As a practicing veterinarian, Dr. Dym has over 19 years of experience and dedication to enhancing the overall health and well-being of pets. His commitment and passion for pet health continuously drives him to learn more about the art and science of homeopathy through ongoing training and education.Submit Your Question
Question:I have a 10 year old American bulldog with lymphoma. He was diagnosed August 22nd 2019. Stage 3. The prednisone kept the lymph nodes down until about 3 weeks ago when they swelled back up. Recently his leg swelled as well as a skin tag right on that leg really bad and the vet said it was fluid unable to pass through. Over the last three days the skin tag broke open and was leaking fluid. Now it¿s a small open wound, he had staph infection when he was a puppy but I¿m worried this open sore will get infected. He¿s now taking 80 mg of prednisone (2 pills twice daily) and 1200 mg of gabapentin (2 pills twice daily) he still has a good appetite, going potty okay, has a little bit of trouble getting up, will only stand for 1-2 minutes before needing to lay down. My question is, is it time? I feel extremely guilty putting him to sleep but I also don¿t want him to get ¿sicker¿. He¿s been my absolute best friend for the last 10 years. I¿m a single mom and besides my 6 year old daughter he is all I have and I¿ve had him since he was 8 weeks old. I¿m trying to justify this being okay because to me he¿s still my boy and although he¿s tired, he¿s still happy and goes for his favorite toy and lays down and chews on it. And I really just need someone to tell me I am doing the right thing.
Answer:I'm so sorry you are having to go through this - I know it's hard - I can tell how much you love him. I would really need to examine him to give you good advice, so consult your veterinarian for the best advice. I can tell you that the average time to euthanasia from diagnosis & starting prednisone is 6-8 weeks, so he is very near that.
Question:I joined your pet organization last night@9:00pm. I did successfully sent you a message about my dog with Lymphoma. I provided all necessary info including card# . Now 20+ hours later,I still haven't received an answer. Please respond now, thanks .
Answer:There must be a technical problem - we will almost always answer within 24 hours. I answered 3 different lymphoma questions this morning - maybe check your spam. Here is a really good article about lymphoma, written by another veterinarian, from a site that I trust, that you will hopefully find helpful: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951455
Question:I've asked your for information six hours ago,and still haven't received any response. Please respond! This is an extreme situation, or eles I'll go eleswhere for this information ,thanks.
Answer:Sorry it took so long - we usually answer questions within 24 hours. For immediate help, you can always call your veterinarian, emergency clinic or contact sites that charge a fee like Justanswer.com.
Question:How can I help my dog Gypsy breathe better with herbal means, she has it at her throat. I do only herbs to treat myself also . Thanks !
Answer:You will have to contact a veterinary oncologist for an accurate answer to your question. You can often find them at your local veterinary school or on websites like Justanswer.com. Here is a good article about lymphoma, written by another veterinarian from a site that I trust: https://veterinarypartner.vin.com/default.aspx?pid=19239&id=4951455
Question:My dog has a growth about 3" diameter that is getting bigger and smells horrible. He acts the same and it doesn't seem to bother him other than he licks it. What could it be?
Answer:I worry about 2 things that you mention: it is getting bigger and it smells - malignant, cancerous masses tend to grow relatively quickly and get secondarily infected, so have your veterinarian check it as soon as you can to see what kind of a tumor (benign vs malignant vs everything in between) it is so you can make an appropriate plan for him.
Question:Hi There! Reaching out because my puppy's lymph nodes are maybe swollen... She's a 5 month old border jack¿about 9 pounds. Lymph nodes are about pea-sized or ever so slightly bigger, and easily found when you feel for them. She also seems to have lost a little bit of weight... She did finish a round of antibiotics for a nasty kennel cough about two weeks ago. I'm just not sure what is normal, and I lost a dog to lymphoma a year or so ago so I'm admittedly a little paranoid! She's behaving more or less normally. Eating less than usual, but she's sprouting some permanent teeth, so maybe the dry food doesn't feel too pretty. My main concern is those lymph nodes. Thanks!
Answer:Because I can't feel them, it's always ideal to have your veterinarian check them but they could easily be slightly enlarged from the cold she recently had and/or from cutting her big back molars. (If we're talking about the submandibular lymph nodes)
Question:Hello My cat is having chemotherapy for lymphoma for the past 3 months while also taking prednisolone, 10mg per day. He weighs about 6kg now. The prednisolone was increased to 20mg per day a few days ago with the 2nd recurrence of lymphoma - new lumps that were biopsied and shown to be more lymphoma. He began losing weight 2 weeks ago, before the increase in prednisolone, and had a decreased appetite prior to the increase in prednisolone for at least a week, maybe more. He has lost .68kg now. He had his liver counts checked 3 weeks ago, and they were normal. But now his liver counts are way up and the vet says he has an enlarged liver, probably due to hepatic lipidosis, with some diffused grey lobes in the liver, which could be lymphoma as well. He has not had a liver biopsy. He is in ICU, very sick, with low blood pressure and low glucose levels. I don¿t think he is going to make it. What I am wondering is would the prednisolone increase, which he only had for a few days and again, he wasn¿t getting the full dose, cause him to decline so rapidly? Could the prednisolone be what is hurting him or is it just a coincidence that it¿s all happening now? Thank you.
Answer:It's impossible to tell - if his liver is close to failing, the prednisolone can make it worse, but it can also shrink the lymphoma and make it better.I'm sorry you are having to go through this.
Question:Hello, and thank you! My question is regarding immunity, which is sort of lymphoma related since it is lymph related. But I did not see that option. My apologies for the confusion. My question is: do cats and dogs make the Gamma Delta T cells? And what about rabbits or guinea pigs? Thank you in advance!
Answer:I have no earthly idea - maybe I knew back when I was in vet school many years ago but definitely not now, lol. Consult a veterinary immunologist for help with your question - you can probably call your local veterinary school and ask for the immunology department.
Question:ABOUT 3 WEEKS AGO MY DOG HAD REALLY PUFFY EYES WITH GOOP IN THEM. I NOTICED ABOUT A WEEK LATER THAT HER GLANDS WERE SWOLLEN UNDER HER FRONT LEGS(ARM PITS) AND NECK AREA. THE VET SAID CANCER PRETTY MUCH WITHOUT CHECKING HER. HER ENERGY LEVEL HAS NOT CHANGED A BIT, APPETITE IS GOOD AS WELL. COULD THIS BE A REACTION FROM THE "HEAD COLD" SHE HAD THE WEEK PRIOR AND IF SO, WHAT CAN I GIVE HER TO REDUCE THE SWELLING IN HER GLANDS?
Answer:It can still be lymphoma, even with her feeling good. Your veterinarian will want to rule out other things like tick borne diseases with some blood work. Referral to a veterinary oncologist is ideal for treatment of lymphoma, but prednisone will make her feel better if that is not an option.
Question:Can I give my dog prendozone with ciprofloxacin hes in a lot of pain and has been on this in antibiotic but hss ran out of pain meds for about 4 days now It's very urgent hes in a lot of pain and his limp nodes are very swollen his right eye is almost completely closed
Answer:I can't really tell what is going on with your go from your question but if he has lymphoma, predisone can potentially help him feel better if he is in that much pain BUT the oncologists don't like for you to give it if you are eventually going to get stronger chemotherapy for him. You can give it with cipro but you can't give it with a lot of other medications. If he hasn't been diagnosed with lymphoma, definitely don't give it because if he has infection, prednisone will suppress his ability to fight it off. Consult your veterinarian, who knows his entire history, for better advice.
Question:How much is the procedure for removal of cist
Answer:You will have to get a quote from whoever is going to potentially perform the surgery and they will need to see the mass to be able to guess. Costs vary WILDLY based on MANY different variables with masses : how big the mass is, whether it is attached to underlying structures, whether a skin graft might be needed, how old your dog is (may need addition pre-surgery bloodwork and/or x-rays), whether there are anesthetic complications, where you are in the country (city vs country costs vary), etc etc etc
Question:This lymph occured due to possible infection.is there medication available that may reduce the swelling. Pefer drops.
Answer:A lymph node that is enlarged due to infection will almost always need prescription antibiotics that you will have to get at your veterinarian. You categorized this under Lymphoma, which is an aggressive malignant cancer, and needs to be ruled out by your veterinarian as a cause of the enlarged lymph node as well, so see your veterinarian when you can.
Question: Age 11 years,4 months , She was never spayed. It is the size of Gherkin pickle. Soft to touch. Never had copulation wit a male. What do you recommend? PLEASE.
Answer:Have your veterinarian check it when you can. It may be benign and nothing to worry, but I worry about breast cancer because she has never been spayed. The hormones in an unspayed female increase their chances of breast cancer.
Question:I have a rat terrier mix, he is 12 years old. Lately i've noticed a large jelly like pudge on the side of his stomach in front of his right back leg. It looks awkward. It's soft and he doesn't seem to be bothered by it, but it doesn't look good. What could this be? Thanks for your help.
Answer:I would really have to seen him and probably run some tests on it to tell you for sure like a fine needle aspirate. Cats don't get lipomas (benign fatty mass) as commonly as dogs do but they can, so that's a possibility. If it is symmetrical (he has one on both sides), it may just be where he deposits fat. If it popped up suddenly, it could be a hematoma (large bruise). It can also be any other type of cancer, so have your veterinarian check it when you can.
Question:We are planning to do an endoscopy tomorrow morning for diagnosis. The cost between an upper only w/ 2 biopsies and upper/lower endoscopy w/ 4 biopsies is significant. Is it necessary to have both an upper/lower endoscopy to diagnose lymphoma vs. IBD? Or is it possible do to only an upper Endoscopy to diagnose? What would the benefits be of doing an upper/lower endoscopy?
Answer:I would really need to know her clinical signs to properly advise you. Sometimes their clinical signs will be different with upper and lower GI disease. It also depends on what her radiographs look like, which I can't see. Certainly, you will increase your odds with 4 biopsies.