Just diagnosed and need help.

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.
Mary
Member
Posts: 10
Country: United States
State: Ohio
Pet name: Josie
My name: Mary

Just diagnosed and need help.

Post by Mary » 25 Jun 2020, 21:50

Im new here,and i need some help.started my josie(rotti)on metro three days ago,just got enzymes and started today,she is currently vomiting yellow mucos,do you think this is a reaction to enzyme?

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Olesia711
Founder
Posts: 1363
Location: North Carolina
Country: United States
State: North Carolina
Pet name: Izzy

Re: Just diagnosed and need help.

Post by Olesia711 » 25 Jun 2020, 23:19

Hi Mary, and welcome to you and Josie.

That yellow stuff (bile) that you are seeing is not from the enzymes, but it is most likely from SID (small intestinal dysbiosis) or some sort of bacterial infection/upset in her gut.
Unfortunately many vets still prescribe Metronidazole for SID when Tylan (Tylosin Tartrate) works MUCH better. Sometimes Metronidazole works, sometimes it doesn't. Whereas Tylan (Tylosin Tartrate) works most of the time.

With EPI dogs, they ALL have SID (small intestinal dysbiosis) to one degree or another. Our objective as an EPI care-giver is to keep it in good control. We don't treat unless we see repeated signs/symptoms of SID. SID signs are:

" any yellowish-coloring to the stools, loose stools, gelatinous stool coating, flatulence, lack of appetite, stomach noises, upchucking, vomiting with bile, low or low normal B12 then treat for possible secondary SID/SIBO (with Tylosin [preferred] or Metronidazole, or in some cases Amoxycillin. Tylosin appears to work best for the majority of EPI dogs with SID/SIBO"

Give things another day to see if the yellow bile subsides.... if not, call your vet and ask for Tylan or Tylosin Tartrate instead of the Metro.

https://www.chewy.com/tylan-soluble-powder/dp/173768
https://www.medi-vet.com/VetOne-Tylosin ... /19172.htm.

Also... just want to verify.... you are mixing the enzymes in the food, adding enough liquid to moisten the enzymes in the food, mixing it and then and letting it all sit for about 20 minutes before serving... correct??? I am assuming you have the enzyme powder? And you are giving approx 1 tsp of enzymes per 1 cup of food (kibble) or 3/4 tsp of enzymes per 1 cup canned food???
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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jilbert57
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Posts: 995
Country: United States
State: Washington

Re: Just diagnosed and need help.

Post by jilbert57 » 25 Jun 2020, 23:35

Hi Mary! Welcome to the forum.

Jill
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 Epi4dogs.com 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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Jean
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Posts: 1048
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Just diagnosed and need help.

Post by Jean » 26 Jun 2020, 04:36

welcome Mary from the UK

can you tell us more about Josie, what your journey was to EPI

what are you feeding ? we recommend in the main, grain free low fibre food , most of our dogs dont tollerate chicken in dog food , mine included

if there was a dramatic weight loss the idea is to feed 50% over, and above whats on the food bag for the weight they SHOULD be

As Olesia said, Tylan is the one we all use, and it works

the yellow mucous what time of the day is this >

you might want to look at Enzyme Diane for discounted and widely used enzymes

https://enzymediane.com/

we are here for any questions

Jean
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

Barb
Staff
Posts: 487
Country: United States
State: New Jersey

Re: Just diagnosed and need help.

Post by Barb » 26 Jun 2020, 17:27

Hi Mary. A warm welcome to you and Josie.

One thing that really helped us when Kolby was diagnosed (he passed in January at 11 years from unrelated cancer) was keeping a daily log. Record everything that you give Josie (food, enzymes, meds, etc.), the amounts and the resulting poos. It really helps to tell you what is working and what isn't and what might need to be adjusted. It also helps when you need to make changes, You can download a log form from our site or use a notebook. This is the hardest time, the beginning of treatment, so don't be discouraged. We have all been where you are. It will get easier once you get everything balanced.

Barb

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Madelon
President
Posts: 988
Location: Nashville, TN
Country: United States
State: Tennessee
Pet name: Doc

Re: Just diagnosed and need help.

Post by Madelon » 26 Jun 2020, 22:14

Hi Mary! Welcome to our EPI family. Olesia has given you great advice so I just wanted to welcome you and let you know we are here to help. Please keep us posted on how things are going. Are you supplementing B12?
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

Mary
Member
Posts: 10
Country: United States
State: Ohio
Pet name: Josie
My name: Mary

Re: Just diagnosed and need help.

Post by Mary » 27 Jun 2020, 09:20

THANK YOU ALL for being so kind.I have her on metro until i recieve the tylosin which i had to order from vet med pharmacy through my vet. Im have alot of trouble getting her to eat her food with the enzyme on it,which i do mix and wait at least 30 minutes to feed.She is on a b12 injection once a week as well.she is on a low fiber food,salmon,no chicken,as even in my healthy dogs,chicken causes issues:/ Im keeping a detailed diary,and i now have access to all the fresh raw beef pancreas i need:)i havent switched to the raw pancreas yet as i just got my first bulk amount.

Mary
Member
Posts: 10
Country: United States
State: Ohio
Pet name: Josie
My name: Mary

Re: Just diagnosed and need help.

Post by Mary » 27 Jun 2020, 11:11

For those of you that use raw pancreas,how do you grind it?or do you just chop?its so slimy it gets all messed up in my commercial grinder?

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Jean
Staff
Posts: 1048
Location: South Liverpool
Country: United Kingdom - England
Pet name: Kara, lost 10th May 2019
My name: Jean

Re: Just diagnosed and need help.

Post by Jean » 27 Jun 2020, 11:55

put it into a blender and blend to a paste or similar, the amount people use is roughly 4ozs per meal but you would need to tweak somewhere along the line to see what is suitable for your dog

or chop which ever, just make sure its divided amongst the meal

you can then freeze it into ice cube holders or similar

My Kara would have nothing to do with it, the face said it all

Good luck
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

Mary
Member
Posts: 10
Country: United States
State: Ohio
Pet name: Josie
My name: Mary

Re: Just diagnosed and need help.

Post by Mary » 27 Jun 2020, 13:40

Thank you,unfortunatly,my josie girl hates the added enzymes,no matter how long i leave it set,im at a loss,because now she wont eat any food with the enzymes:(

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