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jimmy85 · 06-20-2018, 02:37 PM

My 11 year old female yorkie has been struggling with pancreatitis.
Her initial symptoms were loose stool that transitioned to bloody diarrhea and vomiting. The transition from normal stool to the bloody diarrhea was fast. At 8PM Friday all seemed normal to 8 AM Saturday diarrhea. We had her at vet at 9AM SAT. She was treated with cerenia, IV fluids, metronidazole and propectalin probiotic. Her medical history being remarkable for complicated urinary tract infections and bladder stones as a 2 year old had us feeding her Royal Canin SO.
This food manages her urine pH well but due to it's fat content can be tough to digest. Her food was changed to ID for sensitive stomach.
This Sat appointment was with vet she's never seen.
Monday AM I got in touch with her vet and she saw him that week. He switched her food to Royal Canin GI tapering it in fully in 5 days.
Her symptoms resolved quickly from initial bout but upon stopping the metronidazole had a flare up or continuation( ?) of problem 36 hours later.
She was treated with same meds with prolonged course of metro and probiotic a second time, responded well and 36 hours after stopping combo had third flare up.
She's had blood work twice and just got abdominal US results back that showed normal age related changes to adrenals, kidneys and liver. It revealed inflamed loops of intestine and pancreas but no masses.
The internist now suggests long term probiotic with 3 month tapering of metronidazole.
Has anyone else dealt with recalcitrant case of pancreatitis and how if so was it managed?

06-20-2018, 02:37 PM	#1
jimmy85 Yorkie Yakker Join Date: Nov 2011 Location: Pooler, GA , USA Posts: 43	Pancreatitis My 11 year old female yorkie has been struggling with pancreatitis. Her initial symptoms were loose stool that transitioned to bloody diarrhea and vomiting. The transition from normal stool to the bloody diarrhea was fast. At 8PM Friday all seemed normal to 8 AM Saturday diarrhea. We had her at vet at 9AM SAT. She was treated with cerenia, IV fluids, metronidazole and propectalin probiotic. Her medical history being remarkable for complicated urinary tract infections and bladder stones as a 2 year old had us feeding her Royal Canin SO. This food manages her urine pH well but due to it's fat content can be tough to digest. Her food was changed to ID for sensitive stomach. This Sat appointment was with vet she's never seen. Monday AM I got in touch with her vet and she saw him that week. He switched her food to Royal Canin GI tapering it in fully in 5 days. Her symptoms resolved quickly from initial bout but upon stopping the metronidazole had a flare up or continuation( ?) of problem 36 hours later. She was treated with same meds with prolonged course of metro and probiotic a second time, responded well and 36 hours after stopping combo had third flare up. She's had blood work twice and just got abdominal US results back that showed normal age related changes to adrenals, kidneys and liver. It revealed inflamed loops of intestine and pancreas but no masses. The internist now suggests long term probiotic with 3 month tapering of metronidazole. Has anyone else dealt with recalcitrant case of pancreatitis and how if so was it managed?