EPI * Exocrine Pancreatic Insufficiency

managing EPI

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reysmom
Member
Posts: 15

reignya has been diagnosed with epi in 8 2011 was on tylan b12 grain free food and enzymes by diane was perfect gaining weight until about 6wks ago started pooping blood went on antibiotics kind of subsided but still there vet said bacteria in stool last monday on presidents day she stopped eating threw up and every poop just blood took her to vet thinking we would have to put her down she was also in pain just laying and moving from place to place she could not get comfortable. vet said no not to worry about the blood that dogs with epi will have these ups and downs but she was fine until 6wks ago gave her a couple shots for the puking and an antibotic told me to continue the tylan just had to let her out now to puke i feel so bad for her any suggestions advice i dont know what to do i can not afford to be taking her to the vet every wk other wk then they want to put her on prednisone but they said that may be risky/ i dont want to see her in pain do i put her down im just beside myself please help

--

Patti

February 26, 2012 at 9:25 PM Flag Quote & Reply

Karen
Member
Posts: 1782

HI Patti.  By any chance, could there be a food intolerance going on?  Sometimes these things happen and we need to ride them out.  I would try to find out what caused this, parasites, food, etc.  Did they do a fecal?  Have you tried a different antibiotic if the tylan doesn't seem to be working?  Sometimes we have to go on a different one now and then.  Hang in there and sending you hugs.

--
Karen 
Always in my heart
My Angel Hondo
EPI, IBD, SIBO, PLE
7/19/04-5/22/13
February 26, 2012 at 9:40 PM Flag Quote & Reply

AK GSD
Member
Posts: 2780

Hello Patti - I am so sorry to hear you and Reignya are struggling.  Yes, EPI dogs can have ups and downs... but blood in the poop is not an ordinary EPI occurrence. Has your vet discussed colitis, inflammatory bowel disease or food intolerances?  Is it possible for you to get another opinion from a different vet on how to best help Reignya?

--

~Becky~

February 27, 2012 at 1:27 AM Flag Quote & Reply

Val
Member
Posts: 2119

Patti

Becky is right blood in the poop is not a usual EPI problem.

What colour is the blood?

If fresh and red it would probably be from colitis... I had a problem with that once and it wasn't caused by the EPI.

If the blood is darker it could be intestinal problem again not from the EPI but from infection of some sort. 


I would go to another vet and get another opinion because your vet doesn't seem very clued up if he/she thinks blood is normal for an EPIer.


Val

--

Razzy, GSD.

EPI for 4 1/2 years... sadly lost to cancer 30th July 2011 aged 9 1/2 years.

February 27, 2012 at 3:47 AM Flag Quote & Reply

Barb
Member
Posts: 2133

Hi Patti,

I agree with the others.  Kolby has had a lot of sensitivity and symptoms with the EPI, but blood in his stools was never one of them.  I hope you can find the cause so that you and Reignya can rest easily. 


Let us know what you find out.


Barb

February 27, 2012 at 7:33 AM Flag Quote & Reply

PeppersMomma
Member
Posts: 56

Patti - Just seconding everyone's opinion here, the bloody stool is probably not EPI-related.

 

However, I think the most important question here is what color is the blood? Different colors tell us where the blood is coming from.

Bright red could mean Reigyna could have parvo (has she been vaccinated?), may have eaten something that tore/scratched something on the way in or out, or like Val or Becky said, it could be colitis.

 

Dark, black-ish blood means that it's been digested (or at least gone through the stomach) and could indicate bleeding ulcers.

 

The blood could also be from parasites like Karen said or an issue with the food she's on. Did your vet do a fecal test? That will tell you if it's a parasite or some kind of bacteria causing the blood and vomiting.

 

Anyhow, thinking of you and hoping things are getting better. Also sending lots of hugs and strong thoughts to you and Reignya. Keep us updated!

--

-Laura (and sometimes Boy aka Dude aka Boyfriend)

Human Mom to Pepper, a 1 year-old GSD/Husky mix. Diagnosed with EPI on 2/13/12.

Weight at EPI Diagnosis: 38lbs

Current Weight: 56lbs (A CHUNKY MONKEY!! YAY!!!)

Goal Weight: 55lbs

February 27, 2012 at 10:52 AM Flag Quote & Reply

Dar
Member
Posts: 1665

I have never had this problem, but I feel you angst.   Hang in there

--

  Dar and Kodi, From Washington state

Kodi (GSD female) , born August 19, 2010 , was diagnosed July 15, 2011 at 11 months .Lowest weight, 47 lbs, weight as of  4/27/2013  62.9 lbs. Our goal for her at this time is now 65 lbs. !!!   And she made it!! .  TLI .07 , Folate 9.4 , Cobalmin 536 .

Kodi is on Great Life grain and potato free Buffalo,1 & 1/2  cups kibble with added canned or home cooked bison 3 times a day with 2 teaspoons of enzymes from Diane. (Also some home cooked meals)1 Trinfac-B capsule once a day. Also  1/8 t. of ground coriander, 1/16 t. of ground fennel seed and cinnamon per meal (for stomach acid and burps). Having acupunture with a holistic vet for food and enviromental  allergies, doing accupressure points and taking 1000 mg.Super Quercetin daily for allergies.

February 27, 2012 at 10:53 AM Flag Quote & Reply

PeppersMomma
Member
Posts: 56

Oops sorry, just re-read your post and saw that you did have a fecal test done last week and bacteria was present.

 

Seems like maybe switching up the antibiotic might be the best course? Even in humans it's possible to take one antibiotic for so long that it looses its effectiveness...

--

-Laura (and sometimes Boy aka Dude aka Boyfriend)

Human Mom to Pepper, a 1 year-old GSD/Husky mix. Diagnosed with EPI on 2/13/12.

Weight at EPI Diagnosis: 38lbs

Current Weight: 56lbs (A CHUNKY MONKEY!! YAY!!!)

Goal Weight: 55lbs

February 27, 2012 at 10:54 AM Flag Quote & Reply

AK GSD
Member
Posts: 2780

Hello Patti - I have been thinking of you and Reignya all day.... wanted to bump this thread back up to the top in the hopes of maybe getting a status update from you on how things are going today.  I found your last post from January when the bloody poop started... here is a link to it...


http://www.epi4dogs.com/apps/forums/topics/show/7135936-alot-of-blood-in-poop


It sounds like she was put on Metronidazole at the time and it helped?  Is it still bright red blood your seeing?  Has your vet prescribed anything else besides the Metronidazole or Tylan to try?

--

~Becky~

February 27, 2012 at 6:45 PM Flag Quote & Reply

Hans
Member
Posts: 463

Hello Patti Sorry to hear the problems going on and to me this don't sound so EPI related. I would get a second vets ideas. Just my thoughts... good luck and I pray everything comes out ok.

 

--

Sharon and Hans; Hans is EPI and Lymes Positive, his birthday is 12/11/04 (GSD) His TLI was 1.0 on 10/17/08 When Diagnosed Down to .4 4/2/10. Weight 65 pounds on 12/08 now 95 pounds (Had him up to 104 in 2011)

1 1/2 cups Taste of the Wild Lamb, with very HOT water and soaked, then adding 1/2 pound Top Quaility Dog Food, boneless skinless turkey or Boneless skinless chicken breast.warmed in microwave for 15 to 20 seconds. 4 oz. Raw Pancreas not heated! Just warmed by sitting on counter while kibble soaked. All mixed together just before serving.

All vits are OKed by vet. (Please note I don't not use powdered enzymes and the pancreas is added AFTER food and water has cooled)

 


 

February 27, 2012 at 7:34 PM Flag Quote & Reply

epi4dogs
Site Owner
Posts: 10218

HI Patti~

SO sorry you and Reignya are going thru this...... but everyone is spot on.... this is not an EPI related thing.....and the improtant question is.... the color of the blood.... Is it bright red blood ??? This could indicate colitis from the bacteria found in the stool.. If so, to watch colitis in action IS scary.... my eldest dog had a bout of it and was literally shooting bright red blood from the rectum... even though i knew it was colitis, if it didn't stop by evening, i was taking him to the vets.  BUt the anti's thankfully started to kick in by then.


If it is colitis, depending on the type of bacteria (positive or negative gram) will determine what type of anti's are needed.... so that might be why the Tylan is not working. 

If you have any SLippery ELm (herbal powder) you can give him that just too soothe the insides until the anti's have time to work. Just don't give too much (maybe only 1/2 teaspoon) cause although SLiperry elm is safe, while it places a mucosa covering that soothes the intestines... that same mucosa covering also inhibits (just a little) the anti's effectiveness ...


If it is dark red blood... he needs to be seen by a vet ASAP.... dark red blood can be many different things, some of them serious.....


Please keep us posted.

--

Olesia, owned by Izzy-45lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable almost 7 yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Feed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane. I give 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8 years old, she not only has EPI, but also Diabetes and Low Thyroid.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems! 


February 27, 2012 at 11:11 PM Flag Quote & Reply

epi4dogs
Site Owner
Posts: 10218

Patti... hoping to hear from you soon....

--

Olesia, owned by Izzy-45lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable almost 7 yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Feed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane. I give 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8 years old, she not only has EPI, but also Diabetes and Low Thyroid.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems! 


February 27, 2012 at 11:45 PM Flag Quote & Reply

Val
Member
Posts: 2119

Any news hon?

We are all wondering how you are going on.


Val

--

Razzy, GSD.

EPI for 4 1/2 years... sadly lost to cancer 30th July 2011 aged 9 1/2 years.

February 28, 2012 at 7:32 AM Flag Quote & Reply

Jean and Kara
Member
Posts: 3810

one small thing comes to mind

 

are you up to date with worming???? or any other parasites?

 

i know one of the side effects of metroidazole can be blood in the faeces but you have not mentioned it

 

jean

--

Kara

From Liverpool England

adopted at five months old 26th December 2009

EPI dx August 2010

tli<1.00 folate 8.3 cobalimin 611

Antibiotics  2 Oxytet antibiotics 3 times a day also if we cannot fit the Oxytet in she has Tylan 1/8th teaspoon before her meals

Food- Ashenbank Lamb Casserole twice daily equalling 3 cups per day possibly more

Zantac (ranitadine) 75 mg 30 minutes before each meal as too much acid was being produced

enzymes-Panzym 1 gram per meal twice daily ( 1/4 teaspoon )  plus one Lypex

B12 injection once every three weeks

one Chemeyes B12 with intrinsic factor of 40 daily

one Antepsin before bedtime

alergies to beef pork chicken and white fish confirmed by blood test

33.6 kilos in weight as of 5th May 2013

 

"UNCONDITIONAL LOVE WAS INVENTED BY DOGS"

 


February 28, 2012 at 8:12 AM Flag Quote & Reply

epi4dogs
Site Owner
Posts: 10218

Hi  Patti... thinking of you and wondering how things are...................

--

Olesia, owned by Izzy-45lb SWD, Diagnosed at 1.5 years old - TLI results 1.3, Stable almost 7 yrs! Once stable, was able to reduce enzymes to only 1/2 tsp of Enzymes with each meal, but after almost 4 years of stabilization... had to increase the amount of enzymes to 3/4 teaspoon with each meal. Feed various grain-free kibble+real meat, 6x pancreatin enzymes from EnzymeDiane. I give 1 tsp of coconut oil one day and 1 tsp salmon oil next day, and also give canned sardines packed without salt or canned herring for extra omega oils.

In Feb 2013, Izzy developed a very serious condition called IMHA which she (thankfully) beat and is now in remission. We also discovered that now, at 8 years old, she not only has EPI, but also Diabetes and Low Thyroid.  Izzy was able to receive excellent care because of the kindness of so many here on epi4dogs and  is currently  doing extra-ordinarily well. If anyone could spend a day with Izzy, they would never guess that she has any health problems! 


February 28, 2012 at 10:31 AM Flag Quote & Reply

Barb
Member
Posts: 2133

Yes, Patti, we are thinking of you.   Let us know how you and your sweetie pup are doing whenever you can. 


Barb

February 28, 2012 at 3:35 PM Flag Quote & Reply

AK GSD
Member
Posts: 2780

Hello Patti - How is Reignya doing?  Keeping you both in my thoughts and sending you both hugs. 

--

~Becky~

February 28, 2012 at 7:06 PM Flag Quote & Reply

Lynn
Member
Posts: 2247

Hi Patti,

I'm so sorry that you & Reignya are going through this.  Please pop in here when you have a chance & let us know how Reignya is.  So many people thinking of her & caring.  Hugs to you both. 

--

Lynn,

From Melbourne, Australia. Owned by Tess (Irish Setter), Grace (English Setter) & Megg, my beautiful 'English' EPI Angel - Forever in my heart.

.

February 28, 2012 at 8:24 PM Flag Quote & Reply

Kathy and Ted
Member
Posts: 2868

Hi Patti,

Thinking of you and Reignya and hope things are better.

--

Kathy and Ted 10 yr old GSD rescue ~ gained 39 lbs

 

February 29, 2012 at 6:10 AM Flag Quote & Reply

Val
Member
Posts: 2119

How id Reignya making out?


Val

--

Razzy, GSD.

EPI for 4 1/2 years... sadly lost to cancer 30th July 2011 aged 9 1/2 years.

March 1, 2012 at 4:46 AM Flag Quote & Reply

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