Gagging, infection on leg.

Snowie has had a rough year. I haven’t wanted to write about it because it makes me sad. But I find myself here unable to sleep after listening to him gag several times tonight. It’s a recent thing and I’m hoping it’s just an inflamed larynx or trachea. But it could be laryngeal paralysis or a tumour if I am to think the worst.

In brief, the year started with him going downhill. Turned out to be an enlarged and infected prostate. Successfully sorted out with antibiotics and a Suprelorin implant. Became a young dog again.

But his front paws were problematic. Swollen and itchy. Constantly having to bathe them in antifungal shampoo. Wears two pairs of towelling baby booties for walks, plus an extra rubber sole for mountain walks. Thankfully he totally accepts them, but “getting him dressed” for a simple walk is tiring for me.

Constant ear infections. He hates the ear cleaner, so it is always upsetting having to treat him.

Then a few months ago his skin got terrible. Itchy. Inflamed. Apoquel wasn’t touching sides. Took him to the vet for a lump I didn’t like on his leg. Vet immediately took him off apoquel, put him on prednisone for a week and a cytopoint injection. Immediate improvement. Acting even younger! Vet took a needle aspirate of the lump. Nothing, suspected it was just a pressure sore. But all his lymph glands were up. Sent needle aspirates for tests. Came back as “reactive” meaning not lymphoma but most likely related to his inflamed skin.

10 days later, leg swollen up, rigors, great big pussy weeping wound where the lump was. Antibiotic injection plus 3 weeks of antibiotics. It’s now been almost a week since we stopped the antibiotics and he still has a big hole in his leg (back hock) plus another wound has started on the inside of the hock, and very red around the area. We clean it with antiseptic three times a day. Vet visit once week to monitor. Vet says it looks like a cyto-toxic wound, perhaps a spider bite. But says he really doesn’t know. Says no point taking a biopsy as the tissue is necrotic and he says that he feels any invasive intervention could make it worse. He said Snowie is free to lick it cos it helps drain it and keep it clean. But the problem is that after licking it, he gags. Lots of saliva while licking.

The gagging sound is horrible. And I think he gets distressed by it. About 4-6 gags at any one time. I get very distressed and sad. Is this how it all ends?

Next vet visit is Wednesday.

Snowie has had allergic skin issues his whole life. I’ve tried everything natural I can think of. Plus a ton of vet intervention. I guess it’s amazing he’s reached almost 13 (in Jan) with all his issues (including seizures and back problems). I’ve also recently felt warts and lumps sprouting up in various places and I wonder if the apoquel has caused worse skin issues. Vet has needle aspirated them, clear. Perhaps I’ve rushed to the vet too often, unnecessarily? Perhaps I’ve worried too much his entire life? But the gagging worries me now more than ever. Although since I got up 30-40 mins ago (it’s now 4.20am), Snowie has been sleeping peacefully!!

A pic from Sunday. You can see the wound on his left back leg. It looks much better than it did a few weeks ago, when it was black and pussy and a deeper hole.

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@M.F. I’m so sorry you and Snowie are going through this. Everything always seems worse at night so I hope posting your worries on here has helped a little. You and Snowie have had such a difficult year. Yes the gagging could be a symptom of something else but from what you’ve said it sounds like licking the wound is a trigger for it. I’ve never known a vet encourage the licking of a wound. Yes licking will keep it clean, it will keep the wound open which it needs to drain and stopping a dog licking a wound as we all know is near impossible but personally I would discourage it when possible, bathe it myself and see if that helps with the gagging. All the doubts and worries your having about having done the right thing for Snowie over the years are natural to have especially at that time in the morning but you don’t need to have those doubts. You most definitely have always done the right thing for Snowie and will continue to do so because you love him and that’s the most important thing he needs. :hug:
 
After reading @Anne123 post I’ve had a thought which may or may not be suitable for Snowie. Manuka Honey is often used to treat ulcers on humans. It debrades necrotic tissue, anti bacterial, anti septic etc and helps healing. I always have a tube in stock for any wounds my dogs get as I know it will help clean and heal the wound and I’m not worried about it being licked off. It might be worth a try as I doubt it could do any harm and it might just work :idea:
 
Everything always seems worse at night so I hope posting your worries on here has helped a little.
You are so right. Thank you. And, posting them here made the issues seem not as big. And the kind responses I have received are comforting.

You most definitely have always done the right thing for Snowie and will continue to do so because you love him and that’s the most important thing he needs.
Thank you. I really appreciate this. I have a friend who has often said, “I haven’t known a dog with so many health issues as Snowie” and it makes me feel upset and guilty, perhaps I’ve done something wrong. Or, perhaps I just worry too much. She is far more laissez-faire with her dog.
 
I'm so sorry to read about your worries over Snowy! You did the right thing to come here and tell us about this happening. Jennifer already wrote what I was thinking! Our dear furry friends are getting old...... :'(
Looking at his wound it looks like an ulcer some older people can have on their leg. Could it be due to poor blood flow in the paw?

:hug: :hug:
Aging is just awful. 🥲 I also wondered about poor circulation. I’ll ask the vet tomorrow. Although he thinks the signs point to a spider bite: large crater with necrosis. He said once it’s healed, and if it continues to be a worry, he’ll take a tissue biopsy. He said if we were in the E Cape, it would definitely be a tick bite (this particular tick is only found there). But where we are in the W Cape, it could be a spider bite. The pharmacy down the road reported several people coming in with spider bites lately. I don’t know, difficult to know what caused it. We do have lots of spiders in our house. Very common. Tiny black jumping spiders with a toxic bite, but not common afaik to get bitten.
 
Poor Snowie, I do hope this clears up ok. It is not easy having an older dog, is it?? You are and have been a wonderful dog owner, don't ever let anyone make you feel guilty. He looks such a love! xx
 
I feel particularly close to Snowie as he was a twin with Rourke. I do empathise with you and understand your worries.. Rourke had a similar problem but that was actually on the hock bone, it was ulcerated and sadly didn't heal. Snowie has it in a more fleshy area which is more likely to heal. I wouldn't let him lick it, it will hinder any healing. The vet prescribed a hydrocortisone spray and to keep it covered. Am thinking of you x
 
Thank you. I really appreciate this. I have a friend who has often said, “I haven’t known a dog with so many health issues as Snowie” and it makes me feel upset and guilty, perhaps I’ve done something wrong. Or, perhaps I just worry too much. She is far more laissez-faire with her dog.
Do not feel guilty and don’t be upset. You’ve done nothing wrong at all. I know how you feel. I’ve had comments before now about how often I take my dogs to the vet and criticism that it must be something I’m doing like not taking them places and exposing them to more germs. My dogs have all been taken places, walked in different areas etc. I find these people are like you describe your friend and they are usuallythe ones that do very little with their dogs so they don’t get things wrong with them. If something is wrong with their dog they generally leave them to get better on their own or wait a good while before going to the vet. Sometimes I wish I could be more like that and yes some things my dogs probably would’ve recovered from on their own but I have never taken my dog to the vet and been told there’s nothing wrong I wish I had. You can and should take comfort knowing that you have and always will look after Snowie and do what is best for him to be well and happy :hug:
 
Gosh, you & Snowie are really going through the mill. Have you got any honey to try? Even regular honey is good . :hug:

Honey and Healing
Will definitely try it later. Snowie is sleeping now with the wound underneath and I don’t want to bother him. I’m exhausted, so he must be, too, from lack of sleep last night. We did a nice walk in the park at midday. Two huge poos. Trotted in places, ambled in others, had his regular dip in the lake. Usual sniffing out bits of food dropped by picnickers. No gagging at all. When he wakes up, definitely putting the honey on. Before a walk I put on Betadine (iodine antiseptic) because it stains! So, better outside of the house. It’s very effective, only been using it the last few days. The vet gave us Biotane (chlorohexidine), but I find Betadine to be more effective and I had a bottle at home. My dad was a doctor and swore by Betadine! We grew up with it.
 
I feel close to Snowie as well, because he is about the same age as Poppy (only a couple of months older) and also because of the shared seizure history.
 

Naya

Moderator
Location
Bristol, UK
So sorry Snowie is struggling so much. I always say it’s better to get things checked as you never know. I’m cautious too, especially as they get older. I hope that the gagging is from licking and nothing more sinister xx
 
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