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If you're worried about your pet's health, please speak to a vet or qualified professional.

Older dog unwell - 'referral' vets - advice pls

27 replies

mydogispoorly · 06/06/2024 15:47

Ddog is not elderly but is getting on a bit. She has a bit of arthritis, and was diagnosed with pancreatitis a few months ago, which we have been managing through diet. She's been a bit off the last week or so, mopey, lethargic, picky about food.

We took her to our usual vets yesterday as we though perhaps the pancreatitis was flaring up, but they did a blood test which showed nothing unusual, and a snap test which didn't indicate pancreatitis. And basically said they can't tell what's wrong with her, they felt her stomach and said it felt painful and they need to refer her on.

They have referred us to a 'specialist' vet an hour away (apparently this is the closest one). Hoping it will be covered under the insurance so money not such a concern right now, but she absolutely hates the car, and the vet, and strange places, and is reactive with other dogs and strangers, so both of us will have to take time off work every time we need to go. They've said for the first appt we will need to leave her there all day for them to run tests etc.

I am just a bit bamboozled as to how we got from 'she's a bit mopey and not herself' to 'you need to see a specialist'. Is this normal when it's an older dog and they don't know what's wrong? I am debating whether to try another 'normal' vet locally first for a second opinion as ours seems to have gone really quickly to 'we can't help you any more'.

We obvs want to do whatever is best for her but this feels a bit drastic and could end up stressing her out needlessly and making things worse if we regularly have to go back and forth. WWYD?

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Autumn1990 · 06/06/2024 15:57

If she’s going to be really stressed about it I probably wouldn’t go. A shorter happier life is the better option. I agree a local second opinion might be a good idea

TequilaNights · 06/06/2024 15:58

Take her for a second opinion at another vets, sometimes a fresh pair of eyes can find a problem another has missed.

ilovemoney · 06/06/2024 15:59

Oh Dear OP i would read into this that they think its serious and don't want to speculate or alarm you. They are not doing further tests themselves so they want her to see a specialist. Have a look at the specialist and what they do this will give you an indication of what they suspect. I hope its nothing serious OP but i think with an older dog you need to prepare yourself for possibly having to have her put down.

muddyford · 06/06/2024 16:00

My Lab was 12 with these symptoms but luckily our vet dealt with it. Scanned his abdomen and removed a 3.5kg spleen tumour straightaway. If I had dithered (or vet had) he would have died in a matter of hours. I can't see why your vet doesn't scan your dear dog.

MiddleagedBeachbum · 06/06/2024 16:01

I’d want to know exactly what next tests the hospital can run that they can’t.
I’d 100% take dog though and do everything in my power to help dog.

muddyford · 06/06/2024 16:01

He went on for another four years after the operation.

ShinyBandana · 06/06/2024 16:03

They won’t want to max out your insurance limit doing extra tests and then still needing to refer you ( then’ll you’ll have less left to cover the specialist investigations and treatment).

Megifer · 06/06/2024 16:07

I'd go for a second opinion i think but only if I could get her seen ASAP, otherwise I'd absolutely go to the specialist, especially if dog isn't very elderly. I'd do anything I could within reason (which for me would mean putting up with the travel etc).

Is there a chance she's eaten something that could be causing a blockage like a rope toy? Is she pooing ok? Any vomiting?

mydogispoorly · 06/06/2024 16:29

Thanks all - she had a scan a couple of months ago as part of checking out the pancreatitis and they said all the other organs looked fine, no sign of a tumour etc. That said it would have been whatever scan they could do at the practice, and having recently been through an ultrasound myself and then still having to have a MRI, I guess it's possible it needs a 'better' scan that they can't do locally.

She's peeing, pooping, enjoying her walks, and is eating but just being a bit more picky than normal, left her lunch yesterday and breakfast the day before, it's just unlike her. And very mopey and sleepy during the day (although she is perking up for DH when he gets home!). But she's definitely not herself, she's normally a joyous little soul, so it's breaking my heart a bit. She's been like this before with an ear infection but they said although there is some inflammation on the outer ear atm, it shouldn't be bothering her that much.

She's not a chewer, we don't give her rawhide and she's with me pretty much 24/7 so I'm fairly sure it's nothing like that.

The referral vets just seems to be more of a hospital if that makes sense rather than being a specialist in one particular thing, so no clues there.

Getting a second opinion locally would be my preferred option but thinking about it I suspect this might be tricky - none of the vets with good reviews are taking on atm, my friend tried a few weeks ago. So I think we are going to have to go with it, and hope that whatever it is doesn't require frequent trips back and forth!

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fieldsofbutterflies · 06/06/2024 16:48

Have they given you any medication for the ear infection? If it's inflamed I wouldn't be happy to just leave it in case it gets worse. Mine gets really miserable with an ear infection and needs drops as well as painkillers to help him settle.

mydogispoorly · 06/06/2024 17:06

@fieldsofbutterflies yes we have drops. She often gets quite nasty ear infections, but the vet said her inner ear is clear, it's just some redness on the outside this time but they've given us drops anyway

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Beautifulbythebay · 06/06/2024 17:06

Ddog was also referred last month. Scan at vet showed bladder polyp.. Cost =400..
Consult at Posh Place was to be £230 for initial appointment.. Biopsy from 2k to 3. 5k..
Back at Pauper Vet investigation surgery was 1400.. No polyp.. Spayed ddog and swaps suggest cancer..
Same end result ddog hasn't got long.

Ime do not put ddog and your purse through Posh Vet when Pauper one just as informative...
Sorry as I know this is rubbish and unfair...

SilverHairedCat · 06/06/2024 17:10

Anything else tested for or noted in the bloods?

We lost our girl to liver failure last year with similar initial symptoms. We didn't go ahead with invasive tests or diagnostics - bloods and her behavioural symptoms told the story. We put her to sleep.

Meadowtrees · 06/06/2024 17:10

How old is your dog? IME once they are old it isn’t kind to pursue investigations / treatments that aren’t likely to improve their quality of life anyway. A few extra uncomfortable months isn’t in their interest. It is very hard though when they are our faithful friends.

fieldsofbutterflies · 06/06/2024 17:15

mydogispoorly · 06/06/2024 17:06

@fieldsofbutterflies yes we have drops. She often gets quite nasty ear infections, but the vet said her inner ear is clear, it's just some redness on the outside this time but they've given us drops anyway

I would be worried about pain personally - either from her ear, her arthritis or from something going on internally.

Is she on painkillers for the arthritis? Could you possibly ask for a pain trial - if she then perks up, you can start to narrow down any possible causes.

mydogispoorly · 06/06/2024 17:18

Apparently bloods were all clear - she's slightly polycythaemic but has been for a while and they said they are not too worried as it's not got any worse. She's 9, possibly 10 so not old old, albeit she is pretty frosty round the chops!

If this had been a constant trend I would be thinking more along the lines of are we near the end, but just a couple of weeks ago she was racing around like a loony and nagging us to play, so I am hoping and praying that whatever it is may be something temporary / fixable.

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mydogispoorly · 06/06/2024 17:25

@fieldsofbutterflies she was on rheumocam but they told us to stop it as it contra-indicates the pancreatitis. I've asked if they can put her on anything else, and was told no for now until we work out what's wrong with her, she's just to take pardale (which is basically doggy paracetamol).

I think that's the frustrating thing. It could be the arthritis but we are not properly medicating for it because of the pancreatitis. It could be her ears, but they don't 'think' it's that. It could be a pancreatitis flare but the test was negative (but apparently not definitive). Or it could be something else entirely. The more I think about it the more I do think it needs a fresh pair of eyes as our vets have obviously reached the limit of their expertise in working it out.

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fieldsofbutterflies · 06/06/2024 17:33

Oh, bless her - and you too, it's so horrible when they're poorly.

I think if she's insured, I would be tempted to go to the specialist and see what they say. At least then you might get some kind of diagnosis and then you can work treatment around her other issues?

tabulahrasa · 06/06/2024 17:33

You wouldn’t usually be going multiple times to a vet you’ve been referred to, they would IME anyway do a one off visit to diagnose or occasionally a second if it was an operation or a follow up test was needed that your own vet couldn’t do - after that your own vet would take over again.

Sundaysiesta56 · 06/06/2024 17:35

Going to back up Beautifulbythebay here and say brace yourselves for £££ if you go to the specialist vet. We were referred and it was £400 for the consultation which basically was just hard sell for an MRI at £3.5k potentially followed by surgery at £5k but no guarantee that it wouldn't turn out to be £3.5k just to find out PTS was needed. We decided our DDog had had a long enough life for us to not to feel too bad about giving that a hard pass.

Meadowtrees · 06/06/2024 17:40

What sort of dog is she - 10 is old for breeds?

mydogispoorly · 06/06/2024 19:33

@Meadowtrees she's a cross - one breed with a life expectancy of 8 and the other 12, so we're right in the middle.

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mydogispoorly · 06/06/2024 19:33

Just been out for a walk and she had a lovely time, running about and nagging for treats. Eaten her dinner. She's now glaring at me from her basket as I put eardrops in her ears amd she's Not My Friend.

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Beautifulbythebay · 06/06/2024 19:35

Do not feel badly if cost is an issue.. A different ddog had a limp last year... Apparently she needed a bone scan costing 800 quid... 10 days later she was perfectly fine and has been since November... She's 14..
Ddog 1 was recommended a brain scan for suggested tumour.. No treatment available though... Waited 2 weeks and symptoms appeared that proved she had one... Sadly pts. Vets ime do operate via kerching....

mydogispoorly · 07/06/2024 10:22

Hmm. 24 hours of eardrops and she already seems brighter....

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