Lethargic shih tzu

Dr. Marie replied:

Sorry to hear that Houston is having problems. This is a hard question for me to answer without being able to see him, but I can see if I can give you a few ideas.

Sometimes a dog can be lethargic because of pain. I have seen a good number of shih tzus that have had back problems. You may be able to tell if there is back pain by doing this: Stand him up on all four legs and press on his back one vertebra at a time. If there is pain he will either react or lick his lips when you touch that spot. If there is one spot that consistently gets a reaction then this is likely back pain. Some dogs with minor back pain can recover on their own but if it is not going away in a day or two or if he seems really uncomfortable then a vet visit is the best idea.

It is also possible that he has some mild stomach upset from eating something that he shouldn't have. If this is the case then it should resolve within 24 hours.

An insect sting is also a possibility.

In any case, if he still has these symptoms in 24-48 hours or if he seems like he is getting worse then a vet visit is the best idea.

Dr. Marie.

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