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What's This In His Mouth?


ahicks51

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We're taking him in to the vet tomorrow (the emergency vet clinic, based on the description, said it could wait), but- ACK! Anyone know what this is?

 

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The white slimy stuff is on both sides of the tongue, as well as growing on the back of the tongue, too. You can't see it unless he's panting (even with his mouth open, looking for it, it doesn't show until he sticks his tongue forward).

 

No changes in diet, no problems breathing. Anyone know what this is? Please?

Coco (Maze Cocodrillo)

Minerva (Kid's Snipper)

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Probably fungus.

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Will it scrape off? Could be thrush, a yeast infection.

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Looks like thrush to me. As a pediatric nurse I've seen in a lot in babies and it looks very much the same. It's a yeast infection so some antifungal will probably take care of it.

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Looks like thrush to me. As a pediatric nurse I've seen in a lot in babies and it looks very much the same. It's a yeast infection so some antifungal will probably take care of it.

 

 

If it is it's contagious. Make sure you wash your hands thoroughly after touching.

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Looks like thrush to me. As a pediatric nurse I've seen in a lot in babies and it looks very much the same. It's a yeast infection so some antifungal will probably take care of it.

 

 

If it is it's contagious. Make sure you wash your hands thoroughly after touching.

 

Thrush was the first thing that came to mind; I set up my brother-in-law's medical billing system, and it was a running joke with thrush: treat one, then treat the spouse. I'm sure the medicos will get the connotation. So, yes- I'm a little neurotic about disinfection to begin with. I'm just not sure how to handle the communal water bowl. I may have to withhold water and provide separate bowls as required, yes?

 

The evil thing about this is that it's *fleshy*. I thought he'd somehow gotten a wad of wet paper in his mouth, but thought he'd surely be trying to get it out with his tongue. I was shocked to find it all the way back on his tongue, as well as both sides. There's a *lot* of it- and although I seem to recall thrush can form secondary structures, I've never seen a picture in which there's so dang MUCH of it. When I asked the e-vet what thrush looks like in the canine, they said it's more of a problem in horses. Not helpful.

 

It doesn't seem to bother him. It's not pseudomembranous, as it won't wipe off. It must be some sort of leucoplakia.

 

He's on pred, 5 mg three times a week. I know prednisone can be an immunosuppressant, but it's such a low dose for such a big dog.

Coco (Maze Cocodrillo)

Minerva (Kid's Snipper)

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I'm no expert but that is a really low dosage of pred to be immunosuppressant. Fingers crossed it is something easily treated!

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"they said it's more of a problem in horses"

 

Thrush in horses occurs in the feet. It's black and smells VERY nasty. It is an anaerobic bacteria. Not a yeast infection as it is in people - definitely different from whatever your dog has. Please keep us posted.

 

Susan

Edited by smday

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"they said it's more of a problem in horses"

 

Thrush in horses occurs in the feet. It's black and smells VERY nasty. It is an anaerobic bacteria. Not a yeast infection as it is in people - definitely different from whatever your dog has. Please keep us posted.

 

Susan

 

I'm surprised the vet even mentioned thrush is horses, since it IS TOTALLY DIFFERENT. :blink: Like smday says...in horses it's the hooves that are affected. I hope it's something easily treatable.....keep us posted!

Edited by gracegirl

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Strange! That is a new one for me....I am definitely interested in the results so please update after you visit to the vet. I hope it is something that is easily treated.

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I've never had to deal with it personally, but I was under the impression that the white surface part of thrush would wipe off leaving a sore, ulcerous place underneath. This looks more like some kind of growth, if it won't wipe off at all ... let us know what the vet says. :goodluck

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That is so bizarre. It looks like chicken fat or the marbling in steaks.

 

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Guest Winterwish
The evil thing about this is that it's *fleshy*...

 

...He's on pred, 5 mg three times a week. I know prednisone can be an immunosuppressant, but it's such a low dose for such a big dog.

 

Wow ahicks,that really is concerning. It does look like much more then just thrush,I've never seen thrush (in humans) quite like that,I mean,to that degree. But it may give a very different presentation in dogs. ?

I'd say too as Batmom said,it does have a fungus type of nature to it tho'.

 

The thing that came to mind that it may be,is a build up of exudate caused by a fistula somewhere along that area.

 

As for the low dose prednisone and effects. Even low maintainence doses can never be underestimated in what they can bring about in terms of side efffects over time for sure.

 

 

Sending good thoughts to you and your dear patient! :hope:dogcookie:dogcookie

Edited by Winterwish
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Okay- back from the vet; managed to snag a 9:30 appointment. Just got back from filling the script they either didn't have or thought I could get cheaper at the store (memo: ~$16 for fluconazole at Fry's supermarket versus $39 at Costco!).

 

The vet is as stumped as I am. Her recommendation was $800+ worth of tests including gas anaesthesia and a biopsy. Two of those tests included a blood panel (which would show he has low white cell counts, same as every other greyhound, or he had an infection- which we can pretty much guess from the appearance of the mouth) and a thyroid panel (which will show that either IDEXX doesn't have the resolution at that level, or that MSU does or does not have their thyroid-by-dialysis test online).

 

I figure something like this could be physiological in origin, parasitic, or pathogenic. If it's a parasite, I think we're all in trouble because it's nasty. If it's purely physiological (like a tumor), it sure had a sudden onset and got worse fast (he wasn't coughing yesterday). That leaves viral, bacterial, and fungal. I'm going to say "not viral," and guess bacterial or fungal- probably fungal. Which leaves one course of action- antibiotics and antifungals. With antifungals, there's not a big selection- conazole-class antifungals, amphotericin ("amphoterrible"), and griseofulvin, terbinafine.

 

So, for $200, it was an exam and antibiotics (Clavamox), and another $16 at the pharmacy for fluconazole. Much as I'd like Coco to be treated like a lab rat and biopsied, I'm going to skip that for now as I figure the benefits of a change in treatment venue are outweighed by the risk, stress, and expense of gas anaesthesia. And he's also off the pred- so I need to find something to keep his environmental allergy under control, probably Claritin.

 

Meanwhile, feeding time around here consists of individual bowls which are then thrown in the dishwasher with a slug of bleach. Water is provided regularly, using the same conditions. On the bright side, the left lateral aspect of his tongue (the one in the image) looks better than it did yesterday.

 

I'm betting this is some fungal infection gone nutso, possibly complicated by the (tiny dose) prednisone. Between the antifungal, the antibiotic, and some good, solid rest, I'm hoping he'll improve quickly.

 

ETA: He can't be feeling all that bad; he ate three photocopied pages from a plant tissue culture manual that were lying on the floor. Strangely, he stopped at the paper underneath (Harvais, 1974)- much more important to me as I'd not yet harvested the information from it that I needed. After that, he still had room for breakfast, which I'd withheld seeing as we were going to the vet and all.

Edited by ahicks51

Coco (Maze Cocodrillo)

Minerva (Kid's Snipper)

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Sending my prayers that this is just a icky fungal type of thing. :grouphug

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AJ--the first thing I thought of when I first saw the pic the other day is that the mass looked like chicken fat. Perhaps it's just a lypoma that's popped up in a weird place. If that's the case, a needle biopsy to extract some cells should tell you that, and then possibly some minor surgery if the lump is bothering the pup. Otherwise, it could probably stay put if that's all it is.

 

Just thinking out loud,

 

DD

 

Edited by DaisyDoodle

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