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Question
My 14-year-old Norwich terrier ends up with an odd head tilt and balance issues every time he shakes himself. It lasts for only a few seconds, then he's fine again. The vet thinks this is probably just a mild case of so-called "old dog vestibular disorder." No idea whether it's likely to get worse over time, or might just go away on its own. Any thoughts? Thanks!

Answer
Hi Steve,
Looks like the initial signs of vestibular disease and If so, I am afraid the symptoms are likely to advance.(Please rule out other diseases like chronic mid ear infections,cleaning of the ears resulting in a perforated eardrum,trauma from head injury, use of some antibiotics  etc where we may find similar signs)
The treatment options for vestibular disease syndrome are just symptomatic, especially if it is idiopathic(unknown pathogenesis or apparently spontaneous origin)

A holistic approach in treatment would be beneficial according to my experience. You may try Homeopathic medicines if accessible.

Regards and good luck

anand

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Dr S Bindu Anand

Expertise

Large and Small Animal Medicine and Surgery, Farm Management,Preventive medicine http://binduanand.webs.com/

Experience

A Senior Veterinary Surgeon with more than 25 years’ experience in the field of Veterinary Science and Animal Husbandry. Mixed animal Practice that will utilize my skills in medicine and surgery, public health, client relations, and developing relationships within the community, such as humane society

Organizations
Veterinary Consultant with Department of Animal Resources,Ministry of Environment,State of Qatar (Present). Animal Husbandry Department, Government of Kerala, India. Oakland's Park, Gloucestershire, United Kingdom. Severnside Veterinary Center, Gloucestershire, United Kingdom. Saud Bahwan Group, Sultanate of Oman. Trivandrum Regional Co-operative Milk Producers Union,Kerala,India.

Education/Credentials
BVSc & AH (Bachelor of Veterinary Science and Animal Husbandry) 1990. College of Veterinary & Animal Sciences, Mannuthy, Thrissur, Kerala, India under Kerala Agricultural University. Certificates Of Accomplishments- Equine Nutrition- University of Edinburgh Principles of Public Health-University of California, Irvine. AIDS- Emory University, Atlanta, Georgia. General Environmental Health – EPHOC-Tulane University School of Public Health and Tropical Medicine and the University of Alabama at Birmingham School of Public Health. Food Protection-EPHOC-Tulane University School of Public Health and Tropical Medicine and the University of Alabama at Birmingham School of Public Health. Zoonoses:University of Minnesota-School of Public Health online. Food Safety:University of Minnesota-School of Public Health online. Occupational Safety and Health-EPHOC-Tulane University School of Public Health and Tropical Medicine and the University of Alabama at Birmingham School of Public Health. Rabies Educator Certified -Global Alliance for Rabies Control. Animal Handler & Vaccinator Educator Certified -Global Alliance for Rabies Control. Wildlife Conservation-United for Wildlife

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