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Vestibular in a collie - need a new vet in Indianapolis

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  • Vestibular in a collie - need a new vet in Indianapolis

    Looking for some advice. This is one of the rescue's collie...I'm the on call person for emergencies this weekend.

    Senior collie, severe arthritis, history of ear infections. She's not anywhere close to me. The foster has taken her to the vet, they diagnosed an inner ear infection. Blood work and urine was normal. They sent her home on Cephalexin, Rimadyl (she had been on Rimadyl previously). They took her off the ear ointment (clotrimazole).

    She's nauseated, drooling, head tilt, walking in circles, falling over and has nystagmus. She's not eating or drinking.

    She wasn't given steroids or an appetite enhancer, but was sent home with prescription dog food.

    I have a phone call into the vet, because I don't understand why she wasn't at least given an appetite enhancer.

    Anyone have any suggestions? The plan is to give her some time to improve, but right now her quality of life sucks. The foster, unfortunately, is one who will try a little too hard to keep them going, she was trying to force feed her.
    Last edited by LauraKY; Nov. 18, 2012, 01:03 PM.

  • #2
    The dogs I've had that had VD, always got a steriod to reduce imflammation of inner ear, antibiotics for ear infection, and an anti nausea med. Can you get to a different vet to try to get something to help with the nausea at least? It'll help to get her to eat.

    Comment

    • Original Poster

      #3
      I talked to the vet...vet is very resistant to steroids because it "might" be an inner ear infection. She WAS given a shot of anti-nausea meds yesterday and is on meclazine. Foster is running subcutaneous fluids right now...she was a bit dehydrated. She's looking better and ate some...so fingers crossed. We'll try another vet on Monday if she hasn't perked up.

      How long should it take before she starts seeing some improvement?

      She's an un-adoptable senior collie in a long term foster situation...so it's hard to judge her quality of life from afar. The foster is very attached to her and she has a hard time knowing when it's time to say goodbye. We've had several better a day too early than a minute too late talks today.

      Comment


      • #4
        Originally posted by LauraKY View Post
        I talked to the vet...vet is very resistant to steroids because it "might" be an inner ear infection. She WAS given a shot of anti-nausea meds yesterday and is on meclazine. Foster is running subcutaneous fluids right now...she was a bit dehydrated. She's looking better and ate some...so fingers crossed. We'll try another vet on Monday if she hasn't perked up.

        How long should it take before she starts seeing some improvement?

        She's an un-adoptable senior collie in a long term foster situation...so it's hard to judge her quality of life from afar. The foster is very attached to her and she has a hard time knowing when it's time to say goodbye. We've had several better a day too early than a minute too late talks today.

        Vestibular in most cases does resolve, usually within a week or two. In my opinion, unless it doesnt resolve in time, not a reason to euthanize.

        Comment


        • #5
          My old girl got diagnosed with vestibulitis at the end of Sept. while I was traveling on business. She had the same symptoms: head tilt, not eating, falling over, eyes watching a tennis match.

          Vet put her on meclizine on a Weds morning. By the time I got home late Friday night she was much improved. Only a slight head tilt, much reduced tennis match, she was still a bit unsteady in the back end-especially if she shook her head.

          A few more days and I would say she was 90%. She is still at about 95%. She still has days where she shakes her head and loses her balance a bit. I am guessing at this point she is at maximum medical improvement. She is 15+ years old which is pretty old for a 45 lb dog that was tenatively diagnosed with hemangiosarcoma 14 months ago. Obviously whatever she has it isn't hemangio or she would not still be here.

          Rosie has a 10 cm tumor on her spleen (as of June). Our vet said he would normally give her a steroid because of the unknown nature of the tumor. Apparently some tumors/cancers accelerate growth with steroids. The meclizine helped a great deal and fairly quickly.
          Oh, well, clearly you're not thoroughly indoctrinated to COTH yet, because finger pointing and drawing conclusions are the cornerstones of this great online community. (Tidy Rabbit)

          Comment

          • Original Poster

            #6
            She seems to be improving. We had the foster start her on fluids yesterday and she's up and walking, with help to guide her.

            I've gotten involved with the vet, and I'm very frustrated with the non answers I'm getting regarding the middle ear infection. They had her on gentamicin ointment, but never did a culture and don't have a clue whether it's bacterial, or fungal. I was told her eardrum was perforated, but then they back tracked and said they suspected it was. I was also told they had "ear medicine" for her...it was tramadol, which is clearly not "ear medicine".

            Anyone know a very good, very reasonably price veterinarian in Indianapolis near the Speedway? We are a rescue, she's an aged, unadoptable collie and we've already spent a fortune on trying to get her comfortable.

            Comment


            • #7
              If they haven't done a culture on her ears, who knows if the meds are even working? I know most vets start with a basic antibiotic, but if it's recurring it really should be properly cultured. I totally understand your frustration, trying to help from afar.

              (Sorry I can't help with "reasonable" ... I work with specialists.)
              Life-long horse lover, dreaming of the day when I have one of my very own.

              Comment


              • #8
                Give her some time, more than anything else. I agree with the previous poster, vestibular is not a reason to euthanize, it tends to resolve 100% within a couple of weeks.

                Not eating well is probably due to the nausea, which you said is being treated with anti-nausea meds.

                With a history of ear infections, I'd put her on a grain-free diet. The most common cause of repeated ear infections is an allergy to grain. Presumably, they've already ruled out mites.
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