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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
How are her stools?Any vomiting?How long was she on the bland diet without ANY of her old dog food?Is she on any medication at this time?
The addition of her old food, even small amounts due to fat content, could certainly be enough to have caused another flare of pancreatitis or caused this one to worsen.Is she on any medication at this time?
I would plan to schedule a recheck for her due to her lethargy. Typically when recovering from pancreatitis, we place the pets on a course of antibiotics for good measure as well as medications to keep their stomach calm, like famotidine or cerenia, to keep their course of recovery on an uphill grade. Your vet may not have found this was warranted based on the length of hospitalization or her symptoms when she was released. My concern is that the addition of her dog food has caused her to feel unwell, even if it was a small amount. I'm not sure how much was explained to you on recovering a pet with pancreatitis, but it's imperative that they stay on a bland diet for 7-14 days to allow their pancreas to rest. A fatty meal can not only set off another flare of pancreatitis in the future, but even mild amounts of fat in the regular diet can cause a flare. If your vet has not spoken with you about a switch from her regular kibble over to a full-time, reduced fat diet after switching from the bland diet, I would bring this up during your recheck. It's very possible this could be a one-time thing for her, but for many dogs it's simply not. Recurring pancreatitis issues can be prevented with alterations in their regular diet, removal of all human food and fatty treats, etc.
How is Josie feeling today?