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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Dog
Satisfied Customers: 32753
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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My lab x aged 13 panting excessively and very unsettled at

Customer Question

My lab x aged 13 panting excessively and very unsettled at night. He is on Cimalgex and Tramadol for arthritis and has liver issues which have been fine for 6 months
Submitted: 1 year ago.
Category: Dog
Expert:  Dr. Michael Salkin replied 1 year ago.

I'm sorry to hear of this with your LabX. I'm concerned that his nonsteroidal antiinflammatory drug (NSAID) + narcotic hasn't prevented "break through" pain although there are many considerations other than pain when such panting is seen.

Excessive panting can represent both medical and behavioral problems. It's often seen with elevated ambient temperature, exercise, anxiety, or perceived pain. To confound the diagnosis further, it's also seen with fever, narcotic administration, glucocorticosteroid (prednisone, e.g.) therapy, Cushing's disease, hyperthyroidism, hypocalcemia, pheocromocytoma (an adrenal gland tumor), cardiac disease, tachyarrhythmias (fast irregular heart rates), brain disease and obesity.

His vet needs to know what you're currently seeing. A recheck physical exam including diagnostics in the form of blood and urine tests should be considered. Further diagnostics such as X-rays or ultrasound should be predicated on the findings in his exam. Please let me know if you're seeing any other untoward symptoms or you have additional questions or concerns.