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Jana | 11 years ago
Question For Dr. Krista; Sorry, Complicated Question(?)

First, To Review For Benefit Of Others Reading This…

Question for Dr. Krista; sorry, complicated question(?)

First, to review for benefit of others reading this question:

Patient: Cookie
Rottweiler, spayed female, 2 years old

Presented with lethargy, anorexia, vomiting and diarrhea (threw up only twice and one time diarrhea, then taken to vet, given antiemetics and antibiotics; diagnosed with pancreatitis; getting better since – this was Monday)

During exam foreign material found in stool (grain and corn; we think she got into the horse feed) painful cranial abdomen, low and large bowel diarrhea, enlarged submandibular nodes – this part worries me because these were temporarily enlarged not long ago; resolved quickly, though)

As I’m reviewing the blood results, there are things I could understand as being consistent with digestive distress/pancreatitis but some which are concerning me, namely the globulin and lymphocyte levels, even though they are not extremely low but low nonetheless.

Beside the cPL which is clear in its meaning, the free T4 is low – I assume this is what is meant by not testing for hypothyroidism in ill animals, because the thyroid hormones would be low with any disease process? Is that correct?

I would figure that the ALT/unhappy liver enzymes would also be consistent with such insult to the body, is that correct? And I imagine same would apply to bilirubin in a situation of digestive upset?

The values that concern me are the globulin and the lymphocytes, particularly together with the "easily aggravated" sub mandibular lymph nodes in the mix, particularly as it seems that lymphopenia would be present with both CPV and lymphoma … ? I’d assume that a) Cookie was recently vaccinated for CPV and is improving too rapidly to think CPV? Lymphoma has been on my afraid mind since the first time they were found enlarged.

It also says, though, that lymphopenia could be a result of underactive glands (the source doesn’t say which ones) so would that perhaps have to do with the lowered thyroid function during the digestive distress?

Didn’t find much on low globulins, other than immunodeficiency types of situations, which doesn’t seem to apply. What is the "life-span" of a globulin, and if short, would the low globulins have to do with the unhappy liver?

Can you, please confirm about the free T4 and talk to me about the globulin and more importantly the lymphocytes?

Blood results attached.

1 Response

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  1. Christina Chambreau

    I will let Dr. Krista address your specific blood questions. Were you interested in the holistic approaches to evaluating blood work?  Also, not being able to tolerate an occasional eating splurge is considered an early warning sign that a dog is not completely healthy, so there would be many things to do at this point. 

    I wonder if Cookie has had prior digestive issues?

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Sarah | 11 years ago
My Lab/shep Mix Seemed To Have A Small Swelling Around His Rear, A Bit Below…

My lab/shep mix seemed to have a small swelling around his rear, a bit below and to the left of his anus that we noticed on Saturday. I thought to keep an eye on it because he seemed content, was pooping and didn’t appear to be in any pain. Today it was more swollen, but as it is Sunday, I was planning on calling the vet tomorrow. He pooped a while ago, when we were outside playing in the snow and then when we came inside. When he came in, he licked himself and then the swollen area sort of popped, like a big pimple, and has been draining puss/blood at first but now it has stopped and only seems to be draining blood when he licks himself. I still plan on calling the vet tomorrow, but should I be more concerned and take him to the emergency vet, even in this bad weather?

1 Response

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  1. Eleanor Wood

    Hi,

    It sounds very much like one of his anal (scent) glands became infected and formed an abscess, which has now burst. It is not an emergency unless he is bleeding profusely, but he will definitely need veterinary attention tomorrow.
    If he will tolerate you doing it, I would gently bathe the area so there is no gunge stuck in his fur, and try to stop him licking at it too much.
    Also, if you are unsure, you can usually call your emergency vet and ask for advice over the phone without charge.

    Eleanor Wood
    UK vet

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Pawbly | 11 years ago
Hello,

My Managers Lab Just Had A Litter Of Puppies. The Puppies Are 1/2…

Hello,

My managers Lab just had a litter of puppies. The puppies are 1/2 lab and 1/2 mix. I ended up getting one of the last boys, hes just under 10 weeks old. I am aware that he has not had any vaccinations yet. I have heard that he was supposed to have his first shots around 8 weeks but I have started seeing more and more articles that say to wait until 12 weeks to get his first shots in order for his immune system to react better. Can you help me out please??? I am a very loving father to my dog and I only want the best for him

1 Response

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  1. Krista Magnifico

    Hello Zachary,

    Congratulations on your new puppy!

    They are a big responsibility, a bit of work, and an enormous amount of joy.

    I applaud your sense of responsibility and desire to provide the best you can for him.

    Here is my advise for all new parents.

    Bring your puppy to see the vet ASAP. I say within the first three days. I also ask them to bring a fresh fecal sample as many puppies come with intestinal worms. (I tell my clients that it is part of the package so don’t be upset, just be proactive!).

    I will review the patients history, perform a full examination and discuss our vaccine protocol. If there is no history of vaccines, and especially if we are not sure of what the moms vaccine history was I will recommend vaccinating ASAP. I have seen many puppies arrive at their new home and within a few days become very sick from a disease that we can vaccinate for. Nothing is more heartbreaking than seeing a newly adopted puppy get very sick. And some puppy illnesses have a high mortality rate.

    So, my advice is to go to the vets as soon as you can, and voice your concerns with them. We are chock full of advice and a career of learning from others mistakes that hopefully you and your puppy can avoid.

    Oh, a few other words of caution.
    Your puppy does not have an active adult immune system until they are 6 months old. SO avoid all public spaces where any unvaccinated or ill dogs might have been. That includes pet stores, community areas, etc.

    Your puppy is likely unvaccinated and can pick up any disease.

    I have lots of puppy information on my blog
    http://kmdvm.blogspot.com/2013/02/puppy-primer-first-instructions.html

    I hope this helps.

    Enjoy your new addition.

    Sincerely,
    Krista

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Pawbly | 12 years ago
I Rescue Dogs. I Am A Foster Failure. My Recent Foster Failure Is Shelby. I…

I rescue dogs. I am a foster failure. My recent foster failure is Shelby. I have had her for a year now. She is a border collie mix who was rescued at 1 1/2 years old at 7 lbs. (should have been 25 lbs.) with no shelter, no food or water, and on a chain. Couple of things that bother me and what I think attributes it. I want to get your opinion.

First, she licks constantly. If she can’t make contact, she licks the air. I attribute this to anxiety from her past. She has no reason to be anxious since being with me, she is treated like a queen !!

In public and around other people/strangers, she squats a lot. I have checked her for urinary tract infections….all negative. I, once again, attribute this to anxiety.

She constantly tries to herd everything. I know its in her blood lines but she never stops. She has an older brother she herds and she even herds me. ?? How do I correct the behavior with me ??

Lately I have noticed her humping stuffed animals in the house. I assume to establish dominance. I find this weird for a female dog. How do I correct this behavior ??

1 Response

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  1. Krista Magnifico

    Hello Ed!

    Thank you for your question but THANK YOU even more for being a foster parent to Shelby. Without people like you countless pets would never get a second chance at finding someone to love.

    I hope that you can understand how grateful I am for your kindness, care, compassion, and generosity. Please don’t ever underestimate how special a person you are for giving your time, attention and home to a pet in need. You are not a failure!! You are just being challenged..and what’s worth achieving is only gained through challenges. So don’t give up and don’t beat yourself up..I will help, and I know of an army of people who have insights, experience, and ability to help you and your puppy. Best yet, Pawbly has a world of people to jump on board and be your support staff, your cheering squad, and even your safety net..

    OK, here’s where I would start. It sounds like you have done some medical work-up, but if you haven’t done a complete physical exam, especially with a veterinarian who either focuses on behavior and/or neurology this is a very good place to start.

    Secondly, I think it is very important to talk about this breed. Border Collies are very very (like THE MOST very) active dogs. They need constant exercise and a serious job.

    I agree that the licking might very well be anxiety (if the mouth is clean, the physical exam,blood work, and all other diagnostics are normal), a veterinarian or behaviorist can help diagnose this. The squatting, humping, and maybe even the herding are all examples of exerting or claiming dominance. They all could be anxiety, or magnified by anxiety also.

    I think that you are providing a loving, caring, and compassionate home to Shelby, but I do think that you and Shelby might need some help in figuring out what needs Shelby has that you might be able to resolve and also help her deal with her anxiety.

    As a last note I want to add that ten years ago very few of us vets ever thought about prescribing anti-depressants to dogs. I have changed my tune over the last five years. I now urge my clients to consider using this when we have a pet who seems to be struggling to be calm and happy. They are relatively inexpensive and I promise you I have seen miraculous results in some dogs. All of the clients I spoke to about trying this drug were very very skeptical, but ALL of them have come back to me saying that their pet is so much happier. I am not suggesting that this be the answer for Shelby but it might be a discussion to have with your vet along with a behavior plan.

    Try to find a behaviorist that is local, reliable, and works with a veterinarian. They are incredible resources and can help immensely.

    I hope this helps, and I thank you again for your question and your helping Shelby.

    Please don’t hesitate to ask me for any additional information, or to find me at the clinic.

    Have a wonderful weekend..go out and play some fetch, and see if Shelby is calmer afterward.

    Best of Luck and warmest of wishes,

    Sincerely,
    Krista

    Krista Magnifico, DVM
    Owner Jarrettsville Veterinary Center
    Jarrettsville, MD
    http://www.jarrettsvillevet.com

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Diedra Cardamone | 12 years ago
My Dog Bandit Is An 85 Pound Border Collie Mix Rescue. On My Morning…

My dog Bandit is an 85 pound Border Collie mix rescue. On my morning run today from 10 to 11 am, he had diarrhea. He went three times and by the third time it was straight water. What should I look for or do for him today?

2 Responses

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  1. Krista Magnifico

    Hello Diedra,

    If your dog is not feeling better , or if the diarrhea continues you should bring him to see your veterinarian as soon as possible.

    Diarrhea can cause dehydration and an anti-diarrheal, or fluids may be indicated.

    In most cases acute diarrhea is short lived and self limiting. But diarrhea of longer than one day, or severe in its onset should be addressed by your veterinarian.

    If the diarrhea persists, or you get concerned you and Bandit can see me at the clinic.

    Sincerely,
    Krista Magnifico, DVM
    Owner Jarrettsville Veterinary Center

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Diedra Cardamone | 12 years ago
My Dog Maizie Is A Mix Chocolate Lab Dalmation. She Is Going To Turn…

My dog Maizie is a mix Chocolate Lab Dalmation. She is going to turn 14 in a month. Over the past year she has lost most of her muscle and her back legs look especially thin and wobbly. She has a large living room to live in and is let outside through a door with a very small step. What can I do for her to help her body be as strong and safe? Also, she eats best when her dry food is mixed with a little canned food, is that ok?

3 Responses

Comments

  1. Krista Magnifico

    Hello,

    Thanks for your question.

    Congratulations on all of the things you must have been providing and giving to Maizie to get her to an astounding age of 14! Did you know that most labs and dalmatians only live to about 12? 14 years old is amazing!

    There are many things that you can do to help her age gracefully and maintain her strength, stamina, and vigor.

    Diet is a great place to start. Ask your veterinarian about which diets they like and recommend for her. I like Science diet J/D. The "J" is for joint. I also like a glucosamine/chondroitin supplement like Dasaquin daily. I have a 16 year old dog and I encourage her to eat by mixing a great dry food with an equally high quality wet food. I make great efforts to keep her eating well, like feeding her twice a day. I have also begun using a dog food gravy to make her food even a tiny bit more exciting. Muscle mass is lost because of two reasons, not enough exercise, and not enough dietary protein.

    Most of the older dogs that I see are losing peripheral hind limb muscle mass from chronic dis-use. They aren’t getting enough exercise to maintain muscle mass because it hurts too much to move. So after a thorough physical exam I discuss x-rays, and bloodwork and an NSAID. This is a non-steroidal anti-inflammatory. it helps many dogs feel better and takes away some, or even all, of their pain. At 14 years old I think it is very important to make the remaining days, however many they may be, comfortable. I also think that a thick (about 6 inches), orthopedic bed helps on those bony achey joints.

    I recommend twice yearly exams to better monitor and manage the aging process. Blood work, urinalysis, radiographs, and thorough physical examinations will help keep Maizie happy, healthy, and mobile for her days yet to come.

    Wishing you and Maizie continued longevity. If you would like to set up a geriatric exam with us we can be reached at Jarrettsville Veterinary Center in Jarrettsville MD.

    Sincerely,
    Krista Magnifico, DVM
    Owner Jarrettsville Veterinary Center
    Jarrettsville MD
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    jarrettsvillevet.com