PLE/Lymphangiectasia New Our yorkie Rosie is almost 12 years old and became very ill rather suddenly about 2 weeks ago. She has always been very healthy, voracious eater, no vomiting or diarrhea history, wt. 5-6 lbs. But over time, probably last 2 or 3 years, she has had a big tummy, vet said she's healthy maybe test for worms, all negative. She started coughing a few weeks ago, and her breathing seemed noisy sometimes and labored, as if pressure from distended tummy. We took her in for cough and evaluation, check tummy, did chest xr showing some fluid, put her on Clavamox, lasix, and Temaril-P. Cough went away in 2 or 3 days, and vet said to stop the Temaril P and then get bloodwork in a week. Cough came back during this time, but otherwise appetite good, etc. Got results of BW on April 12, low albumin (2.2), liver and kidney ok. Referred us to IM Specialist, 1st appt 2 1/2 weeks away, add bile acid and urine, both normal. Two days later much worse, stopped eating (drinking well), weak and wobbly, then developed diarrhea. Took her to Specialty Hosp (thru ER) an hr away in Akron Thurs night. Chest ok but ultrasound removal of 92cc clear fluid from abdomen. GI tract PLE, sent home on Metronidazole and Proviable Forte Kit. Asked about Prednisone, said to ask home Vet. Home vet said to also continue Lasix and able to get appt with IM specialist nearby on Wednesday. But no prednisone, let IM decide. Rosie is much better since fluid tap, great appetite, no diarrhea, some coughing though. But up and around ok. I'm feeding her boiled white potato, egg whites, carrots, bit of fat free yogurt. She loves it all and gobbles it down several times a day. I hope she stays stable enough to wait for IM appt on Wed. I thought if she had some prednisone to help reduce inflammation, her extremely low fat high protein diet would be much more effective in healing her intestines. Maybe they want no prednisone if doing biopsies, but does she need biopsies? Cant we use diet and meds and either defer bx till better or maybe always manage medically without bx at her age? Wt. is stable. |