My dog is still sick after vet for infected tooth. What's wrong?

Question

My Jack Russell, started to act weird yesterday morning I took him for a walk and he was really slow and tired. When we got home, he slept and seemed very tired. He didn't eat all his food. He has got an infected tooth. I took him to the emergency vet and they injected pain killer and antibiotic. Also, I am giving him antibiotic tablets and tramadol. Today, (about 15 hours after vet visit) he has not improved and still look really sad and tired. Also, he does't close his eyes while resting. Pet's info: Dog | Jack Russell Terrier | Male | 10 years and 9 months old

Daniel Fonza, DVM · Accepted Answer

Hi there and thank you for using pet coach to address your concern. From the picture you provided, it appears as though his right side of his face is swollen. I am assuming he has a tooth root abscess. The antibiotics help but do not fix the problem. The infected tooth likely needs to be extracted. The tramadol can cause sedation and to be honest, I feel that tramadol does not provide adequate pain relief. I typically use a non steroidal anti inflammatory drug such as carprofen or meloxicam. Additio al to that I will use Methadone at a low dose as well. If he is sedated and quiet, I would recommend asking for an anti inflammatory drug rather than tramadol. You also have to realize that tramadol does not reduce inflammation so any swelling associated with inflammation will not resolve with tramadol. I would get him scheduled for a dental cleaning to have this properly treated and consider switching medications for better pain relief. I hope this helps! Please let me know if you have any other questions or concerns. I am also available via consultation if needed.

My dog is still sick after vet for infected tooth. What's wrong?

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