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- sassy is relapsing.
As a note, Sassy was on the same drugs last time and I fed her that homemade food for months until her pred was way lowered and she wasn’t ravenous. She did very well on it. I’m doing the same things I did last time. the only difference this time is she’s been on these high doses much longer. before I found this forum I was strictly listening to her old vet, and we had stepped down her pred AND Aza at the same time most likely way too fast in the beginning. that’s why her liver enzymes didn’t go out of control, and I think that’s why we are having more side effects; she hadn’t been reduced at all.
Alyssa, I’m thrilled she’s feeling better. Jumping up on the couch must have been the best and happiest suprise she gave you.
Don’t be upset at the suggestions about the fruit. You’re doing brilliantly. It’s just that you don’t want a new problem cropping up because you’ve solved an old one (fingers, toes and eyes crossed the stomach problems are gone for good).
I’d cut the fruit back (it’s a lot of sugar) and double, triple check there’s no artificial sweeteners in it. That’s deadly. I’m sure there isn’t, but we seem to have artificial sweeteners in everything now that’s low sugar here.
Love Vally & Bingo
There isn’t! I had a question about fish – I have cans of salmon / sardines I bought but hadn’t given her yet. they’re packed in water with no salt. I know sardines are fatty but I was reading that it’s a different type that doesn’t effect the pancreas (omega 3 fatty acid in assuming?). Do you think I should try any of it? I’m just asking at the suggestion of using the liver cleaning diet that uses fish. I had wanted to start giving her a can of either once or twice a week, but then she started acting like this and I didn’t try it yet.
Hi Allysa. I apologize, I am not on here much these days (caring for a 100 year old father, 88 year old mother-in-law and still not out of the woods, Sadie girl) as my days seem to be gone before they get here. Sigh.
But, your post about cooking and all the ingredients sounds exactly like what I have been doing for Sadie for almost seven months now. At onset of this #3 relapse with Sadie, and taking her to emergency, Blue Pearl, she was immediately put on Hills ID. Sadie did well on it, but I too detested the content (corn, and not organic, along with all the other junk, yuck!!!). But it worked. But me, in my infinite wisdom, started cooking for her, as I said, almost identical to your ingredients and method (boil, wash, etc.), but I use turkey.
And then, as Brigitte said, about a month ago, a blood test in the middle of the day vet visit (we were testing due to Sadie loosing way too much weight, in spite of the high doses of prednisone (45mg) and Atopica (50mg), at the time. She has lost 13 pounds (going from 39 pounds to 26 pounds). Pancreatitis was suspected. And sure enough, as with Enzo, Sadie’s test results showed higher results. So, we started really, really watching the fat content, not that it was ever very high to begin with, but even more diligent. We tested just recently, and all was much better. I tell you all this because, as Brigitte and Sheena have said, it is very important to fast a good time (8 hours, but 10 hours is even better). On the first blood test (showing high results), Sadie had a huge breakfast at around 7:30AM and we tested at 2PM. She had also had treats (dog food, don’t tell her, she thinks they’re treats, Orijen Six Fish and/or Nutrisca Chicken – I don’t feed either as food, just treats). But on the second test, she literally fasted for 10 hours. The same as Enzo, the 2nd one was better.
I am currently sending all Sadie’s history; illness, food, supplements, etc., to University of Penn to the Canine Nutrition Department for a consultation to put together a “complete and balanced” home cooked recipe(s). As it sounds like Sassy and Sadie currently have some of the same things going on and we seem to like to cook their food (Sadie has NEVER had raw, although great, she has been too ill to take the chance of contamination, so it’s all cooked), I will let you know the results. Now, remember, this diet will be specifically formulated for Sadie, but it will give us all a guideline to help any of our dogs with AIHA and especially, pancreatitis questions.
Also, as Sheena said, for many reasons, I would not give Sassy the canned fruit anymore. Try to follow Dr. Dodds liver cleansing diet, as suggested here by others. It’s awesome and you are basically using it anyway. I have recently (because Sadie had some kidney and UTI issues too, poor sweet girl), added a cranberry/blueberry ‘compote’ mixture to her food. I just boil about 20 cranberries and 20 blueberries in about a half cup of water, skim off the film that forms, cool and put into ice cube trays, freeze and put in Rubbermaid container with parchment paper separating the layers of the cubes. That way I can add a cube (about half filled) to each meal. I also have recently added small pieces of Apple – she loves them. I chop it up very tiny.
Now, in this infinite wisdom of mine, I think I may have done more harm than good with the cooking. I am quite sure Sadie is lacking some much needed supplements, i.e., vitamins and minerals. THIS is why I have brought in a nutritionist. I need a precise supplement list for her home cooked meals.
The Core Wellness you use is good. I too have been using some canned (low fat, Lotus chicken, Weruva Chicken stews) to add the vitamins and minerals that she may have been missing. But the nutritionalist may tell me to stop all this – what the heck do I know. The Orijen Six Fish, I love, but Sadie’s tummy does not, unless just a few pieces a day, but great kibble, as kibble go. I also use Lotus Senior small bites, lower in fat, when I need to supplement and Nutrisca chicken, but as the Orijen, not so low in fat. It’s really a conundrum. Crazy.
I hope ALL this has not confused you more. I stay confused!
I am so glad to read that Sassy is jumping on the couch and acting more like herself, wanting to play. This makes our days, doesn’t it?!! :)
Sending love and keep up the great, wonderful care you’re giving Sassy. She is a very lucky little gal.
Linda and Sadie
Hi Alyssa
Sounding GOOD! I fed Worzel mostly fish when he was ill – it’s really, really good for them – low fat, but has good oils as you say. Sardines are really good for their joints & coat too. He didn’t get on with chicken, but was OK with turkey.
Oh, yes please, let’s hope it is only tummy ache – we need to be sure of course so let’s see what the tests say. Worzel had horrendous tummy ache with the doxycyline – he would lay stretched out, huffing & puffing, & I lay on the floor rubbing his tummy – he was really uncomfortable & needed reassurance. Doxy is bad for giving some dogs & people bad tummies & acid reflux type symptoms – others are perfectly fine. Just wondering if the amoxicillin could be the culprit? Did you stop it? But poor Worzie absolutely had to have the doxycyline for a long time to kill that damn ehrlichiosis – we had to be 100% sure it was gone, otherwise he would probably have relapsed. I started to give him Sucralfate 2 hours after each doxy dose (have to leave 2 hrs as you know) & last thing at night – it really, helped him. So could it be tummy ache? Maybe, but the way you described her hard tummy & her pain was not nice to hear about. Or you cutting out everything fatty & giving her stomach or pancreas a bit of a rest has done something to help. Either way, she’s better & we can only guess for now. Well done Miss Sassy.
One day, we should do some kind of little survey. How many dogs have relapsed when the reduction protocol has been followed properly & how many have relapsed when the drugs have ben dropped too quickly & not in the right order. I will place my bet now. Very few who followed the rules implicitly will have relapsed. Loads who were told to reduce too quickly will relapse – I can honestly say just about everyone I know on here who’s dog has relapsed didn’t follow the boring but right reduction protocol! It was never, ever their fault – no one should feel guilty as it’s always done this way on the advice of a vet. In my opinion, they use a reduction protocol for far less serious, non-life threatening diseases (skin conditions, ordinary anaemia etc) which are not suitable for this serious disease. It is only a case of lack of IMHA experience, lack of knowledge or ocassionally God Syndrome. So it’s not done with malice in most cases – just ignorance or because they have never seen this disease before in their career. There is nothing we can do about the God Syndrome ones, except tell THEM that this what we are going to do for reductions, whether they like it or not, Our dogs are more important than their ego. So there! We will keep spreading the word.
We do try to tell everyone on here to take things slowly, as you know – the tricky bit is getting people to trust what we say & that we really do know more than their vet does sometimes (not always, obviously). The more people tell other owners on here about their experiences with the reductions, the more we can prove to folks that they must do things properly. Rant over.
Have a peaceful day with your girl – good luck with the tests
Love Sheena xxxxx
Hi Alyssa,
sorry if I came on too strong about the fruit you gave Sassy. I am pretty sure this did not cause any harm! I just thought that there were better options. But if that is what Sassy prefers I would not worry. If I am right there is even a digestive enzyme in pineapple, Bromelain if I am correct, so who knows maybe that even helped! I just know that dogs don’t process sugar, not even fruit sugars well, so I threw that in. But there are even veggies, especially root veggies hat have lots of sugar (beets, carrots, sweet potatoes and also squash and pumpkin) that is where it gets confusing for me. Obviously you have thought about nutrition and how it affects every dog and AIHA dogs even more so.
I think it was better you were holding off with the canned salmon. Wait until Sassy’s tummy has settled a bit more. Maybe start to just give a small bit as a treat?
You are doing such a great job and I am very happy to hear that Sassy is feeling a lot better!
Best wishes,
Brigitte
Her first attack, we did do 25% reductions BUT I think it was weekly instead of 2-3 weeks that I switched to later after finding you guys. also we started reducing when she reached 30 or 32% if I recall. She was on doxy for a while then, and I don’t think it gave her a tummy ache. Her dr did warn me just now Doxy may cause stomach aches. Yes I stopped the Amox and asked if we could switch to doxy, explaining that’s what we used before. I was just able to start that yesterday. The antibiotics that worked for her before was doxy, and then she got a hugely resistant UTI that was knocked out with zeniquin and… another one. it started with a C I think, I can’t remember. I think it’s one commonly used for skin. But she never had Amoxicillan before.
Let’s see. I gave her, I think, 1.5 or 2 weeks of Amoxicillan when her whites first went up. it didn’t seem to do anything and it was while she was on it that her whites continued to rise to 41. I stopped it about a week before these tummy troubles started. So I wouldn’t immediately blame the Amox?
Just a funny note, when I was speaking to her dr yesterday explaining why I wanted the break down of cells he his response was “yeah, let’s do this, maybe I’ll learn something. you might know more than me at this point, we are constantly learning about this” I explained I was part of a forum that dealt with this and had been for a while. Sassy kind of has 2 vets and a specialist – she sees both vets at this place, and they consult with an internest that was their teacher, whose life’s work happens to be AIHA. I looked him up and that is where his studies focus, treatment of AIHA. It was him that suggest IVIg, Vincristine and other treatments during the start of her relapse. He seems very up to date.
Anyway I was saying, I’m just very happen both of her vets are VERY open to me reading and offering suggestions. they don’t get annoyed at all and seem very curious with my findings. Everyone I go in in like “so I’ve been reading…” or “so I spoke to someone about this…” and the response is usually “okay, what have you got”. I just am very happen to have them being so supportive in that regard.
Waiting on the call today hopefully – but just wanted to share – sassy ran and pounced on her toy this morning ! Just a quick pounce then she lost interest but was so happy to see it. She had started doing that a few weeks ago when she was feeling good but then this stomach business hit and she hadn’t for a while. she is also back to demanding to go out just to lay in the sun.