Questions about laryngeal paralysis (Frisby PI)

    • Gold Top Dog

    Questions about laryngeal paralysis (Frisby PI)

    I took SInbad in to the vet today because he's been acting like he needs to clear his throat after he gets "bouncy". (He tries to hack something up but there's nothing to hack up.) It turns out he has some tracheal irritation and he is developing/has laryngeal paralysis (lar par).  He doesn't need surgery yet, but I know that may well be in his future. We're going to start with some additional acupuncture treatments. (He gets acu once a month now.)  Seems he is a perfect candidate for this diagnosis--he's a male Lab with hypothyroidism.

    Does anyone have any advice, experience with this and/or the surgery, etc?

    Thanks!

    • Gold Top Dog
    No advice or experience to share but wanted to send good vibes to Mr. Sinbad.  Give him some kisses from me. 
    • Gold Top Dog

     ((( Kate)))  Jessie was diagnosed with LP in April of 2009 at the age of 10. She had the same cough as Sinbad. At the time, her LP was very mild, with her right aryteniod cartilage opening normally and the left side just slightly paralyzed. A year ago when she had her dental my vet examined her larynx and the right side still opened normally but the left side only opened about a third of what it should. She has not needed surgery yet because it hasn't impacted her quality of life; she is usually walked an hour or more daily and does everything she did when diagnosed. Since it's associated with a neuropathy, the acupuncture treatments may help. Make sure Sinbad gets regular exercise to keep his rear legs strong because rear leg weakness is often associated with LP. You will find that he will tire more easily when it's warm because he won't be able to cool himself as well. In the summer, I walk Jessie very early while it's still cool. It's also recommended to use a harness for walking to avoid restricting the airway. You may want to ask your vet about supplements for the neuropathy. Carly Abramson, a veterinary neurologist at Ohio State, recommends L-carnitine, C0Q10, and B vitamins. In addition to those supplements, I also make sure Jessie gets fish oil daily and 200 IU of vitamin E a week. L-carnitine can make symptoms of hypothyroidism worse, so you may want to avoid giving it to Sinbad.

       Watch out for aspiration pneumonia; Jessie had a mild case about 18 months ago. I took her to my vet because she had six long coughing spells during the night; her appetite and energy level was normal but x-rays showed early pneumonia .A 2 week course of antibiotics cleared it up. My vet also starts her on an antibiotic four days before her dental to prevent aspiration pneumonia. If Sinbad coughs after drinking, raising the water dish can help. Having a shallow, wide water dish has helped Jessie because it makes her drink slower. There is a yahoo group for owners of dogs with LP;     LP : for owners of dogs who have laryngeal paralysis

       One thing I learned on that forum is that when your dog needs the surgery, make sure that the surgeon is very experienced in this type of surgery. Let me know if I can be of more help. Give that handsome boy some kisses for me.

      

    • Gold Top Dog

    Janice, thank you so much!  This is just what I needed to get a start on my list of questions and things to watch for. The vets today gave me very similar advice in terms of watching the drinking/coughing (he doesn't do that yet, but I like the elevated bowl idea.), early am walks in summer (which we already do because I melt), etc. We try to walk a couple miles every day now to keep him in good shape, so we'll keep that up! He gets salmon oil daily now. I'll ask about the others. We've got Tufts vet hospital and Angell Memorial near here, so I'm hopeful that when/if he does need surgery, we'll have good people available. While I'm sad Jessie has this, too, I'm thankful to have someone here who is "in the know"! I'll check out the yahoo site, too. Thank you again.

    • Gold Top Dog
    Wow -- I"m glad Janice posted.  This is one I have no experience with but I sure can be here for good thots and prayers.  From what I've heard this SHOULD respond well to acupuncture. 
    • Gold Top Dog

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    jessies_mom
    Make sure Sinbad gets regular exercise to keep his rear legs strong because rear leg weakness is often associated with LP. You will find that he will tire more easily when it's warm because he won't be able to cool himself as well. In the summer, I walk Jessie very early while it's still cool.

     

    I just learned more about this from you than from my vetHmmThis explains alot.My lab is 13 and has had LP since she was 8.I have found elevating her food dish prevents her aspirating kibble.Also she seems to be more comfortable sleeping where she can elevate her head such as a bolster type dog bed.

                                                                                             Tena

    • Gold Top Dog

    Mick was diagnoised with lp at a little over 11 years.  He lived another 4 1/2 years without having surgery, only these life style changes.  About 3 months before we lost him, my vet told me they didn't expect him to live more than maynbe 18 months after the diagnosis. 

    I typed up this document a coupld of years ago when I started hearing from more owners asking for advice/help with LPSome of this has already been covered here.

    As scary as it is, it's important to stay calm when he is having trouble breathing. Stress will make the episodes worse (or bring them on).  Just sitting and petting & talking to him during an episode should help.Heat, humidity, cold and wind  will bring on an episode.  Not only did Mick wear a coat when it was cold out, but, in the bitter cold or wind he also wore a homemade scarf (the end of a thick hunting sock held in place with a Velcro muzzle).

    Also, get him used to drinking out of a spritz bottle. Spritzing some water in his mouth will help end episodes. At first we thought it was the cold water, but eventually we realized it was actually the swallowing that stopped the episodes. You don't want to "flood" him with water, just little bits at a time. Plus it's an easy way to give him a quick drink when you're out someplace.

    Avoid putting pressure on his neck. A tracking style harness is great for walking dogs with LP because of how the straps are. Premier's Sure Fit harness is the same style, and what we used.   A leash can be clipped to either the ring at the front of the chest or the one on the back.

    Oh- if they aren't already- raise his food and water dishes so he doesn't have to stretch his neck to eat or drink. My vet suggested feeding smaller meals more often. When I told him I fed Mick out of a huge dish so the food was spread thin, he said that would work, too. The idea is for them to eat slow.

    I put Mick on ArthriSoothe about a year before he was diagnosed. I thought he was slowing down because of arthritis. Eventually I learned it actually had more to do with the LP (acquired LP causes muscle wasting from the rear forward). Anyway, we're thinking the ArthriSoothe was one of the reasons Mick's LP didn't progress as fast as the vet thought it would. Little by little, other supplements were added- MSM, Biotin, Cholodin and Vitamin B Complex.   Except for the ArthriSoothe and the Biotin, all Mick's supplements were crushed. The Biotin was a capsule, so I just opened it and sprinkled it on his food. I bought the horse version of the ArthriSoothe (a powder), and adjusted the dosage (more economical that way).  At 75 pounds, Mick’s maintenance dose was 1/8 tsp a day. 

    The biggest mistake we made with Mick was treating him like an invalid after he was diagnosed. He lost a good amount of muscle from lack of exercise in that period. And, with LP, once it's lost, it's gone.

     

     

    • Gold Top Dog

    No advice here either  . . . but sending him some of my best smoochies !!

     

    Deb W.

    • Gold Top Dog

    micksmom
    Anyway, we're thinking the ArthriSoothe was one of the reasons Mick's LP didn't progress as fast as the vet thought it would. Little by little, other supplements were added- MSM, Biotin, Cholodin and Vitamin B Complex.   

     

        I think that's why Jessie's has been progressing so slowly too. I learned about the supplements on the LP forum. micksmom's post is excellent and shows that they can do well with LP for much longer than the vet's prognosis if given the right care. Jessie was diagnosed very early and my vet didn't give a prognosis because she was the earliest case he had seen.

       Kate; this won't be something you need to know until his condition becomes more advanced, and I truly hope it doesn't. But, you can tell if he's getting enough oxygen by checking capillary refill time. Firmly press on his gums and quickly remove your finger. There will be a white spot where your thumb or finger was. If it takes more than 2 seconds for that spot to become pink again, then he may need to be checked by your vet.

    • Gold Top Dog

    Wow--thank you everyone for all this really helpful info. A lot we did for Frisby's IMHA is so similar, but that makes sense because both deal with oxygen issues.

    jessies_mom
    Kate; this won't be something you need to know until his condition becomes more advanced, and I truly hope it doesn't. But, you can tell if he's getting enough oxygen by checking capillary refill time.

    This was one I had to do with Frisby.

    What's funny (well, not really, but you get it-coincidental maybe??)...we have an oxygen condenser (machine) and a dozen or so oxygen tanks, because my Mom is on O2 full time for her medical stuff.  Sinbad will just have to borrow one of her small tanks if needed.

    We have a new harness for walks. I need to get the dishes raised. They "only" have 5 water dishes around the house. I don't think I have that many old phone books!

    Sinbad takes glucosamine and condroitin, and I used to have him on Nutrajoint. I can add the Nutrajoint back in. Is ArthraSooth a similar? I'll look that up today. And, I'll stop by the yahoo group.

    Again, thanks all.

    • Gold Top Dog

    FrisbyPI
    ...I need to get the dishes raised. They "only" have 5 water dishes around the house. I don't think I have that many old phone books!

    Sinbad takes glucosamine and condroitin, and I used to have him on Nutrajoint. I can add the Nutrajoint back in. Is ArthraSooth a similar? I'll look that up today. And, I'll stop by the yahoo group.

    Again, thanks all.

    I only raised the water dish in the kitchen.  ArthriSoothe is an anti-inflammatory.  The reason I went with the equine formula was cost- the small container cost me as much as one bottle of the dog formula, but lasted me over a year.  The dog one (tablets) would have only lasted a few weeks.

    http://www.drsfostersmith.com/product/prod_display.cfm?pcatid=16354

    • Puppy

     Hi

    my dog Afrika has a begin of LP; i found this product on-line 

    http://www.holisticanimalmedicines.com/store/trachea_laryngeal_oesophagus_disorders.html

    somebody knwos about  it?

    I have even vitamin b complex but i am not sure about the dose, they are vitamins for human been, how many she needs to have?e

    Thanks for your@s time

    Ilaria

    • Gold Top Dog

    ilaria

     Hi

    my dog Afrika has a begin of LP; i found this product on-line 

    http://www.holisticanimalmedicines.com/store/trachea_laryngeal_oesophagus_disorders.html

    somebody knwos about  it?

    I have even vitamin b complex but i am not sure about the dose, they are vitamins for human been, how many she needs to have?e

    Thanks for your@s time

    Ilaria

    I gave Mick 1 Vitamin B Complex a day (he was 75 pounds).  I haven't heard of the product in the link.  Mick has been gone for almost 6 years now, so that could be why I haven't heard of it.  It appears that company is in Australia, so that could be the reason, too.

    • Gold Top Dog

    It doesn't look like anything Sinbad's holistic vet or Western vet has discussed with me. Right now, we're using acupuncture as the main treatment and it does seem to be making a difference.

    • Puppy
    I don't have any acupuncture vet close to the area where we live, at least a didn't find any; The vitamin b complex that I am using is for human been, still do you recommend I table per day? Afrika is 80the pounds weight