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- sassy is relapsing.
Wonderful to read this Alyssa. I always try and get morning appointments for blood tests, so it’s kind of like stalling Bingo’s breakfast, a long time. I take a tin of food with me and feed him in the car. He’s got an appointment this Monday for a check up and blood test at 12.30. Heaven help us all……
Love Vally & who’s got a blood test???
well, bad news :(
something has been wrong with sassy for about a week, usually correlating with eating – shed just sometimes seem to be in a lot of pain after. i thought maybe it was her eating too much, bloating, etc. these ‘attacks’ would last 2-4 hours, and gas-x would help her. then shed be totally normal, rolling on her back and such.
today was her checkup and she ended up having one of the worst attacks in the office and the dr knew as soon as she saw her something was wrong. we did x-rays to see if it was air, a tumor, slipped disc etc but there was nothing there. then i suggest pancreatitis. she pretty much has the symptoms EXPECT the main one – vomiting. no diarrhea etc. the test came back positive. i think shes had this for a while, and i think this is why her white count won’t normalize.
Her liver enzymes are also super high DESPITE loads of sam-e and milk thistle. They never went this high before – 2,019 ALP, 464 ALT. she did say this could be related to the pancreatitis. She has also been on this ultra high pred dose for much longer than before – we’d had stepped her down several times by now. she is still on 80mg a day, and the dr was uncomfortable lowering it today because of her white count.
here are her results:
http://i.imgur.com/qeAuwuu.jpg
that receipt looking result is the chem panel. she came up to 44%, 393 platelets, white count is still at 22 (think it was 21 2 weeks ago?)
I was given Amoxicillin, Tramadol, and very low fat food. She didn’t need IVs or anything. I do think we caught it early. What is the prognosis? What do I need to do now? :(
Hi Alyssa
The blood test is not definitive again – no neutrophil values etc. No blood smear & manual count either, so could be machine error as I explained before, but no information for us to work on. But the figures are great on the red cell front – yippee!
Her amylase level is fine – this is usually raised with pancreatitis, so is the lipase value, but I don’t think they have got that on the test at all, unless the LIP at the bottom is lipase, but I think that is actually LIPIDS. There is a specific test for pancreatitis you can have done – please have a good read of this:
https://www.secondchanceaihadogs.com/AIHA_Terms/pancreatitis/
and get the Spec cPL & cTLI tests done if you are worried. Don’t forget she must be starved for at least 8 hours – 12 is better – for these tests. Amylase & lipase can look high of you don’t starve them too – an unnecessary scare.
Amoxicillin is a penicillin which we have mentioned should be avoided with this disease, so it would be better to change to doxycycline. Antiobiotics from the following groups should be avoided for our dogs:
Penicillin drugs
Sulfa drugs
Cephalosporin drugs
There are exceptional circumstances when we have to use these drugs, but generally the should not be used.
On the blood cell count front, everything is pretty much normal apart from the WBC count – but we don’t know which particular white cells are high. Can you please ask your vet to do the tests as we asked for them to be laid out last time, including a manual cell count? It makes life so much easier as we cannot answer your questions without the right information! And I don’t like you worrying so much over something like this.
The high liver enzymes – we have seen much, much worse than this, Alyssa. Persevere as you are – they will come down when you can lower the pred.
Can you remind us what medications exactly you are giving Sassy now? Is she getting enough tummy protector? I suspect this may be tummy ache – I hope so.
Love, Sheena x
Sorry – last sentence should have said I suspect this maybe something simple like tummy ache, I hope so! I didn’t mean to sound like I wanted her to have tummy ache, bless her dear heart.
hi sheena,
she had a snap pancreatitis test done and it was positive, is that what one of those test are? ive been worried out of my mind thinking maybe she had a growth for 2 weeks now, we didn’t go to the vets sooner because it always subsided… but something is definitely not right.
i truly think she has it, i’ll detail her symptoms more why i dont think it was a simple tummy ache:
Started about 3 weeks ago. She suddenly didn’t want to jump on the couch or in the car. it was about this time that her whites went up.
about a week after that, she started having ‘episodes’ – after eating, not long after she would just seem to crash. she would lay on her side and groan with breath exhales, and just didn’t want to move. belly bloated & hard (more than pred bloat). it was better if she wouldn’t lay on her side but that is usually how she laid. these would last from 2-4 hours, then she’d just snap out of it and seem perfectly normal, rolling in the sun etc.
if we took her outside during one of these to see if she would poop, she would walk very very slow, tail tucked, moan while pooping, and after pooping she’d walk even slower. never any blood or trouble going. after expending that energy her breathing would be especially moan & groan, uneven, it was obvious she was in a lot of pain, and she would just stand there looking totally out of it. it takes a LOT for her to show pain.
I have one video of an attack, just her breathing/full body catching, i never got one of the reaction after going outside because it was always too scary & i didnt think about it –
https://photos.google.com/photo/AF1QipMglJpNvjG8z5rkjJ7hiBPKxf6caBUS_ryMm25k
and another –
https://photos.google.com/photo/AF1QipPyy3BgwpiT7J879t3NL0LslIqKQqCCzPhS96DY
These weren’t even nearly the worst ones.
It could happen if I fed her a lot or very little. Her worst attack ever was this morning, and I gave her very little food. She wouldn’t even sit up at the vets or look at them, she was staring at the wall. I think she was in severe pain. She couldn’t breath evening & was constantly groaning. The vet thought something had ruptured it was so bad, so the x-rays.
i will call tomorrow about the Amoxicillin, and she did tell me about another pancreatic test but I forget the name. She also told me we could test her lipase as a way to monitor if she is getting better/worse.
If its NOT pancreatitis then it is something else beyond a mere tummy ache, I am sure of it – but what else would cause this type of reaction? Ulcers, but she is on tummy protectant & has had no blood in her stool. Food intake sets it off. If I fast her for hours she will be fine. I didn’t feed her from 10:30pm to 7:30am last night and she was actually stretching this morning, rolling a bit on her back, tail wagging, very happy – I fed her at 7:30 and by 9:30 she had one of the worst episodes ever. All I gave her was 1/4 a cup of dry food (her dry food is 10% fat only) with about a tablespoon of pumpkin and around 1.5 ounces of boiled chicken.
I’ll try to sort out the test results. They seem to be using older equipment than her old vets that listed these things. If they have to send off to a lab I’ll need to wait for results & I hope it doesn’t cost extra, but I don’t think their particular equipment can get those results in-house.
Sorry, her meds-
8:30 AM
Famoditine 20mg
10:30 AM
40mg Pred, 75mg Aza, 20mg baby aspirin
2:30pm
0.4mg levothyroxine
10:30 PM
40mg Pred
12:30 AM
20mg Famoditine
2:30 AM
0.4mg levothyroxine
She was given Tramodol immediately at the vet so by the time we got home she was already coming out of it today –
Also, we were instructed to feed hills (yuck) i/d low fat which has 9% i think and is suppose to be super easy to digest. I fed her 1/4 cup dry topped with about 2 tablespoons of the wet version (only 2% fat) at 11AM with her pills, she was good all day – I fed her again at 5, the same amount, it’s been about 1.5 hours and she is still doing fine.