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Help?! Worried owner.....

Discussion in 'Dog Chat' started by Pickleporridge, Apr 19, 2017.


  1. Pickleporridge

    Pickleporridge PetForums Newbie

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    Has anyone come across canine meningitis? Steroid responsive?

    Would like to chat with someone in the know. My dog hasn't definitely been diagnosed with it, but she had all the signs and symptoms on Monday. Till she had an injection of steroids and antibiotics. Since then she has improved but would like to have a proper chat with someone. Thanks! Worried owner :(
     
  2. rona

    rona Still missing my boys

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    There's bound to be someone who knows something and can have a chat. Unfortunately I've no experience but I hope someone comes online soon for you
     
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  3. Pickleporridge

    Pickleporridge PetForums Newbie

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    Thank you. I'm obviously concerned about it. I've read that the steroids will help the condition, but once off the steroids they then relapse. And I just want to have a chat with someone in the know so I can get a better understanding. Just in case.
     
  4. SixStar

    SixStar Banned

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    rona and Pickleporridge like this.
  5. Pickleporridge

    Pickleporridge PetForums Newbie

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    Yes you do spy a berner. Her name is Hiccup! She's too cute .

    Thanks. Just a little better understanding might be helpful for me :)
     
  6. SixStar

    SixStar Banned

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    Hiccup is adorable. I've got a six year old BMD boy.
     
  7. Pickleporridge

    Pickleporridge PetForums Newbie

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    She's only 15months :)

     
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  8. lullabydream

    lullabydream PetForums VIP

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    Bluejay may help...ironically her dog Hiccup was poorly too I think with it, when she first rehomed him.

    Can't tag doing the @ thing as on my phone
     
  9. Pickleporridge

    Pickleporridge PetForums Newbie

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    Thank you

    ky
     
  10. Mirandashell

    Mirandashell Banned

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    Here you go: @Blue Jay - can you help out at all?
     
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  11. Sled dog hotel

    Sled dog hotel PetForums VIP

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    Not had personal experience of steroid responsive meningitis, but a veterinary neurologist I have seen in the past who was excellent does have a special interest in inflammatory brain conditions, and has written papers on the steroid responsive meningitis.

    Immunosuppressive doses of steroid usually prednisolone needs to be given and they do have to stay on them for several months, according to the article prognosis is usually very good if the regime of medication is stuck too. According to this if it is steroid responsive meningitis complete remission should occur in all cases although relapse can be a potential problem.

    It would probably help if you read the article which explains pretty much everything in detail. It was published in the Irish veterinary journal. If I can be of any more help let me know.

    http://www.vizslahealth.net/SRMA.pdf


    There are several members who have experienced it with their dogs, and hopefully they will see the tags etc and be able to tell you more about their experiences but in the meantime hopefully the article will answer a lot of your questions.
     
  12. Sled dog hotel

    Sled dog hotel PetForums VIP

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    Just remembered too the Animal Health trust has done a lot of work on Steroid responsive meningitis too. The links from them are below. Although any dogs can suffer from SRMA there seems to be more of a prevalence is certain breeds and Bernese Mountain dog,, which I believe he is one of the breeds.

    The AHTs full report on steroid responsive meningitis can be found below

    http://www.aht.org.uk/cms-display/research_srm.html

    http://www.aht.org.uk/skins/Default/pdfs/srm_report.pdf

    Is your vet treating her or are you under the care of a specialist Neurologist? Having the right treatment regime is paramount and so it the associated monitoring, if you are not seeing a neurologist at the moment then it may be best to ask for a referral. I'm pretty certain that Yorkiemorkiemums found that with her Denzil that was the best course of action.
     
  13. Pickleporridge

    Pickleporridge PetForums Newbie

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    She hasn't been definitely diagnosed yet. She presented with almost all the symptoms on Monday so they injected her with steroids and antibiotics and has seemed fine since. My question really (and from reading link I think I'm right in this) because she had the steroid injection this would have made her feel better, would she then start to present with the same symptoms after a few days or would it be longer? I'm really worried because as I said she seemed typical of this on Monday and then she pretty much snapped out of it after the injections. Her temp was 40...

     
  14. Sled dog hotel

    Sled dog hotel PetForums VIP

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    Steroid responsive meningitis literally does what it says, responds to steroids, There is an example of a regime on the first link, high immunosuppressive doses for a couple of days given twice daily, then the dosage seems to be reduced but still quite high and seems to suggest that this is then continued for another 12 days still given twice daily, if remission is achieved after this then the dose seems to be reduced again but still twice a day for a further 6 weeks, then if still OK, the same dose for another 6 weeks but this time only given once per day not twice.
    Then the same dose is given but every other day for 6 weeks, then finally it looks like still the same actual dose but given every 3rd day. If after the first initial 2 weeks
    a remission is not achieved then they have to stay on a higher dose twice a day for an extra 2 weeks. It does seem to suggest that antibiotics may be necessary if diagnosis is uncertain and if bacterial or protozoal meningitis is suspected. Steroid responsive meningitis though is the most common form found in dogs.

    I know the protocol and dosing has to be correct to achieve remission and continued progress, has to be monitored closely throughout, and is a very important part of the treatment as reducing the dose too much too soon can cause a relapse. You also have to taper the use of steroids off slowly and carefully too, that's also important because high doses of steroids and steroids used for longer periods, can interfere with the bodies natural steroid (cortisol) production, so you also have to taper them off correctly so that the bodies own adrenal function recovers and starts producing normally itself again.

    As said the dosing above is from the article which appears to be used and found to be successful by the author who is a neurologist specialist.

    Sometimes other immunosuppressive drugs are used, but the favourite seems to be prednisolone steroid. The dose is based on the weight of the dog, and obviously vet or specialist will set the actual dose to weight ratio for the protocol.
     
    #14 Sled dog hotel, Apr 19, 2017
    Last edited: Apr 19, 2017
  15. BlueJay

    BlueJay Pack of Losers

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    The name is cursed!!!
    My boy was slowly weaned off the steroids over several months.
    Thus far (two years on), he's not shown any sign of relapse :)

    Hope your girl is ok!
     
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  16. Pickleporridge

    Pickleporridge PetForums Newbie

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    The thing is Hiccup exhibited all the classic symptoms of the condition Monday morning. Obviously took her to the vets who took her temperature and it was 40. They then gave her a steroid and antibiotic injections. By Monday evening she was almost back to normal and hasn't had a flare/relapse since! But with the steroid injection, once it wears off will she gets worse again and how long would this take to happen?!

     
  17. BlueJay

    BlueJay Pack of Losers

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    Uh

    Not a clue about the bold part, I'm afraid :( We had multiple daily tablets for months so didnt get a chance to see what'd happen when they were out of his system.
    Once my Hiccup started steroids though, he did change almost immediately. Went from hunched up in a ball, screaming in pain, having to carry him through the vets to pottering around, wanting treats and gentle strokes pretty much overnight. He was to have spinal fluid samples taken, MRI etc, but as he responded so well to the steroids, they decided on meningitis as the diagnosis and stuck with the treatment.
     
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