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Old September 2nd, 2009, 11:30 PM
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Dr Lee Dr Lee is offline
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Join Date: Jun 2007
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Quote:
Originally Posted by cvan View Post
about 3 days after the meds were all gone, he started limping again and the muscles above his rib cage keep going into spasms. He had lost his appetite. This time, he seemed like he was in major pain. Back to the vet where they prescribed him the same antibiotic, just increased the dosage and duration.

He also said it looked like he had an ear infection and prescribed him some antibiotics for that.

SO, he has been on the meds for 2 days and is EXTREMELY lethargic and this evening, his NOSE started to bleed!
Do you have tick borne diseases in your area?? If you do, then a course of doxycycline might solve these issues. Ideally I would test for them but depending upon which ones and how many it can range from somewhat inexpensive to somewhat pricey. Also has he traveled anywhere that has tick borne diseases? Tick borne diseases can lead to lameness, pain and nasal bleeding. Fungal diseases like Vally Fever can also do all of these. Do you have these in areas that you live or he has traveled?

Tests that should be done: Coagulation profile to establish his ability to clot blood, Fungal and tick blood tests if applicable, chest radiographs (X-Rays), and repeat of the CBC portion of the blood panel. Depending upon these results, then an internal medicine specialist referral would be indicated. Nasal endoscopy and imaging might be needed. Direct referral to a specialist is also another alternative to having initial work up at your vet.

Final thoughts, the sores on the nose, might also indicate an immune mediated disorder. While limping, nasal bleeding and sores on the mucous membranes can all occur from immune mediated diseases, the signs are not exhibited together. This might want to be evaluated though.

I do wish you the best of luck. If there is more I can do, please contact me directly.
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Christopher A. Lee, DVM, MPH, Diplomate ACVPM
Preventive Medicine Specialist With a Focus on Immunology and Infectious Disease
myvetzone.com
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