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Amybody using nerve growth factor (NGF) inhibitor injections for dogs?
I have a German Shepherd who suffers from allergies and is on apoquel again… but I continue to read that they are notoriously allergic to chicken. Wondering what is the best food for dogs with allergies?? Other than the pro plan Salmon and the Lamb, we tried both and both of my dogs hated it.
I have a Siberian Husky who has suffered from ear infections forever and now I can’t help but wonder if the food is the culprit. He has been to the vet more times than I can count for it and his peeling nose!
A friend’s chicken allergic Greyhound did well on Natural Balance turkey limited ingredient diet. Another friend feeds her Dobes Annamaet Aqualuk and Manitok with significant success – the dogs love it and look great on it.
Pro plan had a fairly recent recipe change of the sensitive salmon (as in last year), and a lot of dogs seemed to go off it. I’m told it may have improved since then.
Hello,
There is a possibility that a food allergen can be the culprit. I was told by a dermatologist that it is about 8-12% of the dogs with allergies. The problem is that there are no commercially available over the counter foods that are truly hypoallergenic. You have to get a prescription diet which is either a novel protein (like kangaroo or venison) or a hydrolyzed diet where the proteins are broken down to be so small the body cannot recognize them. These are expensive and the pet cannot have anything else out in their mouths while on these foods. We feed for at least a month and then we challenge with the old food to see if the itching returns. It is difficult to do and expensive. In my opinion it is imperative to be on a good flea and tick prevention and on it year around. Then use apoquel and shampoos to help. If this works it is the best affordable option most of my patients are on. Occasionally I have to add a steroid for a small period of time or cytopoint. But most are managed well.
Find a vet who has an interest in dermatology or ask for a referral.
Thank you for your replies! The apoquel definitely makes a difference. I think it works better on him than the Cytopoint shot did, but I’ve heard that the Apoquel has a lot of side effects. I have not noticed any issues. They are both on Frontline all year since we back to woods and like to spend time at the creek.
I was going to try Victor Ocean Fish? Doesn’t do anything for their breath though. I need to mix dasaquin in one meal a day and like to use wet food which makes for more searching of good quality food.
I will continue the Apoquel for now though.
My cat was constipated this morning (he has other issues, but this was the key problem this morning). The vet said I could give him Miralax, which I did. I knew it was kicking in because my cat started yowling a bit, most likely because he was feeling cramps. It’s a struggle because I don’t want him to feel bad but I know this is part of the problem with giving a laxative. Does anyone have a suggestion about what I can do “in the mean time” to make him feel better while we wait for him to defecate? Heating pad? Warm rice pad? Cold pad? Just rubbing his belly softly? Thanks!
For cats with constipation issues I recommend a high quality canned food only diet and lots of exercise. If you are worried about pain please talk to your vet about safe options for cats. There are not a lot of them.
Thank you. Since we’re dealing with several other health issues my cat has been less mobile, which I know was part of the problem.
was wondering if I could ask a question.
About my Shih tzu MeiLing:
MeiLing is not having symptoms. My question is related to lab values. She is 14 years old and just acts tired at times.
1. The paperwork shows that she is positive for Anaplasma phagocytophilum. Her vet did not offer any treatment advise on this or even mention this to me during the visit. I happened to find it later when reviewing her lab work. I have never found a tick on her since I rescued her 9 years ago.
2. Other lab work:
BUN 41, had been 33 year prior, one month after that was 29;
ALT 227 was 134 year prior, one month later 117;
ALP 673 was 668 one year prior and 1040 one month after that;
MCV 59.3 was 61.1 year prior and one month after that was 59.8;
Platelets 504 was 542 year prior and 561 one month afterwards;
Plateletcrit 0.62 was 0.66 and 0.68 one month later.
Based on some of the labs in point 2 the vet started MeiLing on Hepato Tru Benefits which supports healthy liver function and is telling me that we should do an MRI.
I love my dog and would like very much to do whatever is necessary for her health. However, I am retired, living on social security and am not able to afford a monthly payment for health insurance for her much less $1000 or more for an MRI. So my question is, with these labs, considering she is having no symptoms, granted she is not as lively as she once was but she is 14 years old, in your opinion how necessary is it that she have an MRI? Also why would he have not even mentioned the Anaplasma phagocytophilum? Should I seek another opinion?
I don’t expect that I will be able to afford other treatments revealed by an MRI.
I know I am asking a lot here but if you could just help me with a little guidance I would deeply appreciate it.
Thanks for any info you can give me.
Hello,
I think that I would ask for a second opinion from a different vet at another practice. I say this because I cannot interpret lab values without an examination. These go hand in hand to make an accurate assessment of a patient. Ask your friends and family who they use and trust and go there.
I also think you should bring all of the things that you mention above to your old vet.
Also I think it is important to talk to your vet about your financial abilities and ask for diagnostics you can afford. This is your right and the vet’s responsibility in my opinion. If they cannot help you find answers that are meaningful to your pet and their care go elsewhere.
Lastly I have been a vet for almost 20 years. I have not had many patients able to do an mri. And although I may offer we always (always!!!) tell about more affordable and readily accessible diagnostics like an ultrasound. I also ALWAYS talk about why I am asking questions them to do this. I fear very few vets do this. There is almost no point in asking you to do (and pay for) a diagnostic if we cannot do anything about the disease or problem from there. So what is an mri going to get you that is treatable? And Would you be able to afford that? If the answer is no why are we worried about the mri?
Rottweiler, female, 11 years old.
Vertically split nail; under vet care but I think we need to get more decisive.
The vet trimmed the nail half way with local (dog has bad reaction to sedation protocol, narcotics, etc). Still hurt and vet said it would cause undue pain. However, the nail continues on splitting.
How common of a procedure is cutting the nail off all the way to nail bed? How does that improve outcome? How much faster is the recovery?
By what percentage is anesthesia risk lower with such a short procedure? (Has to be anesthesia as explained above). Last time, after anesthetic procedure, she had heart rhythm problems and other problems; became critical and almost died. But was also full of drugs and had pancreatitis as complication of splenectomy. I’d assume the shorter the time under, the lower risk of complications?
I’m concerned about putting her under but I’m also concerned about dragging this out for weeks, taking valuable time from her, and having to do it that way anyway eventually.
I really don’t know what is the best thing to do for her. Hubby leaning toward waiting if it heals but I’m not seeing it healing any time soon if at all. (Photo of the present state of the nail attached.
I’m sad, depressed, concerned, and don’t know what I should decide for her.
Hello,
First I will admit that I have had cases like this and they are frustrating. So I remind my clients this.
Next we take it in small steps. I do start with trimming the nail as much as able and start toe/foot soaks to keep the area clean and place an ecollar to stop the patient from licking and further traumatizing the nail and seeding infection from the mouth . I ask them to give it a week or two to heal.
If it doesn’t or other nails start cracking we talk about oncodystrophy. And start talking about what to do if that is the case. The treatment options are not great so the decision to treat needs to be made with a great deal of thought or referral to dermatologist is recommended.
In one case I had a dog who was placed under general anesthesia and the nail was ground to the base to allow a new nail to grow back.
Risk of anesthesia is something discussed on a case by case basis and usually has little definitive concrete information to allow predictive measures or reasoning. That would be a conversation for an anesthesiologist.
Also I have had some cases with underlying nail bed infections so antibiotic’s, foot wrap and medication or culture and sensitivity testing might be helpful.
It’s already been three weeks now. It appears the nail was vertically cracked from the beginning with the first part in the middle (which is now the end)
How well did the grinding to the nail bed work and what was the recovery?
The other nails appear to be fine.
Grinding the nail was a last resort for a difficult chronic case. It worked but it was a last resort treatment.
Actually, it looked quite bad and hurt every time she brushed it on something. We had the nail entirely removed last Friday. Anesthesia was a risk, but I didn’t want her to spend whatever time she has left trying to get that damn nail healed–she already lost months with the first one.
The upside–48 hours of bandage, some pain meds, and all done. It looks good now and doesn’t bother her at all. She can now get on with her life and have fun.
I hated taking the risk but I”m glad I did.
My 2 year old female dog was neutered last week and the incision site is looking concerning. The only veterinary clinic close to us is closed today and I am worried about infection or other issues. The dog is an obssesive licker and I don’t know if the wound is healing ok.
Hello
Try to keep your dog from licking the incision and follow up with your vet asap.
I have a 1.5 year old male Himalayan who has been having issues with his chin for about 7 months now. It started off with a little black build up on his chin that looked like acne so I didnt Pay much attention to it. It then started to get a lot worse to the point it looked like he had wet food cemented onto his chin. I took Him to the vet and they told me to change his bowls from stainless steal so I did And I’ve tried plastic, ceramic, glass, any kind of bowl you can get and that has not changed anything.
We went back to the vet and they were stumped on what it could be so he went on steroids to see if that would help and it did for a couple days and it came back worse. We then tried an antibacterial shot and that slightly helped but then came back worse again. Tried steroids once again and made no difference this time. We ran some tests and swabbed the chin and they concluded it was staff infection. So he was treated for that and it didn’t help at all. We then tried another antibacterial shot I believe It was and it cleared up completely. But it is now back again and just keeps getting worse. The chin is raw, red, bloody, black scabby looking things, and so so itchy for him. They have now said I should Try a different food but he is on the urinary s/o Royal canin because my other cat recently had a urinary blockage and I cannot afford to put them both of different vet foods. I do Not think it is a food allergy because I have Tried numerous different foods with him but I could Be wrong. I clean it daily with a medicated soap they gave me and it doesn’t do much except keep it clean obviously, it hasn’t helped it improve. Has anybody dealt with something similar or have any possibly ideas of what this could be?
I will try to Add images to the comments , it won’t let me add them to the post
Hello,
There is no way for me to help without a diagnosis. To get this you may need more diagnostics. Which I know is going to cost you more money. But if it gets you the answer to the cause you can direct the treatment plan. You are at a place where you either need a dermatologist or a biopsy.
I wish I could offer more help. It sounds like you have done quite a lot already.
Best of luck.
Hello,
I will contact my vet and see if I can get either of those options done. It is very confusing not having an answer for him and seeing him in pain. If I end up getting an answer I will update my post for others who may be facing similar issues.
Thank you for your advice.
Rottweiler, female, spayed, 11 years old
Just recently lost a toe to nailbed squamous cell carcinoma (hind foot). And now this has cropped up on her front foot. Not limping yet, but some weight-shifting away from it and licking at it. What are the odds that it’s the same thing again? 🙁
Hello!
So nice to hear from you.
This is tough for me to answer because I don’t know enough about the way the scc was diagnosed nor how it presented. I also don’t know if there were surgical margins or amputation of the digit? Was an oncologist seen?
I have not had any patients with scc of the toe. But I have had scc patients have multiple areas affected. This is really best answered by your vet and an oncologist. I hope this helps. And very best of luck
Krista .
It kind of started the same.
– her licking at her foot for a couple of days and were unable to figure out why
– then she misstepped and became lame and there was bleeding
– vet determined it was likely a nailbed infection at the first visit
– wasn’t healing with topical treatments
– in the meantime, the toe came off completely
– the next visit, a different vet, figured it was potential cancer
– while we were organizing a biopsy, there were many cock-ups so we decided to take a step back and revisit with another vet
– that one convinced it was infection–long-term antibiotics (that trashed her digestive system)
– continued for weeks and weeks
– then, when I no longer believed dysbiosis was all there was to the diarrhea and insisted on imaging, they found a splenic mass
– I insisted I wanted the spleen out asap and agreed to biopsy at time of surgery
– surgeon looked at it and convinced it is cancer so I agreed to toe amputation at the time of the splenic surgery–it was confirmed to be SCC. Bone margin was clean, not enough soft tissue to judge.
– x-rays and all clean–no metastasis
– that toes is no perfectly healed
But this is starting the same way. Last time she lost weeks of life and in pain. This time, I definitely don’t want to loose all that time again. Don’t want to put her through surgery for nothing either, or have another pop up in a couple of months again 🙁
Seemed to look better this morning; been doing Epsom salt soaks; vet appt tomorrow
Just saw a vet, and she says it is a nail injury, and everything looks good to her/that’s the one to be the first to suspect cancer the first time around. So HOPEFULLY, that’s correct, and it will resolve speedily. *sigh of relief.
Also did a wellness check, and everything else looks good too. My little girly looks like she’ll be well and able to finally have the fun she deserves once this thing heals.
I have a 6 year old German shepherd who has his raised pink lump on her snout. I noticed it 2 weeks ago. I asked to a previous vet I used to work for years ago and he said apply animax ointment for a week and see if it goes down. If it goes down then okay cool , if not we need to sedate and remove it fast. I did not really want to have her sedated but I mean… I’m more curious about what it looks like and how fast it grew. It’s never happened before and it’s solid. No bleeding yet. I did forget to mention she has two. The one in her nose is different than the white one I found in her left shoulder. Is it just age ? Also , it bothered her when I touched her nose
Hello,
It is not possible to diagnose a lump or bump by a picture. This should be done with a veterinarian at an in person exam. After the exam a list of possibilities. But to truly know what it is you need cells or tissue from the mass. Like a biopsy.
Of all the possible things it could be a histocytoma is on the list. Ask them about this.
I hope this helps.
Krista.
I am agonizing over the hardest decision we have as pet parents…euthanasia. Our 12 1/2 year standard schnauzer has been having various behaviors and symptoms the past 6 -8 weeks. Excessive panting, fatigue, decreased appetite. We brought him in and he was diagnosed with pneumonia. He finished all his meds and we brought him back in for follow up X-ray and labs. He really wasn’t much better. X-ray confirmed pneumonia had cleared but lab work, which had been normal 2 weeks prior, now showed probable pancreatitis. He has declined rapidly the past 3 days. We are trying to get him to take meds, Pepcid, Cerenia, Carafate but we literally have to force them down his throat. He will not eat and I have tried everything , rice, scrambled eggs, bread, even doughnuts He is isolating, going upstairs instead of being with us. He still has labored breathing, his legs give out, he is restless. He has a strange odor. I have had dogs my whole life and all this points to end of life. I know this in my heart. When do you know when is the right time? I really was hoping he would pass naturally. Thank you for listening
First off: I’m so very sorry. I know how much this hurts. I know how much it sucks. My biggest regret was not letting my cat go earlier. I couldn’t be with him when he crashed, and it absolutely destroyed me.
It’s always, ALWAYS better to let them go too early than to make them suffer for our need to keep them with us. We owe them that for all the love they’ve given us.
Self isolation is a big sign. So is the refusal to eat, the general restlessness. It sounds like he’s miserable. I would give him the best day you can, and let him go gently.
I’m so sorry to hear this , I myself was and still am angry about putting down my kitty who was very young due to a UTI going south and after much attempts to solve the issue , I am angry for this being the 2nd time , and I’m angry that no one seems to prevent this food from being sold that slowly kills male cats and that no matter what efforts I took to upgrade the food, give him supplements, take him to the vet or whatever , nothing helped ! It only managed to give him another 8-9 months to live .::: but … for me that’s not good enough…. Why can’t we stop this from happening before it happens to male cats !? I don’t get this fail system government and greedy people that only look to get paid rather then save a life. So, with that being said, I am so sorry you lost your pal woof woof ???? I know how u feel , and that it’s better to let them go in peace then suffer this dreadful painful bs life .
Hello.
I haven’t. Nor do I have any patients at the clinic with the other doctors who do.
What are you considering it for?
Cookie’s vet is recommending it for arthritis. I’m sure she’s got some, she’s 11 years and one-month-old Rottweiler now, but I don’t know how bad she has it–I don’t feel very bad. I think it’s quite interesting, but my question is whether it might inhibit something that shouldn’t be inhibited and so on. Very new around here, a little longer in use in Europe …
While I think it’s an interesting idea, I’m on the fence. I’m much more partial to things that are more natural such as PRP or stem cells, but nobody does that up here.
So it’s one of the things that sounds great on the paper, but is it really? Jasmine’s vet down South uses it on cats, but mostly because there are much fewer treatment options for cats, so more worth the risk.
Cookie’s PT has a couple of patients who get it and apparently, it helps them markedly. But will it eventually crop up some unwanted effects? So that’s the question.