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Please Help: After 2 E-Vet Vists Still Do Not Know

This is a discussion on Please Help: After 2 E-Vet Vists Still Do Not Know within the Dog Health forums, part of the Keeping and Caring for Dogs category; i was once on prozac helped but my skin was a mess not even a week or month later(cant remember as was 1999) came off ...

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Old 02-08-2016, 07:03 PM
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i was once on prozac helped but my skin was a mess not even a week or month later(cant remember as was 1999) came off it skin cleared up so if you increased the prozac maybe he can only take so much of it before a reaction? just make sure his face doesnt swell right up. the medicine the vet gave whats it for?

so sorry he aint well
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Old 02-09-2016, 06:20 AM
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The vet called Trucker a conundrum but that's when we went through all the factors and possibilities together.

Because of how it comes and goes, she ruled out:
  • Drug interactions (although she said this would mimic his symptoms and a good idea to stop the Hydroxyine)
  • Common eye infections
  • Horner's Syndrome
  • Eye Irritants
  • Hay Fever type allergies
  • Head Trauma
  • Poison
Because of the severity and the suddenness at which it occurs, she finally decided that it mostly likely could only be one thing:
  • Anaphylaxis
After seeing the pictures and video of him she told me I need to ensure I had liquid Benadryl with me (for Trucker) always until we figure out what this allergen is because he was on the edge the last time (likening it to a shellfish allergy where you can't even be in the same room as shellfish).

She put him on a week of Prednisone and did a complete blood work up but says she expects to fine nothing in the blood work but if he starts to have an Anaphylactic reaction again I need to bring him straight in no appointment necessary or to the emergency vet or to the closest vet but not to wait at home.

I plan to go see the vet allergist/dermatologist she told me about to see is we can pinpoint the allergens but she said it maybe hard.
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Old 02-09-2016, 06:21 AM
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i was once on prozac helped but my skin was a mess not even a week or month later(cant remember as was 1999) came off it skin cleared up so if you increased the prozac maybe he can only take so much of it before a reaction? just make sure his face doesnt swell right up. the medicine the vet gave whats it for?

so sorry he aint well
The Hydroxyine was for hives and Prozac is because of his severe generalized anxiety and thanks (I probably worry and panic to much about him but my cat and my dog i feel like depend on me to take care of them).
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Old 02-09-2016, 06:28 AM
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Oh no! Sorry to hear he is still not well. What have the vets done so far? Have they done any bloodwork?
I was actually quite mad about this with the first to visits. They didn't take his temp or do bloodwork. The one actually jump because he growled (I had him muzzled because I knew he was not feeling well so i wasn't sure how he would react to not the vet he trusted). He didn't lung or do anything else but the vet startled him when he came in so he did a baby growl then he relaxed back to just cowering, but you are a e-vet you have never been growled at before.

They really just did physical exams checked his eyes and his gums (I guess to make sure they weren't pale) and sent us home telling us to push fluids.
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Old 02-09-2016, 06:31 AM
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@Grabby Different vet same vet practice. There are 10 vets at the one vet practice. The one we went to yesterday was actually the one who used to be the vet for the dog I had growing up.
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Old 02-09-2016, 06:53 AM
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@Gnostic Dog I know, My plan was to reassess at the end of the 60 days to decided if I wanted to wean off.

@Laco I didn't know there were Vet Internists, I just learned there were Vet Allergists/Dermatologists. I will look into one, I know that his high anxiety level causes his immune system to have a hard time fighting off things most dogs could.

@TiggerBounce
That is exactly what I did. He normally gets the Hydroxyine at around 9am (so he hadn't taken it yet on Saturday) and then both at night, so after the first e-vet visit when they said stop the one I decided it wouldn't hurt to stop both until I could talk to his actually vet about everything that had been going on. So by Sunday he had been off everything for since Friday night and was still having the problems and that's why I took him back in. Yesterday when it was the baddest that it had been I knew something weird was up because like you I was thinking 24hrs or more to "wait" to have a allergic reaction just doesn't seem right.

I wish they had seem him that first time it would have avoided this whole thing. Hives + face blowing up + labored breathing =
Anaphylaxis

I still don't get why he is so lethargic but I guess going/fighting through 10+ severe allergic reactions wears a dog out.
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Old 02-09-2016, 10:51 AM
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@Laco I didn't know there were Vet Internists, I just learned there were Vet Allergists/Dermatologists. I will look into one, I know that his high anxiety level causes his immune system to have a hard time fighting off things most dogs could.


I found out about Vet Internists when Samantha was referred to one two years ago, when she was having a terrible reaction to an antibiotic injection she received for bronchitis.
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Old 02-09-2016, 11:24 AM
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It's unusual for an allergic reaction to develop more than 24 hours after ingesting the allergen. If he's been on prozac for over a week and has been fine, then I'd hesitate to blame that. But I'd still take him off everything for now.

Also strange that the vet would recommend a medication and give a dosage and instructions without actually seeing the dog first. The clinic where I worked would not do that because it's a liability....The vet is basically treating a condition that he hasn't properly diagnosed.

Hopefully the vet visit you had today got some answers and solutions.
Actually delayed reactions like this are VERY common with allergens-it's why some of mine were so difficult to pinpoint when I was first figuring it out. I'd drink an herbal tea with a chamomile filler and it'd be hours before I started puking. My dust allergies I only reacted to the day or day and a half after until they got more severe and I could figure out the places that were causing the reactions. It's also particularly common with weird allergic reactions-mine was a chronic cough, which is not what you think of when you think of a reaction. Makes things really hard to diagnose without an actual allergist around. The more you know! lol. I had no idea the delay could be that long either until after I was diagnosed-2 years later.

@TruckersMom I hope you get it figured out with your vet-I think the allergist appointment is a great idea. Maybe keep him in a 'clean room' until you get it figured out, with just a bed that was recently washed and the like? It may or may not help since you'll be trekking things in but reduction of allergens does help even if they aren't completely eliminated, assuming its not the medication. It might help you pinpoint what the reaction is to, at any rate. *hugs*
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Old 02-09-2016, 11:54 AM
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@Kwenami I immediately took away everything that had come into the house within the last week (put them in a giant black garage bag in the garage) because as soon as we got home his eyes started swelling up, I had to put him outside to keep it from happening again while disinfected the entire house and gave him some Benadryl (which the vet said was okay if he needed it). So for now it looks like we are good and it was one of the new toys or blankets he got last week, I just wish I knew which it was because all of them were duplicates of stuff he already has.
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Old 02-09-2016, 01:24 PM
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Yikes- hopefully he's on the mend soon! Please keep us posted!

PS - I totally read e-vet as electronic vet, as in online vet, at first... probably shouldn't admit to that stupid thought haha... I was trying to figure out how to tactfully say that an online vet isn't as helpful as an in person vet...
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