Quote:
Originally Posted by BuffaloMelissa  Sorry for some reason my earlier post posted - but I thought I deleted it so I re-wrote it lol
Well we just got back from the Vet, at this point we've opted not to do the biopsy because we don't have $1300 right now. They did give us Pepcid to help with the acid reflux, and told to continue the Reglan, no food/water tonight to calm the stomach.
Blood Work that was abnormal:
Cobalamin Fasting <150 ng/L
*consider doing TLI to rule out EPI
TLI was normal.
Folate Fasting 4.8 ug/L
*consistent with disease affecting the proximal small intestine.
Bile Acids, Fasting - 35
Post Fasting - 39
CBC showed:
Hgb 18.8 - High
Hct 58.5 - High
Total Plasma Solids 3.4 - Low
PCV (Spun Hot) 56 - High
Lymphocytes 291 - Low
Atypical Lymph 97 - High
B/C Ratio 25.6 - High
Alk. Phos. 20 - Low
Calcium 7.2 - Low
Cholesterol 82 - Low
Amylase 1541 - High
Total Protein 3 - Low
Albumin/Globulin each 1.5 - Low
Sodium 140 - Low
Without biopsy she's saying the intestinal disease is more significant that the liver (microvasular displaysia she says could be a possible with the liver) ... so the intestinal disease is either IBD or Lymphagiectasia.
No Pred yet she says, but possibly in the near future.
Right now she's on I/D (1 can day mixed with chicken)
Reglan 3/day
Endosorb 3/day
Flagyl 2/day
Pepcid 1/day
and lots of TLC from both parents 
Where to go from here - no idea? |
this is not ibd
it is lymphangiecstasia as ibd none of the blood work will be off usually and if it is off it is the amylase and lipsase and cpli not protein, calcium, or cholesterol. I have an ibd yorkie and he has ibd in small intestines.
with ibd our internal medicine specialists says to avoid chicken as ibd is associated to allergies as well and chicken is an allergent to these dogs.
can you explain more how this all started and what may have triggered it as ibd is usually affected in small intestines by inflammatory foods and in small intestines vomitting occurs but in large intestines there is diarrhea
the other thing that concerns me is the lymphocytes are low which is indicative of lymphangiecstasia.
has your dog been losing alot of weight?