Roxy needs help !!! 8 year old female chihuahua

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.
Roxy Dyer
Posts: 6
Country: United States
State: California
Pet name: Roxy
My name: Regina

Re: Roxy needs help !!! 8 year old female chihuahua

Post by Roxy Dyer » 03 Dec 2019, 11:58

Also does raging SID cause the white blood cells to elevate ?

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Posts: 957
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara
My name: Jean

Re: Roxy needs help !!! 8 year old female chihuahua

Post by Jean » 03 Dec 2019, 12:29

Kara shed her bowel when she had a very severe SID, and she put herself to bed in our bed, under the duvet, we gave her scrambled egg and mashed potato not sure about the white cell elevation
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 use Panzym enzymes, Tylan and Chemeyes b12 capsules

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


Posts: 455
Country: United States
State: New Jersey

Re: Roxy needs help !!! 8 year old female chihuahua

Post by Barb » 03 Dec 2019, 19:32

I am so sorry you and Roxy are going through this.

We have had to switch to metronidazole several times with Kolby when he had setbacks with SID and he has had no ill effects. It calmed the SID and restored his poos to healthy ones. However, some dogs in rare instances have had negative effects from you should just be aware.

I have never observed a fever in Kolby when he had SID/SIBO but others can chime in here.

Sending lots of healing energy.


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Posts: 1223
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy

Re: Roxy needs help !!! 8 year old female chihuahua

Post by Olesia711 » 03 Dec 2019, 23:50

Hi Regina,

I hope the Slippery Elm calms things down for her....if she does have IBS,,,,, the SLippery Elm will actually help her !!!!

Technically Slippery Elm has mucilage properties, coats the intestines, so it may inhibit to a very small degree the full effectiveness of any medicine given.
I personally have given Slippery Elm together with these antibiotics.....Metronidazole and/or Tylan and or Amoxycillan simply because you've got leeway with these antibioitics... however, when i had to give Lysodren(or Mitodane) to my dog with Cushings ... these drugs had to be very exact... and at those times, i gave the slippery elm about an hour or two away from the cancer drug.

Generally, SID does not involve a fever.... so i suspect something else is triggering this infection, BUT.... along with it, most likely, as with any EPI dog, SID is present and yes it does get out of control. Slippery Elm sometimes can help with out of control SID, but other times, you need an antibiotic. In most out-of control SID situations, Tylan (Tylosin tartrate 100 gram) antibiotic works better than Metronidazole, but not always.....some dogs jsut don't respond wo Tylan and then Metro is advised. It all depends on what type of bacteria imbalance is going on and where (small intestine or large intestine).

However, the fact that little Roxy has a fever ... sounds like more than SID is going on (infection) and your vet probably made the right choice going with Metronidazole instead of Tylan in this case. Hopefully the fever will subside with the Metronidazole. Is Metro safe? yes and no. Yes it is safe, but some dogs develop a toxicity to it, even after being on it multiple times in the past with no issues.... although this doesn't happen often can happen. What you need to watch for is if Roxy displays any back leg weakness (as if she has some sort of neurological problem) or her just acting really weird. If she does, stop the metro immediately (and the symptoms should go away) and call your vet to let him/her know what happened.

The other concern is any kind of infection in a diabetic dog can make them really sick. SO it is a very good thing that the vet started Roxy on Metro. Paws and Fingers crossed that this helps!

Please continue to keep us posted and let us know how Roxy is doing.
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.........

User avatar
Posts: 922
Location: Nashville, TN
Country: United States
State: Tennessee
Pet name: Doc

Re: Roxy needs help !!! 8 year old female chihuahua

Post by Madelon » 05 Dec 2019, 21:51

I'm so sorry you and Roxy are going through this. I too have a "Roxy" (non-EPI). I'm glad Olesia chimed in - please keep us posted 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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