SIBO and not eating—urgent

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.
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Miss Maddie Moo
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Country: United Kingdom - England

Re: SIBO and not eating—urgent

Post by Miss Maddie Moo » 09 Oct 2019, 14:38

Can you tell us whether you are supplementing your dog with B12 often when treating SIBO we need to treat both low B12 causes a dog not to eat...Slippery Elm is 1/2 tsp per meal it can stop the efficiency of some drugs so i would tend to stop the reflucx tablet and see how it goes.

Maddie DX April 2011 along with low B12 she was feed with a low fibre food below 3% , fat was not restricted ( she wasnt good on pea based foods ) She initially had a course of B12 shots weekly over a period of 6 months and then we used the B12 pills from Chemeyes in the UK . We used Panzym and slowly had to increase the dose as she aged when she was first DX she was 23kg but she gained weight quickly and got back to 33 kg .
Maddie gained her angel wings in Jan 2018 at the age of 10 to a condition unrelated to EPI.

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State: Washington

Re: SIBO and not eating—urgent

Post by jilbert57 » 09 Oct 2019, 14:54

I would fast the pup for 8 to 12 hrs overnight and have the blood drawn for the Tli test first thing in the morning. It is the only sure way to know if you are dealing with Epi. You can usually make a vet tech appt. to draw blood. It would be nice to also B12 and folate done too.
This is just my opinion.
My name is Jill and I live on the Hood Canal in Washington State. I have two dogs: Kiya is an aussie/blue heeler and is 13, TJ is a 4 year old Jack Russell. They keep me on my toes.
Mickey and his pancreatitis brought me to site in 2012 to help manage it.

Mickey, Jack Russell. Chronic Pancreatitis. Dianes enzymes, 1/8t 3x/day with meals.
6/1999 - 8/2014

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Location: Nashville, TN
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Pet name: Doc

Re: SIBO and not eating—urgent

Post by Madelon » 10 Oct 2019, 13:44

Hi there. Sorry I'm late to respond - I actually wrote a really long response the other night but it never posted for some reason - uuugggghhh.

Anyway, yes you can have a completely normal blood panel but have EPI because the blood test for EPI is not included in a regular blood panel. It is a specific test and your dog must be fasted for at least 8 hours and the blood should be drawn on a Monday, Tuesday or Wednesday so it does not sit over a weekend without proper storage. When they test for EPI (cTLI) they should also test for B12 and Folate.

It could be that your dog has EPI but it could also be that your dog has SID (small intestinal dysbiosis). We've seen lots of cases over the years where it ends up just being a nasty case of SID and not EPI. However, with that much weight loss and the stools the way they are, I would go ahead and do the cTLI test.

In the meantime, yes you can stop the antacid and use the Slippery Elm Bark Powder - be sure to mix it with a little water and then put on top of the food.

Please keep us updated on how things are 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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