Collapsing Episodes In A Dog
Sofie is a FS, 7yo, Tibetan/Shitzhu. She presented for collapsing - first incident 4/2019 while in EC for possible CCL tear went into cardiac arrest. Dx from cardiologist 5/2019 meds started. Dxs myxomatosis mirtral valve degeneration with mod to severe cardiomegaly, long term skin allergies ( severe to salmon, peanut, tomato, cat dander, feathers, storage and dust mites, many atopies, moderate to barley, blueberry, cranberry, corn, green bean, green pea,kangaroo, lamb, pork, rabbit, cod, halibut, mackerel, tuna, squash (including pumpkin), wheat), primarily pododermatitis, ventral dermatitis and otitis. Allergies seem to flare Spring and Fall but also have problems in December. GI distress with colitis (mucoid) 1-3 times a year. Vet D level was low, started supplement then slightly high. Sees Chiropractor since 2019 - previous sciatica. Current treatments Pimodendan and BioCardia (2 Yrs), Theophylline (poor reaction to Terbutaline) and Benazepril (started 12/2020 per cardiologist), CytoPoint q 3-4 weeks for 2 years, Concentrated four Paws Damp heat, Vet D 75mcg SID, (last checked in Sept 2020 slightly above normal 161 ng/ml), Douxo Chlorohexadine/Climbaz Shampoo weekly, topical calendula for small infections, paw damp, probiotic mercola, Pure digestive enzymes, krill oil and ubiquinol, . Diet home cooking - Turkey, brown rice, potatoes, quinoa, oatmeal, broccoli, carrots, occasional dairy. Current status - collapses if gets very excited - playing, nervous, etc. may cough before, has urinated during once, usually paddles but doesn’t seem to lose consciousness, has slowed down on walks. Happens about 2-3 times a month. BM normal to soft, some gas - worse with stress. low water intake, Mild ventral erythema on abdomen and axilla, moderate palmar erythema all four paws - pelvic worse than front, hot and cobbled texture. mild erythema AD, dry cobbled texture. Pulses were slippery, deep weak, Yin weaker, Ki Yin weakest when we started now full, with Kin Yin still weakest. Tongue Med pink. Metal personality - patient, attentive until I am done with her treatment then wanders off. DX - Damp Heat, Blood stagnation in Upper Jiao. She is responding well to acupuncture. I am decreasing some of her supplements and trying to balance her diet. The weather is warming up here and Spring like. Owner just called and said her tongue has gone to dark red. I was thinking Si Miao San and XFZYT, stopping 4 paw damp. Would Sublime Joint still be appropriate for the recurrent skin infections?