Muscle wastage

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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Little Hope'smum
Member
Posts: 1
Country: Australia
Pet name: Hope
My name: Cathy

Muscle wastage

Post by Little Hope'smum » 23 Oct 2020, 02:52

My little Hope has been treated for epi for the past 5 years. We adopted her from the animal shelter 5 years ago. Current age could be 11 years plus...
I have noticed muscle wastage in her back legs and I feel like she has lost weight.
We saw the vet today (new vet, previous vet has retired), as I am concerned about this and she is a cavalier and I suspected she has a heart murmur which the vet confirmed and she is now starting heart meds.
I spoke to the vet about her epi and if we should increase her creon (Currently on 10,000 twice day) and if we should start a course of b12.
The vet said no to both she said that she would be making her own b12 but I know that dogs with epi can't do that.
Vet wants to do bloods and xray as she thinks Hope could have a tumour and this could be causing her muscle wastage.

We will be doing bloods and X-rays on Monday (Currently Friday afternoon here).

I still think that this could be because of b12 or needing more creon.
Any advice would be welcome.

Wish my vet didn't retire he really listened to me..

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jilbert57
Staff
Posts: 2125
Country: United States
State: Washington

Re: Muscle wastage

Post by jilbert57 » 23 Oct 2020, 08:52

Good morning Cathy,
I am sorry Little Hope is losing muscle.

"Muscle wastage usually comes on slowly due to age but can also occur quickly due to illnesses. Muscle atrophy can occur for a number of reasons including age, disuse of the muscles, obesity, lack of nourishment, illnesses such as diabetes and cancer and also may occur following fractures or surgery."

There are some exercises you can look up online and do with your dog to help the wastage.

I would supplement the B12 daily with the Wonderlabs:
https://www.wonderlabs.com/itemleft.php?itemnum=K9688

Is Hope on Vetmedin(pimobendin)?

Jill
My name is Jill and we live on the Hood Canal in Washington State. We currently have 2 Jack russells, TJ is 8 and Sadie is 2.

Mickey and his pancreatitis brought me to Epi4dogs.com site in 2012 to help manage it.
He lived from 6/99 - 8/2014

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

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Olesia711
Founder & Research Director
Posts: 3929
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy
My name: olesia

Re: Muscle wastage

Post by Olesia711 » 23 Oct 2020, 22:41

Hi Cathy,

So sorry to hear that Hope is having heart issues.... my understanding is that that is pretty common with aging Cavaliers. My neighbor has Cavaliers and they are just the sweetest little pups!

It is very possible that the muscle wasting is related to B12 deficiency and you are correct, with EPI, she has a problem with her B12, especially as they age, things get worse. However, as Jill pointed out it could also be from other health concerns.

Regarding increasing the CREON, if her poos are normal, then there is no need to increase the CREON... but if the poos are getting sloppy, is there slime on the poo or are the poos yellowish.....then yes, increase the CREON... Are you hearing any tummy noises? Is Hope farting a lot, having acid reflux??? IN other words is SID (small intestinal dysbiosis getting out of control because more enzymes might be needed... then yes, try increasing the CREON... but if none of the above appears to be happening, just the muscle wasting, then i would not increase the CREON at this time.
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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