Sick Dog - Would Love Suggestions

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This is a discussion on Sick Dog - Would Love Suggestions within the Dog Health forums, part of the Keeping and Caring for Dogs category; My dog started throwing up last weekend and I immediately took her to the vets. The vet noticed her lymph nodes are swollen. The blood ...

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Old 05-20-2017, 02:10 PM
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Sick Dog - Would Love Suggestions

My dog started throwing up last weekend and I immediately took her to the vets. The vet noticed her lymph nodes are swollen. The blood work was normal and the vet wanted to take care of the throwing up first so she got an anti nausea shot and was sent home.

A couple days later we went back and they aspirated the lymph nodes and sent them for testing. Results on Monday. Since then it seems like she's peeing a lot and a bit tired and after a 5 days of no vomiting, she threw up again this morning. She's on a rice and chicken diet right now.

She's only 5 so I thought lymphoma was unlikely but I'm totally freaked out.

Does anyone have ideas on what else it could be? If she has a virus could it last this long?
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Old 05-20-2017, 08:06 PM
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Are all her lymph nodes enlarged? If only one or two, that could mean some sort of localized disease, but I think the most common causes of generalized lymph node enlargement are lymphoma and some tick borne diseases. Since you've already done the lymph node cytology, you might as well wait to see what those results are, but if it is inconclusive, you might consider having your vet run a tick panel (not just the in house snap test, but a full tick panel to the lab) to rule those possibilities out.

When my dog (who was 11, but my cousin has a dog just diagnosed with lymphoma who is only 5 ) had lymphoma, she initially had swelling only in the inguinal nodes, then it progressed to all the others over time. Initially cytology samples weren't indicative of lymphoma, and my dog had a myriad of health issues that made me not want to sedate her to remove a piece of tissue for biopsy, so we did a tick panel (negative) just to cover all possibilities, and I ended up seeing an internal specialist who used ultrasound to visualize their needle aspirate attempts, and they were able to get samples to confirm that it was lymphoma. That said, for the vast majority of dogs, my vet is able to get confirmatory samples- I think my dog was just a weirdo, or maybe had lower cellularity in the nodes sampled at that time (her disease progressed slowly, she lived almost 9 months with no treatment after I first noticed the enlarged nodes).

I do know of a few dogs whose enlarged lymph nodes were caused by TBDs, rather than lymphoma, so IMO it's worth ruling out if the aspirate comes back negative for lymphoma and doesn't suggest any other possible cause.

My dog was sometimes picky prior to developing lymphoma, and didn't really get any worse in that respect until several months after being diagnosed, after which point she became increasingly picky. I don't remember her vomiting but it's been a while.

If all her peripheral lymph nodes are enlarged, you have to keep in mind that her internal LNs are probably enlarged as well, and that can cause problems due to pressure on the intestines and other organs.

Good luck with her. Fingers crossed for something that can be treated!
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Old 05-20-2017, 10:19 PM
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Thanks Bussanie. It's good to hear from someone with experience. I'll mention the full tick panel to the vet if (crossed fingers) the Lymphoma test is negative. She had a huge tick on her a couple of weeks ago. I'm praying that's it.
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Old 05-25-2017, 06:07 PM
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Hi. Sorry for your dogs illness. A couple of things that your vet will likely tell you. A fine needle aspirate of the lymph node is not always diagnostic. Occasionally, to get a correct diagnosis, a small biopsy might be needed. If it is lymphoma, you will want to address it as soon as possible. If so, don't forget to look at alternative support. There are a lot of supplements that can help the dogs immune system. Good luck.
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