SpotOnTM Case Study #X that Includes Your Dog’s Symptom(s)Case Study #X

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by Loi Wei Ling
(Singapore)

Current Eye condition 1

Current Eye condition 1

Current Eye condition 1

Current Eye condition 2

Taken in Jan 2012 - 1

Taken in Jan 2012 - 2

27th April 2012

Re: Red Eyes

Dear Dr Tillman,

Xuan Xuan took her first dosage of Mercurius Sol 30C on 14 April 2012. These two weeks, there is no significant observation. During the first few days, it seems that Xuan Xuan was "perspiring" more under her armpit and underside. I am not sure it is due to the hot and humid weather these two weeks though. But she seems to scratch a bit less but bites more on her leg and tail. Her newly little grown hair (about 1cm) on one side of her backside is gone again.

My immediate concern is her eye. She had a sore left eye two days ago. She couldnt open her eyes big and slept most of time. I am not sure how she got it and whether she violently scratch it till it is in this condition. The membrane surrounding her pupil is wrinkled and she the white portion is red.

Yesterday and today was better. She could open her eyes and is active and happy as usual as opposed to 2 days ago. But it is still red as you can see from the photo attached that I just took a few minutes ago.

But I discovered something else. She seems to have a cloudy layer that looks like a Cataract. She had this "birth mark" according to the vet since birth n her left eye which makes the white portion not too white. There is also slight cloudiness which I suspected its cataract from birth which doesnt really affect her vision from what I can see.

The 3rd and 4th photo is taken in January this year while the other two was taken just a while ago. She seems to be able to see clearly though. She was just watching people playing tennis 10 floors down that day from my full length window, tilting her head at the sound of the ball. (That was the only activity that I can see happening outside the window at that point in time)

I am a little worried by that clear cloudy layer that is visible and her eyes that are still red. Should I bring her to a normal vet or an eye specialist to get it check?

Comments for Red dots under dog's armpit area with black scaly looking skin without hair (Part 6)

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Apr 27, 2012 My Online Vet Response for Red dots under dog's armpit area with black scaly looking skin with hair (Part 6)
by: Dr. Carol Jean Tillman

April 27, 2012
13 DAYS POST REMEDY--FIRST DOSE OF MERCURIUS SOL 30C GIVEN APRIL 14, 2012

RED LEFT EYE

Hi Wei Ling,
You wrote,
Xuan Xuan took her first dosage of Mercurius Sol 30C on 14 April 2012.
1. During the first few days, it seems that Xuan Xuan was "perspiring" more under her armpit and underside.

2. Bites more on her leg and tail. Her newly little grown hair (about 1cm) on one side of her backside is gone again.

(Suspect this is an aggravation to the remedy.)

My immediate concern is her eye. She had a sore left eye two days ago. (11 DAYS POST REMEDY)

She couldnt open her eyes big and slept most of time.
The membrane surrounding her pupil is wrinkled and the white portion is red.

Yesterday and today was better. She could open her eyes and is active and happy as usual as opposed to 2 days ago. But it is still red ... something else. She seems to have a cloudy layer that looks like a Cataract. She had this "birth mark" according to the vet since birth in her left eye

Since it is difficult for me to ‘see’ into her eye from the photos you took, (although I CAN see that she has a red eye), I think it would be best to make an appointment with a veterinary Ophthalmologist. And I do not know if this is a flare-up from her scratching her eye, OR if the ‘scar’ tissue on her cornea is trying to heal, or if there is an entirely new problem that is now occurring. It would be best for a veterinarian, (eye specialist) to check her eye, and give a diagnosis.

In the meantime, use topical cod liver oil, (UNFLAVORED-ORIGINAL),and put 1-2 drops in each eye TWO times daily, for the next 5 days. Cod Liver oil is very high in Vitamin A, which is important for tissues to heal quickly.

Do not repeat the remedy.

Please keep us posted by coming back to this page and clicking the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman

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DISCLAIMER: This educational advice is based on the depth of your question and the picture you submitted. The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.


May 19, 2012 5 weeks aft 1st dosage of Mercurius Sol 30c
by: Wei Ling

Hi Dr Tillman,

Xuan Xuan's eye has recovered fully after about a week. I didn't bring her to the vet. Everything seems back to normal only left with the mark that she had since young.

Five weeks after her 1st dosage of Mercurius sol. Nothing very significant. Still "sweating" under her armpit. Itchiness back to normal level of about 3 out of a 10 point scale. She scratches her armpit n neck the moment she wakes up and bites her legs a few times in a day. It's an itch level that we can all live with but of course we hope to improve it. Can't take off here clothes. Her arm and underside will bleed immediately once she scratches it. Hair near her tail and neck growing back but still very little hair. Armpit hair still very very little though.


May 19, 2012 5 weeks aft 1st dosage of Mercurius Sol 30c
by: Wei Ling

Hi Dr Tillman,

Xuan Xuan's eye has recovered fully after about a week. I didn't bring her to the vet. Everything seems back to normal only left with the mark that she had since young.

Five weeks after her 1st dosage of Mercurius sol. Nothing very significant. Still "sweating" under her armpit. Itchiness back to normal level of about 3 out of a 10 point scale. She scratches her armpit n neck the moment she wakes up and bites her legs a few times in a day. It's an itch level that we can all live with but of course we hope to improve it. Can't take off here clothes. Her arm and underside will bleed immediately once she scratches it. Hair near her tail and neck growing back but still very little hair. Armpit hair still very very little though.


May 22, 2012 My Online Vet Response for: Red dots under dog's armpit area with black scaly looking skin without hair (Part 6)
by: Dr. Carol Jean Tillman

Hi Wei Ling,
May 21, 2012--5 weeks after first dose of Mercurius 30c
From your report, it sounds like Xuan Xuan needs another dose of the Mercurius 30c.

1. Still "sweating" under her armpit.
2. Itchiness back to normal level of about 3 out of a 10 point scale.
3. She scratches her armpit n neck the moment she wakes up and bites her legs a few times in a day.

"Can't take off her clothes. Her arm and underside will bleed immediately once she scratches it."

Please keep us posted by coming back to this page and clicking the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman


Jun 28, 2012 5 weeks aft 2nd dosage of Mercurius Sol 30c
by: Wei Ling

Hi Dr Tillman,

Administered the secon dosage on 25th May.

This few weeks, Xuan Xuan's condition improved tremendously. She can go through the week without smelling bad at all. Her energy level is at all times high, almost back to her puppy years' level. She started playing stuff that she stopped playing for the past few years eg. Squeezing in and out under the sofa, continuously and persistently bringing different toys for us to play with her, greet every single guest enthusiastically.

Even when I brought her for grooming 3 weeks back, there were totally no outburst of itchiness and she came back totally not scratching much at all.

Her armpit seems quite dry to touch and not as damp as before. She still does scratch immediately after waking up and after bathing.

However, these few days she seems to be scratching more and smells 3-4 days after bathing. Is it time another dosage?


Jun 29, 2012 My Online Vet Response for: Red dots under dog's armpit area with black scaly looking skin without hair (Part 6)
by: Dr. Carol Jean Tillman


5 weeks after 2nd dosage of Mercurius Sol 30c

Administered the second dosage on 25th May.

Hi Wei Ling,
What a wonderful report. I was wondering how Xuan Xuan was doing!
YES, I agree that it sounds like she is due for a 3rd dose of the Mercurius sol 30c.

Please keep us posted by coming back to this page and clicking the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman

P.S. If you've found this service or our web site helpful, please "Like" us
by clicking the like button at the top of the left
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. Thank you!

DISCLAIMER: This educational advice is based on the depth of your question and the picture you submitted. The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.


Jul 03, 2012 Stiffness and hot after 3rd Dosage of Merc sol
by: Wei Ling

Dear Dr Tillman,

I administered the 3rd dosage yesterday night after coming back from an overseas working trip. Within a few hours, Xuan Xuan became hot and stiff and doesn't want to move.

This morning when I woke up, she refuse to move from where she was sleeping. She slept in lying flat position the entire night as far as I know and not lying on her side. When I touch her, she feels hot and sweaty. When I shifted her from the bedroom to the living room, she resisted by stretching backwards hr tense body.

She refuse to eat both her food and tidbits even when placed near her mouth simply lying there with eyes wide open.

What could have happened?


Jul 03, 2012 Further observation
by: Wei Ling

Hi Dr Tillman,

Xuan Xuan couldn't really walk. A friend dropped by my house and she wanted to jump down from the sofa. It took a while for her to stabilize on her hind legs before she jump. After that she could really even straighten her hind legs to move to the door. She tried to pull herself forward using her 4 limbs but managed to reach only halfway between the sofa and the dog. She laid there and vigorously wagged her tail to welcome the guest.

The situation seems serious. What should I do?


Jul 04, 2012 My Online Vet Response for: Red dots under dog's armpit area with black scaly looking skin without hair (Part 6)
by: Dr. Carol Jean Tillman

Hi Wei Ling,
July 4, 2012
You wrote,
Xuan Xuan couldn't really walk.

Yes, I agree, this sounds very serious. I am concerned that she has ruptured a disc in her back, or had some other neurologic problem. I am not sure if it relates to the dose of remedy that you gave her, or is due to an independent reason, such as trauma. And she just hurt her back jumping up and down off of furniture.

Please take her to a veterinarian for an x-ray of her back and a neuro exam.

Keep us posted by coming back to this page and clicking the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman

P.S. If you've found this service or our web site helpful, please "Like" us
by clicking the like button at the top of the left
margin
. Thank you!

DISCLAIMER: This educational advice is based on the depth of your question and the picture you submitted. The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.


Jul 05, 2012 Vet visit
by: Wei Ling

Dear Dr Tillman,

I've suspected it is a hip joint injury.

I've brought Xuan Xuan to the vet yesterday because I was really worried about her condition. The vet observed that her pulse on her hind legs is not as strong as her heart. Though her skin feels hot, her temperature was 38.0 and not running a fever. She did a blood test and a stool test and no abnormality was found. She did a physical observation on her walking and commented though she was weak, she was walking normally.

The vet couldn't conclude anything about her. She said that might be due to the reaction of the homeopathic medicine that works on the energy level, redistributing the energy to certain parts of her body and causes other part to be weaker with less energy.

After the visit last night and based on observation today, she had an outburst of energy for a walking and running normally, followed by low energy level, lying down and not even moving. I've tried to touch her down her spine. Her reaction was great with her suddenly turning as if she wants to bite my hand when I touched the joint between the pervis and the hind leg joint.

Just a recap of her 3 dosage of Merc sol:

1st dosage, we thought she injure her eye and she kept scratching and sleeping for about 4-5 days with low activity level and not moving a lot.

2nd dosage, the day after her second dosage, when she woke up in the morning, she jumped down the bed and couldnt balanced herself. She was shocked herself and stared at her own leg. She wanted to scratch herself but discovered that her hind legs couldnt touch her body and she was scratching the air. She started limping for a day and was didnt really want to walk. We thought she injured her hind legs while jumping. She recovered after a day or two and stopped limping and never seems to have any problem with the leg for the next 5 weeks.

3rd dosage, 2-3 hours after the dosage, she refused to walk from the living room to the bedroom to sleep. Body was stiff and refused to be moved.

I really do not know whether it's a joint problem or due to the Merc sol reaction on her body.

Other than sending her to do an X-ray, do you think it has got to do with muscles and ligaments? Do you think we should bring her to a Chinese doctor instead for acupuncture?

I am still not very comfortable with the bottle of Merc Sol I bought. Has it got to do with that?


Jul 05, 2012 Vet visit - Blood test results
by: Wei Ling

Dear Dr Tillman,

Below are the blood test results:

HCT 48.8%
HGB 17.1 g/dL
MCHC 35.0 g/dL
WBC 11.00 K/uL
NEU ~7.55 K/uL
EOS ~1.15 K/uL
GRANS 8.70 K/uL
%GRANS 79.1%
L/M 2.3 x10^9/L
%L/M 21%
PLT 467 K/uL

GLU 99 mg/dL
BUN 26 mg/dL
CREA 0.7 mg/dL
PHOS 3.1 mg/dL
CA 9.4 mg/dL
TP 7.8 g/dL
ALB 3.3 g/dL
GLOB 4.5 g/dL
ALT 29 U/L
ALKP 53 U/L
TBIL 0.3 mg/dL
AMYL 404 U/L
LIPA 1076 U/L

Na 151 mmol/L
K 5.0 mmol/L
Cl 115 mmol/L

Greatest change compared to 1 and a half year ago,
LYM dropped from 36.4% to L/M of 21%. Is it the same?
Her EO is still low. What does that mean?
Her BUN is on the high side. any implication?


Jul 06, 2012 My Online Vet Response for: Red dots under dog's armpit area with black scaly looking skin without hair (Part 6)
by: Dr. Carol Jean Tillman

July 6, 2012
Back/Hip Injury after 3rd dose of Mercurius

Hi Wei Ling,
I am glad that the veterinarian did not find anything too serious from the examination or the blood panel. But I am concerned with Xuan Xuan’s intense reaction, when you wrote,

“I've tried to touch her down her spine. Her reaction was great with her suddenly turning as if she wants to bite my hand when I touched the joint between the pelvis and the hind leg joint.”

To me this indicates that she has something more serious than an aggravation to the homeopathic remedy. I think it would be best to have an x-ray done. Hopefully, it will show nothing serious, and perhaps it is only an injury due to trauma.

You wrote,
“I really do not know whether it's a joint problem or due to the Merc sol reaction on her body.”
It may be a combination of both. She may have the underlying joint/nerve problem, and the Mercurius has exacerbated it. It seems that the Mercurius is NOT the appropriate remedy for this condition at all. An appointment with a Chinese Doctor for acupuncture, would be a good idea, after the x-rays are taken.

Regarding her blood count:
You wrote,
LYM dropped from 36.4% to L/M of 21%. Is it the same?
The lymphocytes are types of white blood cells. When there is stress, or disease, these white blood cells will increase or decrease. Since she is NOT doing well at this time, I suspect that is why the count has dropped. As the total White blood cell count is normal, I do not suspect an infection.

Her EO is still low. What does that mean?
Eosinophils are also a type of white blood cell. When there is stress, or disease these will decrease.

Her BUN is on the high side. any implication?
BUN stands for Blood Urea Nitrogen. It is usually a measurement for how well the kidneys are doing to handle the breakdown of nitrogen from protein. But it will also increase in relation to diet, or because of a breakdown in muscle tissue/inflammation in the body. Therefore, if the creatinine is NORMAL, and the BUN is increased, it means that the kidneys are OK, but there is some other none kidney related problem occurring in the body.

Keep me posted, and click the 'click here to add your own comments' link below.

Take care,
Dr. Carol Jean Tillman

CLICK HERE to go to Part 7 of "Red dots under dog's armpit area with black scaly looking skin without hair"

P.S. If you've found this service or our web site helpful, please "Like" us
by clicking the like button at the top of the left
margin
. Thank you!

DISCLAIMER: This educational advice is based on the depth of your question and the picture you submitted. The above should never replace the advice of your local veterinarian, as they have the ability to evaluate your dog in person.


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