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Our ten year old suddenly developed pain when opening his jaw. He eats his kibble okay, but will not touch cookies. We tried opening his mouth wider to look, but he screamed. He does not bark any more either. We have an appointment tomorrow morning, but are wondering if anyone else has experienced this with their hound.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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I'm guessing he slurps his kibble but can't do a chewing motion for cookies.

 

Without opening his mouth, place your fingers on either side of the jaw at the hinge. Does it feel the same on each side? Thinking possible dislocation. :dunno

Edited by macoduck

 

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Duckie, I don't notice a difference. Good thought though!

My first thought was tooth too. He just had a dental in April, but anything is possible I guess.

Masticatory Myocitis looks scary. :(

I'm really worried about him. He's not himself - normally he's up and greeting us and pawing at the ground and barking, but he just lays on the couch. He's also one that "watches the clock" and knows what time his meals and treats are, and doesn't let us forget...but not the past few days.

 

I worry it's going to be something terrible. I'm usually pretty laid back with dog stuff, because after 20 years of greyhounds, sometimes I think we've been through it all. But this is a new one on us. Even DH is worried.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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Will do. He goes in in an hour and a half. Will post when we return.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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She's leaning toward masticatory myositis. She's running a CBC and sending it out, and also is doing a urinalysis and protein/creatinine ratio.

 

She said that she always thinks the worst, but that until tomorrow when the blood tests come back, we should not worry. That she's not worried yet, so we shouldn't be either.

 

We do have a baby dosage of Dermaxx to relieve some of his pain.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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Been following and thinking of you as you await the answers.

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She's leaning toward masticatory myositis. She's running a CBC and sending it out, and also is doing a urinalysis and protein/creatinine ratio.

 

She said that she always thinks the worst, but that until tomorrow when the blood tests come back, we should not worry. That she's not worried yet, so we shouldn't be either.

 

We do have a baby dosage of Dermaxx to relieve some of his pain.

Ugh--is your vet running the antibodies test?
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Thanks, Bradymom!

 

tbhounds, Not sure, can you tell me more? She said she was sending the blood test into San Francisco or San Diego or something, I think. Maybe St. Louis?

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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Thanks, Bradymom!

 

tbhounds, Not sure, can you tell me more? She said she was sending the blood test into San Francisco or San Diego or something, I think. Maybe St. Louis?

Sounds like they are running it--need to run a very specifc test called 2m antibody test. Your general chemistry is limited -one thing it will check is the CK level (which can be elevated even in just a nervous dog).

If you think he's okay to do without the Deramaxx I would hold off until you receive the results. If the 2m test comes back positive he'll need to start pred. Of course it's your vets call--just tossing this out there. You could always ask if it's ok to give Tramadol.

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  • 2 weeks later...

On the 19th, his CBC came back normal. Turns out she did not run the antibody test right away. She was planning to do a biopsy instead for a more definitive answer and prognosis. When we brought him in on Thursday for the biopsy, she changed her mind because he does not have a lot of muscle there and she would have had to cut way up to his eye to get a decent sample. So instead, she took another sample and send that in for the 2m antibody test. That came back with a number less than 1-100, and with the muscle atrophy he appears to have, she's thinking it's end stage masticatory myositis.

Since we had him on Dermaxx, we have to wait a week to start prednisone (just like you said, tbhounds!)- so he'll start that this coming Saturday. In the mean time, he is on Tramadol - 2 50mg pills every 6 hours - but that does not seem to be working nearly as well as the Dermaxx did. With the Dermaxx, he was almost back to his old self and even tried barking. With the Tramadol, he barely moves, and yesterday he let out a yelp trying to eat a piece of hot dog - 3 hours after getting his dose.

Are there any alternatives to Tramadol that work better (and are not NSAIDS)?

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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Tramadol is an opiod pain reliever that is normally well tolerated by greys, but it can have a sedating effect. You might ask if you can reduce the dosage slightly. You can also try codiene as a pain reliever, but it is also sedating.

 

Did your vet really examine his mouth? The reason I ask is I just saw a story on FB (the GT page there, I think) about a dog who went in for a dental because his breath was so bad, his owners thought he needed some teeth extracted. But it turned out to be a four inch long stick stuck through the roof of the dog's mouth! Once the stick was removed and the infection treated, he was fine.

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Did your vet really examine his mouth? The reason I ask is I just saw a story on FB (the GT page there, I think) about a dog who went in for a dental because his breath was so bad, his owners thought he needed some teeth extracted. But it turned out to be a four inch long stick stuck through the roof of the dog's mouth! Once the stick was removed and the infection treated, he was fine.

 

She said she took a good look. He wasn't sedated or anything like that, though. I begged her to take a thorough look when we had planned to do the biopsy, and she said she had been planning on it! :)

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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  • 2 weeks later...

Just an update...he's been on prednisone for a week now, and is doing better. Had him in for a recheck and she wants to stay the course with the prednisone for a while. Still a very painful response when she presses on his muscle around his eye area, and it is more sunken looking. However, sometimes he will let out a bark or two, and his jaw chatters like crazy at mealtime. The tramadol seems to take the edge off the pain for him.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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  • 1 month later...

Well, here we are almost 3 months later. He was improving on the pred, though he got scary skinny. We tapered down gradually, from 50 to 5. About a month ago, he got really puffy right by his eye. Bad tooth abscess. Full dental a with that tooth removed. We've been fighting an infection ever since then...very stinky and so bad it burst through to the surface 2 weeks ago. Seemed to be healing nicely finally last week, but this week it's back with a vengeance. He has been cultured several times with med changes but nothing can knock it out. Biopsy was done on the tooth and removed tissue and though cancer was not apparent, the pathologist said she wouldn't rule it out.

 

Meanwhile, Comanche is uncomfortable. His face is constantly oozing and he is rubbing it on everything. Appetite is way down...today no interest at all in breakfast. Even with various enticers, it is hard to get him to take his meds.

 

Vet said we should expect culture to come back today or tomorrow. If there is not something that says, xXxX will knock it out, she mentioned a biopsy.She's thinking cancer. And we don't think we want to put him through another biopsy. If it turns out to be cancer, there is not much we can do for him anyway.

 

So this morning I woke up to him on the bed with me. This is where we'll stay today...as long as he wants. I just want him to be comfortable.

Sara formerly on Greytalk as Mommyof3
Gone, but still part of our family and always in our hearts:
Bruiser Isa Comander To 6/23/91-11/20/03 Sandy NSK Special Up 10/19/89-6/13/04 Beau Bdk's Boo Boo 1/1/93-12/15/06 Cooney Lars Dbltakedean 11/1/93-1/23/07
Buddy 2/9/1997-11/16/09 Joe Elkhart Joe 11/7/99-12/2/10 Alex Streakin Diablo 4/17/02-4/1/11 Brother Hylife Brother 9/26/97-2/28/12

Comanche Gil's Comanche 6/7/2005-11/7/2015 Molly 4/8/2011-4/13/2018

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Did they happen to perform any skull rads? Intra-oral radiographs? It could be that because his immune system was so surpressed the infection really flourished. Hopefully, you'll have an answer with the culture results. In the meantime are you giving Tramadol and/or gabapentin? There are other pain meds that can be used (no NSAIDs). You can even place a wet/warm warmcloth on the area.

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