I would call the vet, if the dog is not responding to the prescribed treatment within a reasonable amount of time I would consider consulting another vet or get a referral to an veterinary internal medicine specialist. It doesn’t sound like your dog is responding to treatment.
Depending on how much pain and discomfort the dog is in (it’s impossible to tell online how severe the symptoms you describe are) I may even go to the emergency vet.
BTW: This is what my vet told me regarding Tramadol, he said he would continue it for the dog in question if I thought it was helpful, but : “Tramadol is no longer recommended for pain relief for dogs”.
Ask your veterinarian for details, see what else he would recommend.
3 weeks, 2 days ago
