PDA

View Full Version : Could use some good thoughts



debjen
19th August 2007, 09:24 PM
Robbie was admitted to the ER vet at 1 am this morning..he had been vomitting for 30-40 minutes when I called and had done so 10-12 times and the last time was pink...He was diagnosed with pancreatitis..he is still there but may get to come home tonight as he has not vomited since being admitted..

If anyone has information on Pancreatitis long term treatment I would appreciate it.

Thanks

Aileen
19th August 2007, 10:05 PM
Hope that Robbie gets well soon cannot give advice but hope he is home soon
----Aileen and the gang (Barney---Jazzie---Sam)

*Pauline*
19th August 2007, 10:08 PM
Oh no, poor fella. How did he get this? :hug: for you both.

Cathryn
19th August 2007, 10:16 PM
Oh poor sweet baby! :hug: I have no advice to offer as I have never come across this condition, all I can do is send you best wishes for a speedy recovery :hug: keep us posted?

BarbMazz
19th August 2007, 10:24 PM
Aw, poor Robbie! :( I'm glad he's not vomiting anymore. I don't know if pancreatitis in dogs feels like it does in people, but I had it once and I was very, very sick. I'm glad you got him to help right away.

I hope he's well enough to be home with you soon!

debjen
19th August 2007, 10:31 PM
Oh no, poor fella. How did he get this? :hug: for you both.


Not sure how he got it but one of the things that can cause it is high fat. So they put them on a low fat diet. I will learn more when I pick him up I'm sure. Plus have a message to my own vet to see what she can tell me.

*Pauline*
19th August 2007, 10:36 PM
Oh gosh, sorry you must be so worried :hug: I'll google it, maybe we can come up with something encouraging...

*Pauline*
19th August 2007, 10:47 PM
This looks interesting. It says nil by mouth for 24 hours to rest the pancreas then bland food, low fat. Of course don't take my advice, ask your vet.

http://www.vetontheweb.co.uk/pet-clinic-detail.asp?id=213

Lynn
19th August 2007, 10:52 PM
I hope Robbie gets well soon. :hug:

Karlin
19th August 2007, 10:53 PM
Poor boy! It's good that you got him in to the emergency vet as I know they can go downhill very quickly if they aren't treated. Sometimes eating fatty food like chicken or turkey skin can bring this on.

From vetinfo.com:


Encyclopedia of Canine Veterinary Medical Information

Pancreatitis

One of the functions of the pancreas is production of digestive enzymes. These are the enzymes that break down ingested foods into molecules the body can digest. These enzymes are carefully handled by the pancreas in order to prevent them from damaging the pancreas itself or surrounding tissue. When these self-protective mechanisms break down for any reason, the result is leakage of enyzmes which damage the pancreas and any surrounding tissue they reach. This breakdown is called pancreatitis.

There are a number of things which can initiate or facilitate enzyme leakage, so pancreatitis can occur for a number or reasons. Often, it takes a combination of precipitating factors to cause pancreatitis to occur in a dog or cat. High fat diets, obesity and lack of exercise are the most common "life-style" contributors. Miniature schnauzers are predisposed to pancreatitis due to a tendency to have high levels of lipoproteins in their blood streams. Corticosteroids and azathioprine medications may contribute to the tendency to develop pancreatitis. Hyperadrenocorticism, a naturally occurring overproduction of corticosteriods that is fairly common in dogs may also lead to an increased susceptibility to pancreatitis. Anything that interferes with blood supply to the pancreas or release of digestive enzymes by the pancreas may lead to pancreatitis. For some reason, pancreatitis does not occur, or is not recognized, as often in cats as it does in dogs.

The "typical" pancreatitis patient is middle-aged or older and overweight. There may be a slightly higher prevalence of this problem in female dogs but it does occur commonly in both sexes. Often, the family has just had a party or a big holiday meal when this disease strikes. This is not a disease that restricts itself to any particular scenario, though. It often occurs in patients that do not fit the typical profile and it has highly variable clinical signs.

Any time a dog appears to be exhibiting signs of unexplained pain, pancreatitis must be considered. Vomiting is common with pancreatitis. Depression can be severe. Affected pets may seem restless or be reluctant to move, they may seem weak, irritable, have diarrhea or simply refuse to eat. Many owners recognize that their pet is very ill but may be baffled by a lack of symptoms to explain their pet's discomfort -- they just know they don't feel well.

When your vet examines your dog and suspects pancreatitis, she will look for abdominal pain that seems to be centered in the portion of the abdomen that is partially covered by the ribs. Dehydration is common in patients with pancreatitis. Rapid heart rate and rapid breathing are sometimes seen with pancreatitis. Poor circulation in capillaries may lead to redness of the gums and eye linings.

Confirming a diagnosis of pancreatitis can be frustrating. Currently, there is no single reliable diagnostic test for this disease. Often, amylase and lipase levels are elevated in the bloodstream. Unfortunately, this seems to happen slowly in comparison to the progress of the disease so a pet may be pretty ill before the enzyme levels elevate and in some cases of pancreatitis an elevation in these enzyme levels doesn't occur. Often, blood tests that help evaluate liver and kidney function are slightly elevated as well. White blood cell counts are usually high. Ultrasound exam of the pancreas, if your vet can do this, is helpful in diagnosis. X-rays are often taken to make sure other conditions are not causing the pain, such as intestinal obstruction, but usually it is not possible to be sure a dog has pancreatitis based on X-ray changes. Pancreatitis is harder to diagnose in cats because they are less likely to have high enzyme levels and either hide pain better or experience less pain, making the need for testing less obvious.

Pancreatitis can be acute and only occur once in a dog's lifetime or it can become chronic and keep returning over and over again. It can be a rapidly fatal illness or a mild attack of pain that resolves in a few hours or a day or so. It can cause tremendous side effects, including shock, blood clotting disorders, heart arrythmias, liver or kidney damage and death.

I think that chronic disease with varying levels of pain and secondary side effects is the most common form of pancreatitis. Fortunately, most of the time dogs with chronic pancreatitis problems do not die from the attacks. It is possible to lessen the severity and frequency of attacks in many of these dogs by managing their diet and exercise. Less commonly, pancreatitis strikes with a sudden severe fury that creates severe secondary problems, particularly with blood clotting and shock. In these cases, it can be fatal. It is not clear whether these are entirely separate disorders or different manifestations of the same problem. In cats, chronic pancreatitis is often associated with feline infectious peritonitis or toxoplasmosis and it may be beneficial to try to rule out these conditions if pancreatitis is suspected.

It is important to take pancreatitis attacks seriously, especially the first one. Pain management seems to help a great deal in preventing escalation pancreatic attacks, based on our clinical experience. Totally restricting food intake (no food) for 24 to 72 hours seems to help a great deal as well. This may be due to a decrease in stimulation of the pancreas to release digestive enzymes. Fluid therapy to prevent dehydration and help maintain circulatory function is usually necessary. Medications to control vomiting are often used. Many veterinarians use antibiotics in an effort to ward off secondary infections but this may not be necessary in milder cases as bacterial infections do not commonly accompany pancreatitis. Corticosteroids are not thought to be helpful in treatment of pancreatitis. It may be necessary to use intensive medical therapy for serious side effects of the disease or even surgical intervention in really severe cases of pancreatitis. In miniature schnauzers, medical control of the lipid levels may be beneficial and is sometimes possible using medications.

Once the patient seems to feel better, oral fluids are given. If no vomiting occurs in 12 to 24 hours, food can be offered in small quantities. Most pets can go home once they are willing to eat and drink again. Bland diets may be beneficial in some patients but we usually recommend returning to the patient's normal diet as long as it wasn't likely to be the cause of the problem due to fat content. Diets moderately high in fiber may be beneficial in lessening the number or severity of attacks in chronic pancreatitis. Weight loss and increasing exercise are also very likely to help prevent future attacks. Keeping your pet away from the table during traditional holiday meals can be very helpful, too.

It is very important to remember NOT to feed your dog when it is showing signs of abdominal discomfort or unexplained pain. It is almost painful to think of the number of times dog owners have said to me "she wouldn't eat, so I gave put a couple of tablespoons of bacon fat on her food...... or gave her a bowl of ice cream...... or a bowl of milk....... or a couple of pieces of ham....... " This is the worst thing you can do if your dog has pancreatitis. Learn to let them help themselves heal by not eating when their body is telling them it isn't a good idea! This can be the difference between a 24 hour attack of mild abdominal pain and 5 days in our hospital treating severe pancreatitis.

http://www.vetinfo.com/dencyclopedia/depancrea.html

Rj Mac
19th August 2007, 10:56 PM
sorry to hear about robbie, im sorry but cannot give any advice as have never come across this situation before!!

:hug: :hug: for robbie hoping he gets better soon

Denise G.
20th August 2007, 12:57 AM
Deb--I'm sorry to hear about Robbie. It sounds like you did exactly the right thing and got him help quickly.

Lots of hugs and prayers to you and Robbie...keep us posted!

Cathy Moon
20th August 2007, 03:15 AM
Debbie, I saw on your new thread that Robbie is home now, thank goodness!:flwr::flwr::flwr:

Do you think it was something Robbie ate, or did he get into something?

Once I was at the vet during the holidays, and he said they get several cases of pancreatitis during the holidays from dogs eating turkey skin scraps or ham. etc.

debjen
20th August 2007, 04:29 AM
Debbie, I saw on your new thread that Robbie is home now, thank goodness!:flwr::flwr::flwr:

Do you think it was something Robbie ate, or did he get into something?

Once I was at the vet during the holidays, and he said they get several cases of pancreatitis during the holidays from dogs eating turkey skin scraps or ham. etc.

I really don't know..he had one small piece of steak 2 nights ago and some cheese at training yesterday but nothing that he hasn't had before..It's possible they sprayed the grass where we train but they usually let me know and they don't do right before I have a class..could have been some drift from a neighbors yard..he hasn't been on any medications and no different foods..I don't know..by the time he was throwing up he really didn't throw up much but foamy bile...I wish I knew so I knew if it was an isolated incidence or what..but we will certainly be careful about what he gets from now on..I'm use to that as I have to watch my lab because of his bloating..

Cathy Moon
20th August 2007, 04:34 AM
What do they spray on the grass? Hopefully not pesticides?!

debjen
20th August 2007, 04:39 AM
I am not sure..but they usually close the field for several days after spraying..I will be contacting them tomorrow to see what if anything has been sprayed recently.