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    HELP! Dog collapses, yelps, and sometiimes urinates?
    07ccupples posted:
    Yes. My 13 year old Shih-Tzu lately, for the past week, has daily (sometimes 2-4 times a day) suddenly collapses, he then yelps like he's in pain. During these episodes he sometimes urinates. We took him to the vet and they didn't give us any answers as to why he is doing this, they just took x-rays to see if it was a bone problem and it isn't. After these episodes, we pick him up and hold him until he stops yelping and then he acts like everythings okay. He's also been breathing heavily, he has bladder stones. The vet put him on pain meds but it doesn't stop the collapsing. What could this be? We are all very worried about our little guy and annoyed that the vet hasn't given us any answers as to what is causing this.
    07ccupples responded:
    I forgot to add, right before he collapses his head gets a little droopy.
    Sandy Willis, DVM, DACVIM responded:
    Hello, Sounds like your veterinarian is trying to find out where the source of pain might be. And is he collapsing and then being painful, or feeling pain and then collapsing? Hard to know. With his droopy head, is he experiencing some neck pain and then is collapsing? It doesn't sound like a seizure. If there was a problem with one of the discs in his neck, we might not see that on xrays. If a back problem, a consult with a neurologist (who specializes in problems of the nerves and muscles) might help determine what might be a subtle cause of the pain. I really haven't seen a true collapse with bladder stones. It sounds like your veterinarian is trying but may need more expertise to determine the problem. Please let them know that your doggie is still collapsing and can they look at him again or suggest a referral to a specialist. Good luck. Some of these problems can be tricky to diagnose, Dr. Sandy
    07ccupples replied to Sandy Willis, DVM, DACVIM's response:
    Yes the vet we saw looked fresh out of school - he was trying to tell us it was diabetes, but we need to do urine and blood tests to determine that. However would diabetes cause any collapsing?
    Sandy Willis, DVM, DACVIM replied to 07ccupples's response:
    Well, any metabolic disease like diabetes could cause something that might look like collapse, if there were very ill. But not pain really. THe veterinarian might be suggesting diabetes because your dog urinates when he collapses. If a check of the urine revealed no glucose, diabetes is not present. Blood work to look at organ function, anemia, etc is not a bad think to do to look for causes of weakness which can cause collapse. The root of the problem seems to be: is this collapse due to weakness, seizure or other cause unconsciousness, heart disease, or pain over the back. That is where the initial physical exam, again by your veterinarian or a specialist, can help and then that directs the additional testing, Dr. Sandy
    07ccupples replied to Sandy Willis, DVM, DACVIM's response:
    Thank you. We are trying to get him back to the vet but they want us to finish his pain meds first before we bring him in. Thanks so much for the response.
    josephc1986 responded:
    I have the same issue with my dog he is a pom/jack Russell
    he has been doing it for about a year now on and off though
    but n the last two days he has hardly moved has eaten abit and drank but nothing compared to what he is usually like and today he collapsed and urinated while he was on me took him to the vet few days ago she said he has arthritis his heart and kidneys are fine just a small liver problem which she said is no big issue but in the last 2 days he has been in a really bad way taking him back to the vet today and with abit of luck she can find out why he wont eat or drink
    atti_editor replied to josephc1986's response:
    Did you get him in to see the vet? What did they say? I hope that you got some good news.
    portaa20 replied to 07ccupples's response:
    It is hard to determine the exact cause based on the history provided. More diagnostics need to be conducted- specifically a MRI to determine if there is a mass on the CNS.

    Blacking out, urinating WITHOUT realizing (urinary incontinence Does your dog realize they are urinating?)- these are most likely Neurological symptoms.

    One mechanism that explains urinary incontinence is the brain losing control of the body. Neuron degeneration may explain this. One group of conditions known as motor neuron diseases may explain this. Not being able to control the bladder generally occurs in late stage motor neuron disease. Stroke also causes urinary incontinence but doesn't seem likely given the history.

    I wish you the best, MRI's in America are expensive. I spent some time in India delivering healthcare and MRI's are a fraction of the cost there. MRI's are big business for medical industry in the US. Your dogs condition does seem like it is a neurological issue- so consulting with a neurologist is your best bet.

    Dr. Ant

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