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Old 05-03-2014, 09:22 PM   #1 (permalink)
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Default Anyone ever heard or experienced this ... need help.

I have a GSD 7 yrs old, in 2012 summer he was diagnosed with right hindlimb lameness and was resolved with tramadol and gabapentin over 2-4 weeks. Then in November 2014 he started trying to poop every time he went outside and nothing came out.

He had an abdominal ultrasound and was diagnosed with dysautonomia. He then had an MRI and had spinal surgery on Feb 12 2014. Diagnosis was significant lumbosacral stenosis secondary to multiple factors (previous LS instability, type II disc protrusion, bilateral facet capsular thickening with nerve inpingement.

On Feb 12 2014 he had a standard lumbosacral dorsal laminectomy. Extensive capsular and yellow ligament thickening was present, with a large firm disc protrusion. Both L7 roots were extremely swollen and decompressed via partial foraminotomies. The disc protrusion was leveld using a high speed burr. The scral floor was slight decompressed compared with floor of L7, with a slight ventral angulation to the left. All remaining sacral and coccygeal roots were swollen.

Since his surgery Gunnar has been in pain trying to poop, if his colon was full he wasn't able to pee, we went to vet twice a week to have him catheterized and measured urine removed, sometimes it was alot, 920cc and sometimes hardly any pee, 140 cc. He is still on tramadol and gabapentin for the pain, when we give him enemas (every other day) he cries out in pain, leans to the left taking all weight off his right hind leg and poops out.

We don't think he completely eliminates everything in his colon. On April 25th we started giving him Canna-Pet pills, cannaiods without the THC, first 2 days were promising, every time he tried to poop something would come out, but very thin.

Then on April 30th vet put him on Rimadyl for inflammation, 75mg, he weighs 88 lbs. Since then he has only wet his anus with dark smelly liquid poop, hardly any poop on his own. He has lots of gas and today vet put him on Sucralfate as his poop is mushy dark smelly and he only poops while lying flat, when he positions to defecate nothing comes out, only wets his anus. I am at a total loss here, from one day he was pooping fine to the next where every 2 seconds he positioned himself to poop and nothing came out.

We are at almost the 3 month mark from his surgery, I think he might have something else wrong with him which isn't allowing him to poop. Today we gave him 2 enemas and almost nothing came out, but when he was lying down a pool of poop came out. Have you seen this before and can you help? He still has a good appetite and wants to play but he cannot go on this way. Any help would be greatly appreciated.
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Old 05-03-2014, 09:28 PM   #2 (permalink)
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Heartbreaking.

I am so very sorry your boy has come to this.

Only you can ascertain what his current quality of life is and what needs to be done about it.
I hope you have the strength to make the right decision.
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Old 05-03-2014, 09:57 PM   #3 (permalink)
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Common and Rare Side Effects for gabapentin oral

Click on above for side effects of gabapentin

Infrequent side effects of gabapentin oral:

Incomplete or Infrequent Bowel Movements, Urinary Tract Infection
Gas, Diarrhea, Sluggishness, Feeling Weak, Not Feeling Well, Indigestion, irritation of the Stomach or Intestines
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Old 05-03-2014, 10:56 PM   #4 (permalink)
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"dark smelly liquid poop" sounds like he's impacted and the poop is leaking around the blockage. Look up encopresis. It's a hereditary condition in children. The intestine gets stretched out from the blockage. I wonder if something similar is going on as a result of his surgery or original condition?
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Old 05-03-2014, 11:09 PM   #5 (permalink)
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Stefan, I would take him to a teaching hospital if you can, is there one in your area? I am really sorry that he is having such a hard time, I hope you can get some help for him
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Old 05-03-2014, 11:15 PM   #6 (permalink)
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He could have some nerve damage from the nerve impingement. The longer the nerve is compressed, the more damage and longer it takes to regenerate, if it will. The rule of thumb is about a year for resolution of nerve compression. I agree with the previous poster who thought maybe the dog is full,of poop, and the dark liquid stool is leaking around the blockage. Can the dog have Miralax? I am so sorry you are having these issues, it's tough when you don't know if there will be a better day ahead. I just had my cervical spine surgery last June, had rods and screws placed from c2-c6. I wouldn't jump to blaming the gabapentin right away, because that's a real benefit to pain control. I would explore the nerve loss possibility, first, and give the healing process some time. I had rods and screws placed in the c spine in entirety last June, had brutal pain for at least 3months, it's a very long process. Physical therapy might help, also.
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Old 05-04-2014, 12:32 AM   #7 (permalink)
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No advice just wanted to say I'm sorry your boy is going through this. Sending good thoughts to him. Mine is having issues with pain and rear end lameness on and off. Vet is leaning towards early lumbosacral stenosis but we haven't had an MRI to confirm yet.
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Old 05-04-2014, 09:55 AM   #8 (permalink)
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first thing i would do is get him off the meds and see he if normal B/m occur.
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Old 05-04-2014, 12:18 PM   #9 (permalink)
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I wouldn't jump to blaming the gabapentin right away, because that's a real benefit to pain control
this
any nerve damage past l-7 is going to cause issues with bladder and bowel control and i am guessing the problems are not due to meds but the spinal cord damage
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Old 05-04-2014, 02:16 PM   #10 (permalink)
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there are other pain meds available.
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