https://www.vetsurgeon.org/f/clinical-questions/29125/addisons I have a new client with a highly anxious 9 year old neutered female bearded collie . A history of chronic recurrent GI upsets and now just not right . A low grade non specific cough and lethargy. Also a history of noise sensitivity and generalised anxietyen-USTelligent Community 10https://www.vetsurgeon.org/thread/222943?ContentTypeID=1Tue, 26 May 2020 07:46:45 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:cd55ac3e-c9e2-4f4a-8e6d-10f64cf9752dKate Richardson<p>You could always send her home in between the basal blood and the post acth blood sample? Used to do this with stress dogs rather than keep them in hosp</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/222941?ContentTypeID=1Tue, 26 May 2020 05:43:38 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c8bc9788-a9ca-4d7a-a237-89a13b52085bSara Ramsey<p>I would try do an ACTH stim test.</p> <p>That basal cortisol is very low for a dog that appears to be that stressed?</p> <p>The cut off for ruling it out, is a basal cortisol of approximately &gt;65 .</p> <p></p> <p>I am not sure about the meds for behaviour I&#39;m afraid. Would the owner consider a behavioural referral?</p> <p>We employ a behaviourist and it has been a revelation!&nbsp; AsmAs meds should be used in conjunction with behavioural modification too?</p><div style="clear:both;"></div>