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Diagnosis possibilities?
Sent to Pet Experts October 06 01:10 PM

I have a 6 year old Mastiff (133lbs) with slight pain in the back area of the body. The ex-rays show no bone fractures, breaks, or obstructions in the digestive system...they show healthy joints and spine. Lyme's Disease check came back negative. A physical examination did not show anything abnormal to the body (internal/external). The pain seemed to be there when the dog got up from a lying position (sort of like being stiff, but to the point where the dog yelped while getting up). This pain happened overnight, no on-set or previous symptoms happened prior to today. The vet issued a prescription for pain meds to try for a little while.

The dog initially did not want to urinate or have a bowel movment, but since has. No blood was located in the urine and bowel appeared normal (and solid).

When the dog gets up from a lying position, one can hear slight snaps (coming from the hip area) like one can hear when a person stretchs sometimes. The dog tries to protect the rear end by tucking the tail and sitting down when someone trys to examine it. Otherwise, the dog is in good physical condition.

Any thoughts on possible problems?

 

Optional Information:
Age: 6; Male; Breed: Dog/Mastiff

Already Tried:
Brought to vet, see question on what they did...

Customer (name blocked for privacy)
Answer
October 6 2:08 PM (57 minutes and 19 seconds later)
         
ACCEPTEDCheck Mark
Tucked tail and wanting to sit immediately upon examination usually means one of two things. The first possibility is interevertebreal disc disease in the lumbosacral region (the last 1/3 of the spine or pelvis). A partially or even completely herniated disc in the back would not necessarily show up on x-rays, as discs are cartilagenous and as such are not visualized on x-rays. Sometimes with a severe herniation intervertebral collapsed disc space can be visualized on x-ray, but this is not a consistent finding.

With no apparent secondary neurological compromise (I assume your vet did some simple neuorlogical tests on the back legs - reflex hammer, flipping the paws over), treating with pain management and rest is a reasonable course of action. However, you did not mention which pain med was used. In cases of possible spinal or any musculoskeletal inflammation, I like to select a non-steroidal anti-inflammatory (NSAID) that will reduce inflammation as well as pain. Some good choices for use in dogs are: Rimadyl, Metacam, Deramax, and Zubrin.

A second possibility is that the anal sacs are full or infected. For a detailed explanation of this problem, please see the following article I wrote on the topic:

http://www.maybeckvet.com/analsacs.html

Most dogs scoot and lick the anal area excessively when this occurs, however, giant breeds often do not do either of these because of their size and lack of flexibility. With a dog that has non-specific pain, tucked tail, and sitting down when examined, checking the anal sacs would be one of the first things I would do.

My advice to you at this point would be to have your vet check those anal sacs if it has not already been done. If you come up empty there, I would then try treating with a good anti-inflammatory, preferably one of the ones I named above (if I had to pick a favorite, it would be Rimadyl). I would combine this with 3-5 days of Valium (diazepam) to help relax any muscles that may be knotted up from the dog having tweaked the back. Most importantly, strict rest, short leash walks of 5 minutes only to eliminate, and no running, jumping, or stairs - for 2 weeks.

If you come up empty with the anal sacs, and the regimen (or one akin to it) I just described offers no improvement, then the boy should get referred to an orthopedic specialist to be assessed and possibly have some advanced imaging of the area, like CT scan or MRI.


Best of luck to you, and thank you for choosing JustAnswer! Please do not hesitate to let me know if I may be of any further assistance.

Sincerely,

Roger L. Welton, DVM
President, Maybeck Animal Hospital
Author, "Canine And Feline 101"
Reply
October 6 2:23 PM (15 minutes and 38 seconds later)
         
Reply to Roger L. Welton, DVM's Post: Thanks for the information. The Anal Gland idea is interesting because she has left a smelly stain on my truck seat before.

She was given Rimadyl which seems to be calming her. Once she is up and moving around, she does not seem in pain, it's only after she has been sitting for awile.

I'll look at both your suggestions! Thanks, Lee Sarkela
Answer
October 6 9:26 PM (7 hours and 2 minutes and 42 seconds later)
         
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