. He does not eat well and has only gained about 10 pounds in three months. Took him to vet today and they did x-rays and said it was hip dyspasia and recommended surgery. I suspect an injury early on which may be why he was dumped. I cannot afford a double surgery. Are these symptoms typical and is there any other alternative?
Greetings - -
So sorry to learn that this baby may be dealing with a major orthopedic issue. It is certainly appropriate to seek a second opinion. Hip dysplasia does NOT result from an injury - - it is a genetically driven malformation in the devlopment of the hip joints.
Dr. Robin
Stomititis
2 years ago I domesticated a feral 1 year old maile cat. It was obvious after he allowed me to pet him that his mouth hurt, so after giving him anti-anxiety meds, I took him to the vet. After several visits, all his teeth have been removed, except for his 4 canine teeth. After trying Science Diet Z/D food to no relief of pain, he was diagnosed with stomititis (sp?). I now give him a 5 mg prednosone pill for each of 2 days followed by 1 day off, repeatedly. This seems to mostly alleviate his mouth pain, but his mouth is still bright red on one side. Is there other meds to try to alleviate his pain and not make him gain weight, (as he still likes the outdoor wide-side of life and he needs to be able to run fast) ? Will I have to give him meds for the rest of his life - - - he's only about 3 now ? Will this get worse or better over time ?
Greetings - -
So sorry to learn of this kitty's issues...
Feline oral stomatitis is a devastating condition. Tooth extraction followed by the hypo-allergenic diet z/d are generally a good start on control of the symptoms. The fact that he needs the steroidal anti-inflammatory (prednisone) indicates the challenging nature of his disease.
Please ask for a referral to a board-certified veterinary dentist to ensure that he is the recipient of the very best and most current recommendations for these kitties. You can search for a veterinary dental expert in your area:
also search:
Best wishes.
Dr. Robin
My cat can't urinate
Illness
what does it mean when a cat has crystals in their urine, its it life threatening
Greetings - -
Crystals in a cat's urine indicate an underlying metabolic abnormality and must be treated appropriately. That means a careful physical examination, bloodwork to clarify metabolic function, and a urinalysis to assess both what kind of crystals are present, and to look for any other urinary tract disease.
This can certainly be potentially life-threatening in that crystals in the urine can lead either to a mucous/crystal blockage of the urethra (the passage out of the bladder...) or bladder stones that can also lead to a blockage.
Most of the time, a cat's urinary tract health can be successfully managed using an appropriate prescription diet that should be prescribed by your cat's veteerinarian. We also know that a canned formulation may improve the success of management.
Please seek your veterinarian's advice as soon as possible.
Dr. Robin
Lumps and bumps
My dog is a 15 year old Sheltie. He has a history of lumps and bumps and I had one removed that was non-cancerous. He recently was limping and I noticed a massive swollen lump on the inside of his right leg/tummy area. I am treating him with warm compresses and pain meds (tramadol). He is perky and appetite/feces are norm. I don't have money to spend to get it tested or if it is cancer; I wonder if he is in pain and and if I should put him down.
I don't know what it is or if it will go away.
Greetings - -
So sorry to learn of your canine friend's issues. Unfortunately, there is no escaping the need for an accurate assessment of what this lump is and the need for a veterinarian to determine if he is painful. Even if a mass is cancerous, that does not automatically mean that the pet should be euthanized... But you must cannot make informed, intelligent decisions without information you do not currently possess about what is going on with this little guy.
The first step is an examination by your veterinarian - - please express your concern about the dog's pain and be sure to get an answer about what should be done to help. If you do not receive a satisfactory answer, you may need to seek a second opinion from a veterinarian who understands the concepts of palliative care and pet hospice. This can be done without great expense.
Best wishes with this challenging situation.
Dr. Robin
red eye
is it normal for my pom to have red eye? but she show no sign of pain. Can i get a eye drop for her?
Greetings - -
Red eyes are very rarely normal, so it is best to have this investigated by a veterinarian. You may even want to consider seeing a veterinary ophthalmologist (eye specialist).
Dr. Robin
chylothorax &
Peni is only 8 months old & at 5lbs is very petite. She has been diagnosed w/Chylothorax. The drainage & oxygen therapy needs to be done weekly. I know that scar tissue might inhibit this treatment, but she has only had 1 session. I can't get her to take the Rutin. Not mixed with anything, I've tried everything. Peni has always been picky about her food, always leaning towards fish.Of course, the low fat food is chicken & liver, she doesn't like it. Help! Is it to hard on her if I squirt the Rutin directly down her throat? What else can I do to make Peni feel better? How long do we have to get her to a specialist to find the cause? She's only a foster, but we caught her & her big brother, Rusty, at 4 weeks old. They are very special to each other & me.
Greetings - -
Sorry for the delay in my respose - - for some reason this message did not get through to me!
I am so sorry that your little one is dealing with this devastating disease. Unfortunately, chylothorax - - particularly at such a young age - - is often fatal. We generally consider the prognosis guarded to poor at best... Very often, despite our best efforts, a cause is never determined, though you should be sure that a complete diagnosis is done.
I would be very concerned about pain management in light of the fact that humans with disease in their chests (like pleuresy, etc) report much pain. Please speak to your veterinarian about the pain management options available, including a narcotic called "buprenorphine" which can be delivered by syringe into the cheek pouch and is absorbed across the mucous membrane inside the cheek (no needle needed!)
Rutin can be compounded by a compounding pharmacist into a "sexy"-tasting liquid that would make dosing easier for all parties.
Best wishes with your efforts.
Dr. Robin
Bladder Infection?
What would be the symptoms for urinary track infection in a Yorkie-Poo, she seems to ge unable to hold her bladder. I know she is a small dog but it seems to becoming worse.
Greetings - -
Actually, very often the first sign of a urinary track infection is an inability to hold urine normally. Sometimes we can see blood in the urine, but that's a bit harder to notice.
There are other causes for increased urination, so a complete diagnosis should be sought. If she has something else going on, you want to know it!
Her primary care veterinarian can do the necessary tests - - a urinalysis and simple bloodwork to evaluate organ system function - - and create an appropriate treatment plan.
Best wishes with this.
Dr. Robin
complete diagnosis?
We were told that diagnosising the cause of Chylothorax would be extremely difficult. A specialist is needed & possibly exploratory surgery. Even w/all that heart disease might not be noticed. The cost could be in the thousands & still no answer is possible. How many of these cases spontaneously heal on their own? What are the common causes? How can knowing the cause help save kitty?
Greetings - -
Chylothorax remains one of the great "medical mysteries"... Here is a quote from a veterinary journal article about this challenging disease: "...The reason for chyle accumulation within the thoracic cavity of cats often remains a mystery, despite extensive diagnostic efforts..."
Knowing the cause (if the cause can be found) means discovering a treatment of the underlying cause. It also gives you the knowledge if the cause is something that cannot be "fixed". If there is a cause found and it cannot be resolved, it gives you the opportunity to decline to prolong suffering - - not being able to breathe certainly qualifies as suffering...
There are many primary causes of chylothorax including tumors in the chest, heart disease, genetic or congenital abnormalities in the heart or chest, fungal disease, infection, diaphragmatic hernias, trauma, and congenital abnormalities of the thoracic duct. Resolving the disease chylothorax is best accomplished by resolving the underlying problem (if that can be found).
There are no "common" causes, as this is a fairly uncommon disease...
Controversy exists surrounding the success and efficacy of the various surgical techniques, so be very cautious about proceeding with any surgical procedure unless the target of that surgery is very specific (like to remove a tumor in the chest).
Approximately 20% of these cases resolve with conservative care according to one review - - not very good odds...
The current prognosis for cats with chylothorax is usually described as guarded to poor. This disease is very complicated with poorly understood causes. More research is certainly needed to better comprehend the causes and most beneficial treatment. The reason you are being presented with so many things to think about is that it is difficult to describe a specific treatment as successful based on anecdotal reports (versus clinical studies).
So sorry for the challenge you are facing at this time.
Dr. Robin
mouth wound and pain
my cat has gingivitis and ear issues that have lead to a wound on his mouth that is bleeding he wont let me love on him or clean it and its bleeding what can I do to help him? Im am unemployed and have zero money what can I do? Is he in pain?
Greetings - -
I am sorry your kitty is having such an issue... Yes, he is most probably in pain. Unfortunately there is little I can recommend without a diagnosis.
He really needs to see a veterinarian for appropriate care. Perhaps there is a humane shelter in your area with a veterinarian on call who can help you out...
Dr. Robin
3 yr. old pit has trouble going up stairs and jumping up on things
Our 3 yr. old female pit is very active and lately she won't jump up on the bed and has trouble getting on the couch and going up stairs. Coming down the stairs is no problem. She has days that she jumps right up and others where she won't even try.
Greetings - -
You are describing classic pain-related behavior. Please seek help for your dog as soon as possible, and do not take "no" for an answer! Something is clearly wrong, and she deserves to be relieved of hor discomfort.
Canine hip dysplasia is quite common in this breed, as are injuries to the knee/stifle joints. She is too young to become disabled!
Best wishes,
Dr. Robin
my dog penni
my dog head of his penni is out and is red n big what can i do or what is the happining
Greetings - -
Your dog has an erection, and if the penis does not return to normal size and pull back into the prepuce/sheath within 20 - 30 minutes, you need to see a veterinaian with your dog right away.
Dr. Robin
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