Need Help-Dog having another setback

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.
Barb
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Re: Need Help-Dog having another setback

Post by Barb » 03 Jan 2019, 17:32

I am assuming your vet meant that the folate was high? Cobalamin is B12. Can you give us the numbers for the cobalamin and for the folate?

Barb

jdneal85
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Country: United States
State: Kansas

Re: Need Help-Dog having another setback

Post by jdneal85 » 03 Jan 2019, 18:44

Yep you’re right, it’s the folate that was high not the cobalamin. Sorry for the confusion! I didnt think to get the numbers from him today but I will find out what they were exactly.

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Madelon
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Re: Need Help-Dog having another setback

Post by Madelon » 03 Jan 2019, 20:32

Hi there. Sorry you are dealing with a set back. My first suggestion has already been mentioned which is to increase the enzymes a tad - maybe 1/8tsp. As for mouth sores, some members have found it helpful to feed on a flat plate, toss a few kibbles in the water bowl so they bob for them after eating, using a squirt bottle. If tweaking the enzymes doesn't help, you may be dealing with SID and need a course of Tylan.
MADELON and Doc. DX EPI and SIBO: 5/22/2015
Test Results: (1st) 7/2014 = TLI 16.5, B12 894, Folate > 24; (2nd) 5/2015 = TLI < .4, B12 406; Folate >24; (3rd) 10/2015 TLI < .4; B12 >1000; Folate 14.4. Prior to DX: May 2014 (2mos) - DX coccidia/bladder infection; July 2014 (3mos) 1st EPI test = TLI 16.5, B12 894, Folate >24 - Dx SIBO not EPI; Feb 2015 thru May 2015 - weight loss only; May 2015 vomitted several times, diarrhea and eating poop. Regimen: 4 cups Sport Dog Food Elite Herding - Diane 6x 1tsp per cup; 1 WonderLab PetFactor B12 2x day; 1/2tsp Slippery Elm 2xday; Multivitamin; 1 Zyrtec 10mg 2x day; Salmon Oil

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Olesia711
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Re: Need Help-Dog having another setback

Post by Olesia711 » 03 Jan 2019, 23:31

Hi,
Glad you had the vet check her out.
I agree 100% with stopping the Cholestrymine and going back to the Pepcid AC (for now) .... thins kind of "rotation" with acid reflux meds often has to be done with these dogs.... especially when they are on them for an extended period of time.

I do think you should slightly increase the enzymes (try increasing by 1/8 tsp more with each meal)..... because i too think what might have happened, as mentioned above and this happened to us.... over time, some EPI dogs just don't process things as effectively s they did before and consequently need a pinch more enzymes as they age...... SO..... while this is happening (as we the owners have no idea that this is going on until we start seeing sloppy stools again).... SID/SIBO has gotten out of control... and that is why dog appears to be having a set back.

Again, i agree with your vet giving antibiotics... but.... my first preference would have been a course of Tylan, the Metronidazole would have been my 2nd choice, if the Tylan didn't work...

But, since you have the Metro, try it, fingers crossed it works... but if you do not see optimal improvement within 7 to 10 days, you might want to go back to the vet/call him and ask if you could swap out the Metronidazole for Tylan for the remainder of the course..........

Please keep us posted and let us know how things go.
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.........

jdneal85
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Country: United States
State: Kansas

Re: Need Help-Dog having another setback

Post by jdneal85 » 04 Jan 2019, 15:43

Thanks everyone-I will add the 1/8 tsp to her food and try this antibiotic and hopefully start seeing some results in the next couple of days. Rotating these different treatments seems to make sense and I hope that will be a solution for the long term if this works. I will keep you updated, thank you again!

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Olesia711
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Location: North Carolina
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Re: Need Help-Dog having another setback

Post by Olesia711 » 04 Jan 2019, 17:35

Hope it works, and please do keep us posted!
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.........

Barb
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Posts: 468
Country: United States
State: New Jersey

Re: Need Help-Dog having another setback

Post by Barb » 05 Jan 2019, 09:39

Glad you have a plan. Let us know how how she
does.

Barb

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Shirl D.
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Re: Need Help-Dog having another setback

Post by Shirl D. » 05 Jan 2019, 12:06

Hi, I'm a little late to the party, but better late than never! I see that you mentioned your dog is now getting mouth sores. You already got some good suggestions, like feeding on a flat plate, rinsing her mouth after she eats or giving her an ice cube, etc., but I also wanted to suggest something Olesia mentioned in a different thread. She recommended for those poor sore lips and mouth, if you have any vitamin E capsules, pop one with a pin and squeeze the vitamin e oil on the lips etc, it will help with the healing. The other thing I wanted to mention is that my Pixie is one of those dogs who has had to have her enzymes increased a couple times as she got older. We didn't have to increase a lot, but we did need to adjust it up twice now. I hope you're having some success getting her back on track!

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Jean
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Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Need Help-Dog having another setback

Post by Jean » 05 Jan 2019, 12:52

Shirl, thanks for that reminder

Jeanx
My name is Jean we live in Liverpool in Uk

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

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Madelon
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Re: Need Help-Dog having another setback

Post by Madelon » 07 Jan 2019, 20:10

Just wanted to see how things were going.
MADELON and Doc. DX EPI and SIBO: 5/22/2015
Test Results: (1st) 7/2014 = TLI 16.5, B12 894, Folate > 24; (2nd) 5/2015 = TLI < .4, B12 406; Folate >24; (3rd) 10/2015 TLI < .4; B12 >1000; Folate 14.4. Prior to DX: May 2014 (2mos) - DX coccidia/bladder infection; July 2014 (3mos) 1st EPI test = TLI 16.5, B12 894, Folate >24 - Dx SIBO not EPI; Feb 2015 thru May 2015 - weight loss only; May 2015 vomitted several times, diarrhea and eating poop. Regimen: 4 cups Sport Dog Food Elite Herding - Diane 6x 1tsp per cup; 1 WonderLab PetFactor B12 2x day; 1/2tsp Slippery Elm 2xday; Multivitamin; 1 Zyrtec 10mg 2x day; Salmon Oil

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