4538. Leg tumours spread up and down the leg - old dog

 

4 SEP 2022

Hi Dr Sing

My pet, Manik, a senior Shiba Inu is having diarrhea
And threw up
Diarrhrea twice yest and 4 times today
May I give human dhamotil to him?

Best to get vet to treat him

He recently had a lump removed and 4 came back
Worried that it may be cancerous

Please send 6 new photos of tumours
Thank you. 

Are tumours on same side of body of previous elbow tumor?
yes very close by
2 of it are on the exact spot

Will you be coming at 10 am tomorrow for IV drip? And blood test. I will inform Hsu to also clip hairs around new tumors for ease of viewing.
Yes
Will let Hsu know
thank you

i fed him honey water earlier
Is your dog ok now? Try to feed only Hills I/D diet

Good morning! He seems ok now. Will be starting his meds from this morning

Is he losing weight? Do weigh him weekly. Please send a video of his tumor side for review
Dr Sing said rhat the cancer may hv spread due to the location of the lumps. One suggestion was to amputate. Hmm but that will reduce his quality of life. The fur  covers the whole area
 

I got a similar case. It was during Covid-19 lockdown. Owner chose not to amputate. Euthanasia done later

Oh
 

U think in this kind of instances, since 5 months for the 4 growths to grow to this size, what is the prognosis before it incapacitate him?
Should I shave the leg area to have a better view?
Yes. Shave the area

Prognosis…depends on whether the cancer cells have had spread past the present location. If not, dog will live longer and adjust to being 3-legged very well
MRI scans of cancer cells in the dog is not practical
 

Good morning. How is your dog now? Have you shaved the leg area? If not, my assistant can do for you. I will be in clinic tomorrow Thursday if you wish to see me.
 

There are 5 spots now
Thank you for images. Looks like tumours have spread upward the shoulder
is this not so good news?
Not good news. Can you clip coat shorter at the uppermost lump area?
U mean like this?
Are there 6 lumps?
How many above shoulder?
Not good news now as tumours are spreading faster
Yeah the other day only 4
Now new one
 

What shld we do if there is no amputation or chemo
Blood test. Liver and kidneys are normal
That is at least some

Good news
Hi Dr Sing, good morning! Ellie has been vomiting since last night
Please send him in for check up this morning. I am at clinic
What time will the clinic be open?
Can you be here at 10.30am?
If not, after 2pm
Will come now

Dr Sing, how have u been?
The senior dog, Manij that has cancer…the wound seems infected and he seems listless most times
Give iv drip antibiotic if you are ok
U think it is time for him to be put down. We are torn

Yes
We have scheduled appt for Manik Sun morning 11.45am
Are the wound’s bleeding and full of pus?
How many tumors and are they on one leg?
Many
And giving off bad smell
On one leg?
Yes
From toe to shoulder?
All ard the joint
Not shoulder
He cannot put pressure on it
Nowadays mostly lying down
He is 14 years old?
Ard there because we don’t know the exact age
The tumour had spread to the shoulder.
Thank you for sharing your experience
Is this like really bad now considering what u see
Although he doesn’t whine, he seem to tear alot
Yes. They are painful but he is able to take pain unlike humans
My son will be on duty. Please say goodbye to your dog on my behalf