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Discussion Starter · #1 · (Edited)
Hello:
Any help or guidance would be really appreciated! I have seen a number of vets (GP, ER#1, ER#2) and specialists (Cardiologist) and trying to determine what is causing Coopie's Exercise Intolerance. Prior to about a month ago, he could run miles, walk more miles, play at the dog park for at least an hour without any interest in laying down. Now after 5minutes at the dog park he is laying down panting like crazy - when on walks he is panting like crazy at 1mile.
THANKS IN ADVANCE!!!

English Springer Spaniel (ESS), 1year 2months old, 44lbs (Smaller side of ESS size/frame), NO visual physical difference or mental difference.

CONTENTS BELOW: * Symptom Summary * Historical Issues * Current Diet * Tests Performed * Observations * Vet Clinical Summary - 6 days ago*


SYMPTOM SUMMARY
1. Exercise Intolerance (NOT lethargy) - presented May 20.
  • No collapse, no loss of interest in play, no sleepiness or tiredness, no wobbly gait.
  • Panting occurs prematurely and escalates quickly compared to ~1.5mo ago.
2. Tense abdomen.
3. Chronic intermittent diarrhea.
4. High water consumption - 6 to 8 cups/day.
5. Bowel movement straining - intermittent.
6. Reduced appetite - still eats everything. Presented sometime in May.
7. Pacing or inability to get comfortable since birth. ? Could be because bored, medium sized apartment. Moves around during sleeping.
8. Chews on rear paws occasionally - mostly right side.
9. Flatulency & Burping - After eating - presented ~May 27th .
10. Eye buggers - daily since birth.
11. Some anxiety.

HISTORICAL ISSUES
1. Clostridium Difficile - Treated 2x.
2. Umbilical Hernia - Vet evaluated in December as OK.
3. Anxiety. (Car, dog park)
4. Food sensitivity. (On Limited Ingredient Sensitive Stomach Food)

CURRENT DIET
Natural Balance Limited Ingredient Diet Adult Dry Dog Food - Beef & Brown Rice - 3 CUPs per day

TESTS
1. Echocardiogram: normal heart, no arrhythmia or murmurs.
2. TFAST: No pleural effusion, no pericardal effusion, no overt cardiac chamber enlargement, normal contractility.
3. Bloodwork - ANTECH: Normal - EXCEPT (1) Lymphocytes= High, 4674 (Range: 690-4500) & (2) PrecisionPSL= Low, 18 (Range: 24-140)
4. Heart Xray: 1 vet said enlarged heart, 2 others said normal.

OBSERVATIONS - Associated with diseases etc.
1. Normal breaths per minute.
2. Normal gum color.
3. Neck and head normal during exercise - not down or not straining upward.
4. No problem laying on sides after exercise.
5. No heart murmur or arrhythmia.
6. No weight change.
7. No potbelly.
8. No blood in stools, urine etc.
9. No dermatological issues.

VET CLINICAL SUMMARY - 6 days ago
1. Body condition score-: 4/9
2. CRT-: <2 sec
3. weight-: 20.4 kg
4. hydration-: <5% dehydrated
5. EENT-: - no oculonasal discharge, no oral lesions. clear OU, clean AU
6. Lymph Nodes-: WNL
7. Lungs-: clear, eupneic, synchronous breathing pattern, no crackles or wheezes heard.
8. Heart-: no murmur, regular rhythm, strong synchronous femoral pulses
9. Abdomen-: tense painful, no distinct masses or foreign bodies palpated.
10. Musculoskeletal-: strongly ambulatory x 4, no joint swelling appreciated. No pain on rotation, flexion or
11. extension. No cervical or spinal pain.
12. Neurologic-: BAR mentation appropriate, no cranial nerve deficits found. Normal CPs, vol motor, pain,
13. withdraw X 4 limbs. Normal reflexes.
14. Integument-: No wounds found. normal haircoat and skin.
15. Urogenital-: nonpainful urinary bladder. no discharge noted
16. Rectal Exam-: not done
17. Diagnostics/Therapeutics:
18. Echo by Cardio- normal heart- no arrthymia seen
19. blood glucose- 107 g/dl

SUGGESTIONS FROM POSTS TO FOLLOW UP ON:
1. Lyme Disease
2. Cushing disease
 

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Hello:
Any help or guidance would be really appreciated! I have seen a number of vets and specialists and trying to determine what is causing Coopie's Exercise Intolerance. Prior to about a month ago, he had unlimited energy and could run miles a day. THANKS IN ADVANCE!!!

CONTENTS BELOW: * Symptom Summary * Historical Issues * Current Diet * Tests Performed * Observations * Vet Clinical Summary - 6 days ago*


SYMPTOM SUMMARY
1. Exercise Intolerance (NOT lethargy) - presented May 20.
2. Tense abdomen.
3. Chronic intermittent diarrhea.
4. High water consumption - 6 to 8 cups/day.
5. Bowel movement straining - intermittent.
6. Reduced appetite - still eats everything. Presented sometime in May.
7. Pacing or inability to get comfortable since birth. ? Could be because bored, medium sized apartment. Moves around during sleeping.
8. Chews on rear paws occasionally - mostly right side.
9. Flatulency & Burping - After eating - presented ~May 27th .
10. Eye buggers - daily since birth.
11. Some anxiety.

HISTORICAL ISSUES
1. Clostridium Difficile - Treated 2x.
2. Umbilical Hernia - Vet evaluated in December as OK.
3. Anxiety. (Car, dog park)
4. Food sensitivity. (On Limited Ingredient Sensitive Stomach Food)

CURRENT DIET
Natural Balance Limited Ingredient Diet Adult Dry Dog Food - Beef & Brown Rice - 3 CUPs per day

TESTS
1. Echocardiogram: normal heart, no arrhythmia or murmurs.
2. TFAST: No pleural effusion, no pericardal effusion, no overt cardiac chamber enlargement, normal contractility.
3. Bloodwork - ANTECH: Normal - EXCEPT (1) Lymphocytes= High, 4674 (Range: 690-4500) & (2) PrecisionPSL= Low, 18 (Range: 24-140)
4. Heart Xray: 1 vet said enlarged heart, 2 others said normal.

OBSERVATIONS - Associated with diseases etc.
1. Normal breaths per minute.
2. Normal gum color.
3. Neck and head normal during exercise - not down or not straining upward.
4. No problem laying on sides after exercise.
5. No heart murmur or arrhythmia.
6. No weight change.
7. No potbelly.
8. No blood in stools, urine etc.
9. No dermatological issues.

VET CLINICAL SUMMARY - 6 days ago
1. Body condition score-: 4/9
2. CRT-: <2 sec
3. weight-: 20.4 kg
4. hydration-: <5% dehydrated
5. EENT-: - no oculonasal discharge, no oral lesions. clear OU, clean AU
6. Lymph Nodes-: WNL
7. Lungs-: clear, eupneic, synchronous breathing pattern, no crackles or wheezes heard.
8. Heart-: no murmur, regular rhythm, strong synchronous femoral pulses
9. Abdomen-: tense painful, no distinct masses or foreign bodies palpated.
10. Musculoskeletal-: strongly ambulatory x 4, no joint swelling appreciated. No pain on rotation, flexion or
11. extension. No cervical or spinal pain.
12. Neurologic-: BAR mentation appropriate, no cranial nerve deficits found. Normal CPs, vol motor, pain,
13. withdraw X 4 limbs. Normal reflexes.
14. Integument-: No wounds found. normal haircoat and skin.
15. Urogenital-: nonpainful urinary bladder. no discharge noted
16. Rectal Exam-: not done
17. Diagnostics/Therapeutics:
18. Echo by Cardio- normal heart- no arrthymia seen
19. blood glucose- 107 g/dl
What breed and age? And do you have any past & present pics for comparison...?
EDIT: OK, just noticed breed & age is in the title, my bad...
 

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You list 'exercise intolerance' as a symptom, but don't describe what that actually looks like. Is he just getting tired quickly, or actually collapsing, staggering, displaying other abnormal behavior? If you could describe the pattern you're seeing it could be helpful.

Have any of these vets been specialists, or have they all been general practice vets? Specialist help can be a real life-saver with tricky issues, as can veterinary colleges, as they have access to both a wide variety of specialists and a lot of state-of-the-art tools, techniques, medications, and training.
 

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Has the dog been tested for Lyme's disease? All other diseases that might be borne by ticks? Screenings for parasites?
 

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Discussion Starter · #6 ·
Has the dog been tested for Lyme's disease? All other diseases that might be borne by ticks? Screenings for parasites?
Good thought and thank you for your time reading/commenting. - Copper sees an Internal Medicine doctor on Wednesday and I will inquire. He does not display any fever, weight loss (Though some loss of appetite), lameness, stiffness.
 

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Discussion Starter · #7 ·
You list 'exercise intolerance' as a symptom, but don't describe what that actually looks like. Is he just getting tired quickly, or actually collapsing, staggering, displaying other abnormal behavior? If you could describe the pattern you're seeing it could be helpful.

Have any of these vets been specialists, or have they all been general practice vets? Specialist help can be a real life-saver with tricky issues, as can veterinary colleges, as they have access to both a wide variety of specialists and a lot of state-of-the-art tools, techniques, medications, and training.
Thank you for reading and providing thoughts!! Good question - I will make sure to clarify in post.
1. No display of * Collapse, * Not wanting to play, * Sleepiness or tiredness, * Wobbly Gait (i.e no Exercise Induced Collapse)
2. He does have *Increased body temperature, * Premature panting and heavy breathing during exercise when compared to ~1.5 months ago.
3. Two instances of laying down at 1 mile and two instances of laying down 5 minutes into playing at the dog park - previously he never once laid down - not even at say a four mile mark (Distance measured in me walking and the dog running back and forth, back and forth off leash)

He has seen a general practitioner, Cardiologist, ER doctor who inquired with Neurology & Cardiology departments (no idea), ER doctor #2 who inquired with Internal Medicine.
 

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This wouldn't explain the excersise intolerance, but if he's been having diarrhea, straining to deficate on and off and no rectal exam was done, there could be a anal gland issue.

Just noticed your update. Has the temperature outside increased substantially in the last month? My pup doesn't jog half as long as he did in the winter and he sniffs more in this weather.
 

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Thanks for the clarification! I'm glad his symptoms aren't as severe as collapsing - that's scary business. I do agree that the high summer temperatures could be contributing to his excessive panting, tiredness, and drinking, especially if his GI issues are already causing him discomfort, but it's impossible to say if that's the only, or even the main, cause. Getting him to an internal medicine specialist is a great idea, that'd be my next step if he were my dog. Some gastrointestinal problems can be accompanied by fatigue/low energy too, so I wouldn't be surprised if they wanted to do more diagnostics in regards to his digestive tract.
 

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Discussion Starter · #10 ·
This wouldn't explain the excersise intolerance, but if he's been having diarrhea, straining to deficate on and off and no rectal exam was done, there could be a anal gland issue.

Just noticed your update. Has the temperature outside increased substantially in the last month? My pup doesn't jog half as long as he did in the winter and he sniffs more in this weather.
Good question. The temperature has been higher and more humid - however, I have taken him out at varying times/temperatures and the result is the same.
 

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Discussion Starter · #11 ·
This wouldn't explain the excersise intolerance, but if he's been having diarrhea, straining to deficate on and off and no rectal exam was done, there could be a anal gland issue.

Just noticed your update. Has the temperature outside increased substantially in the last month? My pup doesn't jog half as long as he did in the winter and he sniffs more in this weather.
I looked up the Alan Gland disease - is that what you are referring to? He has not been dragging his rear on the ground and I have not seen any discharge or puss from the rear...any other ideas? Thanks!
 

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I looked up the Alan Gland disease - is that what you are referring to? He has not been dragging his rear on the ground and I have not seen any discharge or puss from the rear...any other ideas? Thanks!
Yes anal gland. I was just thinking it could be something to get checked out next vet visit, not sure you would see all the symtoms. My pup (15 years ago) Snoop had trouble digesting Royal Canin vet food. He ended up with an infection. I did notice some discharge, but had no idea what it was or if it was normal. I don't remember him dragging his bottom, but it was so bad it got infected, just a thought.......

I hope you get it figured out.
 

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Hello:
Any help or guidance would be really appreciated! I have seen a number of vets (GP, ER#1, ER#2) and specialists (Cardiologist) and trying to determine what is causing Coopie's Exercise Intolerance. Prior to about a month ago, he could run miles, walk more miles, play at the dog park for at least an hour without any interest in laying down. Now after 5minutes at the dog park he is laying down panting like crazy - when on walks he is panting like crazy at 1mile.
THANKS IN ADVANCE!!!

English Springer Spaniel (ESS), 1year 2months old, 44lbs (Smaller side of ESS size/frame), NO visual physical difference or mental difference.

CONTENTS BELOW: * Symptom Summary * Historical Issues * Current Diet * Tests Performed * Observations * Vet Clinical Summary - 6 days ago*


SYMPTOM SUMMARY
1. Exercise Intolerance (NOT lethargy) - presented May 20.
  • No collapse, no loss of interest in play, no sleepiness or tiredness, no wobbly gait.
  • Panting occurs prematurely and escalates quickly compared to ~1.5mo ago.
2. Tense abdomen.
3. Chronic intermittent diarrhea.
4. High water consumption - 6 to 8 cups/day.
5. Bowel movement straining - intermittent.
6. Reduced appetite - still eats everything. Presented sometime in May.
7. Pacing or inability to get comfortable since birth. ? Could be because bored, medium sized apartment. Moves around during sleeping.
8. Chews on rear paws occasionally - mostly right side.
9. Flatulency & Burping - After eating - presented ~May 27th .
10. Eye buggers - daily since birth.
11. Some anxiety.

HISTORICAL ISSUES
1. Clostridium Difficile - Treated 2x.
2. Umbilical Hernia - Vet evaluated in December as OK.
3. Anxiety. (Car, dog park)
4. Food sensitivity. (On Limited Ingredient Sensitive Stomach Food)

CURRENT DIET
Natural Balance Limited Ingredient Diet Adult Dry Dog Food - Beef & Brown Rice - 3 CUPs per day

TESTS
1. Echocardiogram: normal heart, no arrhythmia or murmurs.
2. TFAST: No pleural effusion, no pericardal effusion, no overt cardiac chamber enlargement, normal contractility.
3. Bloodwork - ANTECH: Normal - EXCEPT (1) Lymphocytes= High, 4674 (Range: 690-4500) & (2) PrecisionPSL= Low, 18 (Range: 24-140)
4. Heart Xray: 1 vet said enlarged heart, 2 others said normal.

OBSERVATIONS - Associated with diseases etc.
1. Normal breaths per minute.
2. Normal gum color.
3. Neck and head normal during exercise - not down or not straining upward.
4. No problem laying on sides after exercise.
5. No heart murmur or arrhythmia.
6. No weight change.
7. No potbelly.
8. No blood in stools, urine etc.
9. No dermatological issues.

VET CLINICAL SUMMARY - 6 days ago
1. Body condition score-: 4/9
2. CRT-: <2 sec
3. weight-: 20.4 kg
4. hydration-: <5% dehydrated
5. EENT-: - no oculonasal discharge, no oral lesions. clear OU, clean AU
6. Lymph Nodes-: WNL
7. Lungs-: clear, eupneic, synchronous breathing pattern, no crackles or wheezes heard.
8. Heart-: no murmur, regular rhythm, strong synchronous femoral pulses
9. Abdomen-: tense painful, no distinct masses or foreign bodies palpated.
10. Musculoskeletal-: strongly ambulatory x 4, no joint swelling appreciated. No pain on rotation, flexion or
11. extension. No cervical or spinal pain.
12. Neurologic-: BAR mentation appropriate, no cranial nerve deficits found. Normal CPs, vol motor, pain,
13. withdraw X 4 limbs. Normal reflexes.
14. Integument-: No wounds found. normal haircoat and skin.
15. Urogenital-: nonpainful urinary bladder. no discharge noted
16. Rectal Exam-: not done
17. Diagnostics/Therapeutics:
18. Echo by Cardio- normal heart- no arrthymia seen
19. blood glucose- 107 g/dl

SUGGESTIONS FROM POSTS TO FOLLOW UP ON:
1. Lyme Disease
2. Cushing disease
Could he have eaten something off the dogs can't eat list? Or maybe some other toxin?
And you are more thorough than my GP.
 

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I would be concerned about a toxin. Could he have possibly eaten grapes, onions, or other foods he was not supposed to eat? Also, many common plants such as lilies are extremely toxic to pets and can affect their liver and kidneys and throw their whole body out of whack. It's great that you are seeing an internist. Hopefully the cause(s) will be discovered quickly. There is a private group on Facebook called Pet Vet Corner where people post questions such as this and veterinarians respond. It wouldn't hurt to join and see if the vets on there have any ideas. I wish you and your pup luck!
 

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Hello:
Any help or guidance would be really appreciated! I have seen a number of vets (GP, ER#1, ER#2) and specialists (Cardiologist) and trying to determine what is causing Coopie's Exercise Intolerance. Prior to about a month ago, he could run miles, walk more miles, play at the dog park for at least an hour without any interest in laying down. Now after 5minutes at the dog park he is laying down panting like crazy - when on walks he is panting like crazy at 1mile.
THANKS IN ADVANCE!!!

English Springer Spaniel (ESS), 1year 2months old, 44lbs (Smaller side of ESS size/frame), NO visual physical difference or mental difference.

CONTENTS BELOW: * Symptom Summary * Historical Issues * Current Diet * Tests Performed * Observations * Vet Clinical Summary - 6 days ago*


SYMPTOM SUMMARY
1. Exercise Intolerance (NOT lethargy) - presented May 20.
  • No collapse, no loss of interest in play, no sleepiness or tiredness, no wobbly gait.
  • Panting occurs prematurely and escalates quickly compared to ~1.5mo ago.
2. Tense abdomen.
3. Chronic intermittent diarrhea.
4. High water consumption - 6 to 8 cups/day.
5. Bowel movement straining - intermittent.
6. Reduced appetite - still eats everything. Presented sometime in May.
7. Pacing or inability to get comfortable since birth. ? Could be because bored, medium sized apartment. Moves around during sleeping.
8. Chews on rear paws occasionally - mostly right side.
9. Flatulency & Burping - After eating - presented ~May 27th .
10. Eye buggers - daily since birth.
11. Some anxiety.

HISTORICAL ISSUES
1. Clostridium Difficile - Treated 2x.
2. Umbilical Hernia - Vet evaluated in December as OK.
3. Anxiety. (Car, dog park)
4. Food sensitivity. (On Limited Ingredient Sensitive Stomach Food)

CURRENT DIET
Natural Balance Limited Ingredient Diet Adult Dry Dog Food - Beef & Brown Rice - 3 CUPs per day

TESTS
1. Echocardiogram: normal heart, no arrhythmia or murmurs.
2. TFAST: No pleural effusion, no pericardal effusion, no overt cardiac chamber enlargement, normal contractility.
3. Bloodwork - ANTECH: Normal - EXCEPT (1) Lymphocytes= High, 4674 (Range: 690-4500) & (2) PrecisionPSL= Low, 18 (Range: 24-140)
4. Heart Xray: 1 vet said enlarged heart, 2 others said normal.

OBSERVATIONS - Associated with diseases etc.
1. Normal breaths per minute.
2. Normal gum color.
3. Neck and head normal during exercise - not down or not straining upward.
4. No problem laying on sides after exercise.
5. No heart murmur or arrhythmia.
6. No weight change.
7. No potbelly.
8. No blood in stools, urine etc.
9. No dermatological issues.

VET CLINICAL SUMMARY - 6 days ago
1. Body condition score-: 4/9
2. CRT-: <2 sec
3. weight-: 20.4 kg
4. hydration-: <5% dehydrated
5. EENT-: - no oculonasal discharge, no oral lesions. clear OU, clean AU
6. Lymph Nodes-: WNL
7. Lungs-: clear, eupneic, synchronous breathing pattern, no crackles or wheezes heard.
8. Heart-: no murmur, regular rhythm, strong synchronous femoral pulses
9. Abdomen-: tense painful, no distinct masses or foreign bodies palpated.
10. Musculoskeletal-: strongly ambulatory x 4, no joint swelling appreciated. No pain on rotation, flexion or
11. extension. No cervical or spinal pain.
12. Neurologic-: BAR mentation appropriate, no cranial nerve deficits found. Normal CPs, vol motor, pain,
13. withdraw X 4 limbs. Normal reflexes.
14. Integument-: No wounds found. normal haircoat and skin.
15. Urogenital-: nonpainful urinary bladder. no discharge noted
16. Rectal Exam-: not done
17. Diagnostics/Therapeutics:
18. Echo by Cardio- normal heart- no arrthymia seen
19. blood glucose- 107 g/dl

SUGGESTIONS FROM POSTS TO FOLLOW UP ON:
1. Lyme Disease
2. Cushing disease
CHANGE DIET ASAP, when Natural Balance Limited Ingredient kibbles were tested for toxins a few of Natural Balance formula's came back high in "Toxins, Heavy Metals, + Contaminates".
ALWAYS rotate your dogs diet never feed the same dry kibble month after month year after year. If there is something wrong with dog food when you rotate between a few different brands 1) your dog isn't eating the same food then getting sick, 2) you're strengthen dogs immune system by changing ingredients/brands + avoiding high toxins contaminates that cause health problems. White meats - Chicken, Turkey, Pork are lower in toxins heavy metals, I rotate between these meats...Car can make him feel sick, dog park he needs to socialize more & met happy, calm, relaxed dogs so he learns not all dogs are bullies...
Did vet look into panic attacks??? Nervousness can cause stomach & bowel related problems, also instead of feeding 2 big meals I feed 3-4 smaller meals & "Strict Routine" dogs LOVE a routine, they know what is going to happen next, once in a routine he might calm down & not be as nervous then no panic attacks?
This sorta happened with my boy a few years ago, he was diagnosed with IBD & his panting was pain related,& stress when we'd go places he didnt like or was scared he'd start his panting, restlessness & moving in sleep can be wind pain, farts? Did vets look at IBD or IBS??..
My dog does best on grain free kibbles that have potato in them, potato soothes stomach & bowel. No Lentil they caused gas sloppy poo/diarrhea, he takes CBD Oil now a low dose 2-3 drops on small biscuit before we're going somewhere he worries about/stresses.
Kibble brands - To look at
"Wellness Simple - Turkey & Potato"
"Canidae Pure - Wild Boar"
"Eagle Pack - Lamb & Rice"
"Eagle Pack - Chicken & Pork"
Also start adding fresh healthy ingredients to dog diet, even if you could stop 1 kibble meal & introduce feed cooked or air dried meal. He's a bit young to have Cushings??
 

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This is just out-of-the-box speculation... But could it perhaps be behavioral rather than medical? (though some issues disorders like severe anxiety are partly medical issues...)

You noted in a few places that your dog is anxious. And anxiety can also cause a dog to 'quit' (shutdown, try to flee, plant themselves, refuse to move, etc) and also cause heavy panting. Stress diarrhea is also a very real thing. Actually dogs with chronic anxiety present many of the symptoms you listed... pacing, excessive water consumption, chewing on paws...
 
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