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Ranula

mellhick
June 25th, 2007, 08:16 PM
My regular vet in on vacation until 7/9 and I saw one of her other vets today. My daschund appears to have a Ranula or Salivary sublingual mucocele which my vet misdiagnosed as the dog bit her tongue and her blood isn't clotting and there is a sack filled with blood attached to her tongue. She treated this with prednisone and antibiotics along with DMSO gel. This other vet looked at my dog and then said let me go look something up. She said she had heard about this but never actually seen it and showed me in a book. She has to call my vet on vacation to find out what to charge for a procedure she has never done and was most likely caused by the dental work done from my regular vet. Help! What would you do?

SableCollie
June 25th, 2007, 09:20 PM
I would probably try to find a vet that had some experience with this problem. I just would prefer having someone who has at least seen the problem in real life before. Maybe they could recommend another area vet since your main vet is on vacation? :shrug:

I hope that whatever you decide to do, your dog gets better! :fingerscr

mellhick
June 26th, 2007, 06:34 AM
Thank you, she's been through sooo much. She's a mini daschund and the dental surgery was almost an all day ordeal. I still think my regular vet did something during the surgery to cause this problem. I'll try to get another opinion or two.

Dr Lee
June 26th, 2007, 11:15 AM
I am sorry to hear that your pet is having problems. It is never easy to see. Ranula can occur for multiple reasons; complications during a dental is a possible cause. It is rare but possible. Ranulas that occur after dental treatments will often self resolve. However this seems to have been going on for awhile? few weeks? There are two common procedures used for this - one is simple which includes marsupialization of the ranula; it can be performed by your regular vet. The problem with this procedure is that it can recur. The other option is removal of the salivary glands. This is a curative procedure but your regular veterinarian may or may not want to perform this (they may want to refer out). I think it is important to note that this complication (if it is from dental) is not necessarily the fault of your veterinarian. It sounded like your pet had some extensive dental work performed; with the severity of the dental disease and the accompanying inflammation; the proper execution of mandible extractions can lead to scar tissue over the salivary ducts which may have been totally unavoidable. It would not have been good for your veterinarian to have left any painful/abscessed teeth in order to avoid what is a rare complication. It is always frustrating to see any problems with your puppy but the ranula may have been unavoidable if the dental disease was bad and lead to secondary inflammation around the salivary ducts; the dental procedure may have just increased the time with which it developed.

Good luck.:pawprint:

mellhick
July 1st, 2007, 12:20 PM
Thank you Dr. Lee for responding. It is very difficult to get anyone to tell you anything about this without taking the dog to multiple vets. She has since had the surgery Friday, June29th and seems to be having a little trouble eating. I added water to her food (now feeding Hills d/d lamb) and it seemed to help. Is she now short on saliva to aid her in eating? Now it seems that she has an occasional head twitch and her tongue is coming out the side of her mouth like she can't control it occasionaly when she is trying to eat. I'm hoping, since it's been less than 48 hours that this will take care of itself. Your thoughts would be greatly appreciated.