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Questions about histiocytomas and about reflux
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Member Since:
14 June 2012
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16 October 2012 - 2:57 pm
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I have a few questions and hope someone will be willing to help:

1. Willow has had a spot on her face for just over 3 months. At first it was just flat, hairless and skin-colored. It then became raised and red. A needle aspiration was done for biopsy after she had it for 1 month and it came back inconclusive. The vet suspected it was a histiocytoma , but said if it was not gone in 4 more weeks that it should be removed. At that point it was definitely on its way to being gone so he said to watch it. It is now the 3 month mark, and while it has gotten smaller, it is still a raised red bump. Any suggestions? Should it be removed and biopsied? Willow is in good health, but she is almost 9 years old and I don’t want her to undergo unnecessary surgery.

2. If Willow has to have surgery, do any of her supplements have to be stopped ahead of time? I know in humans fish oil can cause bleeding and must be stopped 2 weeks before surgery, and I think chondroitin and glucosamine have to be stopped before surgery in humans as well. Does this apply to dogs? Willow takes Dasuquin, Lubrisyn (hyaluronic acid) and Nordic Naturals fish oil.

3. Is reflux more common in front leg tripawds than in dogs with 4 legs because of their “hoppy” gait? Willow has terrible reflux with symptoms of large burps, mostly after eating or drinking, and sometimes brings up “fluid” with those large burps. She was a tripawd when I adopted her, so I don’t know if this was a problem for her before her leg was amputated. She is on Cimetidine and her reflux is definitely improved but not gone. How much, if any reflux is okay/not dangerous?

Thank you,
Carol and Willow

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Member Since:
22 August 2008
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16 October 2012 - 8:41 pm
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If the mass is going away it could be a histiocytoma although those are more common in short-haired young dogs.  If it is slowly getting smaller I would watch it but if it has the been the same size for a while then I would either reaspirate it or remove it.

For minor surgeries I do not have clients stop supplements.

Reflux is usually not secondary to being a tripod so it might be a pre-existing condition.  My dog Loki needs to take Pepcid twice daily or he will regurgitate acid/fluid.  I would say that her condition is well controlled if she has fewer than 1 episode every 1-2 weeks.  Sometimes a diet change can also help.

Pam

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14 June 2012
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16 October 2012 - 10:01 pm
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Willow currently takes 200 mg of Cimetidine 2x a day. She has been on Pepcid, but it didn't work as well as the Cimetidine (Tagamet). Are there any other medications that might help? What do you recommend as far as diet? She is currently eating Natural Balance Ultra Premium Dry.

Thank you,
Carol

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22 August 2008
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18 October 2012 - 11:32 am
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For my dog I found that fish and potato foods worked best but each dog is different.  My dog also takes metoclopramide 15 mg twice daily (he weighs 150 pounds) and that really made a difference for him.  Your vet will need to write a script for that.

Pam

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