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Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Vet
Satisfied Customers: 33258
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
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My dog has been off her food for about 6weeks after several

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My dog has been off her food for about 6weeks after several visits to the vets the thought she had a bad tooth, on Friday they put her under anaesthetic only to find nothing wrong with her teeth, she is a Labrador with no other symptoms another than her mouth being sore, she has continually cried since we picked her up from the vets yesterday.

I'm sorry that your question wasn't answered in a timely manner. Can you tell me, please, what symptoms you're seeing that suggest her mouth being sore? Does she cry upon opening it to grasp a toy or when she yawns? Are you seeing swelling in her face - cheeks or around her eye(s)? Can you upload a copy of any of Molly's test results to our conversation? I understand that you might not have a copy at home but her vet can give you one which you can scan into your computer and then give me the file link or you can photograph the pages and upload them by using the paperclip icon (if you can see that icon) or by using an external app such as

My concerns involve problems outside her oral cavity such as masseter muscle myositis, periocular myositis, and polymyositis.

Customer: replied 1 year ago.
There is no swelling, she won't pull on her toys anymore and has stopped eaten her dry food, she will eat chicken and rice and we have given her dog meat for the first time today which she has eaten, she won't eat treats unless they are broken Into little bits this has been going on for about 6weeks, she has had no injuries or been hurt that we know of.

Thank you. There are quite a few considerations for such pain. Masticatory myositis - an autoimmune diesase affecting the muscles of mastication is best understood but we need to also consider the following:

maxillofacial trauma - no history of that

temperomandibular joint disease ("TMJ") - X-rays are necessary to confirm

bone and soft-tissue neoplasia - X-rays and/or CT are necessary

foreign body penetration (caudal to last maxillary molar, tonsillar region, pharyngeal wall, sublingual tissues - I would expect considerable swelling, fever, abscessation

ocular disease and space-occupying orbital/retrobulbar lesions - examination by a specialist veterinary ophthalmologist +/-X-rays, ultrasound suggested

ear disease

other inflammatory muscle disorders - polymyositis, extraocular myositis, dermatomyositis, laryngeal myositis

It can be a challenge clarifying the etiology of Molly's pain. Please consider having a specialist veterinary internist (please see here: involved in Molly's case. Please continue our conversation if you wish.

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Thank you for your kind accept. I appreciate it. I can't set a follow-up in this venue so please return to our conversation - even after rating - with an update at your convenience. You can bookmark this page for ease of return.