Signs Your Dog Is Having an Addisonian Crisis
An Addisonian crisis is the result of undiagnosed Addison's disease in dogs. If your dog does not get immediate medical attention, she could die from multiple organ failure. The hardest part about Addison's disease is knowing your pet has it. Signs are subtle, and it takes an attentive dog owner to see the changes. Once diagnosed, Addison's disease is easily managed at a reasonable cost. Here are some tell-tale signs that your dog could be having an Addisonian crisis.
What is Addison's Disease?
Addison's disease is a genetic disorder where your dog's adrenal glands no longer produce the hormones necessary to deal with stress. The disease mostly affects female dogs, and it does not present symptoms until about the age of five.
Taking long walks, new dogs in the house, people moving in and out and a change of environment are all triggers for your dog's stress. Normally, your dog's adrenal glands excrete glucocorticoids to deal with the stress. In addition to glucocorticoids, the adrenal glands also release mineralocorticoids to balance electrolytes. When these steroids aren't excreted during stress, your dog is unable to handle it, electrolytes become imbalanced, and your dog's heart and kidneys cease to function. The result is a tragedy, but you can avoid it by rushing your dog to an emergency vet who can stabilize your pet.
Signs of a Crisis
To identify symptoms, you must know your dog's behavior. Even veterinarians tell you that Addison's disease is an extremely difficult disorder to diagnose unless the vet knows to take blood work. First, your dog will probably be more lethargic. If your dog normally follows you around the house, she will probably stop and lay there as you move around.
Next, your dog will lose its appetite and show signs of anorexia. She might try to eat, but as soon as she eats, she will vomit it up. Diarrhea is also a problem. Between the diarrhea and vomiting, the dog becomes dangerously dehydrated.
If you sleep with your dog, another noticeable sign is the shakes. The dog will shake as if she's cold or sick. She might try to sleep close to you for warmth, but she shakes and wakes you up.
What might throw dog owners off is that the dog will still drink water regularly. She will even walk regularly. Although, when she walks she won't want to go far distances and might even sit down. Your dog's behavior will be overall lethargic regardless of the activity.
If any of these symptoms are present with your dog, it's imperative that you immediately take the dog to a vet. If it's night time, find an emergency vet in your area. Dogs going through an Addisonian crisis will collapse fast, so it's important to act quickly.
Treating Addison's Disease
If you get your dog to the vet quickly, the vet will give the dog fluids, medication and stabilize her. Depending on how critical the condition, the dog could have sodium and potassium imbalances, a heart murmur and malfunctioning kidneys.
After your dog is stabilized, you can usually take her home after a couple of days. Your dog will be dependent on two medications: Prednisone and Percorten. Your dog will take daily doses of Prednisone. The dosage is determined by your vet. Percorten shots are given every month. Percorten is the more expensive treatment, but you can buy the bottle for about $200 and have the vet give your dog a shot for about $10 each visit. The Percorten bottle will last several months for a small dog. Prednisone is much cheaper. The Prednisone bottle costs about $15 each month.
A small dog will only need about 1.5mg of Prednisone each day. However, you'll need to double that dosage when you anticipate stressful times for the dog. For instance, if you take the dog to the vet, travel with her, introduce a new dog or have visitors, you need to double her dosage.
Prognosis for a treated dog with Addison's disease is very promising. As long as you get the dog to the vet during crisis symptoms, your dog will recover. Knowing your dog is key to identifying any further episodes, but with proper medication and treatment, your dog will live a long, happy life.
What is Addison's Disease?
Addison's disease is a genetic disorder where your dog's adrenal glands no longer produce the hormones necessary to deal with stress. The disease mostly affects female dogs, and it does not present symptoms until about the age of five.
Taking long walks, new dogs in the house, people moving in and out and a change of environment are all triggers for your dog's stress. Normally, your dog's adrenal glands excrete glucocorticoids to deal with the stress. In addition to glucocorticoids, the adrenal glands also release mineralocorticoids to balance electrolytes. When these steroids aren't excreted during stress, your dog is unable to handle it, electrolytes become imbalanced, and your dog's heart and kidneys cease to function. The result is a tragedy, but you can avoid it by rushing your dog to an emergency vet who can stabilize your pet.
Signs of a Crisis
To identify symptoms, you must know your dog's behavior. Even veterinarians tell you that Addison's disease is an extremely difficult disorder to diagnose unless the vet knows to take blood work. First, your dog will probably be more lethargic. If your dog normally follows you around the house, she will probably stop and lay there as you move around.
Next, your dog will lose its appetite and show signs of anorexia. She might try to eat, but as soon as she eats, she will vomit it up. Diarrhea is also a problem. Between the diarrhea and vomiting, the dog becomes dangerously dehydrated.
What might throw dog owners off is that the dog will still drink water regularly. She will even walk regularly. Although, when she walks she won't want to go far distances and might even sit down. Your dog's behavior will be overall lethargic regardless of the activity.
If any of these symptoms are present with your dog, it's imperative that you immediately take the dog to a vet. If it's night time, find an emergency vet in your area. Dogs going through an Addisonian crisis will collapse fast, so it's important to act quickly.
Treating Addison's Disease
If you get your dog to the vet quickly, the vet will give the dog fluids, medication and stabilize her. Depending on how critical the condition, the dog could have sodium and potassium imbalances, a heart murmur and malfunctioning kidneys.
After your dog is stabilized, you can usually take her home after a couple of days. Your dog will be dependent on two medications: Prednisone and Percorten. Your dog will take daily doses of Prednisone. The dosage is determined by your vet. Percorten shots are given every month. Percorten is the more expensive treatment, but you can buy the bottle for about $200 and have the vet give your dog a shot for about $10 each visit. The Percorten bottle will last several months for a small dog. Prednisone is much cheaper. The Prednisone bottle costs about $15 each month.
A small dog will only need about 1.5mg of Prednisone each day. However, you'll need to double that dosage when you anticipate stressful times for the dog. For instance, if you take the dog to the vet, travel with her, introduce a new dog or have visitors, you need to double her dosage.
Prognosis for a treated dog with Addison's disease is very promising. As long as you get the dog to the vet during crisis symptoms, your dog will recover. Knowing your dog is key to identifying any further episodes, but with proper medication and treatment, your dog will live a long, happy life.
I Australia it is very much cheaper to get the VET to write a prescription for the tablets and get it from the chemist.
One of my spaniel/point/plott hound mix dogs was diagnosed last year after going into Addisonian Crisis. Was in ER for 5 days. Lost 20 pounds. Fur was falling out, was losing control of legs. Wouldn't eat or drink anything. She was 4 when diagnosed.
My other dog, her sister, is starting to slide too. Had issues with diarrhea last month. Took antibiotics and probiotics and that righted the issue, but she continued to be lethargic. Also, she was getting dehydrated because she had no interest in drinking water. A few days ago she started vomiting. Can't hold food down and has no interest in anything other than sleep. We've been to the vet every morning for the past 3 days. Finally today they admitted her and I asked for the Addison tests to be run again. They ran them last month and one came back low normal and the ACTH came back normal.
Maybe the vet needs to check your dog's electrolyte levels again? If he is on a steroid and on percorten, maybe the dosage isn't right?
I do remember that when my first dog was diagnosed, she had zero interest in her old food. We found that Newman's Own Organic beef canned food was of interest to her and she would eat that heartily. But we had to start with baby food first. We also had to try a few types of canned foods before we found one she would tolerate. She was on the canned food for about two weeks before we started to slowly introduce her old kibble and FreshPet back into her diet.
is this more common in shorthaired pointers? mine is !/2 Pit and Pointer
I just as a last resort shoved a prednisone in her mouth and an hour later she was out of crisis??? everyone is confused
Yes we have gone through an Addisons Crisis twice before it was diagnosed correctly. Molly was only 12 weeks old the first time the vets did not get it right and she had a second crisis, this time they found the problem, she almost died both times. Now at 18 weeks old she has a little Prednisolone each day and will have an injection once a month to begin with, she is now a happy little healthy little girl full of fun again. So don't be disheartened dogs can live a long healthy life with this disease. All you have to do is pay attention to changes in her habits and act on them. Hope this is helpful.
Vivienne
Thinking about you!
Myriam
Did your dog finally start eating on his own? How long did it take to go back to normal. Did you do anything special to return your dogs health to normal eating?
I am definitely in tune with her moods and I can sense when she needs her shot (if she’s had a stressful month with thunderstorms and vet visits sometimes she gets it a day or two early.) So it’s definitely helpful to know your dog well. And it’s not super cheap, although there is now a generic for Percorten and it’s about $150/vial which can last 6+ months. Learn to give the injection yourself (it can be subcutaneous even if your vet says differently, my first one said intermuscular only which is MUCH harder to do at home, but I did more research and SC has worked just fine) and that will save you a lot of money in the long run. We do a full electrolyte panel each year, but other than that the maintence costs aren’t too bad. So while there are obviously lots of different scenarios, if anyone’s pup was just diagnosed, take heart - lots of dogs live completely normal and wonderful long lives with Addison’s.
Please read what people have written.
I have a dog, 14 pounds, diagnosed with this illness. Clearly at times sadly fatal, but at other times can have a good life!
I have had to stand up to my vet in regards to cost! Don’t feel guilty! Speak up! This is your dog you love!
I hope that your Lab has survived Addison's? Our Yellow Lab is also 8 years old and been diagnosed with Atypical Addison's. See my note previously at the bottom of the blog.
How did your lab tolerated the injections, were they Steroids also? The Vet put ours on 50 mg of Prednisone @ day but our Dog was like 'high' and hyper from it. He is now on 25 mg only but it is still not really improving. I just came from the Vet to have another Cortisol test and Urinalysis test done, hoping to have the results on Monday,May 10, 2021, to discuss further treatment.
I would very much like to know, what people describe as 'Crashes' look like. I took the dog for a walk after the Vet visit on Friday, he trotted along nicely. Sniffing on everything and lots of peeing and a good poop. Suddenly he started whimpering, hurrieng under a bush and scratching leaves, and lying on his side, still whimpering. I was so afraid he would die right there in the Park.
He recovered after 5 - 10 Minutes and I talked and strokes him all the time.
Is that what would be considered a 'Addison's Crash'? He eats well and drinks a lot of Water but he cannot hold his Urine for long. The longest was 3 1/2 hours.
He is definitely not happy and we are sleep deprived as we get up every 2 plus hours during the night.
Your thoughts would be appreciated very much and I do hope you still enjoy your Lab today.
Warm greetings, Helga Sowa,
Toronto, Canada.
Very much appreciated your information!
Wish you many more years of joy!
For those whose animal have continued, after treatment, did your dog/cat perk up? Do they ‘improve’? Does the depression lift? Our dog is so sad he seems so miserable.
I have found that many vets have limited experience with Addisons and NO understanding of Atypical forms of it. If your vet is unable to diagnose your dog's problem, get another opinion. Go to a specialty clinic or go to an AAHA accredited vet hospital.
With Florinef and Pred we were able to enjoy 15 years of unconditional love from our beautiful girl. Fast forward to 2019 almost 6 years after she passed and we brought home a gorgeous little Maltese X. It didn't take long for us to notice certain behavioural traits that we had seen in our previous maltese. Personality and behaviours we had not seen in any of the other 6 dogs we have had. The similarities were so obvious our family started saying it was our previous dog reincarnated! No surprise then that when at 2 years of age she suddenly went downhill with vomiting, shaking etc.
Emergency vets, fluids etc nearly lost her.
Diagnosis. ACTH stim test positive for Addisons. She is now stabilised and on the appropriate meds. We know what to expect this time so we will watch her closely in times of stress and hopefully we can enjoy 15 years of unconditional love again.
I've read further attacks can be caused by stress?
Last night I woke up, he slept for 5 Hrs but..his bed was wet, he lost Bladder control again. This is definitely NOT what our dog is happy about and it is very stressful for us. He has never had an accident in the house or car before his diagnosis. Reading all the posts you pet lover have written, nobody mentioned anything regarding excessive URINATING?? He seems to drink a lot of water which apparently is due to the Prednisone.
He never had any shaking but we experienced Seizure like episodes, thinking he might have Epilepsy.
During a walk, when he would run off leash a bit wild for a few minutes with another dog, he suddenly whimpers, looking for some bushes to crawl under and just collapses! It's terrifying, we think it's like he is looking for a place to die. This has been happening for the last 3 - 4 years, especially during hot weather, we always carry water with us though. When it happened during a cold Wintery Walk and this episode happened, we got really, seriously concerned. We suspected he might have a Heart issue but our Vet always assured us, his heart was fine. Now, that he has been diagnosed with Addison, we do hope, the situation will improve. He will have another test in a week or so, to determine if his Cortisol level has increased. We do hope we will have another 4 yrs at least with our loving companion.
Thank you, Helga.
Has your dog been the anxious type? Lady always has been timid and I hear that’s quite common with Addison dogs x
We have her on prednisone and are waiting for her shots to come in. She has started eating more and more daily, we buy 3 whole rotisserie chickens and break them down and shred them for her. We even purchased entyce to give her an appetite and I want to say that it sort of worked because she did her up and come around looking for food. She has been leaving her room more and more and has become social again but not as much as she was before. We caught it in time and I’m lucky that we have a great vet that can answer any questions about treatment or anything we can ask. It’s painful to see her almost collapse and give up but she’s my everything and I can’t give up on her.
It’s been fairly easy for her first few years with Addison’s , but the last year she has been on a rollercoaster, up and down and it’s finally getting to feel as if all her trips to her vet are not helping, only for a short while and she’s back with needing more care- she’s on 1/2 m percortin , her shot every 25 days
She threw up clear fluids today, her stools are ok , she’s moans at times and has been on a new diet, lost a lot of weight, she looks too thin , I’m off to the vet a few times a month
It’s frustrating- she’s my very best friend and u all know how precious our animals are
She’s my little baby, and I’m wondering if I’m doing the right thing by her
She’s great for awhile after treatment and fails gradually each month
I’ve shed many tears and just think 🤔, when will she return to the frisky life she’s had