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Elza | 5 years ago
Hello! I Have A 14.5 Year Old Japaenese Splitz Who Had Disc Surgery 2 Years Ago. This Year …

Hello! I have a 14.5 year old japaenese splitz who had disc surgery 2 years ago. This year he developed new weakness in his lower extremities and had a 2.5 kg weight loss so he had a full body ct with contrast and ct brain.
Findings included a chronic herniated disc explaining his weakness and an incidental finding of a splenic mass with some splenomegaly and no evidence of metastasis. Ultrasound findings were non significant. The nature of the mass remains unknown. His blood tests were good and he has no anemia. My veterinary doctor recommends a splenectomy. But i am worried of putting him through general anesthesia given that he has a heart murmur (on no medical Tx). I want to maximize his quality of life. I dont know if i should put him through major surgery given that he is asymptomatic but i am also worried abt internal bleeding and the suffering of metastatic disease if i dont operate. What should i do?

4 Responses

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  1. Sarah

    Good morning-
    The first thing that I would do is sit down with the vet and have a heart to heart about your thoughts and concerns. Hopefully you have a good relationship with them, and you are able to have an open discussion regarding whether or not surgery is the best option. I would mention your concerns (anesthesia, etc.) about quality of life and surgery risks for sure. I would also recommend having a “family” meeting with the household of applicable, regarding the pros and cons, the vets advice, and the recovery process (if you go through with surgery) or any other day to day changes that will be necessary in the near future for your pet. But again, my first step would be with my vet to weigh the options for my pet. Best of luck.

  2. Krista Magnifico

    Hello,
    I had the same situation a few weeks ago. I am asking that patients mom to contribute to this question too.
    My first piece of advice is to ask for an echocardiogram exam. You don’t mention the degree or severity of the heart murmur (usually graded on a scale of 1-6) and it is important to say that a low grade doesn’t always indicate it is safe or irrelevant.
    From here you can better assess anesthetic risk.
    In general I tell clients to take out the spleen before it becomes a problem. A bleeding spleen can kill a dog quickly. So quickly you may not even have time for successful surgical intervention.
    You have done an amazing job with diagnostics and treatment options. Don’t stop here.
    Please let us know what happens.
    Best of luck

  3. Trish Powers

    Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish

  4. Krista Magnifico

    this is the answer from my client, Trish, who’s dog had a very similar issue (heart murmur and incidental splenic mass found via ultrasound).

    “Wow, what you are going through sounds quite sillier to what I just experienced with my oldest dog, who is almost 12. He is a Lab mix weighing about 54 lbs. A few months back he had is senior checkup, including a full blood panel and all looked good except trace amounts of blood in his urine and he has had a heart murmur his whole life and had never been on heart medication. He ate carpet a few weeks ago and while doing X-rays and ultrasounds to be sure it wasn’t causing a bowel obstruction, we found he had an enlarged heart and two masses on his spleen, with no indication of metastasis. He was acting himself, except for the belly issues from eating the carpet. Once we knew the carpet issue was under control, I got a second opinion about the spleen and had long talks with my vet about the situation. Both veterinarians suggested a splenectomy, and also to consider a cardiology evaluation to be sure his heart was strong enough for surgery. I was so nervous about what to do, he is older, acting fine and his quality of life is great. The thought of putting him through what I felt was major surgery was so frightening, especially since he is older, but I was also getting nervous about internal bleeding and ending up in emergency surgery and that being life threatening. I made the decision to see a cardiologist and they cleared him for surgery, and started him on heart medication; he then had the splenectomy the next day. The recovery was quick and he actually wasn’t much bothered by the surgery, maybe a day or two of lethargy. By the end of the first week I was having to keep him from playing and running, he was back to himself. Now, a few weeks later, I am so thankful I made the decision I did, he is just so happy, playful and back to being his energetic (in the old man style) self and even starting play sessions with his siblings. It was a roller coater ride for the few weeks after getting the diagnosis, getting a second opinion and making the decision to go forward with the surgery, but it was all worth it to have him back and not sit here and worry if he might be bleeding internally. I learned your mind can play those games with you when you know there is a potential unseen problem with your dog. One thing that made the decision a little easier was my vet telling me the surgery wasn’t much more on him then say a spay for a girl, it really wasn’t as major as I thought it would be, and based on the experience I went through, I’d agree it really didn’t take much out of him at all. I wish you all the best in making your decision, and I’d be happy to help answer any other questions you may have.
    Trish”

    hope this helps.. i am going to ask Trish to add Reggie’s story to our storylines section asap!

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Jillian Fouts | 6 years ago
I Have A Senior Cat Who Goes Into Labored Open Mouth Breathing When He Is…

I have a senior cat who goes into labored open mouth breathing when he is in a hard purr and also has wheezing and snoring but otherwise acts normal – eats, drinks, and is active for his age. The snoring is even when he’s not in a deep slumber and it can be an airy rattle if that makes sense and he has a little squeak when he swallows. I saw your video on the cat with a polyp and thought maybe this could be what he has except that he’s almost 17 so the vet suggested it probably isn’t since that’s more of a young cat thing but did suggest a scope and CT which will cost me 2500-3500 and he will have to be put under. In reading about breathing, heart disease can also cause breathing problems and since he has heart disease I would hate to spend all the money and put him through that to be told the scope didn’t show anything. I’ve also been reading about asthma, but my regular vet nor the specialist even mentioned that it could be that and from what I’ve read, it’s hard to diagnose. He’s a flame point Siamese and he has early ckd and some heart disease (stage 3/4 systolic murmur and hypertension), so I’m nervous about putting him under. Aside from these “old man” things, the specialist and my regular vet say his labs are spectacular. The specialist said when she is presented with a cat that has these conditions, they bloodwork and labs never look this good. So I certainly don’t want to put him down if he looks good but I also feel like he can’t be comfortable with these breathing episodes. One thing to note, when they did bloodwork a couple of weeks ago, his eosinophils were elevated which I have read can be linked to upper respiratory and asthma. Im putting the link to videos of the wheezing and purring to see if you’ve ever seen such a thing in a cat. I sure wish I had you closer by. Thank you so much!
Jill

Wheezing https://youtu.be/gaf7WCRzu80

Purr/breathing https://youtu.be/kqnd4YORenY

1 Response

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  1. Krista Magnifico

    hello,

    i reviewed your videos, i think that it is appears as if the wheezing is in the oropharynx area. It also appears to be primarily it the inspiratory phase of the purring/breathing.
    There are internal medicine specialists who focus on this kind of clinical sign. I am not sure if there are any in your area though? I think the best place to start is at a feline specialists office. They tend to be more affordable and accessible. See if they can help start to rule out things before you jump into a scope.
    In my practice for cases like these a typical work up looks like this;
    1. exam,,, use your brain,, its your best diagnostic tool.
    2. radigraphs,, to look at the lungs.. lots of older cats have chronic lower resp disease,,, and unfortunately, we are also looking for signs of cancer.
    3. blood work,, a full cbc, chem, urine and t4.
    4. oral exam under anesthesia,, i look at the whole oral cavity, remove a polyp if i find one, flush the nares if the patient has had chronic nasal discharge, and then I also take skull rads, esp of the nose/nasal passages.
    if all of this fails to produce any helpful info endoscopy is the next step.. or CT, but endoscopy allows helpful info and you can do something (biopsy, etc) if you find something.
    I hope this helps..
    PS i agree about your theory and feelings about the corp practices..
    good luck,
    please keep me posted,, i would love to hear about how things turn out.
    PSS i do think that your kitty is a little old for a polyp.

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Pawbly | 7 years ago
Hello, My 18 And 1/2 Year Old Lab Mix Just Suddenly Lost About 50-70% Use Of…

Hello,

My 18 and 1/2 year old lab mix just suddenly lost about 50-70% use of his hind legs few days ago. The vet recommended MRI which was financially not feasible nor did I think giving him anesthesia given his age was a good idea. He sent us home with prednisone and to call back with updates. I took him to a vet acupuncturist but she said that probably won’t be very helpful. I’m going back tomorrow to see if I can convince her to do acupuncture. Boston has otherwise been a super happy and healthy dog (sans nerve sheath tumor surgery 7 months ago from which he has made 100% recovery).

It’s been 5 days and since I wasn’t told about crate rest, I allowed him to wonder/wobble short distances around the house to go potty and to/from bedroom and living room and he has fallen few times when his back legs gave out. Given his age, I just don’t think surgery is an option. If he doesn’t get better in a couple of weeks, is euthanasia pretty much the only option? How much time should I give him? I just hate seeing him in pain but my husband is on deployment and I really want him to hang on until he comes back as it was my husband who rescued our dog 16 years ago. He is currently on prednisone and tramadol. Please advise. I just cannot make any drastic decisions on my own right now but I also want to do the right thing by our loyal and loving baby. Thank you.

5 Responses

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  1. Jana

    Did the vet provide some preliminary diagnosis? Do they think it’s a disc injury or something else? For example, Jasmine had neck problems resulting in pain and mobility issues,while JD had similar symptoms from what was likely a brain/spine infection or cancer. I know of a number of cases where acupuncture help with spinal or disc problems a great deal. Might be effective to address pain regardless of what is happening. Which makes me wonder why your vet is hesitant to try.

  2. Linda Squales

    The preliminary diagnosis was disc issue, moderately advanced. But without mri I guess they couldn’t say for sure. I don’t know why the holistic vet didn’t want to give him acupuncture but I’m going back tomorrow and going to demand one. We did do cold laser but not sure if that’s doing anything. Given his advanced age I just want to know what the “right” thing to do is by a dog who has been so loyal through so many of our lives’ difficult moments. The regular vet (and I agree) that surgery is not really an option for a lab his age. But not sure if I want to give up on him yet especially before my husband’s return. Thank you.

  3. Krista Magnifico

    Yes. Jana. There are many questions I have about this case? That’s why I listed everything I could think of to look at.

  4. Jana

    Krista, wouldn’t acute onset make DM much less likely? Surely there would be some gradual signs? Jasmine was 9 when her neck issues started; one day she was fine and the next day she wasn’t. Though same thing happened with JD. He was perfectly fine, then started having problems with hind legs in the morning and by evening was pretty much unable to use any legs successfully.

    The upside of DM is that it is non-painful, isn’t it? So unless further issues crop up, either secondary or it ascends, the dog should be able to hold up until the master returns?

    http://dawgbusiness.blogspot.ca/2011/08/what-acupuncture-did-for-intervertebral.html

  5. Krista Magnifico

    Hello Linda,
    I think a few things should be discussed;
    First, I agree with Jana that it is really helpful to have a preliminary diagnosis to start the treatment options from. I hope that the vet did some basic diagnostics like full blood work (CBC, full Chem panel, thyroid (T4), urinalysis AND radiographs of the chest (3 view) and spine if they suspect IVDD. I also think a rectal exam is in order. I worry about the following.. many of which can be quickly and easily ruled out with the exam and diagnostics.. I am also very worried about DM, degenerative myelopathy as it is common in older labs and presents as ascending paralysis of the back legs. I also worry if it is one of the neuromuscular or muscular diseases that the prednisone might exacerbate or worsen or accelerate the peripheral (back leg) muscle loss. Also if a practitioner tells you that they are concerned a treatment option wont help my inclination is to believe them and ask for guidance to something that might.
    Try to get the vet to give you something for pain, especially if it appears there is any signs of joint disease on the radiographs. Labs are also very commonly struggling with old bad hips.
    Lastly, IVDD is unlikely in older dogs simply because the spine tends to bridge with spondylosis which makes disc disease less likely. A radiograph of the spine may help with identifying these.
    Please let me know.
    My advice is to speak to your vet about all of this and then get a second opinion.
    Good luck
    Krista

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Pawbly | 8 years ago
My 6 Months Old Cane Corso Just Got A Cherry Eye But He Just Had…

my 6 months old cane corso just got a cherry eye but he just had a surgery under general anesthesia a few days ago. are there any concerns if i did the cherry eye surgery these days meaning that he will take general anesthesia 2 times in just 10 days? and is there any possibility that the cherry eye might go on its own?

2 Responses

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  1. Krista Magnifico

    Hello,
    The cherry eye, or third eyelid prolapse can return to its normal position, but even if it does they typically re-prolapse. They are not an emergency surgery, so I would talk to your vet about the pros and cons of back to back surgeries for this specific procedure.

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JoAnn Sevey | 9 years ago
He Said That Surgery At Her Age Is Dangerous, She May Not Wake Up From…

He said that surgery at her age is dangerous, she may not wake up from the anesthesia. My dog scratched the tumor and its now a terrible looking open wound. I cant afford to take her to a vet, I have no income at this time. I know she has to be in pain & im worried about infection. Is there anything I can do to treat this ? Some type of topical med. or antibiotic ???

2 Responses

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  1. julie brader

    Hello JoAnne,  I realise your dog is 14 years old and an anaesthetic, as the Vet informed you may not be the ideal at her age….you cannot leave her like this.

    She has a large open wound on her stomach that is not only open to infection but must be extremely painful. 

    The tumour doesnt appear to be on a nipple but the underside of the top of her back leg? 

    You have to take her to a Vet urgently and you need to find the funds from somewhere to do it. Care Credit might be worth looking into…or perhaps you could borrow the money from family or friends. Your dog needs a Vet and she needs one now. 

  2. Dawn Ferara, DVM

    I agree with Julie and Krista