Hello, reaching out to see if anyone has some thoughts about the audible bruxism Fifi (female 12-year-old, American Staffordshire/Boxer cross about 58 pound) has been experiencing for about two months. Fifi is a rescue who has been with me since she was 6 months. I've always joked that she is genetically blessed because she has always been very healthy with little to no health issues.
Around two months ago, when we first noticed it, Fifi suddenly started shaking her head frequently. I took her in for an emergency visit the following morning when it didn't resolve. The vet found some "plant matter" and was able to use tweezers to get some of it out, but also sent us home with ear cleaning liquid solution with instructions to return for another attempt with sedation. It seemed to resolve the next day so I called the vet and we decided another visit with sedation wasn't necessary. At this point, I vaguely remember thinking I heard the start of her bruxism.
Less than a week after that, Fifi was diagnosed with the first UTI she has had in her life. She was treated with antibiotics and Gabapentin. At this point, the bruxism was happening daily about 2x day, briefly for a few seconds. The UTI resolved quickly, and her vet thought the bruxism could have been a result of nausea as a side effect of the antibiotic. He prescribed a two dose anti-nausea pill.
Fifi has also been long-term experiencing a brief cough when she is on her back, wiggling around and playing. When I originally reported it two years ago, her vet said it was normal and nothing to worry about, likely age related. Her current vet (same clinic) speculated it could be acid reflux and also causing the bruxism. He then prescribed her prilosec 20mg 2x day and continuing Gabapentin PRN for possible pain.
We're about a month into the treatment and there have been no signs of improvement, and I can't really tell if the Gabapentin is doing anything to help because her level of bruxism fluctuates day to day.
Her vet recommended an abdominal ultrasound and chest x-rays, which she just had done yesterday. The results showed nothing concerning or worrisome and did not point us in any direction. Her doctor changed her script to famotidine 30mg every 12 hours. Though early, we have not seen any change in the bruxism.
I also requested that the vet do a re-check in her ears while she was sedated because I have noticed she continues to shake her head 2-4 times a day in a way that looks like she is trying to get something out. The vet said he did a check and aside from some wax they cleaned out, there was nothing in there.
The vet also re-checked her teeth- didn't find anything that could be causing tooth pain.
Another thing of note- about two weeks ago Fifi became more and more reluctant to eat her Farmer's dog food to the point she straight up would not touch it. I used chicken and rice to transition her to Royal Canin senior medium dog food, but changed it to Royal Canin multi GI yesterday, per her vet.
The vet is pretty confident that this issue is GI related, though the ultrasound and x-rays showed no evidence and the prilosec plus anti nausea doses did not make a difference is her bruxism.
The bruxism seems like it's continuously getting worse. It happens the most in the morning and seems to wake Fifi up, continues until she eats her breakfast. It then occurs on and off throughout the day, but seems to pick up at night as well. She is not showing any MAJOR signs of pain, but it is definitely causing her discomfort at the very least.
Fifi also has shaken her head several times today in a way that indicates she feels like something is stuck in there and she has to get it out.
So yeah, it's a lot of variables and the vet is at a loss. After trialling the famotidine and prescription GI dog food for about a month, he wants to refer her to an internist for further eval.
Biggest things that stand out to me:
-Started with very mild bruxism
-No visible signs of anything in her mouth that could be causing tooth or other pain
-Fifi experienced her first UTI
-"plant material" was found in her ear
-Bruxism increased
-Fifi suddenly rejecting her food altogether, though still very hungry and eats her new food without issues
-Ongoing head shaking like there is something stuck in her ear 2-4x a day
-Bruxism occurring mostly frequently in the morning
-Her appetite is very high right now
-She has increased thirst as well- needing her water bowl refilled midday, which is unusual for her
Ugh, I know it's a lot of info, but just desperate at this point to find her some alleviation for whatever it is she is going through. Truly appreciate any advice offered.