Hello Dr Steve Marsden,
I truly hope you can help me with my little girl. This is Tuli, she is a 5 year old Doxie/Chihuahua mix. She has been having what we refer to as dizzy spells or the wobbles since she was about a year. I strongly believe it was after her last vaccs. She will start pacing and starts to do the liking you see in the video she comes to me for comfort I assume, then she gets like a drunken gate and last she will throw up. Usually this lasts about 3-5 min. The video where she is on her PeePee tray, which she would never normally lay on, was a few days ago and it was different from other episodes. Her breathing was very bad and her heart rate went way down. As you see she was almost non-responsive and lasted about 20 min. I thought we were gonna lose her. She ended up throwing up and having soft stool right after.
She get these episodes about every three to four weeks. Bloodwork shows all is good as per vet and all they want to do is put her on Phenobarbital or Keppra. I currently have her on Full Spectrum CBD and C8 MCT oil, they dont seem to be helping. She eats either home cooked, canned sardines, commercial gently cooked or I just started commercial RAW. She itches a lot which is something I am trying to fix with all three of my little ones. Her appetite has been increasing as has her weight which made me wonder about Cushings, but no other symptoms to indicate this.
Im hoping I have attached everything correctly for your review as well as made it as concise as possible as I truly appreciate your time.
Dr. Steve's Advice - I agree with what your vets seem to be suspecting, which is that Tuli is going through a prolonged pre-ictal phase. In other words, that she is having 'pre-seizure' events, but not actually convulsing.
If that's the case, then it means that, although concerning to you and Tuli, the behaviour is mild enough to possibly resolve using herbal medicines.
A real food diet is generally a good idea in seizures. Rather than you perhaps considering her diet as not working for her, it may be that it is the wholesomeness of the diet preventing things from worsening into full-blown epilepsy. Make sure that the raw you're feeding is not very high in fat and contributing to weight gains. I understand the use of CBD and MCT supplements, but there's a chance the MCT's are aggravating her instead.
One way that a 'keto diet' and MCTs could work against Tuli is if she had a Damp constitution from a Chinese medical perspective. Dampness is signified by an increased tendency to weight gain, nausea (signified by licking) and inflammation. It can also 'cloud the thinking' and interfere with the movement of Qi and Yang into the interior of the body. If this interruption is severe enough, the Yang and Qi rise to produce seizures. Meanwhile, since Dampness is produced by weakened digestive organs in response to a diet that is too rich, loose stools can result.
You can see this description fits Tuli reasonably well. If you want to try treating her for it (instead of going for the anticonvulsant drugs, which won't cure her, but will only mask the symptoms), then I'd suggest finding Kan Essentials Subdue Internal Wind, either on Amazon or through someone like Diana Hermann, per her instructions in Featured posts above. Follow the dosing guidelines located at https://nphc.ca/using/dosage. You'll need to use it for at least a couple of months to know if it's reducing her seizure propensity, if this is a monthly issue
The only thing that gives me pause is her high platelet count. This is sometimes associated with another cause of seizures, Shao Yang disharmony. If that were the issue, then you'd be looking at trying Halscion from Gold Standard Herbs. Symptoms include nausea/licking, seizure tendencies, pacing, headaches, and a disrupted microbiome, which can produce itching. You can see it's a pretty good fit, too
A final candidate that is safe to try in just about any suspected seizure case is Kan Essentials Calm Repose.
This may be a situation of trial and error, where you give one formula a shot, and if in a month the behaviour recurs, you try the next one. It may take several months to figure out what's going on and land on a successful treatment.
One thing that will reduce the trial and error is the timing of the activities. The more it happens in the mornings, the more you'd use Subdue Internal Wind. The more it happens in the night or in the wee hours, the more you'd use Halscion. Calm Repose dogs are more apt to seizure in the afternoons and earlier in the evening
Hope this helps you out!
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