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Collapse/Fainting

Rating: 10
Bubba
Bubba

This will be long, but any ideas of what this could be will help us so much!!

Bubba is a very healthy dog, very active and a great weight (a little on the thin side even). He is a Pekingese (3years old) and has never had anything like this happen before. Here is what happened.

I slept in Monday morning and woke up to diarrhea in the bathroom. It was a fair amount and some of it was very runny. Also, it seemed like Bubba may have struggled with it because it was in several places. I didn’t think much of it, however I did notice Bubba doing this weird thing. He kept sitting down a lot and was acting like it hurt him to do so. He would sit down very carefully and slowly and then kind of plop down to lie down. It was strange.
I took my dogs (I have another Pek name Bis-a girl) on a walk. Bubba seemed fine, lots of energy like normal. He only peed on the walk and kept doing the sitting down oddly thing. Anyways, I got back and gave them some Mozzarella cheese for a special treat (which he has had plenty of before) and sat down with them. About five/ten min went by and then he collapsed. He just fell over- like keeled over and let out this horrible sound. His mouth was shut so tight. And he shrieked for about 30-60 seconds. I did not know what to do- thought he might be choking and I tried gagging him. He vomited a lot of bright yellow stomach bile and the cheese and then he walked a little more and fell over again. He was now limp, jaw was shut very tight and his tongue turned white. I wrapped him in a towel and rushed him to the vet. His eyes remained open and he seemed to kind-of know what was going on. His chest also seemed hard/like he was not breathing?
Got him to the Vet and they got him on O2 and IV fluids. No steroids were used to bring him back. He came back quickly. She said he had a low heart rate and they were going to run a blood test. Blood test showed high Potassium/High glucose/ and liver level was off. The Vet first thought maybe Addison’s disease. They brought him out to me maybe ten min after they got him back and he was wagging/ trying to get the catheter out/ like the little rascal he always is. The Vet also told me we almost lost him.
They recommended more testing at another animal emergency/specialist hospital. We took him there directly and he was still doing great (like nothing happened). They ran an electrolyte test and it seemed like Addison’s (not atypical however) was ruled out. They did an abdominal ultrasound. Found that the gallbladder wall was mildly thickened and they found debris in his gallbladder. An BioAcid test was then done to see how bad on an infection was going on and if we needed a biopsy of the liver. Bioacid test came back normal. They said it was fine for me to take Bubba home because he was doing so great. All his physical exams were normal and he was watched for almost 32 hours after the collapse. They gave me some antibiotics (Amoxicillin and Metronidazole) for the gallbladder situation and also said that we could get the ACTH stimulation test done to check for Atypical Addison’s. Also, shunts were ruled out with the ultrasound/bio acid test.
We took Bubba home and he was acting totally normal- a little tired and we took him in to get the ACTH stim test done at our regular vet on Thurs. The test results came back a little strange. I don’t know exactly how the test works but I guess the results showed him to not be in the Addison’s range, but also were not in the normal range either. Somewhat in between. My Vet talked to three different specialists about Bubba and everyone thinks he does not look like an Addison’s dog.
Now, they want to look at Bubba’s heart. My Vet said that the collapse was probably not do to the liver/gal bladder infection. That it could be a heart block? She recommended an EKG. She told me that if the test came back abnormal- we would have a diagnosis. If the test came back normal- that does not mean there is no problem. So, I asked her what the next step would be whether it is abnormal/normal and she said it would be a heart ultrasound with a cardiologist.
I have not done the EKG yet. I am sending all the records from both places to my mother who is going to have our Vet in Colorado (been with them for years/they have seen Bubba-even neutered him) take a look and get a second opinion. I have also been listening to Bubba’s heart and have noticed irregular heart beats- like three really close together then a pause and then two beats, pause. I am so worried. I am going to take him to a cardiologist, I just want as much help as I can get right now. I guess my questions are:
Any possible idea what could have caused this?
Could his gal bladder/liver could have possibly caused the collapse?
Are there any signs I can look for?
If he has another collapse what can I do for him while getting him to a hospital?
Is this heart disease?
Any other tests you can think of to run on him?
If it is a heart block- is it going to shorten his life?
I’m sorry for such a long explanation. I just am hoping for someone to figure out what happened to him so I can help him. It will be a week a go that it happened on Mon Feb 4. He is acting fine, the Vets said I could leave him alone, but I want to be near him if it happens again so I can save him. Please let me know if you have any ideas and if it was even a collapse/stroke/fainting?

Thank you so much!

Five Response(s) to “Collapse/Fainting”:

  • Master Advisor Matthew says:

    February 05th, 2008 at 11:51 AM

    Hi, When I first read Bubba's history, my main 2 differentials were indeed Addison's or a heart problem. The history is not entirely typical of either though, and he could have neither. If he had a heart problem causing 'syncope'. This is when a heart disturbance causes a temporary lack of oxygen to the brain, causing collapse. It is a symptom rather than a diagnosis - there may be a structural problem or an electrical problem within the heart. The first test would be an EKG, if this was diagnostic then great, if not then a cardiac ultrasound would be advised. This needs to be performed by a sprecialist veterinary cardiologist. There are a number of different diseases that cause syncope, with different prognoses. Many are easily treated by drugs, others such as 3rd degree AV block or sick sinus syndrome require pacemaker implantation. He may not have a heart problem at all. Liver problems can cause seizures, diarrhea and vomiting, he could have even just ingested a toxin of some sort and doesn't have any chronic disease. As far as I can make out, he has only had the one episode so there is an argument for doing nothing at all, single seizures are not investigated, only if they recur. A consultation with a cardiologist to screen for anything sinister is about all I would recommend doing.

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    Matthew Homfray
    PDSA is the UK's leading veterinary charity, caring for more than 350,000 pet patients belonging to people in need. We provide free veterinary treatment to sick and injured animals and we promote responsible pet ownership.
  •   Morgan says:

    May 14th, 2009 at 07:47 AM

    Hi....this type of problem does happen often and most of the time go unexplained. I always reccommend going to the Vet which you have done alot of. My advice would be to watch him and if he has more episodes then continue doing what is best and feesible for you and your pet. The fact that the gums turned white could mean many things as well: internal bleeding, BP  problem, heart problem...the irregularity you were hearing is normal with the way they breathe: typical arrythmia. The internal bleeding could be ruled out by the ultrasound that was done  but you should ask if they looked at the spleen. I would still go to the cardiologist and see what they have to say but just be cautious about what you do...everyone alwayswants to do alot of tests and they are not always necessary or help with any of the diagnostics. Good Luck!!! Let us know how it goes.

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    Morgan Oppenheimer
  • User suggests:

    October 04th, 2009 at 05:03 PM

    Did they completely rule out heartworms and pancreatitis? Our boy (a rescue) had a few episodes of partial fainting, and it turned out he was heartworm positive instead of negative as we had been told. Got him the treatment and he's fine. A coworker's cat had a rough bout with pancreatitis, and it sounded similar to the episode with the diarrhea, vomiting and pain your baby had. Hope you little one gets better!

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  • Gabriella suggests:

    December 21st, 2009 at 12:48 PM

    I think it is possibly a heart problem, although I'm not a professional. How did the EKG go? Best of wishes, Gabriella

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  • Gabriella suggests:

    July 02nd, 2010 at 02:15 AM

    Hi again, I am not a professional but maybe you should ask about "stomach bloat." I know it's more common in larger breed dogs, but it can cause weak or increased pulse, hard stomach, whining, collapsing sometimes and attempts at vomiting. Once again though I am not a proffessional, so I'm not positive that I have 100 percent informatiion, but I would say its something to look into. Best of wishes, Gabriella

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