Thank you ... Rowan is a cute, clean and friendly dog. For now my feeling is to go with the medication for a month or two to see if it this can be the solution for him. With his age and the risks for the operation I think it's best to try it first that way. If that doesn't work enough, we can go for the operation ... but first I think we try the medication for him. And hope for the best! Thank you for your opinion.
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I hope everything goes well for Rowan and you. If you have improvement, please let us know with a publication.