EPI * Exocrine Pancreatic Insufficiency

hi everybody  just a little update on alfie he has has his b12 jags and his level is up to 584 but the last few days a have noticed that he doesnt want his food and his stomach is rumbling and been passing exess gas , i have called the vets for advice as am struggling hear to get him to eat, i have tried all diff things, changed his food etc , please help xx

Can you ask your vet for another course ofntibotics.

Also you must contiune with the B12 jabs it sounds like he has SIBO.

Did you increase his lypex ?

Try duck liver somebody had this problem last week  and she cooked a small amount of duck liver and this got her dog eating agin if you cant get duck liver dont know actually if we can get it easily here try some duck  liver pate and cook it slighly.

Also try a lamb kibble -Burns lamb high energy or look on the barking heads website and order there lamb.

Use anyt topper you can think of sardines or pilchards h that  is high smelling .

Please keep checking your thread.

Ann

I agree with Ann, that it sounds like SIBO and he may need another round of antibotics.   I also think you should keep up the B12.   Many people have success with Wonder Labs B12 pills or Metagenics with Intrinsic Factor to supplement between injections. 

We went through this with Kolby last summer and it was very frustrating.  We continued the B12 and the tylan and it eventually worked itself out and he started to eat again. 

Let us know how he is doing.

Barb

Hi... yep... i too suspect SIBO. As suggested, please contact the vet  and ask for anti's for SIBO..... explain that the reason we are suggesting this is because this is a classic sign in EPI dogs that SIBO is gong on ( the not wanting to eat and the gas )

And please continue the B12 jabs ..... low  B12 and SIBO often times play off of each other.......

✔ If a dog has low or low normal B12, in addition to doing the Cobalamin Therapy, also treat for SIBO with antibiotics. Dietary cobalamin is bound to dietery protein (animal protein) digested by pepsin and HCI in the stomach with cobalamin being released which binds to R-protein digested by pancreatic proteases in small intestine and binds to intrinsic factor absorbed through the ileum. EPI destroys the pancreatic protease and this is why only parenteral B12 by bypassing this process or B12 pills with intrinsic factor "appear" to work on EPI cases. Any imbalance in the intestinal bacterial flora is also likely to reduce the absorption of cobalamin."

Please let us know how Alfie does!

Just wondering how Alfie is and did you go to the vets for more Antibotics ?

Ann

Im not sure if this would work for Alfie but we got this nutritional gel(medi-cal, a company called naturvet also carries one) from the vet originally for my kitten but Jewels loved it(full of vitamins) and when she wasnt eating or had a sore stomach from SIBO I would give her a bit of the gel and for some reason it would jump start her appetite, and she would want to eat her dinner. Even if she didnt want to eat it I would stick some on her tongue so she got the taste of it and she would eat it on her own after. Again it could have worked just for her but the gel is not expensive and its got good nutritional value. 

hi everybody just a wee update on alfie, he doesnt have sibo, stool tested as well, so the vet said to cut his food DOWN but still give him the same amout of lypex over 2 meals a day, he seems to be showing a better intrest in his food now , but just slightly concerned about the 2 feeds aday, thanks everybody 

Hi

Has Alfie reached goal weight ??

If he has then this isnt a problem and can be one of the reasons why he has stopped eating...........maddie is only on two meals a day now and has been since January but please keep your eye on this  the other thing is that you could feed 3 smaller meals .

The Lypex should be given in proportion to the food  and most of  our Dogs still receive b12 weekly  monthly  or daily .

Ann

http://www.wonderlabs.com/itemleft.php?itemnum=6881

In order to maintain maddies B12 levels i order my B12 tablets from the USA if you follow this link through you will find an overseas buyers section please note this costs about £50.00 for a years supply and piece of mind and i recommend them ..........and i use them with my vets blessing.

Ann