Hello. No problem about the delay. It was Sunday (and although that is a working day in this part of the world, I wouldn't have expected you to reply).
We have the blood results here for yesterday & the previous set done in May. I will scan them in and attach.
The problem first occurred in March this year. His third eyelid just started all of a sudden covering over his eye (approx 1 third of his eye would be covered at any one time). It was generally always better in the mornings than in the evenings, as I assume having it closed overnight relieved the issue somewhat. By lunchtime it generally looked sore, droopy etc & by dinnertime, it was very upsetting to look at.
We initially were given a few different type of eye drops to try. He was also prescribed anti biotics for a short period. He had a sedation to have his eyelid and surface of the eye inspected, with no lumps or bumps found (photos attached)
Another vet was called in & he identified that he thought Finnley had all of the signs shown in the disease description for Horner's Syndrome on the Associate Database (copy attached). He prescribed phenylephrine eyedrops and they worked immediately to take away the symptom (we used at tiny amount twice a day, but now the symptom is much improved, so we just use them occassionally, when he seems to be struggling)..
The problem is, that although we can use the drops and make his eye look better, we don't know the cause & we are only treating a symptom, not the problem. The Vets here in Muscat say that the only way to find out if he has nerve damage, which could be causing this, is to have an MRI, but we cannot locate a flatbed MRI scanner in Oman. We have contacted the Sultan's Cavalry Centre and the Minister for Health, but they have nothing we can use. I have tried contacting the British Vetinary Centre in Abu Dhabi, as they seem to be more technologically advanced than anywhere in this country, I am waiting on a reply to see if they have a scanner.
The most concerning thing is that he has been gradually losing weight. Before coming over here last year, Finnley weighed on average 24-25kg. He is currently 21.6kg, which I know is still a healthy weigt, but it is low for him. He had blood tests done at the start of May, as we were concerned about his weight & his general lack of energy and poor joint movement (he was struggling to get on and off the sofa in particular). The results weren't great, his White Blood cells were in the low area, as you can see. We have been giving him Synoquin EFA with his daily meal eversince (he was on Science Plan Advanced Fitness, but we can't get that here, so now he is on Royal Canin Mobility), he also has a liquid vitamin daily now, as his skin and coat are quite dry and hair has been disappearing from his tail..
Yesterday, still concerned about his weight, I asked for the bloods to be redone. Again, they were not very positive. The vet gave him a hemo injection, as she said he was showing up as a bit aneamic. But we have no current treatment plan to understand the underlying cause of what is happening with Finnley.
Thank you for posting that information! The good news is that although the total white blood cell count is slightly decreased, the absolute numbers of the neutrophils and lymphocytes are normal and so an important leukopenia (lack of white blood cells) doesn't really exist. Rather than anemia, his hematocrit is mildly elevated - probably due to dehydration. The MCV (mean corpuscular volume) increase isn't significant. There's no need for a "hemo injection". The result was misread. His chemistries are nicely normal. (Amylase is of no value.) I'm most concerned about his weight loss. Horner's + weight loss is worrisome for neoplasia but if present, there's no confirmation of that in the blood work. I understand your difficulty in finding advanced imaging. I often work with customers in the Middle East and it frustrates us all that such limitations exist. You should be able to return to our conversation after rating. I don't know why you're being told that you can't. If you have further questions in that regard, please contact***@******.*** and please continue our conversation if you wish.
Finn continues to lose weight, we can easily feel and see his ribs now. I have noticed that he is eating his dinner and going straight out to the toilet, within 5 minutes or so. This seems to be a regular pattern for him now... I have booked a T4 blood test at the vets tomorrow. Is there anything else I should do/ask them do you think?
I have just got back from the vets. I have attached the T4 test results (which they told me are absolutely fine) and the Chest Xrays. Unfortunately the clinic doesn't have an ultrasound, so this is all I could get done today. They told me that his heart is large (which my partner already knew - as he was told this at Finn's very first checkup as a puppy). Also however, they have said that there is alot of grainy space in the image, which is the lungs. They said this should show up as black, but it is quite grey.
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