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- Diagnosed today.
The last dose of doxy and another antibiotic we given yesterday morning. So of course I am worried about her fever returning. Glad to set cancer aside also. Sadie is very strong the vet is shocked she is doing so well. Of course I am waiting for that to change.
I ordered pet tinic. Should I add fish oil?
Sadie sends dog kisses !!
Hi Debra
Please don’t feel silly or stupid – I can assure you we were all in the same boat & this is a very complicated disease to understand. Even though some of us have medical backgrounds, we knew virtually nothing about IMHA. I can see by your messages that you are a lovely, caring person & you must never worry about asking anything at all. To us, nothing is unimportant – the little things worry us all too. My goodness, you are certainly not rude – you are very polite indeed! We all know you are very concerned, that is what comes across.
The “something sticking together” could be platelets or red blood cells -it can also be called abnormal clotting, clumping or agglutination. I presume this is why your vet wants to add the the aspirin. This is very important as you want to avoid clotting & it is often seen with this disease. You can read about this here:
https://www.secondchanceaihadogs.com/AIHA_Terms/abnormal-clotting/
What a shame nothing certain has come up as the cause so far. Sometimes, you never do find out exactly what happened & it’s really frustrating. But the treatment carries on regardless. August vaccinations – I think that’s too long ago to be relevant. I don’t suppose you know what types of tick testing has been done – was it Snap4dx? We are always highly suspicious of tick diseases on here because they are a cause of IMHA – Worzel’s tests came back negative the first couple of times. Ehrlichia for example is very clever at hiding in the bone marrow itself & may not be readily be found in the bloodstream. This is what happened with Worzel, we suspect, and my Specialist here in France said treat it with doxycycline whatever the tests results are because he had so many obvious symptoms.
Regarding the spleen, it could be enlarged because it is working overtime trying to deal with the damaged blood cells, resulting in broken down blood components (haemolysis) & is in effect overwhelmed – it just can’t do this fast enough. The dark urine you saw is also the result of broken down blood components too. The liver also has to work hard at dealing with the components. When the prednisone & other drugs take effect properly, this breaking down of cells will slow down & the spleen might well go back to normal slowly. Removing the spleen is an absolute last resort unless it is diseased of course. More information if you want to read it here, but don’t get too hung up on the for now:
https://www.secondchanceaihadogs.com/AIHA_Terms/spleen/
The prednisone dose is not that high for Sadie’s weight-
https://www.secondchanceaihadogs.com/AIHA_Terms/prednisone/
The dose is normally 1mg per pound (2mg per kilo) per day & should be divided into in 2 equal doses, given 12 hours apart, so you could increase it to 20mg twice a day if your vet thinks it’s necessary. Sometimes, an even higher dose is needed if the PCV is very low.
The heinz bodies Patrice mentioned are something that would only be seen on a blood smear. I suspect spherocytes may also be present. These blood smears are very useful to us as they sometimes direct us to the cause of the problem. Has a blood smear been done, do you know? It would be handy for Dr Dodds & for us to help you with.
Contacting Dr Dodds – send her copies of everything you have & give her a concise version of exactly what has happened & any previous illnesses. Don’t miss anything out if you can help it (not easy). Also, a list of current medications will be needed. Most vets are more than happy to work alongside her & I’m sure your vet would be happy to give her anything they have. After all, getting Sadie better is number one priority & I am really impressed with how much your vets have done for Sadie so far – they have been brilliant. That is a huge bonus for you too. Here is the link if you need it to the online consultation
https://www.secondchanceaihadogs.com/hemopetresources/
She is incredibly busy, but usually gets back to you quite quickly. She lives up to all the wonderful things we say about her! Please get advice about transfusions from her too. PCV of 15 is borderline. Hemopet obviously provide blood products & you can order whatever is necessary – they have every possible variety according to need. I would stringly advise you use Hemopet as their blood products are rigorously tested, cross matched to your needs and will be fresh. Being fresh is very important as older blood products may make our dogs more ill.
I read about the electric fence – I presume it was for cattle or other animals? I have never heard of any ill effects from that type of fencing, but if it was higher voltage, it could of course have done some damage. Did she behave oddly or appear to be hurt afterwards? Poor Sadie – that’s a horrible experience. When I was a kid, we used to dare each other to touch the cattle fences – stupid or what?
Lastly for now (thank goodness you say!) I would go over to home cooked food if you possibly can. Sadie will need good food to use as the building blocks for making new blood cells. Personally, I stuck to broiled organic chicken, lamb mince, lean beef mince, steamed green beans, carrots – others will put some ideas to you on this. While haemolysis (red blood cell destruction) is in progress, Dr Dodds recommends avoiding red meat as their poor bodies cannot keep up with dealing with blood cell components as it is. Once the haemolysis stops, that’s a different matter. Also if you do have to use dried food, make sure you put plenty of water in it. Sadie will be wanting to drink loads of water & doing loads of pee-pees – that’s normal when taking prednisone. They can easily get dehydrated, so make sure there’s plenty of water available for her.
Is there anything I didn’t answer? I hope not – ask if I have. I live in France now, so it’s my evening – forgive us if we don’t always get back to you straight away because of the different time zones. However usually one or other of us is around if you need urgent help.
Sending big hugs – don’t be frightened, please. You have a good vet on your side & contacting Dr Dodds will put your mind at rest too. You will be in good hands with her & we are all here for you.
Sheena, Worzel & Ollie x
Sheena thank you !! My head is just spinning. I contacted Dr. Dodds. But was only able to upload 1 test. Today is my vets surgery day so I also didn’t get her full tests etc.. I apologized and asked Dr. Dodds for an email to send her detailed info. I’m keeping my fingers crossed.
Thank you everyone!!
Hi Debra. Two things – first, your Sadie is BEAUTIFUL!!!! Those eyes – no wonder you feel completely in love with her first visit! And second, the PetTinic – GREAT stuff. Sadie has been on it for the duration (2012), promoted by her vet AND Dr. Dodds. When Sadie relapsed in October 2014, the first question from her (original vet, long story) was, is she still on PetTinic. Hmmmm…..I had stopped about three weeks prior. Yep, she’s back on it and that is where she’ll stay. And, I buy it from Amazon at a pretty good price (half what it is at the vet’s, no offense vets….).
Here’s hoping for continued improvement. She’s an awesome fur child!
Love and hugs, Linda
Hi Debra, and welcome
I’m sorry you’ve had to find us, but glad you are here. Sadie is beautiful! I’m so sorry to hear of the loss of your Mum, and now to be hit with this IMHA is a double whammy. All of us have been through it with our pets and know just how frightening and confusing it is. My cat Molly had a similar type to Sheena’s Worzel. You certainly don’t come across as rude in any way – quite the opposite!
I agree with Sheena that your vets are being very thorough which is brilliant. I’m not a vet, but I wouldn’t opt for surgery at the moment. The diagnostic work up usually includes x-rays and/or ultrasounds, but it sounds as though these have been done and I can’t see enough benefit to outweigh the risks of exploratory surgery with such a low PCV. It sounds like your vets might be considering a bone marrow biopsy, which is slightly different. It’s certainly an invasive procedure and one which requires general anaesthesia, but it is sometimes performed if other tests have proved inconclusive. Do you know whether Sadie has had a blood smear and a Coombs test?
I’m so pleased you are contacting Dr Dodds, and I am sure you will get useful information and advice back.
As a cat owner, I’m afraid I am much less au fait with all the supplements and diets, but I know the others have already given you some advice on this. As has been said, little Sadie will drink and pee a lot at the moment, and may also be more hungry than usual due to the prednisolone. Fingers and toes crossed that this and the cyclosporine will start to turn things around and she will become regenerative soon. I’m glad to hear she is starting aspirin. Anti-clotting medication is really important with this illness.
Pinpointing the cause can be very difficult. I never managed to with Molly, and strongly suspect she had a genetic predisposition to it. Something finally triggered it, but I’ll probably never know what. If you can identify the cause, it may be possible to eliminate it, but you may never know. As Patrice has said, it could be the combination of stresses on her body. Stress can trigger the illness, and little Sadie has been through such a lot. What a lucky girl she is to be with you, and I am so glad she is with someone who loves her whilst she is going through this.
Anyway, welcome to the site and please feel free to ask anything. We will do all we can to help and support you through this rollercoaster.
All best wishes,
Mary and Mable x
Hi Debra, I am so very sorry that you’ve lost your mom, and now have this to deal with. I am sending you and gorgeous Sadie the biggest hugs and much much love and many healing vibes.
This is the best group, and has kept me from losing my mind as I have gone through this IMHA journey with my Ashki. And I am so happy you have Dr. Dodds on board. If your vet will call her, that is so very helpful, to have the two of them talk and go over everything. Our specialist just did that; I have been emailing Dr. Dodds for some time and getting input from her, but when she and our specialist talked it was so helpful. Our specialist and I were feeling discouraged because Ashki’s case has been very stubborn and slow to respond. Dr. Dodds was so helpful, she has years and years of experience, and has consulted on many many cases of IMHA. She said that some dogs just take a very long time to recover, and Ashki may just be one of those dogs, and we were doing a good job and to keep doing what we’re doing. It was just so helpful and encouraging to have that input. She is having me add folate rich foods to Ashki’s diet, I cook for him, so I’ve done that.
Anyway, just wanted to say hello and I’m so sorry you’re dealing with this, but we’re here for you, there’s always someone here. OH and I used to live in PA! I was at Penn State for 3 1/2 years, working and doing graduate work, but left as I realized it just wasn’t for me, so now I’m back home in California. I do miss central PA though and the beauty there, especially the gorgeous fall colors.
Big hugs,
tamara and ashki xoxo
Debra, I’ve just seen Sadie’s picture. She looks like a television puppet I’m sure I’ve seen. She’s beautiful. Again, I have to say, I think you’re just fabulous to have taken her in, and with all this, to be doing everything you can to help her.
With the weight loss, Bingo suddenly went from about 8.5 kg down to 6.5 kg in a matter of weeks due to the prednisone. I was absolutely terrified – he was a walking skeleton with a belly. It plays havoc with the muscle tone. In fact he looked so very very terrible for quite a while before he stabilised and we were finally able to start reducing the pred. I started feeding him a lot of little meals to try and make up some weight. He’s since gotten used to breakfast, lunch, afternoon, snack, dinner and supper. To say nothing of treats.
As Sheena said, I would also suggest cooking white meats as it’s easier on the liver which has to to a lot of work now. In fact Bingo was on raw meat, but because of the prednisone, which makes it hard for them to fight any little infection – in fact he ended up with gastry – so I had to start cooking everything for him until, again, his prednisone was lowered.
Its wonderful when they bark and get excited, even when they do stuff that you would normally associate as being naughty. That’s how bizarre we all become.
Who’s rude???
Your vet, by the way, sounds awesome. This disease is not terribly well know, but they seem to be right on track. My local vets ummed and arred for about 6 weeks before they gave up and sent me to the specialist, who pretty much immediately had it right.
Vally & Bingo
xxx