Ask a Dog Vet and Get Answers to Your Dog Health Questions
My name is***** and I am very sorry to hear that Mabel is sick. I have a few more questions for you:
1) Did your vet run a "GI Profile?" This is a blood profile that evaluates pancreas function and inflammation and tests for markers that suggest inflammatory bowel disease?
2) Have you considered deworming her with 5 days of Panacur (fenbendazole) even with a negative fecal? There are several parasites that are very difficult to find on fecals such as esophageal worms that are common in the south where you live.
3) Have you tried a hydrolyzed protein diet in case of food allergy? This type of food has the protein already predigested so that the immune system cannot see it and not react to it.
These are the places that I would start. Let me know if you have tried these things and we can brainstorm together some other options.
I hope this answer helps you.
Kansas State University
College of Veterinary Medicine Class of 2001
Have you tried the Royal Canin Diet- Ultamino (check my spelling on that). This diet is super pre-digested and can be helpful for pancreatic insufficiency as well as food allergy.
Have you tried supplementing pancreas enzymes even though the bloodwork came back normal?
Have you tried a steroid trial for inflammatory bowel disease? Buspar? Tylosin?
Have you considered an abdominal exploratory and collection of biopsies?
I got your request for a phone call, but I am sorry, I cannot take it. My license restricts my phone calls to patients that I have examined with my two hands. I will be happy to continue this conversation in this forum for as long as you need to have your questions answered. Dr. A
I am getting ready to log off for the night. I will check in with you tomorrow morning to see if you have any more questions. Dr. A
Hi, How is Mabel this evening? Were you able to speak with your vet about the other options I suggested?
Do you have any more questions for me?
Also, if you would consider rating our conversation, I would greatly appreciate it.
A shunt is possible- the best blood work test for that is a fasting and post-prandial (after eating) bile acids. It doesn't usually cause nausea, though, so that doesn't perfectly fit. Bile acids is an easy test to run, though, if that is a possible diagnosis.
Low end of normal BUN can be many things- low protein intake, poor protein absorption, starvation, poor liver function (but to blame it all on the liver you also need a low albumin, cholesterol and glucose as well). Poor absorption and starvation can fit with severe IBD.
I think a prednisone trial is a great idea. Dosing would be 1mg/kg (0.6mg/pound) twice daily to start.
Hi! How is Mabel this evening? Any updates on her intestinal issues?
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I haven’t hear back from you in a while. How is your pet this evening? Do you have any more question for me? If you are satisfied with my assistance, please take a moment to use the stars at the top of the page to rate my answer so that I will be compensated for answering your question. For future questions, you can find me here: http://www.justanswer.com/profile.aspx?PF=88695179&FID=0