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Originally Posted by yael_21  Thanks but I am not sure it is Hypoglycemia since he is also doing it while resting.. not in the same frequency but still... I hope the tests will shed some light... anyway, I appreciate your comments. you've been very helpful. |
They don't have to be doing something extra physical when it happens. How much is your puppy eating? At this young age with toy puppies, the symptoms you describe are
most often hypoglycemia. It is actually very common. I don't know of many multiple yorkie owners who have not experienced at least one episode of this happening. Puppies normally outgrow it, but some may continue to be more susceptible to it their whole lives.
Your puppy is now old enough to do a Bile Acid Test (BAT) if you wanted to check out the liver. Liver Shunt could be a possibility, but symptoms would normally include excessive drinking & urination, vomiting, listlessness, and weakness (sometimes seen as not keeping head up but there would be other signs as well). The symptoms you describe
sound a lot more like hypoglycemia. You said it "usually happened after running around i.e. physical activity" and that is the case with hypoglycemia -- it is more likely after physical activity but that is not required for it to happen.
I am not sure either -- but you asked and that is my best guess. The vet could confirm by testing during an episode but I would not wait -- I would use the Nutrical and if that helps him come out of it then you pretty much have your answer and have stopped the episode for the puppy. Don't delay --get the Nutrical and have it ready.