How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Michael Salkin Your Own Question

Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 27408
Experience:  University of California at Davis graduate veterinarian with 44 years of experience.
55012488
Type Your Dog Question Here...
Dr. Michael Salkin is online now

My 12 year old lab has now had 3 episodes of '

Customer Question

My 12 year old lab bitch has now had 3 episodes of 'drunken staggering' like behaviour, she appears disorientated and then collapses, she does not lose consciousness and appears to recover after about an hour, she has a history of chronic ear infections but is otherwise in very good health, no arthritis, healthy heart etc, she was checked by the vet last week who could not find anything wrong with her should I go back?
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 1 year ago.
Disorientation, ataxia ("drunken sailor") and collapse can indicate both central vestibular (balance) disorders and complex partial seizures which are defined as focal or asymmetric sensory or motor activity affecting any part of the body. These were previously called petit mal and now are also called psychomotor seizures. Central vestibular disorders involve the brain stem and /or cerebellum and often represent brain tumor in an elderly Lab - an example of an intracranial (within the skull) encephalopathy (brain disorder). There are extracranial (outside the skull) encephalopathies as well such as a poorly functioning liver which is intoxicating the brain. Indie's vet can perform a senior/geriatric diagnostic panel of blood and urine tests in an attempt to identify an extracranial etiology but if nothing untoward is found in such testing, MRI is then recommended to better understand what's going on in Indie's brain. Please respond with further questions or concerns if you wish.
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 27408
Experience: University of California at Davis graduate veterinarian with 44 years of experience.
Dr. Michael Salkin and other Dog Specialists are ready to help you
Customer: replied 1 year ago.
Thanks for your response, I was hoping that it might be idiopathic/ old dog vestibular disease, but will take Indie back for bloods.
Customer: replied 1 year ago.
Do you think it might be this?
Expert:  Dr. Michael Salkin replied 1 year ago.
That was, of course, my hope as well but the idiopathic vestibular disease doesn't remiss within an hour. We do usually see progressive improvement over days to weeks, however. Thank you for your kind accept. I appreciate it. Please continue our conversation if you wish.
Customer: replied 1 year ago.
Thanks for explanation I accept its probably something much more serious, sadly I thought it probably was. She is much loved and reached 12 last month, I will go back for the screening as you suggest. Thanks for your help.
Kind regards
Julie
Expert:  Dr. Michael Salkin replied 1 year ago.
I understand, Julie. You're quite welcome. I can't set a follow-up in this venue and so would appreciate your returning to our conversation with an update - even after rating - at a time of your choosing. No need to reply at this time.
Customer: replied 1 year ago.
I am unable to read your complete response as it's been cut. Many thanks for your help this evening.
Expert:  Dr. Michael Salkin replied 1 year ago.
Let's see if this venue helps...
Customer: replied 1 year ago.
Sadly not, when I click it takes me to an "unable to find response". I guess I've run out of Q & A time!
Expert:  Dr. Michael Salkin replied 1 year ago.
I'm not happy about this. You should be able to return to our entire conversation at your leisure. Please contact***@******.*** who will help you.
Customer: replied 1 year ago.
I've raised a support call as you suggested, it's now 12:10am in the UK and Indie appears to have settled for the night. So thank you again for your help.Julie
Expert:  Dr. Michael Salkin replied 1 year ago.
Sleep well, everybody!
Customer: replied 1 year ago.
Many thanks
Expert:  Dr. Michael Salkin replied 1 year ago.
It's my pleasure. No need to reply at this time.
Customer: replied 1 year ago.
Hi, indie has now had her blood screening her haemoglobin is off the scale low 3.5 and white cell count raised, she has no sign of infection, so the vet has given her a plasma drip and B12 tablets, they are looking into this being some sort of autoimmune problem they were considering a blood transfusion but have discounted this for the moment until one of the results is back as they feel a transfusion may just exacerbate whatever is causing the low red count. What do think?
Expert:  Dr. Michael Salkin replied 1 year ago.
I need to review all of her blood work to be more informative. Can you upload a copy of her test results to our conversation? I understand that you might not have a copy of the results at home but her vet should be able to give you one which you could scan into your computer and give me the link or you can photograph the page(s) and upload the images by using the paperclip icon in the toolbar above your message box (not if you're using the chrome browser) or by using an external app such as imgur.com or dropbox.com.

What Customers are Saying:

 
 
 
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
< Previous | Next >
  • It was so professional, so personally concerned (as we were) and you answered all of our questions. George and I are so happy that I found ""JustAnswer"" on my Google search -- you are now in my ""Favorites"" list! And, yes we do love our kitty - she makes our life complete! Bev & George
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Rebecca

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    300
    Veterinarian for more than 30 years
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/TO/tomasicvet/2011-3-15_20483_RTI.64x64.jpg Rebecca's Avatar

    Rebecca

    Dog Veterinarian

    Satisfied Customers:

    300
    Veterinarian for more than 30 years
  • http://ww2.justanswer.co.uk/uploads/MS/msb13sm/2011-3-7_52612_Dr.B.64x64.JPG Dr. Matt's Avatar

    Dr. Matt

    Veterinarian

    Satisfied Customers:

    2355
    DVM - 13 years experience in canine medicine and surgery.
  • http://ww2.justanswer.co.uk/uploads/DR/Dr. Gene/2012-6-29_2247_20120223174645649.64x64.jpg Dr. Gene's Avatar

    Dr. Gene

    Veterinarian

    Satisfied Customers:

    1049
    DVM degree from Ontario Veterinary College
  • http://ww2.justanswer.co.uk/uploads/VE/Vet help/2012-11-3_20182_Avatar2.64x64.png Vet help's Avatar

    Vet help

    Veterinarian

    Satisfied Customers:

    963
    12 yrs experience as a small animal veterinarian; 21 yrs exp. in the animal care field
  • http://ww2.justanswer.co.uk/uploads/DE/debkatreyn/2011-11-28_33650_682e.64x64.jpg Dr. Debbie's Avatar

    Dr. Debbie

    Dog Veterinarian

    Satisfied Customers:

    902
    Companion animal veterinarian practicing for over 10 years.
  • http://ww2.justanswer.co.uk/uploads/KR/kritrdr/2014-3-26_152042_Dr.Gray1.64x64.jpg Dr. Dan's Avatar

    Dr. Dan

    Dog Veterinarian

    Satisfied Customers:

    2143
    12 years of experience with domestic and exotic dogs, PLEASE rate my service when satisfied.
  • http://ww2.justanswer.co.uk/uploads/DJ/djan2000/djan2000_avatar.64x64.jpg Dr. Dave's Avatar

    Dr. Dave

    Veterinarian

    Satisfied Customers:

    2053
    21 years small animal general and emergency practice