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Hello and welcome to JustAnswer. My name isXXXXX
First, let me say that I am sorry your pet is having problems post Adria therapy. Unfortunately, it is not that uncommon. It is good that you have metronidazole and have started it.
There are unfortunately no great studies to validate the exact amount of acidophilus to give to dogs. Many veterinarians do use probiotics in patients, but tend to stick with a product called Culturelle brand or those made specifically for dogs from Purina (Fortiflora) or other veterinary specific brands. The dose for Culturelle is 1 capsule daily for dogs over 20 # XXXXX 1/2 capsule for less than 20#. I am not sure of the strength of the Culturelle capsules.
I will check the Culturelle website further and see if I can figure out the capsule strength.
For doxorubricin colitis I frequently recommend adding a tablespoon of canned pumpkin twice daily (just add it to the normal food) as the fiber in pumpkin is beneficial to the intestinal lining cells.
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You can buy Culturelle directly online from them. Just google culturelle and it should just pop up.
Yes, sweet potato is generally the same fiber type as pumpkin but just less of it per gram of food. We recommend pumpkin since it is easy to find and use....you don't have to cook it like you would sweet potato (we wouldn't recommend using canned yams or sweet potato).
As you can see, the amount of active culture in Culturelle capsules is 10 billion! The reason many DVMs use the Culturelle product is because they actually verify that each batch really does contain that much in active culture. The tough part with any of these products is that the culture does die the longer it sits on shelves. Culturelle stands by what is in their product.
The oatmeal is fine as is the Pedialyte. You can also try a scrambled egg (microwaved or cooked in just a little oil), cottage cheese and good old chicken and rice. I try to stay low on the carbohydrate side for my cancer patients as cancer can readily eat carbs but not protein and fats.
Really, scrambled or hard boiled! Cottage cheese is mostly protein and is really easy for dogs to digest.
I just tried to open the link and it said that the site is down for regularly scheduled maintenance. Figures!
I really don't think you will have an issue using your current product. If anything it seems as it will be less than what many think is the "correct" dose for a dog. Again, there aren't any published studies in dogs that we can hang out hat on to know what is the best dose.
No problem with using Egg Beaters....don't know how much taste-wise it will be an issue for him but give it a try.
I would expect that he should really start to feel better soon. If he doesn't, please give your vet a call. The nadir (or low point) of white blood cell counts post doxorubricin therapy is usually around day 7 post treatment, but can be a little sooner than that. If he stays punky you might consider getting a rectal temperature on him. Normal is between 100 and 102.5F. I tell my clients that if the temperature is greater than 102.5F on two readings an hour apart that they should come in to have a white cell count checked and possibly be put on something other than just metronidazole.
Hope this helps. I know you didn't ask for that last bit, but I've managed a ton of lymphoma patients in my years so I figured I'll add that!
I'll be signing off soon so let me know if you need any more help.
Sorry for the delay getting back to you. I had to sleep!
I hear your frustration. We do want them to live as long as we can, but quality of life is the most important factor. Without quality, what do we have? More heartbreak and guilt.
Doxorubricin is the drug that usually we see the most side effect with, but vincristine is second. Cerenia has been a godsend in cancer therapy as it works better than most of the other antiemetics....but is much more expensive, too!
You should talk to your oncologist and express your concerns. Hopefully they will respond thoughtfully Having a great relationship with your oncologist is really important and you need to feel confident in his decisions for you and Milo, even if he is the "best" that they have.
Keep your chin up. It should be getting better. Milo has a sensitive gut! Consider starting metronidazole the day he get doxorubricin and then for a week after instead of starting it when he develops diarrhea. I have done that with patients if they have problems with the first dosing. I also tend to put them on metoclopramide with doxorubricin. It is a "wimpy" antivomiting drug but is often enough to keep you out of the emergency room!
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