[Jenn H]

Is there a worse feeling than seeing your pet struggling and not being able to help???

Hydrotherapy is really amazing. But don’t do it if it will add to the anxiety your dog is already feeling. Also Old English Sheepdogs (which I absolutely love and never see) have a lot of fur. Soaking that coat will add a lot of extra weight that the dog probably isn’t strong enough to carry.

One of my girls has Lyme induced arthritis. When she has discomfort I give her Neurontin (Gabapentin). It’s good for nerve pain and not expensive. I’m always weary of Rimadyl and other drugs like that as they can effect the liver. What your dog already has elevated bilirubin you don’t want to do that.

While we’re on the liver…your dog may have a nausea if it isn’t functioning properly. That could be the reason for the anorexia and foaming mouth.
It also works with the kidneys. I had a dog that drank ever few minutes like he hadn’t drank all day. The output didn’t come close to his intake. He was in kidney failure. (He was having mini-strokes.)
If the liver isn’t doing its job ammonia doesn’t get expelled from the body and that causes hepatic encephalitis (HE). This presents as dimentia and can also increase anxiety.
The liver is the 2nd largest organ. It’s very important and can cause a lot of trouble if it’s out of whack.

As for reversing or stopping nerve damage that’s a tough one. There aren’t many things that can get through the blood brain barrier. If it can’t reach the central nervous system then it’s not worth the risk.

Some dogs do still have the instinct to kill the sick & weak. They can’t waste valuable nutrients on a pack member that isn’t well.
Keep an eye on the healthy dog. Don’t leave them unattended together. If the other dog is strong or big I would just keep them separated at all times. Easier than getting him/her away when they are determined. The sheepdog doesn’t need that stress.

My plan would probably be:
*Get something for pain. To at least take the edge off. But also has the least side effects.
*Keep an eye on the liver levels. Especially ammonia. If you notice yellow tint in whites of eyes that’s jaundice. It’s the result of too much bilirubin.
*Get an anti nausea med. That may help with the appetite.
This is all really palliative care stuff. You can continue to seek a more permanent solution as you do this, but keeping the animal comfortable is priority.

My heart breaks for you. I hope you find a way to turn things around. 14 years is a very respectable age. Good on you for getting this far. I know it’s never long enough.

So get the baby comfortable, then find a way to improve health.

Best of luck to you.