Urgent Help with managment of SID

Epi4Dogs Foundation Inc.’s mission is the advancement of science and education relating to EPI (Exocrine Pancreatic Insufficiency), yielding useful insights and positive outcomes in better managing EPI in dogs and cats. Our goals are to support and/or collaborate with veterinary EPI research and researchers, and to promote EPI awareness by educating the general public, pet owners, pet organizations, rescue and shelter organizations, veterinary schools and veterinarians.
Paola Guzman
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Posts: 6
Country: Colombia
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Pet name: Patacon
My name: Paola

Urgent Help with managment of SID

Post by Paola Guzman » 18 Jan 2022, 04:43

Hi Every one, my name is Paola and my pet's name is Patacon, we are from Colombia, we discover he has EPI 6 months ago, and after some research, I started to give him daily digestive enzymes from Ampel nutrition with each meal, he doesn't like it too much but he stared to do very well after these. sometimes he doesn't want to eat I guess bc of the taste of it and those moments he starts to eat big amounts of grass.

Recently his tools don't look well, he lost his appetite, then he had bouts of vomiting and a lot of pain in his stomach, because what a had read here I think is SID (I'm not sure), the vet here in Colombia are not very familiar with EPI, so they recommend Metronidazole for 5 days, I'm scared of giving this to him bc of what I have read here... I ask the vet if we can give him tysol instead, and he said it was too strong and he prefers metronidazole since is a small dose... I don't know what to do... I read about Slippery Elm but they don't sell it here, I found inulin fiber from chicory can I use that Instead ? or should I give him antibiotics?

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Jean
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Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Urgent Help with managment of SID

Post by Jean » 18 Jan 2022, 05:06

Good morning from the UK

Tylosin /Tylan is the antibiotic of choice as metronadazole can have neurological side effects called metronadazole toxicity, please talk to your vet about this, Tylan is a mild antibiotic and works well for SID what are you feeding ?

is this the enzyme you use

https://amplenutrition.com/blogs/news/b ... of-enzymes

let us know and we can advise

Jean
My name is Jean we live in Liverpool in Uk

I am the Forum Director which I am very proud of

My Kara born 21 July 2009 diagnosed with EPI by cTLI test August 2010 TLI = <1...folate 14 Cobalamin 408, shot down to 94, b12 injections every other day

Lowest weight 39 pounds

We used Panzym enzymes, Tylan and Chemeyes b12 capsules

Sadly, on 10th May 2019, we lost her to DM


Jeanx

Paola Guzman
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Posts: 6
Country: Colombia
State: *
Pet name: Patacon
My name: Paola

Re: Urgent Help with managment of SID

Post by Paola Guzman » 18 Jan 2022, 05:54

Hi Jean,

thanks for your answer, I feed him with ACANA, plus enzymes. I just put them on the food and mixed them that is all, I stopped giving him anything else since I don't know what can be bad for him, but he use to love bananas, carrots, blueberries.

Yes that is the enzymes that I use

https://amplenutrition.com/blogs/news/b ... of-enzymes

I'm not sure if we have Tylan in Colombia, does Tylan looks like this? https://ceba.com.co/products/tilosina-20-x-100-ml-over.
How much should I give him and for how long?

What about the inulin fiber from chicory?

Paola

Paola Guzman
Member
Posts: 6
Country: Colombia
State: *
Pet name: Patacon
My name: Paola

Re: Urgent Help with managment of SID

Post by Paola Guzman » 18 Jan 2022, 06:52

BTW it says tilosina (tylan) the link that I posted is for porks and cows...

I'm so confused how to deal with SID

Paola Guzman
Member
Posts: 6
Country: Colombia
State: *
Pet name: Patacon
My name: Paola

Re: Urgent Help with managment of SID

Post by Paola Guzman » 18 Jan 2022, 06:52

BTW it says tilosina (tylan) the link that I posted is for porks and cows...

I'm so confused how to deal with SID

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Michaela
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Posts: 97
Country: United States
State: Texas
Pet name: Nikki
My name: Michaela

Re: Urgent Help with managment of SID

Post by Michaela » 18 Jan 2022, 10:40

Hi Paola,

EPI can seem overwhelming at first but you have come to the right place for help. Take a look at these links, it will answer a lot of your questions.

Tylan is a powder (see below)

https://epi4dogs.com/managing-epi/
https://epi4dogs.com/enzyme-conversion/
https://epi4dogs.com/enzyme-list/
https://epi4dogs.com/sidsibo-management/
https://www.walmartpetrx.com/p-2102-tyl ... 00-gm.aspx
Nikki was diagnosed with EPI in 2010
Royal Canin Gastrointestinal Low Fat canned
Slippery Elm syrup for stomach issues
1 tsp Pan-Tenex enzymes with each meal
Weekly B12 shots, pills didn't work for her
Tylan for life


"If there ever comes a day when we can't be together, keep me in your heart, I'll stay there forever."

Tuckaboo Pam
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Posts: 1065
Country: United States
State: Florida
Pet name: Tucker
My name: Pam H.

Re: Urgent Help with managment of SID

Post by Tuckaboo Pam » 18 Jan 2022, 12:00

Hey Paola, and welcome from Pam & Tucker in Florida!

From my limited Spanish, I am guessing tilosina is tylosin tartrate, which is Tylan. I looked it up, and again, my Spanish is poor, but what I was able to read reinforced my guess. Will your vet prescribe it? Most of us get it through prescription, but there are places to get it without one.

My idea would be to ask your vet for it, or ask where you can get some. It is for veterinary use, so it makes sense it would be used on farm animals. Pigeons, too.

You can find the dose on this link

https://epi4dogs.com/antibiotics/

When I was taking my 5th year of Spanish in high school, I had a friend from Colombia, named Lorena, who didn't speak English. That was fun, but it was 50 years ago, and I've forgotten more than I should have. Your English is great!

Take Care---Pam
Tucker is a shepherd/lab mix; he has tested positive on the ScheBo test for EPI, as well as the fasting TLI. Results--- TLI 1.3, Folate 9.7, Cobalamin 666, Lipase 38. Currently taking Diane's Enzymes 4 teaspoons/day, Wonderlabs B12 one capsule per day, two capsules slippery elm/evening, 1 Proviable capsule/day, and Tylan 1/32 teaspoon/ morning (to hold SID at bay). Sport Dog Elite, herding dogs 4 cups/day. No more poop eating, has gone from 60 to 80 pounds, and he is a happy member of the family, though a bit of a stinker, if you ask the other dogs. Tucker is my boyfriend, and my husband is OK with that.

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Olesia711
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Location: North Carolina
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State: North Carolina
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My name: olesia

Re: Urgent Help with managment of SID

Post by Olesia711 » 18 Jan 2022, 23:05

You asked about using "inulin fiber from chicory " YES!!!! that is also a very good prebiotic for SID :)

Also.... Tylan is not stronger than Metronidazole...... it is a different antibiotic.... it is a macrolide antibiotic and therefor does not kill all the bacteria (good and bad) like Metronidazole does..............
Olesia, was owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.. Izzy passed away on February 13, 2020 at 15 years old. She lived with EPI for 13+1/2 years. It was because of Izzy that Epi4Dogs was started... she was the inspiration. May her legacy of helping others with EPI continue for as long as needed.........

Paola Guzman
Member
Posts: 6
Country: Colombia
State: *
Pet name: Patacon
My name: Paola

Re: Urgent Help with managment of SID

Post by Paola Guzman » 19 Jan 2022, 04:07

Thanks for all your answers.

Last night I received his test results so it seems his b12 is low too.

Cobalimin 253.......... range 300-800
Tripsina : 1.5

I don't think my vet will prescribe tylan, I talked to him and he seems upset that I reach for info on my own and that I don't want to follow his instructions, so maybe it's time for us to look for someone else.

@pam : thank you I try to do my best I can with my english.

@Olesia: do you know how to give it to him? amount or time...on his food? mixed with water ? ... does it replace tylan or they should be given in the same period of time? I was worry since I read it was fiber and EPI dogs should have low fiber diet. thanks for you help :)

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Olesia711
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Location: North Carolina
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State: North Carolina
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Re: Urgent Help with managment of SID

Post by Olesia711 » 19 Jan 2022, 12:55

the dosing for Tylan (Tylosin Tartrate Soluble powder/100 grams) is based on the dog's weight. DO not get the liquid injectable as that is for respiratory conditions. Here are the dosing instructions: https://epi4dogs.com/antibiotics/

CHicory root is loaded with inulin.... a prebiotic fiber.... if you can get some chicory root powder or inulin powder start with 1/8 tsp over the course of a week... see how things go and then if all goes well, try increasing it to about 1/4 tsp or with a large dog you can give up to 1/2 tsp.

Prebiotics are wonderful but always start with just a little as too much can actually give loose stools rather than firm them up
Olesia, was owned by Izzy, a 35lb Spanish Water Dog (SWD), Diagnosed at 1.5 years old - TLI results 1.. Izzy passed away on February 13, 2020 at 15 years old. She lived with EPI for 13+1/2 years. It was because of Izzy that Epi4Dogs was started... she was the inspiration. May her legacy of helping others with EPI continue for as long as needed.........

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