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Sydneys Mom
13th December 2011, 05:16 PM
During the night Sydney needed to go out. About 15 min later he started panting and breathing heavily. I gave him a furosemide and that helped. He slept awile, had some water then threw it up. I took him outside, and he went potty again, then fell asleep again. Two hours later, drank more water, went outside potty and threw up again. He slept for a bit and now that he's awake he had more water, his breathing seems much better and he acting more alert. I also gave him his morning meds so I'm hoping he can hold those down.

His cardiologist isn't in until Fri, so I made an appointment for then. In the meantime, I'm waiting for another doctor to call back for further advice.

Jasperxxgabby
13th December 2011, 06:50 PM
I hope things have settled down with Sydney, poor baby, they are a big worry when they are not themselves, gentle hugs to Sydney.

Hope the vet calls back soon.

BrooklynMom
13th December 2011, 08:26 PM
Oh poor Sydney!!!! Brooky and I are sending big hugs to you. Please keep us updated and I will be thinking of you both today!

sins
13th December 2011, 08:51 PM
How is he doing today? Any improvement?
Sins

Sydneys Mom
13th December 2011, 08:51 PM
My little guy seems to be feeling a bit better. He held his meds down and has been drinking plenty of water and, of course, going potty a lot. He even asked for food. So I gave him some steamed chicken and rice. He's more alert. I still haven't heard from the other vet, but I feel confident that he is better for now. We still have the appointment for Friday with the cardiologist. In the meantime, I will keep a careful watch on him. So far so good, just hope it stays that way.

smarsden99
13th December 2011, 08:54 PM
Sending you and Sydney HUgs , keeping my fingers crossed for the little guy XX

pippa
13th December 2011, 08:59 PM
Glad he's on the mend:)

Sabby
13th December 2011, 11:15 PM
Glad Sydney is feeling better. It's always so worrying when things like that happen. My stomach always turns into knots and I feel ill myself.

ashleighelizabeth
14th December 2011, 04:53 AM
Get well soon Sydney!!!! Sonny and I are sending lots of hugs and positive thoughts.:lotsaluv:

mommytoClaire
14th December 2011, 11:14 PM
Praying for you and Sydney, Joyce. You are both so special, and loved.

anniemac
15th December 2011, 12:50 AM
I'm thinking of you. Hugs to Sydney!

lindylou
16th December 2011, 01:24 PM
hi

sorry to read sydney is not well give him a kiss and cuddle from me and louie

Nicki
16th December 2011, 08:56 PM
Sorry to hear this news Joyce :( do hope that things went well today.

Brian M
16th December 2011, 09:00 PM
Hi Sydney
We are all thinking of you and the girls send hugs and licks.

Sydneys Mom
16th December 2011, 10:25 PM
Update on Sydney's cardiologist appointment

According his blood work, his dogoxin level doubled from 1 month ago. It is borderline toxic. However, the doctor is perplexed that with the increased digoxin level, he wasn’t sicker and he recovered from the episodes rather quickly. The symptoms of dogoxin toxicity are chronic vomiting and chronic diarrhea and loss of appetite….he has none of those. So, he had an echo and ultra sound, and the findings were NO fluid in his lungs, abdomen, or around his heart. Kidneys are functioning normally and though this liver is somewhat enlarged, it’s no larger than the last time. Also, his the pulmonary hypertension seems better with the medication he's taking for that. His weight stayed the same, so that is good too.

There could be a small possibility that the lab could have made a mistake on the blood work. So our choices are to redo the blood test or trust the test results and play around with tweaking the meds. For the moment we decided to keep all his meds the same, watch him extra closely for toxicity, and bring him back on the 30th for another blood test. The next step will be determined by what that tells us. She did say that some dogs can tolerate a high digoxin level without becoming ill, and if that is the case for Sydney its good news for his heart, but we will have to be careful with the effect it may have on his liver. The doctor is only guessing as to what happened and her best guess is a transient arrhythmia.

Thanks everyone for your kind words and support.

anniemac
16th December 2011, 10:51 PM
So glad the echo showed good results. I hope the lab made a mistake but either way, I'm thinking of you and Sydney.

Sydneys Mom
2nd January 2012, 11:38 PM
Another Update:

We brought Sydney in for his latest blood test and the digoxin levels are still high. Actually, it is higher than it was 2 weeks ago, so it is definately in the toxic level and not a lab error. Even though the digoxin may be helping his heart, the cardiologist is lowering his dosage as the higher dosage will hurt his liver. Right now his liver enzymes are also too high high. We need to bring him back in 2 weeks for another reading..

His appetite is still good even though he is a little pickier on the food he eats, and he is acting normally, but I still worry now what the lower dose is going to do to his heart. And now, what about damage to his liver? Can that be reversed? Are there any supplements you can suggest that will help or any special foods I could give him? The doctor also suggested that the liver problems may not be from the medication, but could be part of primary liver disease. After the next blood test, I guess we will have to explore that too.

ashleighelizabeth
3rd January 2012, 12:32 AM
Another Update:

We brought Sydney in for his latest blood test and the digoxin levels are still high. Actually, it is higher than it was 2 weeks ago, so it is definately in the toxic level and not a lab error. Even though the digoxin may be helping his heart, the cardiologist is lowering his dosage as the higher dosage will hurt his liver. Right now his liver enzymes are also too high high. We need to bring him back in 2 weeks for another reading..

His appetite is still good even though he is a little pickier on the food he eats, and he is acting normally, but I still worry now what the lower dose is going to do to his heart. And now, what about damage to his liver? Can that be reversed? Are there any supplements you can suggest that will help or any special foods I could give him? The doctor also suggested that the liver problems may not be from the medication, but could be part of primary liver disease. After the next blood test, I guess we will have to explore that too.


I know that for humans, milk thistle is really good for the liver, but I have no idea if dogs can take it....:confused: Might be worth looking into??? Sonny and I are sending our love and prayers your way. :hug:

anniemac
3rd January 2012, 02:57 AM
I am thinking of you and Sydney and hope that his heart continues to remain strong.

I read something on another group (or here) about milk thistle for the liver. I then read about it suggested to take to help a hangover.... I'm sure pat or others might know more.

Thinking of you <3

Sydneys Mom
3rd January 2012, 03:02 AM
Anne, that made me smile as I'm pertty sure Sydney doesn't have a hangover.....me on the other hand could be a different story!

lovecavaliers
3rd January 2012, 03:17 AM
Sending get well wishes to Sydney

:lotsaluv:

anniemac
3rd January 2012, 05:25 AM
Anne, that made me smile as I'm pertty sure Sydney doesn't have a hangover.....me on the other hand could be a different story!

Well, I'm glad it made you smile :)

Sabby
3rd January 2012, 10:05 AM
Sydney and you are in my thoughts. Hope something can be done about the liver. My two are on lifelong medication because of SM. I remember Tania told me that you can get something to suport the liver but I think you have to give that from the start.

Nicki
3rd January 2012, 10:11 AM
So sorry to hear the latest about Sydney :(

I'm surprised the vet didn't give you anything for his liver - in the past we have given Zentonil Advanced which can be used in all cases when the liver is known or expected to require support. It is a divisible, palatable formulation of SAMe with an extra benefit of Silybin - this is the active ingredient of milk thistle so saves you from having to give both. BUT check first with your vet before giving - just a quick 'phone call.


http://www.vetuk.co.uk/dog-supplements-cat-supplements-liver-supplements-c-5_143/zentonil-advanced-tablets-for-dogs-p-3852

You can download a helpful wee guide to liver support from the manufacturer's website http://www.vetoquinol.co.uk/client_Pet_info/petowner_area.asp

The dose is 200mg for a 10kg Cavalier so depending on Sydney's weight, it is cheaper to buy the 400mg tablets and split them!


It sounds like the vet is trying to find a balance with the digoxin to still support Sydney's heart but not cause too much damage to the liver. Sadly this can be quite difficult - it's really good that he is under the care of a cardiologist as they are the best people to manage such a complicated condition, they have the knowledge and experience.

Sending our very best wishes to you both.

sins
3rd January 2012, 11:47 AM
Just to add to what Nicki has said,there is a special liver support diet you can feed him as well as the milk thistle and/or zentonil.
Royal canin (and other brands) do a prescription hepatic kibble which has the right proportion of nutrients to reduce the stress on the liver and prevent build up of toxins in the system.
Sins

Sydneys Mom
3rd January 2012, 06:57 PM
So sorry to hear the latest about Sydney :(

I'm surprised the vet didn't give you anything for his liver - in the past we have given Zentonil Advanced which can be used in all cases when the liver is known or expected to require support. It is a divisible, palatable formulation of SAMe with an extra benefit of Silybin - this is the active ingredient of milk thistle so saves you from having to give both. BUT check first with your vet before giving - just a quick 'phone call.


http://www.vetuk.co.uk/dog-supplements-cat-supplements-liver-supplements-c-5_143/zentonil-advanced-tablets-for-dogs-p-3852

You can download a helpful wee guide to liver support from the manufacturer's website http://www.vetoquinol.co.uk/client_Pet_info/petowner_area.asp

The dose is 200mg for a 10kg Cavalier so depending on Sydney's weight, it is cheaper to buy the 400mg tablets and split them!


It sounds like the vet is trying to find a balance with the digoxin to still support Sydney's heart but not cause too much damage to the liver. Sadly this can be quite difficult - it's really good that he is under the care of a cardiologist as they are the best people to manage such a complicated condition, they have the knowledge and experience.

Sending our very best wishes to you both.

Thanks for this information. I will look into it and check with the vet and/or cardiologist and see if this will be helpful. I think they are waiting for the next round of blood tests to see if this is medicine related or a primary liver disease and then see the options (not many, I know). As for his digoxin level, we are lowering his dose and switching to a liquid form as it will be easier to regulate the dosage.

Sydneys Mom
3rd January 2012, 06:59 PM
Just to add to what Nicki has said,there is a special liver support diet you can feed him as well as the milk thistle and/or zentonil.
Royal canin (and other brands) do a prescription hepatic kibble which has the right proportion of nutrients to reduce the stress on the liver and prevent build up of toxins in the system.
Sins

When I speak to the doctor, I will ask about this too. There is just so much information and you guys are great at sharing all you know. Thank you so much.

mommytoClaire
11th January 2012, 02:02 AM
Just wondering if there is an update on Sydney. He is such a trooper Joyce, and you've been through so much together. Saying some extra prayers for him and you too sweet lady.

Sydneys Mom
11th January 2012, 02:16 AM
Well, he seems to be having some ups and downs. Yesterday was one of the down days. He was having some trouble breathing and his hind legs just seemed to have no strength. For a short time, he was unable to even stand on his own. Slowly, throughout the day, he got a little bit better. He ate well, which I am grateful for since that is one less battle. Today, he is back to his normal self. I know that all this is normal for his heart conditions, but it is really hard.

On Monday, I take him back to the cardio for a recheck of his blood, the digoxin levels and the liver enzymes. Keep your fingers crossed for my little guy.

lovecavaliers
11th January 2012, 03:46 AM
fingers, toes and paws crossed:p. Let us know how it goes

Kate H
11th January 2012, 10:08 AM
On the days when his back legs are wobbly, you could try rubbing them briskly for a few minutes. Oliver's not so good on his back legs these days - manages OK on the flat and his new steps are a great help, but often staggers a few steps when he gets up, especially first thing in the morning, and a brisk rub seems to help to get him going.

I can share what you're going through - had 9 months of it with Meg, my second Cavalier, and it does take over your life!

Kate, Oliver and Aled

Sydneys Mom
11th January 2012, 02:29 PM
Thanks Kate, I will try rubbling his legs. A lot of our flooring is wood and tiles, so I do have throw rugs scattered about and that helps some. He is unable to jump onto the couch, so we lift him. He can jump down, but I stop hem before and lift him down too. Taking no chances.

Kate H
11th January 2012, 07:23 PM
Oliver can't manage jumping either, but I got two sets of steps for him last week (one to get on the bed - where he spends a lot of the day watching me working on my computer - and one for the settee) and he loves them. The base is clip-together sturdy plastic with a washable mock sheepskin cover. The steps are very shallow, so he can manage them easily, up and down. They weren't expensive. Aled, my rescue, looked at them in horror - what new monster is this?! - but I sometimes catch him using them now!

Kate, Oliver and Aled

Sydneys Mom
11th January 2012, 09:15 PM
I have those steps too, but had to stop using them when he was diagnosed with spondylosis in his neck and spine. We were told steps put too much pressure on his shoulders :-( My husband made him a ramp for the step in/out of the house and that has been a great help. I'm glad the steps are helping Oliver. I just hate that our dogs have so many issues.

Sydneys Mom
17th January 2012, 11:43 PM
Just a small update. Yesterday, I took Sydney back for this blood tests and after lowering his digoxin medication, his level is now normal! Also, his liver enzymes, though still high, it has gone down, more good news. I haven't spoken to the cardiologist yet, but will tomorrow and I assume she will have me speak with our regular vet about his liver and I'll ask further about the diets and supplements you all have suggested.

anniemac
17th January 2012, 11:55 PM
That's great news!!!!

mommytoClaire
21st January 2012, 03:04 AM
Oh Joyce, that is the best news I have heard all month. I will continue to pray that you are blessed with some wonderful time with Sydney.

pippa
21st January 2012, 05:47 PM
Good to hear:)

BrooklynMom
22nd January 2012, 04:17 AM
Wonderful news Joyce. I am always cheering for Sydney!!

Nicki
22nd January 2012, 09:00 PM
fantastic news!! You are in our thoughts and we hope that Sydney will be with you for a long time yet.

smarsden99
23rd January 2012, 05:40 PM
Iam keeping everything crossed for Sydney .... :) XX

Tania
24th January 2012, 01:06 PM
I am so pleased Sydney is improving and feeling a little better. Gentle hugs to this special little boy.:hug: