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Reptigirl
2nd August 2011, 04:06 PM
I'm a nervous wreck. I was up all night with Holly. I TRIED to go to an emergency vet and the guy was a total JERK! He was "too busy" although he had no other people in his clinic. He also "didn't think Holly was an emergency". He refused to give her fluids until I spent almost $600 in testing and refused to do an X-Ray. Said my regular vet could do that.

I took Holly in for sever vomiting, inability to keep even water down, yelping in pain , inability to poo & yelping when trying to poo. I ended up walking out after an estimate of $600 - $1000 just to "observe" her for a few hours and run a blood panel test. He told me he would not be able to get to her for at least an hour so I was best to leave her and come back. He was going to charge me a full days boarding fee to watch her for 2 hours plus an "observation fee". Now maybe I should not have walked out but I was not going to pay that price when my normal vet staff would be arriving in there clinic in 2 hours! I felt like I was being overcharged for NOTHING. This guy was also a MAJOR jerk! Rude with an attitude!

So after leaving Holly continued to toss up. I got her into my vet right away and they started her on fluids ASAP for sever dehydration. (throwing up all night). My vet was going to run 2 different pancreatitis tests? She was pretty sure that was the problem. She felt her tummy and didn't "feel" a blockage but if the tests came back negative they would do X-Rays for a blockage.

They said she was pretty bad off and she would need NO food or water by mouth for at LEAST 3 days and probably a hospital stay of 3-5 days. I'm waiting on a call for the results of the tests....

My vet said this is sever and if this is pancreatitis hitting her this hard & fast it is very hard to stop. There is a chance she may not make it. All they can really do is restrict food & fluids by mouth and keep her on an IV.

I'm a mess right now from no sleep and the terrible ER vet. Does this sound right? How can she go down so fast? What causes it? Is my vet missing something?

Sydneys Mom
2nd August 2011, 05:15 PM
Oh my God....poor Holly. I'm glad she's finally getting medical help and will keep my fingers and toes crossed that all goes well.

I just can't believe how you were treated with the emergency vet. Was this in a private practice or an emergency hospital? When we rushed Sydney to the emergency at 2 in the morning, the ER vets were rushing from the treatment room with a gurney to help him and someone was coming out every 5 mins. or so with an update. I would definately put in a formal complaint with the practice/hospital about this so called "doctor". Your concerns needed to be addressed in a professional manner and I probably would have walked out too. After being treated in that manner, I wouldn't have trusted them to treat Sydney. I would also ask your vet who they recommend you call for emergency when they are not available. Our vet has a recorded message when the office is closed with emergency telephone numbers and locations to take your pet.

Please keep us updated on Holly's condition. I will be thinking of you and praying for a speedy recovery.

StillPooh
2nd August 2011, 07:19 PM
So after leaving Holly continued to toss up. I got her into my vet right away and they started her on fluids ASAP for sever dehydration. (throwing up all night). My vet was going to run 2 different pancreatitis tests? She was pretty sure that was the problem. She felt her tummy and didn't "feel" a blockage but if the tests came back negative they would do X-Rays for a blockage.

They said she was pretty bad off and she would need NO food or water by mouth for at LEAST 3 days and probably a hospital stay of 3-5 days. I'm waiting on a call for the results of the tests....

My vet said this is sever and if this is pancreatitis hitting her this hard & fast it is very hard to stop. There is a chance she may not make it. All they can really do is restrict food & fluids by mouth and keep her on an IV.

I'm a mess right now from no sleep and the terrible ER vet. Does this sound right? How can she go down so fast? What causes it? Is my vet missing something?When Clancy was around 2 years old, we took him to a family party. Unbeknownst to us, he was begging for and receiving many many tidbits of people food, including high fat things like cheese and sausage.

2 days layer, he began vomiting absolutely everything he took in, water included. The vet did an xray first, to rule out a blockage. The subsequent blood tests showed pancreatic enzymes (amylase and lipase) so high they couldn't register properly on the clinic's equipment. Diagnosis: acute pancreatitis. He was put on several meds and nothing by mouth for 24 hours, after which we started with a bland diet (boiled chicken and rice) followed by a prescription dog food.

He recovered without incident, and has never had another episode. But we don't take him to parties anymore either!

I hope your lab results come in soon. Your vet doesn't sound very sure of herself; you might want to consider seeking a second opinion.

RodRussell
2nd August 2011, 07:56 PM
There is a lot of information about pancreatitis in cavaliers at

http://cavalierhealth.org/pancreatitis.htm

and at

http://www.cavaliercampaign.com/#/other-health-issues-page3/4547905744

anniemac
2nd August 2011, 07:56 PM
I am so sorry! I really hope holly gets better. I did think its sometimes hard to diagnose pancreatis from bloodwork. I will be thinking of you.

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StillPooh
2nd August 2011, 08:04 PM
There is a lot of information about pancreatitis in cavaliers at

http://cavalierhealth.org/pancreatitis.htm

and at

http://www.cavaliercampaign.com/#/other-health-issues-page3/4547905744Just wanted to mention that panreatitis can be chronic (as in those articles) or acute. My Clancy's rapid onset case was acute and easily diagnosed by blood tests.

RodRussell
2nd August 2011, 09:18 PM
Just wanted to mention that panreatitis can be chronic (as in those articles) or acute. My Clancy's rapid onset case was acute and easily diagnosed by blood tests.

Yes, there is a big difference. I'd opt for acute any day.

BrooklynMom
2nd August 2011, 11:32 PM
Oh no...poor little Holly!! I have no advice, but just wanted to say that I was thinking of you and Holly. I will be sending lots of prayers to you and hope for improvement as soon as possible.
Hugs to you, stay strong. :hug:

Love my Cavaliers
3rd August 2011, 12:30 AM
Any news on Holly? You must be so worried out of your mind. I also have no advice other than to breathe, but am sending my best wishes and hugs.

anniemac
3rd August 2011, 12:41 AM
Any news on Holly? You must be so worried out of your mind. I also have no advice other than to breathe, but am sending my best wishes and hugs.

Me too! Thinking of you and holly

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Reptigirl
3rd August 2011, 01:17 AM
No News yet :( I talked to my vet about 2 hours ago and for some reason the test results had not come in yet. She was going to do an in office test for pancreatitis but apparently they were out. I ment to call her back before they closed but somewhere between exhaustion & keeping up with a high energy 2 year old time got away from me. They only good news is I know that even after they close the vets go up there 2-3 times during the night to check on everyone. I know she really goes because I have seen her up there at odd hours.

I'm super uneasy about the fact none of the tests came back yet. They gave her something for her nausea & a mild sedative. She has not vomited since she has been on the nausea medication. They said she has mainly just been sleeping due to the sedative. She is on IV fluids and needs to stay that way for several days.

I'm super stressed out and worried. I guess I was hoping for a diagnosis by now.

She also said that the mild "click" she had in her heart is more noticeable and is now an obvious low grade murmur. Also she noticed a change in her postiure and was checking her hind legs. She said she may be having a little bit of hip trouble because she is pushing both of her knees outwards to stand. When she is sitting her hind legs keep "sliping" outwards and she keeps having to readjust to stay in a sitting position. She said some of this could be due to the stress of whatever is bother her + dehydration. The posture change happened suddenly with the vomiting so I was assuming it was from being in pain & vomiting? Once we get this cleared up I fear we may seeing a few new specialists.

Sydneys Mom
3rd August 2011, 03:22 AM
What a bummer....you must be on pins and needles waiting for news. Will keep thinking good thoughts for you and Holly.

SuzRN
3rd August 2011, 03:55 AM
Thinking of you and Holly. Hope she gets better soon.

StillPooh
3rd August 2011, 04:07 AM
No News yet :( I talked to my vet about 2 hours ago and for some reason the test results had not come in yet. She was going to do an in office test for pancreatitis but apparently they were out. I ment to call her back before they closed but somewhere between exhaustion & keeping up with a high energy 2 year old time got away from me. They only good news is I know that even after they close the vets go up there 2-3 times during the night to check on everyone. I know she really goes because I have seen her up there at odd hours.Do they not have 24 hour on site vet techs?

Not to frighten you, but if that is the case, I would move her to another hospital ASAP. She'd be better off at home than being left alone for hours at a time in a cage in an empty clinic.

I don't understand why they don't have amylase and lipase levels back yet. :?

mommytoClaire
3rd August 2011, 01:17 PM
Oh goodness, I posted a response last night, but it's not showing. I had a dog who had chronic pancreatitis. His first bout we weren't sure he would make it. But he recovered and went on to live a great life even though he developed diabetes due to the scarring in his pancreas. I am trying to get out the door for work, but wanted to mention that my Nash also had back leg, backend weakness during and right after the pancreatitis, which was related to the pancreatitis, and eventually went away.I'll check back later to see how things are. Saying a prayer for your baby.

Reptigirl
3rd August 2011, 06:28 PM
Hum... well Good news... but I'm skeptical.

Her pancreas enzymes came back normal so they are considering sending her home this evening. :confused:

I'm thrilled that they are normal but that does not explain the very sever vomiting. Even more concerned that she was trying to poo and couldn't and was clearly in pain. :confused:

I know sometimes I watch the animals "too closely" and notice every little detail with them but I've never seen any animals vomit THAT many times over the course of one night. Not only that but she turned so lethargic in just a matter of hours. Would simply "eating something bad" make her not want to move? I watch the dogs so closely, I don't take them off our property, and I keep the place relatively organized & clean. I can't imagine what she would have eaten. A piece of a raw fresh carrot? A single piece or two of chicken scratch grain licked up off the ground? A raw egg with dinner that she normally gets once a week with no problem? My vet is against raw foods (well human food all together) and thinks maybe the egg would have set her stomach off?

I'm wondering if she could have a blockage that my vet can't "feel". My vet said that she can normally feel a blockage:confused:

I just feel something doesn't sound right. Maybe everything is fine & Holly was just over exaggerating.

Furrfoot
3rd August 2011, 07:16 PM
They didn't do an x-ray or any other tests to check for a blockage? (From personal experience) in people at least, when you get dehydrated from a blockage and get fluids, you feel soooo much better, it's a remarkable change, so I'd be skeptical too. Is she keeping down water? Pooing or at least passing gas? If the blockage is up high, I don't know how the vet could feel it (thinking plastic wrap, etc. in the stomach), though admittedly, I'm not a vet icon_blshing, so...

When Rose had her bout of not feeling good a while back, they couldn't find anything wrong, so I asked them to x-ray her and (even though we saw my last pick vet at our clinic) they promptly did. The vet came back and laughed a little and said "the owner's always right"- sure enough, she had swallowed something (that thankfully she threw up).

Sydneys Mom
3rd August 2011, 07:32 PM
I just feel something doesn't sound right. Maybe everything is fine & Holly was just over exaggerating.

DON'T second guess yourself. More than once, I felt foolish bringing Sydney into the vets for something that I thought I was over reacting on. Each time there was something that had to be treated. I have a wonderful vet, and when I appoligized for always calling or bringing him in she said "that's what we're here for, he's your dog and you know him best and if something doesn't seem right it probably isn't."

Trust your instincts, insist on an xray or get a second opinion if needed. The worst that could happen is that you were wrong, but at least you will be at ease that Holly is OK.

Soushiruiuma
3rd August 2011, 07:33 PM
Hum... well Good news... but I'm skeptical.

Her pancreas enzymes came back normal so they are considering sending her home this evening. :confused:

I'm thrilled that they are normal but that does not explain the very sever vomiting. Even more concerned that she was trying to poo and couldn't and was clearly in pain. :confused:

I know sometimes I watch the animals "too closely" and notice every little detail with them but I've never seen any animals vomit THAT many times over the course of one night. Not only that but she turned so lethargic in just a matter of hours. Would simply "eating something bad" make her not want to move? I watch the dogs so closely, I don't take them off our property, and I keep the place relatively organized & clean. I can't imagine what she would have eaten. A piece of a raw fresh carrot? A single piece or two of chicken scratch grain licked up off the ground? A raw egg with dinner that she normally gets once a week with no problem? My vet is against raw foods (well human food all together) and thinks maybe the egg would have set her stomach off?

I'm wondering if she could have a blockage that my vet can't "feel". My vet said that she can normally feel a blockage:confused:

I just feel something doesn't sound right. Maybe everything is fine & Holly was just over exaggerating.

Could it have been something poisonous? Pesticides, cleaning products, medicines, garden plants/weeds. Possibly a reaction to meds she is on, double check that dosages are correct on labels, and that the pills/tablets are in fact the right prescription (this would be an error at the pharmacy, filling the prescription incorrectly). Eggs can carry salmonella, but I don't think dogs are especially sensitive to it. Perhaps some med she is on weakens her immune system?

I would ask for an x-ray if she isn't *clearly* on the mend. I once knew a Jack Russell that ate a lightbulb and had lots of broken glass in his intestines. He pulled through, without surgery, but was in bad shape for quite some time.

Desrae
3rd August 2011, 11:22 PM
I'm glad to know she is ok, if only our pets could talk and tell us what is wrong. I would complain about that first vet to the BBB or somewhere!

mommytoClaire
3rd August 2011, 11:31 PM
Did the Vet note tenderness in the area of the pancreas? Was that one of the reason they suspected pancreatitis? I feel the same as others here. I'd be watching her like a hawk the next 24 hours. I would say if she isn't much improved by tomorrow, I'd be asking for an xray, or seeking a different Vets opinion. And don't feel you are over protective. That is our job, and quite honestly, most of the time our instincts are right on.

Reptigirl
4th August 2011, 12:40 AM
Well they decided to keep her over night. She has returned to being lethargic and when they offered her food she did not eat. I brought up her FAVORITE canned food that she would NEVER refuse and she didn't even lick it. :(

My vet (and me) noticed her belly is tense (tight). That is why my vet said pancreatitis in the 1st place. I asked her to do an X-Ray and she "really doesn't think it's necessary". But if she does not eat by morning then she will do it 1st thing in the morning. I really wish she would have already done it but she seems to really think she just needs to get fluids. She was REALLY dehydrated by the time I got her in... uh, I just don't know!

She is keeping water down today so that is an improvement. She is seems slow moving and calmer then usual. She is peeing but no poo.

I feel at a lose! She is under the care of two different vets at the clinic both of which have always been super nice and helpful. Out of all the vets I have seen locally they really are caring & compassionate. I have been to so many vets in the last year and every local vet I have been to has been a total jerk or rude. I don't know if it's just me but I can't STAND a vet who thinks they know everything and the owner knows nothing... I may not have a medical degree but I do know my animals very well.

I looked all around outside to see if I could find ANYTHING she could have ingested. We don't use any pesticides or insect control because we have free range chickens. Inside all the cleaners are locked up in top cabinets.

Pat
4th August 2011, 01:29 AM
Three thoughts -

Ultrasound is the diagnostic tool for pancreatitis, not x-ray - better interpretation if done by specialist and not GP vet
24 hour monitoring (not overnight alone)
Spec cPL test - can't be run inhouse, must be sent to Idexx, should have ALREADY been done

http://www.idexx.com/view/xhtml/en_us/smallanimal/reference-laboratories/testmenu/innovative-tests/spec-cpl.jsf

She's been sick for 48 hours now?

They are letting her drink water despite the possibility of pancreatitis?

I presume she is on a continuous IV drip rather than just getting subq fluids?

Sounds like the only thing they've done is blood chemistry - amylase and lipase - or have they run a full chem panel with CBC?

Pat

GraciesMom
4th August 2011, 01:45 AM
I hope you get some answers soon, but you may have to be aggressive. Maybe an approach is something like..."for my own peace of mind, would you please do ultrasound and blood panel? I know you feel no necessary but I really need results cause I just have a gut feeling that won't go away."

Reptigirl
4th August 2011, 03:12 AM
Pat ~ All I know about the blood panel was my vet wanted to test her kidney function & also ran a test to check for the enzymes that mean it's pancreatitis. All the tests were sent off and not done in house. That is why we had to wait so long for the results. I was told all the results came back normal.

The enzymes (amylase and lipase) we in normal range. Since the results came back normal they wanted to see if she would eat & drink. She drank water this afternoon but would not eat. When I talked to them before they closed she had kept the water down & has not vomited.

She "perked up" this morning but by mid afternoon she was lethargic again. I personally wonder if drinking the water did something (triggered something) that either has her in pain? or nausea?

She started vomiting Monday morning.

She is on a continuous IV drip

I'm sorry I don't know more about the blood panel they did. I will inquire more about it tomorrow.

Reptigirl
4th August 2011, 03:54 PM
I feel so sick & helpless! :( Holly has not improved at all. She is extremely lethargic today. They are doing X-rays this morning. My vet did say that X-rays do not always show blockages but its a good starting point. She agreed an ultrasound would be best but they don't do them in there clinic. They have a floating vet that goes clinic to clinic to do them by appointment only. I called 2 other vets in the area and they told me the same thing. My vet is going to have a tech track down the ultra sound vet and see if we can't get her checked before the weekend.


My vet said that despite the fluids she is still really dehydrated :confused: She is also still very tender in the belly.

At this point they are still treating her like it's pancreatitis even though the enzyme levels showed normal. It seems they got the ball rolling on looking for a blockage as well but they ares still not convinced that is the problem. The vet said that usually with a blockage they will continue to vomit even when all foods are withheld. Holly has not vomited since being at the clinic. But she also has not had any solid food since Sunday night! She has not pooed either since Sunday morning!

I'm really getting nervous & upset that I might loose her. She has always been the healthiest of the 3! She has always been the least problematic one. I never thought I would be this worried about her. I have been slowly preparing myself that Blitz is on borrowed time but I never thought about losing Holly this soon.:cry*ing:

gamefanz
4th August 2011, 04:20 PM
Reptigirl, I've been following your thread and was so hoping you would post great news this morning. I really hope the x-rays show something. I cannot imagine the worry you are going through. My heart goes out to you and to Holly:hug: Keeping the faith that there is a solution TODAY:xfngr:
Becky

anniemac
4th August 2011, 05:07 PM
I am so sorry shannon :(

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Pat
4th August 2011, 05:35 PM
Shannon,

I believe that you need a specialty clinic/ER/hospital with an internist, 24 hour care, and ability to do ultrasound and other higher tech tests and procedures in-house. What about the original place that you went to the first night? I believe that Holly is insured as well as Flash and Blitz. X-rays aren't good enough, you need ultrasound. This is beyond a GP vet. You can't rule out pancreatitis based on only amylase and lipase. Time is of the essence. (I would also not have a dog on an IV fluid pump without continual monitoring.)

Pat

Nicki
4th August 2011, 06:29 PM
I'm so sorry Shannon, just catching up and was so shocked to read this :(

Pat has given very good advice, it really does sound like your vets are not taking this as seriously as they should be - Pancreatitis is becoming more of a problem in Cavaliers.

I do hope you can get Holly moved to a better treatment centre esp with the weekend imminent.

You are in our thoughts x

Zumie05
4th August 2011, 08:07 PM
Oh my gosh, I am so sorry for Holly :(!!! I know two dogs that had pancreatitus really severely as well, they had to be put on low protein diets and are now nice and healthy. They were eating a high protein grainless food before, I guess for some dogs that is too rich for their system.

I really hope Holly doesn't have a blockage, I worry about her not having had a poo yet...I second the need for an ultrasound rather than an x-ray.

Pat
4th August 2011, 08:37 PM
I know two dogs that had pancreatitus really severely as well, they had to be put on low protein diets and are now nice and healthy.

Just FYI, for dogs with pancreatitis, a low fat diet is required, not a low protein diet.


Pat

Zumie05
4th August 2011, 09:00 PM
Just FYI, for dogs with pancreatitis, a low fat diet is required, not a low protein diet.


Pat

Whoops thanks for the clarification! That is interesting however, because both the dogs I know that had pancreatitis are on very strict low protein diets. I hope their vets gave them the correct information?? Does the protein % directly coorelate with the fat %?

Desrae
4th August 2011, 10:18 PM
thinking about you...

Pat
4th August 2011, 11:27 PM
Does the protein % directly coorelate with the fat %?

Nope.

Pat

anniemac
4th August 2011, 11:32 PM
Shannon,

I believe that you need a specialty clinic/ER/hospital with an internist, 24 hour care, and ability to do ultrasound and other higher tech tests and procedures in-house. What about the original place that you went to the first night? I believe that Holly is insured as well as Flash and Blitz. X-rays aren't good enough, you need ultrasound. This is beyond a GP vet. You can't rule out pancreatitis based on only amylase and lipase. Time is of the essence. (I would also not have a dog on an IV fluid pump without continual monitoring.)

Pat

I agree with pat. I am lucky to live in a city with a good hospital and specialists.

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Reptigirl
5th August 2011, 04:34 AM
Well good news.... I went up and saw her twice today. She has suddenly sprung back. The vet even called tonight to tell me she was "dancing" when they took her outside to walk around! That put a huge :-) on my face because Holly always does this little "happy dance" whenever we coming inside from a walk. She also seemed more her normal self when I went up to see her this afternoon.

The X-rays didn't show any intestinal blockage but it did show her heart was enlarged more then we expected. Looks like if she comes home from this okay then we are going to start looking for a local cardiologist.

After I saw Holly this afternoon my vet said she ate a few TINY meals. They were giving her about 1 -2 Tablespoons of food at a time and watching her closely. She has kept down all food & water that they have given her. I think actually having real food may be one of the reasons she feels better.

Going to see how she is tomorrow. We have already talked about transferring her to another clinic if she is not stable tomorrow.

Will post more soon! So sleepy!

Sydneys Mom
5th August 2011, 04:48 AM
You must be so relieved. This is good news. It's good you're going to get her heart check out. Hugs....

Pat
5th August 2011, 11:47 AM
The X-rays didn't show any intestinal blockage but it did show her heart was enlarged more then we expected. Looks like if she comes home from this okay then we are going to start looking for a local cardiologist.

Is your vet very familiar with Cavaliers and has she/he looked at many Cavalier chest radiographs? FWIW, Cavalier cardiac profiles are a little different and many vets unfamiliar with the breed will think that there is heart enlargement when the heart is normal sized. This happened to me 20 years ago with my own vet with my first Cavalier to have x-rays. Vet told me that heart was 30% larger than normal and cardiologist looked at same x-rays and said heart was perfectly normal. 20 years and about 50 sets of x-rays later, both of us are pretty familiar with normal versus enlarged. It still would be good to have a cardiology check-up - that will also tell you if your vet can accurately grade murmurs as you can compare how your GP vet graded her murmur versus the specialist.

I keep all of my radiographs in my home office so that I have them on hand to take to speciality appointments or for emergencies. Take Holly's x-rays with you so that you can take them to cardiologist appointment. I take old x-rays back to vet's office whenever we shoot new ones so that we can compare from one set to the next. It's very helpful.

Are you anywhere near Texas A&M? Great cardiology dept. there.

Pat

Are you going to feed her a low fat diet just in case it is pancreatitis? What are they feeding her now?

mommytoClaire
5th August 2011, 03:44 PM
Pat said:Are you anywhere near Texas A&M? Great cardiology dept. there.I have a friend who has used them for several of her dogs, she said they are fabulous. And I agree with the comment on keeping her on a low fat diet. As I mentioned earlier, I put my Nash on Hills Prescription forumula, canned I/D and had great results on it. I eventually was able to put him on a Senior food after his pancreas healed. It's a slow process, and we also kept him away from cooking smells for a while, as we found for him, smells at times could trigger an attack. Also, for a long time I had him on home cooked meals, chicken breast, rice, etc.

Pat
5th August 2011, 07:08 PM
And I agree with the comment on keeping her on a low fat diet. I eventually was able to put him on a Senior food after his pancreas healed. It's a slow process, and we also kept him away from cooking smells for a while, as we found for him, smells at times could trigger an attack. Also, for a long time I had him on home cooked meals, chicken breast, rice, etc.

All of this is correct. The "serious" regime for pancreatitis includes not even cooking in the house or eating in front of the dog. A friend used to eat a cold sandwich in the garage or go out for fast food and eat it in the car. There are good home prepared diets - Strombeck's website and nutritiondata.com can be very helpful. As I recall, you want fat content to be less than 10% and you can find commercial foods that will suffice. My personal prejudice is that I am very anti-Hills products. There are better alternatives but the vets will push Hills. If I had a dog with pancreatitis I'd probably home cook until things were very stable and move to a high quality commercial diet with fat lower than 10%.

More difficult with a toddler in the house and other pets as it will be harder to make sure there are no foods she could get other than what you choose to feed her.

Pat

Nicki
5th August 2011, 07:29 PM
So pleased that Holly is doing a bit better.


I made up my own version of Hills ID - the recipe came from a booklet they produced some years ago which contained home made versions of their diets. I found this very effective at clearing up diarrhoea episodes [both for Pancreatitis and Exocrine Pancreatic insufficiency]

Measurements are USA cup measures but I've added my conversions!

Recipe 1 Highly Digestible diet for Dogs - cottage cheese and egg are very easy to digest

1/2 cup farina cooked to make 2 cups {Semolina, Cream of Wheat} 80g
– bring 400ml of water to the boil in a large saucepan, sprinkle in the semolina stirring constantly. Cook for 5 to 6 minutes.
1 1/2 cups creamed cottage cheese 375g {there are lots of recipes for cottage cheese on the Internet if you cannot obtain it locally}
1 large egg hard cooked {preferably free range}
2 tablespoons Brewers yeast – I use Engevita, produced by Marigold - from health food shops.
3 tablespoons sugar
1 tablespoon veg oil
1 teaspoon potassium chloride – available from E-bay
1 teaspoon dicalcium phosphate – available from E-bay, more readily available in the US.
1 teaspoon calcium carbonate – available from E-bay

Cook semolina {according to directions on packet including any salt}. Cool. Add remaining ingredients to semolina and mix well. Yield 2 lbs approx. I gave this amount to my 9.5kg dog over two days.



**Add a balanced supplement which fulfils the canine MDR for all vitamins and trace minerals eg SA37** {or a more natural supplement such as The Missing Link.}


If you check the protein and fat levels, this is pretty close to ID diet - and much cheaper! I do freeze the cottage cheese - it changes the texture but it is fine for the dogs :) I had to make my own as I can't get hold of it locally.

Reptigirl
5th August 2011, 10:24 PM
Thanks for that recipe Nicki! My vet has asked that she come home on just a white rice & boiled chicken diet. She said if she does okay on that then after about a week I can try the recipe you provided. I'll use my best judgement and see how she does. She wants her on a bland diet for 2-3 weeks before I even TRY to return her to a normal food.

She is coming home in 1 1/2 hours. The vet lives in my neighborhood (3 blocks away) and is sending me with her personal cell phone number in case of an emergency. I guess that makes me feel a LOT more comfortable.

Part of me thinks she is depressed being in a strange place stuck in a cage :( I'm hoping once she gets home she will perk up more. They said she is stable, no vomiting and eating tiny bits of food. But she is just " really mellow". Part of that is her nature. She is very calm and if she is scared I'm sure that is not helping.

Once I have time I will try to reply to some of the other posts. Sorry super busy!

I don't live near Texas A & M. I WISH I did as that is where our neurologist is. Blitz had his cardio work up done there. They are 4 1/2 -5 hours away. I guess that is not too bad but when you are a full time mommy to a 2 year old & tons of critters it is VERY hard for me to get away for a day. If I can't find one locally I will take Holly with me whenever we get around to taking Blitz up there for his surgery. It keeps getting postponed.
(I have kind of been in the middle of several family disasters the last few weeks. My mom had to have emergency surgery and needed my help. She is finally better and back on her feet and now they want to do TWO more surgeries on her. I swear when it "rains it pours" around my house!)

Off to go grocery shopping for little miss Holly & then pick her up! She has been missed! My son is so excited to go get her! He may only be 2 but he knows all the animals by name and has been asking about Holly every day since she has been gone.
http://i177.photobucket.com/albums/w220/Skyz84/DSCN2338.jpg

gamefanz
5th August 2011, 10:32 PM
So happy to hear that Holly is coming homecl*p I hope she is back to her normal self soon:hug:
Becky

Desrae
6th August 2011, 12:06 AM
Aw, what a sweet picture. Soooo very glad to see the good news that Holly is alright.

Sydneys Mom
7th August 2011, 12:29 AM
Been thinking about Holly. How is she now that she's home?

Reptigirl
7th August 2011, 02:14 AM
Holly is doing much better today :p She still seems a little slower then usual but she was up and following me around like the little shadow she is. :D Vet sent her home on antibiotics just to be safe since we never got a 100% clear diagnosis. Although the vet is calling it Pancreatitis. She has been nibbling little meals (although she is not her normal self with eating :confused:) Been feeding her the chicken and rice... She seems to think the rice is :grnyuk:!!! (I even cooked it in chicken broth!) But she's not complaining about the chicken. Nearly took my finger off for the chicken the 1st night she was home. I think someone is really trying to get the "good stuff" out of me :roll: LOL My vet wanted to to feed her small portions and she is definitely only wanting small amounts at a time. She refused breakfast all together but ate lunch. She finally pooed so I'm assuming no blockage.

My vet wants her on Enalapril for her heart once daily. She thinks it is very important since her "murmur" seemed to increase in the last 6 months and since her heart is so large. I know pat said Cavaliers naturally have larger hearts... My vet said to at least keep her on it until we can see a Cardio, that it can't hurt anything.

Any opinions?

Pat
7th August 2011, 03:05 AM
My vet wants her on Enalapril for her heart once daily. She thinks it is very important since her "murmur" seemed to increase in the last 6 months and since her heart is so large. I know pat said Cavaliers naturally have larger hearts... My vet said to at least keep her on it until we can see a Cardio, that it can't hurt anything.

Any opinions?

Yes - very strong opinion - don't start a dog without CHF on enalapril unless the dog has had a complete evaluation by a cardiologist.

You should run FULL blood chemistry and urinalysis before you start enalapril and then again about 10 days after you start. Get copies of reports, don't just take the word of the vet. No drug is totally benign, and enalapril certainly falls in that category. I would not consider starting enalapril until CHF is imminent - that means significant heart enlargement (with exact chamber measurements from echocardiogram) and a severe valve regurgitation.

And, I did not say that Cavaliers naturally have larger hearts, I said that Cavaliers have a different looking cardiac profile on radiographs from many other breeds and that vets not familiar with the breed can be misled to think that there is cardiac enlargement when there is not. The two statements are not equivalent.

Here is my quote:

"Is your vet very familiar with Cavaliers and has she/he looked at many Cavalier chest radiographs? FWIW, Cavalier cardiac profiles are a little different and many vets unfamiliar with the breed will think that there is heart enlargement when the heart is normal sized."

Pat

mommytoClaire
7th August 2011, 06:24 AM
Awww, she's home! The chicken and rice diet is perfect. If you have a food processor, you might want to grind up the rice and chicken, with a touch of broth (fat free) over it. She might like it better.I was eventually able to have Nash in our living areas while cooking, but I waited a long time from when he had been triggered by smell. I remember seeing several home cooked diets, and have a couple bookmarked on my desktop, but it has recently crashed so I can't pull them off. The Hills product served it's purpose, and didn't have any of the ingredient Hills is notorious for (corn). I was always able to keep a couple cans on hand incase he had an attack and I didn't have ingredients for home cooking (Nash was diabetic, and needed to eat, so if we could catch the issue early, we could generally keep him eating and avoid the pancreatitis). Glad she is doing so well.

Nicki
7th August 2011, 09:54 AM
So pleased she is home and eating a bit. If she won't eat rice, try some cooked white pasta, that is very bland too and they often take it better.

I would definitely follow Pat's advice re the enalapril - thank you Pat again for being here, your advice is invaluable and you have helped many, many people.


So sorry to hear about your Mum, do hope she will be able to avoid more surgery.

Karlin
7th August 2011, 02:28 PM
Wow, was away all last week in Donegal, with little net access, and am just catching up on all this; am so sorry you and Holly have been through the mill with this mystery illness. You have had some great advice and also the information on pancreatitis is very interesting and no doubt will prove helpful to others in future too. Hope she continues to do well.

Pat
7th August 2011, 08:22 PM
I'm not sure how the tags work - I presume this is for searching, but there is a typo that should be fixed.

I have trouble searching on this forum so I'll see if I can find instructions. I'd like to repost the link to the ACVIM consensus paper on acquired valvular disease. This has a great deal of information about when to start meds, etc.

Pat

Karlin
8th August 2011, 12:54 AM
ACVIM paper: http://cavalierhealth.org/images/acvim_guidelines_ccvhd_2009.pdf

T (http://cavalierhealth.org/images/acvim_guidelines_ccvhd_2009.pdf)hanks for the spelling correction on the tag-- my fault!

Pat
8th August 2011, 02:14 AM
Thanks, Karlin!

So, Shannon, the question is whether Holly is at stage B1 or B2. At stage B1, none of the panel recommends starting any meds. At stage B2, the panel has mixed opinion, but the majority probably still will not start drugs. I'm not at all convinced that your vet can differentiate between stage B1 and stage B2, so in this case, I'd err on the side of caution and not start meds until you can get a cardiology consult. Where in Texas are you? Another option is a consult with a board certified internist - an internist could also do a workup, diagnosis and treatment plan.

Pat

Reptigirl
8th August 2011, 02:30 AM
And, I did not say that Cavaliers naturally have larger hearts, I said that Cavaliers have a different looking cardiac profile on radiographs from many other breeds and that vets not familiar with the breed can be misled to think that there is cardiac enlargement when there is not. The two statements are not equivalent.

Pat

Sorry Pat, I misunderstood. Have been reading and processing information at record speed the last few days! My vet is not familiar with cavaliers so perhaps (we can hope) her heart is not as enlarged as my vet thinks it is. :xfngr:

My vet has listened to Holly's heart many times and it was only the time before last that she noticed a "click" and now a "murmur". Personally I understand that she is not a cardiologist and was skeptical of the medication. I questioned her on it but she said that it really doesn't "hurt" anything. That it is much better she take it sooner then too late. As of right now I don't feel the medication is needed for her at this time. That is why I was asking for opinions.

I plan to get her checked out by a cardio as soon as insurance sends payment for this claim. Insurance is great and all but you have to have the cash in advance to pay the vets for there services upfront!

BTW: Holly is back to her normal self! Happy as can be! She is also eating the chicken and rice a LOT better now. Does anyone know if I can offer her small amounts of scrambled or hard boiled eggs? My vet said cooked peas or carrots are okay once she is keeping food down for a few days.

http://i177.photobucket.com/albums/w220/Skyz84/Holly1.jpg

Reptigirl
9th August 2011, 12:47 AM
On way to er.... Holly collapsed, seizure..gums white....still bresthing not responding...please pray

BrooklynMom
9th August 2011, 01:03 AM
I am sitting here praying, and praying hard right now. Really hard.

Oh Holly :( I will keep praying. I am so sorry.

anniemac
9th August 2011, 01:03 AM
Oh my goodness. Praying hard

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gamefanz
9th August 2011, 01:04 AM
OMG! So many thoughts and lots of prayers headed your way ASAP:hug:

mommytoClaire
9th August 2011, 01:10 AM
Oh dear Lord.....yes praying for little Holly. Oh my goodness, I am so sorry. Right now I'm praying.

Sydneys Mom
9th August 2011, 01:24 AM
Oh Dear God, please keep Holly safe. Will keep praying until we hear from you.

Reptigirl
9th August 2011, 01:57 AM
Holly is stable at the moment. Has color to gums again and responsive but lethargic... Sill figuring it out..phone is out of battery... Will update soon

Reptigirl
9th August 2011, 02:19 AM
Thinking its her heart...triyng to find a cardio with ultra sound tonight or morning.... How can we go from a click...to murmur to this in only about 6 months.... Said it sounded like a sudden lack of oxygen.

Sydneys Mom
9th August 2011, 02:33 AM
3 weeks ago, that's what happened to Sydney. At 2am. panting, collapse, tongue turning blue, unresponsive. We rushed him to the ER and they put him on oxygen for 24 hrs and he had IV fluids and IV diuretic. His condition had also had worsened within 6 mos. Luckily, all the equiptment for cardio was there and his cardiologist works out of that hospital as well and was able to see him in the AM. I am happy to say, that since that episode, he has done well. She may have to be on heart meds to help control this.

Will continue praying for you and Holly. Keep us updated when you can.

mommytoClaire
9th August 2011, 03:06 AM
I am just glad that she is someplace where they can watch her. Is it possible that this is what has been going on all along? I mean, could the heart situation cause vomiting like you experienced?

Still praying for little Holly. Please keep us updated. And praying for you too!

Reptigirl
9th August 2011, 03:43 AM
Holly is very stable & acting normal again. All of her blood work came back normal. No cardio available for ultra sound tonight. Tomorrow will hopefully be the soonest but they can't guarantee any will be available. Talked to my regular vet and said she can probably get her person out pretty quickly in the AM since it is an emergency.

mommytoClaire
9th August 2011, 03:52 AM
Oh my.....what to think. Wouldn't something show up in the bloodwork? So are you taking her home? Try to get a little sleep, sounds like tomorrow will be a full day. Hugs!

Reptigirl
9th August 2011, 04:11 AM
I'm not sure if it is right or wrong... please don't judge. But I am bring her home to be comfortable in her bed tonight. They quoted me $1200 to monitor her over night plus having the cardio exam some time tomorrow.

Already talked to my vet. Cardio exam/ultra sound is $300. Said she would be at her clinic at 8am and call right away for the cardio. Asked me to be at her clinic with Holly at 8am as well. I know I'm lacking 24 hour monitoring but I will sleep light tonight. I would just rather her be here. Especially if it is her last moments. Where she is comfortable in a loving environment with her friends and family. Not locked in a cage and scared.

Sydneys Mom
9th August 2011, 04:21 AM
I can't imagine how difficult this is for you. Sending hugs and prayers. Let us know how Holly is tomorrow. You are not alone.

Pat
9th August 2011, 04:32 AM
If it was a syncopal episode, they should do an electrocardiogram - can't they do that in the emergency hospital? If it's an intermittant arrhythmia, they would do a holter electrocardiogram to try to record it to see what kind of arrhythmia. I think I'd rather wait for a cardiologist to do a workup even if it has to wait for a day or so. She is not in heart failure, so if it's cardiac-related, it may well be something uncommon. This would not at all be anything similar to Sydney who is in advanced heart failure after many years of MVD; Holly has had no symptoms of heart failure so you can't compare the two situations.

The other question is - if it's syncope, how is it related to the undiagnosed apparent GI problem of last week or are there two different problems? I would really want a consult with a board certified internist or a board certified cardiologist. Internist might be easier to find. You need someone that can do an abdominal ultrasound AND an echocardiogram at this point. I don't think I'd deal with GP vet at all at this point. If you use the "traveling ultrasound vet" find out his exact credentials. A lot of these ultrasound vets aren't credentialed and it can be a waste of money when you can pay the same for an expert who will be better at giving and interpreting the ultrasound and echocardiogram. There are traveling ultrasound vets in my area who are nothing more than GP vets who purchased ultrasound equipment and now call themselves "specialists."

Where do you live?

Pat

Pat
9th August 2011, 04:34 AM
Already talked to my vet. Cardio exam/ultra sound is $300. Said she would be at her clinic at 8am and call right away for the cardio.

Doesn't she want to do an abdominal ultrasound also in light of the still undiagnosed original problem?

Pat

anniemac
9th August 2011, 05:05 AM
Doesn't she want to do an abdominal ultrasound also in light of the still undiagnosed original problem?

Pat

I thought they already did ultrasound but didn't see it. Did they ever diagnose pancreatis? I didn't think xrays could pick it up.

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Reptigirl
9th August 2011, 05:06 AM
Great point Pat.... They have been dismissing the likely hood of them being related. We have found a cardio across town that is on office... Not available tonight..of course! They require appointment AND referral. Vet was told to call in the am to speak with the cardio

Pat
9th August 2011, 05:38 AM
Did some checking. In San Antonio, there is no cardiologist. Here are the available board certified internists:

Stacy R. Randall, DVM
Diplomate American College of Veterinary Internal Medicine
Doctor of Veterinary Medicine
University of Florida College of Veterinary Medicine 1990
Residency in Small Animal Internal Medicine
Purdue University College of Veterinary Medicine
1992-1995

Lucia Alvarez, DVM
Diplomate American College of Veterinary Internal Medicine
Doctor of Veterinary Medicine
Auburn University College of Veterinary Medicine 2006
Internship in Small Animal Medicine and Surgery
Veterinary Specialists of South Florida
2006-2007
Residency in Small Animal Internal Medicine
University of Tennessee College of Veterinary Medicine
2007-2010

Ronald S. Walton, DVM, MS
Diplomate American College of Veterinary Internal Medicine
Diplomate American College of Veterinary Emergency and Critical Care
Doctor of Veterinary Medicine
University of California at Davis, School of Veterinary Medicine 1986
Internship in Medicine and Surgery
University of Georgia, Athens, Georgia
1986-1987
Residency in Internal Medicine and Emergency and Critical Care Medicine Colorado State University
1994-1997

There is another female internist, but she specializes in oncology.

These are all at South Texas Veterinary Specialists.

South Texas Veterinary Specialists, LLP
503 E. Sonterra Blvd., Suite 102
San Antonio, TX 78258

210-930-8383
Fax 210-930-8040

I'd probably go for one of the two women!

If this is the mobile ultrasound vet that your GP vet uses, you should be aware that this is not the equivalent of an internist or cardiologist; this is a GP vet who has some training in sonography:

http://sonovet.us/

Here is his CV:

sonovet.us/docs/MARTIN%20HENDERSON%20-%20CV%20Only.pdf

The cost for ultrasound should be about the same, perhaps a bit more with internist because you'll also pay for history and physical. You can take the x-rays and bloodwork that you already have so no need to repeat those tests. The $1,200 quote was much higher because it included overnight critical care which I agree is not necessary assuming this was syncope or seizure. I would have also brought my dog home but I'd strongly consider a consult with an internist which would be much better quality diagnosis and treatment plan than using GP vet and mobile sonographer GP vet, esp. if you are dealing with something uncommon. And this is not the typical presentation of "everyday" degenerative valvular disease.


Pat

Reptigirl
9th August 2011, 05:55 AM
Thank you so much Pat for looking that up! I was feeling really frustrated...
South Texas Veterinary Specialists is where I am wanting to go. But they told me there was an actual cardiologist there. Guess they figure I wouldn't know the differance between a cardiologist and an internists. We have to call in the morning as the overnight staff could not make an emergency appointment for the cardio department. My vet has to call with a referral and I'm stuck HOPING they can get us in right away. Holly is home and seems okay right now. Curled up to sleep with Blitz. But now I am having more car trouble. Boyfriend is trying to figure out my car trouble tonight (midnight!) so I can make it to where I need to go at 8am!

I'm worried this is something that is related to previous symptoms but the vets keep saying no. Feeling so frustrated! If only dogs could talk!

Nicki
9th August 2011, 11:16 AM
Oh goodness Shannon I'm so sorry to hear about Holly's latest troubles :(

I can't see that it is directly connected to the GI problems, but that was a huge stress on her wee body.

Do hope you manage to get booked in quickly, Pat has been fantastic in finding all that information. :thnku:

Pat
9th August 2011, 11:29 AM
So much unknown at this point - Are these symptoms all part of the same problem that just hasn't been diagnosed or are there two simultaneous problems? Minor or major problem/s? Easy or difficult to diagnose? The key is quickly getting the best possible diagnostic evaluation and treatment plan.

General pointers for everyone in the US - it's always good to know the credentials of anyone you are considering using. I checked the ACVIM website under the "find a specialist" link. ACVIM is the accrediting body for cardiologists, internists and a few other specialities. I think that a board certified internist can be as good as a cardiologist as they often deal with heart disease, esp. in an area with no cardiologist. I have an internist that I've used for my dogs for heart disease that I like as much or more than my cardiologist - they are in practice together so they are able to consult with one another. I've also used my cardiologist in the past for help with dogs with other problems such as kidney disease. I next checked the website for South Texas Vet. Spec once I found board certified specialists; you can read all of the credentials for the various clinicians. If one's GP vet uses a mobile ultrasonographer, you can usually google and find information about that person and check credentials. From being in various canine health groups, I've found that sometimes vets are a little dodgy about accurately disclosing credentials of various available consultants, assuming that clients won't really check or understand the difference. Part of the motivation can be the desire not to lose a client to a specialty group but to keep the income in their practice. That is particularly annoying to me. The goal should always be to get the best possible diagnosis and treatment plan to maximize quality and quantity of life.

Pat

Karlin
9th August 2011, 12:26 PM
:yikes

Just catching up; this must all be so frightening for you, but I think you are dealing with it all really well. I would definitely have done the same as you–brought her home given the fact that she didn't seem to be likely to just collapse and also, I too would've wanted her nearby. It is all very strange to have suddenly come on, and I think I would find it hard to imagine that the 2 episodes could be totally unrelated. I hope you will be able to find some answers. Pat as always has given some really useful and detailed advice.

mommytoClaire
9th August 2011, 01:09 PM
I can't give any medical advise, because I've had no experience with the heart, but wanted to say I think I would have done the same thing, and brought Holly home.

That said, I know you mentioned you have insurance but it's the fact that you have to have the money upfront, and then get reimbursed. Have you considered applying for a Care Credit card? They sometimes run interest free periods, and this would allow you to pay for Hollys care, submit your insurance claim, and then pay the Care Credit off when the insurance money comes through. Just a thought.

Still praying that you'll get some answers today. I know you must be exhausted.

Love my Cavaliers
9th August 2011, 02:52 PM
Shannon - I would have brought Holly home overnight also. I did a similar thing with Oliver when he had an obstruction and we were waiting to see if it would pass and I wanted him home with me not in some cage, just like you said about Holly. I understand completely. I hope you are able to get Holly in to a specialist this morning. She deserves it. Why do we have to have referrals? I don't understand why they make you wait - especially in an emergency like this. I'm glad she's stable now. Kepp her close to you. Hopefully your boyfriend got your car fixed also. Yikes! When it rains, it pours! Good luck today.

Reptigirl
9th August 2011, 03:36 PM
At south texas vet..getting her in as an emergancy.

Sydneys Mom
9th August 2011, 04:16 PM
At south texas vet..getting her in as an emergancy.

Glad you are getting to see someone this morning. Hope Holly had a good night. I do want to clarify something. In a previous post, I was not trying to compare Sydney’s heart issues to Holly. I was just pointing out that the symptoms Sydney had were similar to Holly’s and the did come on in a matter of months. I should have explained further that seeing a cardiologist may be a good idea for getting an exact diagnosis.

Pat gave you some excellent information. She puts a lot of time, thought and effort into her posts, and you can see how she cares about her own cavaliers as well as ours. She is always willing to share what information she has and has given so many of us here great info, including myself. However, she mentioned that Sydney is in advanced heart failure after many years of MVD.


This would not at all be anything similar to Sydney who is in advanced heart failure after many years of MVD; Holly has had no symptoms of heart failure so you can't compare the two situations.

To clear this up, Sydney had a Grade 4 heart murmur early last year and has been seeing a cardiologist since. Late last year he was diagnosed with early stage MVD – medication not needed at that time. In March of this year, his condition started changing and he went, in a matter of months from early stage to advanced stage MVD/CHF. It was at this time he was given medication for the first time for his heart. Over the last 4 months, his condition has continually changed and worsened, some of his medication has been changed and some added. He is, however, as of today, doing well considering the last scare we had in the ER.

I hope all goes well for you today. When you have a chance, let us know how all of you are.

Regards and best wishes,
Joyce

Reptigirl
9th August 2011, 06:04 PM
Well, I am very exhausted but I think Holly is in the best care possible.

They are doing an Abdominal ultrasound, Echo, Ecg & blood pressure.

Some interesting points from just her physical exam. They said the "click" in heart that my vet heard is because her valves are closing at different times making that sound. That her murmur is so faint they were surprised a GP vet even picked it up? Finally she has an irregular heart beat. I believe the irregular heart beat has been brought up before at the GP. I'm so exhausted I can't remember.

I was up all night with her on my pillow making sure she was still breathing. They are running all the tests now and we are waiting at home.

This is vet number FIVE that didn't think she needed the abdominal ultrasound but I requested they do it. It was not much more since we are doing it at the same time as everything else. That way we can rule it out for good!

The specialist does not think the two events are related... but still wonder!

Just waiting. They said I should hear from the in the next hour or two..... Going to call in about an hour

Zumie05
9th August 2011, 06:15 PM
My gosh, dear little Holly :(! Just after she was feeling better, the girl doesn't deserve all this.

mommytoClaire
9th August 2011, 06:24 PM
[PHP][My gosh, dear little Holly ! Just after she was feeling better, the girl doesn't deserve all this.
/PHP]

I couldn't agree more! I pray they are able to figure out something. Did they say when you will hear.

gamefanz
9th August 2011, 06:35 PM
My continued thoughts going out to Holly and to you. You are the best mommy she could ever have, you are both so lucky to have each other. I hope you get an answer real soon and its something they can help her with :hug:

Becky

Reptigirl
9th August 2011, 08:19 PM
Well the vet finally called:

Holly has a 2nd degree heart block & Pulmonary hypertension?

:confused: The specialist has lost me. I'm utterly confused. They are starting her on a test to see if they can increase her heart rate? I believe the medication they are testing is atropine. I was woken up from a short nap and somehow I don't quit understand everything they were saying about this condition. A lot of it went over my head in medical terms. The mitral valve leakage was VERY minimal and did not concern them at this time. Her lungs are clear.

On the upside... her ultrasound showed her stomach & intestines to be empty. NO blockages... and her pancreas to be "normal"

:confused:

About to poor myself into online research because I have near heard of a heart block?

Zumie05
9th August 2011, 09:09 PM
Well thank goodness her pancreas is ok and there is no blockage...but sudden heart problems now? I am going to start reading up on these conditions too... dear little Holly girl...

Pat
9th August 2011, 09:16 PM
Just have a minute, but here are some links. If it is bad enough and can't be controlled by meds, a pacemaker can be implanted. You definitely went to the right facility to deal with this!

http://www.web-dvm.net/avblock.html

Great site - scroll down to numbers 22 and 23 - scroll way down.

http://www.vetgo.com/cardio/concepts/concsect.php?sectionkey=5

http://www.petmd.com/dog/conditions/cardiovascular/c_dg_atrioventricular_block_second_degree_mobitz_t ype_II

Did they say how the pulmonary hypertension is related? I've had two dogs with PH - medication used to treat is sildenafil (Viagra). Sydney is taking this for PH as a result of MVD. Holly hasn't had heartworm disease that you know about, has she? I've not heard of PH being the result of heart block so I'd like to understand how and if the two problems are related.

Very good that they can't find any GI problem - maybe that was just God's way of getting you to a good specialist!

Pat