Liz Buchanan BVSc MRCVS
Keymaster
Hello and thank you for this interesting question - I feel your frustration about the financial side of things. Crying out to me does suggest some momentary / sharp pain, which can come from the joints, from the abdomen (with certain movements), from the paws, from the fur or the skin. Thus the possibilities range from pancreatitis to a hidden wound under the belly, to a seed caught between the toes. Certainly, a long nail with a crack in the base, consistently being caught in a certain way, could cause this; as could a nail being pushed into the quick or into the skin when the patient weight-bears. Given that you are describing a GSD of a certain age, arthritic or muscular change may also be on the differentials list. Claw clipping may be helpful, but should only be attempted if you were to be confident and safe in doing this. Your vet will want to examine the patient and try to narrow down the possible causes to a likely short-list. They might watch the patient walk, examine the feet and legs, and ask to radiograph, try pain relief or discuss exercise changes, foot care, diet change (in pancreatitis) etc. Regarding vets' fees, your situation is not uncommon and your vet should know better than to give you a hard time - rather, if you call, they may know if there are charities or shelters in the area who may be able to help to keep costs down, or they might try to help you to triage for urgency. Attitudes and prescribing norms do vary across countries and across states. Wishing you both the best of luck.
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