your call but doesn't she have liver issues? DD had some issues this past weekend thursday night started lifting front left paw then left back leg was off - it was like her whole left side was out of align. Rested her and she is totally fine now. She was a little sore friday and saturday and by sunday fine. It was all after the smoke detector incident so not sure what happened as it was chaotic that night.

are you sure this is not spine related? When you say wobbly how so? Do you notice it in her legs?

You are correct tramadol is for pain only and metacam has anti-inflammatory in it and tramadol does not. I am ok with just giving for pain as the inflammation will go down if you rest them. So if pain is your concern tramadol will work for that.

If you do the nsaids any vomitting or diarrhea stop immediately and give mid meal to be safest.

Oh gosh. If she doesn't start getting better, could you just go back to her LP surgeon?

I think it's chicken. Forgot I boiled TJs chicken last night (2 times I boil it). Was putting it away and gave them each a tiny tiny piece.

Cpl test came back neg. He showed it to me. One dot was dark blue and the other dot was medium blue

we are home now and she ate fine. I am not putting the shredded reduced fat Colby/Jack cheese on her food any more. I put the famondine pill in her food, gave her the metro and she is stalking me for my cereal.

She seems a lot better. She is walking around ok. But just made her trot or walk faster to me for a cherrio and she has a slight limp, not sure whic side or even if it's front or back

holding off on pain meds for right now. I would like to see if she gets better just from the S and F

I am going to stay home today with her

good idea keep an eye on her - glad the tummy is doing better - famotidine is best given a couple hours before food though as just looked it up in dex records from hospital and it says - The medication works best when given a few hours before a meal (greater suppression of acid secretion) This is from IMS.

so bummed - how old is she? DD will be 6 next month and just wondering if arthritis starts to set in at that young of age :(

Glad it was not pancreatitis as really did not think she was exhibitng those symptoms

Her bloodwork if perfect, liver emz are completey normal. So right now, only her post bat is high (60 to 85) range. So I don't know what to do if she needs meds for LP - could she benefit from the anti immflam in Metcamp? Or why risk and just go for the T??? IDK

yeah I know it is always a toss up just trust your gut. DD is on temarilp so I would go to tramadol myself as she has anti-inflammatory in the steroids already. How long has she been limping around as if more than a couple days you may want to give her relief. My only thing is if she is having stomach issues too then tramadol might be the way to go as nsaids will upset her tummy as well

Have you ever given her an nsaid like metacam, rimadyl or deramaxx before?

The sucralfare I have to give 30 mins before food. Vet said to give the Famotidine w/food. But I will call to double check. My gut is telling me stomach/gi/gas bc she was so obvious this morning, then she pooped and she was 50% better. Now 3 hours later, and having the S and F and M she is like 90% better

I just don't know if I would see all this improvement if it was LP arthritis???

She will be 6 in. Nov

I'd hesitate very much to give NSAIDs to a symptomatic liver compromised dog. And if I remember right, she didn't have neuro symptoms, but she do have other symptoms. Can you talk to her specialist (the one who did the U/S) about this?

The anti-inflammatory may be needed, so I won't say not to use it. There may be other others though.

interesting as dd has the LP and she is exhibiting some issues this past week and she is about the same age. I am going to check on when arthritis usually affects toy breeds as i know it is going to at some point with LP and her being on steroids.

I agree if she is feeling much better after meds probably not the LP trust your gut and watch the signs.

sulcrulfate (carafate) - ok just read notes from ims on sulcrulfate and dex weighed about 9lbs then - 1/4 tab (250mg) orally as a water slurry 3xs a day - remember that this medication should IDEALLY be separated from other foods or medications by 1-2hrs is what the ims said for dex.

At this hospital they have a girl Michelle who is awesome and all she does is handle medication - she is the expert there on all meds so I always call her as well as she is very sharp.

I agree

TLC what did olga say about nsaids? My guess is she would be against it too

C do you know at what age arthritis starts kicking in?

Yes, if she doesn't get better and we feel this is LP arthritis, I will go back to her Ortho Vet for the pain meds.

did she have LP surgery? sorry I do not remember about her having lp issues :(

The makers of NSAIDs for pups make it very clear that they are not okay for liver ocmpromised dogs. They should only be given if your vet thinks it is absolutely necessary. When in doubt, ask the internist.

The limping is throwing me, but it sounds intestinal to me. It sounds like she is filing with gas and then feels better after gas relief is given. The question is why? I think if it continues, you may need to see a specialist who can figure it out b/c being gassy and bloated is not at all healthy and I would just hope it doesn't turn into something more serious.

Has she been diagnosed with IBD? No, right?

Nope.

totally agree but could be diet related and stress related as she was gone and sometimes they get stressed. Demi my healthy one had blood in stool one time when dh was gone for two weeks - did all the fecals and nothing. I think sometimes they can get off balance when stressed too.

The limping is throwing me too but maybe she has a few things going on poor baby

Wasn't a bunch of gas shown on xray?

And how long has this diet worked for her?

When they fill with gas and it can't escape, you can run into more issues. Sigh. I'd make sure to keep up with the drugs.

Yes, she had bi-lateral LP surgery. Then a re-surgery to fix her right leg. 6 months later she was suppose to have re-surgery to fix her left leg, but she had a staph that wouldn't go away, and then we found out she most likely has MVD, so we put it off. She had really had no issues, until now.

Really, I am going to go and read about that...ok...so I will not do Metcamp, I had no idea they said that.

The limping is throwing me off too, and I can't tell which leg, she is just walking odd right now. Better though, as before she was stiff and arched and you knew 100% something was wrong.

No IBD dx. I never really had an issue with her. If its gas, I will need to find out why and from what that's for sure...

Yes, a bunch of gas on the xrays. I do hear faint squishes in her tummy from time to time.

I have been giving this diet for almost two years now. I am going to look up each ingredient and see if anything looks off.

if two years then doubt that is causing it - could be stress from leg hurting her and you being gone or how about DH lol as i know mine i have to constantly be on him as he jacked up dd meds when i was gone out of town on business and i even gave him a CHECKLIST lol. Men and FOOD sometimes do not mix lol. Maybe he put a little too much cheese on or something like that.

I know Brooklyn was saying some people have had complications after the LP surgeries so you may want to have that checked out

Well C knows how I feel about NSAIDS and liver disease lol totally against it and dogs with stomach issues like ibd our vet said it is not recommended either.

here is some info on food and gas for humans but could be helpful for dogs as well

Gas in the Digestive Tract

She is fina again. No limping, no wobble, no nothing. Back to her neurotic Roxy self.

The only weird thing is lastnight and this morning, she didn't want to eat all her food. I made a 'new' batch lastnight, so maybe something was tasting off to her. Tonight I am gonna try her food plain with no supplements and see if she eats it all. If so, maybe I just made her batch a little off tasting to her.

Not sure what to think, I guess I just have to go day by day :(

yep that is what i do day by day with dd - stinks having a unhealthy one huh :(

could be the smell and could be her tummy does not feel good. I never force them to eat if not feeling well as dex will tell me LOUD and clear when he wants his food. DD is a little piggy and demi well she is a princess what can I say lol

I'm having a similar problem with my 3 year old "zeppelin" I have been looking everywhere trying to find some answers. 3 months ago he had a very severe case of pancreatitis involving exploratory surgery, removal of pancreatic abscesses, and a week in the hospital. He was put on iams low residue and seemed to make a full recovery except for being hungry all the time!! Out of nowhere he started to act funny...lethargic and just not himself. I took him out for a walk and while barking at another dog he started to cry out in pain. We held off for a little bit just to observe him and he would whimper when we would pick him up and he had a hard abdomen. Rushed him to the vet and they put him on IV and antibiotics. He had high lipase and white blood cell so they did a PLI and it came back negative for pancreatitis? I was happy at first, but then I realized that there may be something else going on. Anyhow, he seemed to make another full recovery from whatever it was. We came home and the vet thought that it may be his food. We slowly switched to HIlls W/D (allergen free) and he seemed to be doing fine. It's now 2 weeks later and he started to act funny again. I took him outside and while barking at another dog he started to cry out in pain. Again we took him to the vet quickly (because of his history, i dont think twice about a gut instinct) and he gave us some pain killers and antibiotics. He now thinks it could be adhesions from the surgery? I just have this horrible feeling that it's something very major and i dont feel like the vets are taking it seriously/acting fast enough. Does anyone recognize these symptoms?

Oh boy! IDK - it could be an adhesion from surgery, but why is not all the time??? Can you get a second opinion?

For Roxy the Sucralfate and Famotidine helped her with the Gas Pains and tummy upset.