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-   Sick & Injured / Emergencies Talk (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/)
-   -   Max seizures or anxiety? (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/225678-max-seizures-anxiety.html)

manolos mom 04-10-2011 04:01 AM
Quote:
Originally Posted by orlnurse (Post 3493745)
Thank you everyone for your prayers and advice. Please keep praying for my boy. I am beside myself and scared....

Max is spending the night at the A.H. He had a seizure while the vet was in the room which makes a total of 6 today. He was sedated with valium, given phenobarb and propofol. She had hoped that it would sedate him but he was fighting it. Labs were drawn, electrolytes, CBC and liver enzymes were normal except for K+ was 0.2 pts low and his lipase was elevated 4x the norm probably from him digestive enzymes that I used for his IBD (I will stop that). She does not think the lipase is related to the seizures. He has IVF now with 20mEq of K+. He had his loading dose of phenobarb and if he does not have anymore seizures tonight, they will start phenobarb by mouth tomorrow. He might be able to come home later tomorrow, if not then Monday. She suggested doing BATs at my regular vet, since the labs she drew were normal (they didn't have the capability to run them there). Liver shunt can't be ruled out yet.
I am so sorry. This sounds so much like Manolo. We had our vet do a BAT test and it came back slightly high. Then we did a urinalysis to check for any crystals. Came back neg. Next we went to a Radiologist and he suggested scintigraphy,Portal Scintigraphy in Veterinary Medicine, came back negative for Portal Shunt. While Manolo was under they did a clear cut biopsy and sent this to A&M labs and finally got a diagnosis of MVD. We control his protein levels, no more than 16% plus we supplement with white fish and sweet potato and others. HEPATIC LS | Royal Canin Veterinary Diet Manolo is doing fantastic. Please keep us updated..Lissette

107barney 04-10-2011 04:47 AM
So glad you took Max to the ER.
Normal liver enzymes under seizure conditions do not seem like shunt to me, but I'd rule out it out.

Keep us posted.

Ellie May 04-10-2011 04:50 AM
He does need a BAT, but I agree, with neuro symptoms and no elevated enzymes it is pretty likely that this is something else.

If that comes back okay, you may just want to go to a neurologist to see what they say.

Wow, valium and pheno are a lot to fight!

Maximo 04-10-2011 05:03 AM
Sending prayers and positive thought for Max. I'm glad you took him to the ER.

ladyjane 04-10-2011 05:15 AM
Prayers for Max. Glad you got him in to the EC.

orlnurse 04-10-2011 05:16 AM
I've been calling to check on him every 2 hours. They said that at 2 he had an episode where he seemed "disoriented" but he come out of it himself. I just called again, he's awake and doing well. I'll be going up there @ 11. Visitation is only on the "odd" hour. He might come home later today.

I'll tell you guys, I'm scared...he's due for his oral dose @ 12, but how long after his oral dose is he considered stable?

ladyjane 04-10-2011 05:22 AM
I don't know the answer to that question. Speak with the vet and ask lots of questions! Don't bring him home if you have any doubts!
I probably would leave him there and take him directly to a specialist in the AM if he were my pup.

MJJ56 04-10-2011 05:32 AM
Lesley, I have no medical advice but wanted you to know I will keep you & Max in my thoughts and prayers. Get well little man!

yorkietalkjilly 04-10-2011 05:36 AM
I'm keeping you and liitle Max in my prayers and thoughts. I'm so sorry your baby is going through this.

yorkieusa 04-10-2011 05:40 AM
I know you're scared. Keeping Max in our prayers and hope he is better soon.

megansmomma 04-10-2011 06:36 AM
Glad that you got him into the vet last night. Please keep us posted on how he is doing. I'm so sorry that this is happening. You know that YTer are here to support you.

YorkichonBella 04-10-2011 07:11 AM
Sending thoughts & Prayers for Max & you!

AllDogBoots 04-10-2011 07:22 AM
My prayers for you and Max. My Max has idiopathic epilepsy and has been taking phenobarbital for 8 months.

Quote:
Originally Posted by orlnurse (Post 3493890)
I've been calling to check on him every 2 hours. They said that at 2 he had an episode where he seemed "disoriented" but he come out of it himself. I just called again, he's awake and doing well. I'll be going up there @ 11. Visitation is only on the "odd" hour. He might come home later today.

I'll tell you guys, I'm scared...he's due for his oral dose @ 12, but how long after his oral dose is he considered stable?
Is he taking Valium or Pheno at noon? Normally Pheno is given every 12 hours, so I can't imagine his times will be 12am/12pm. Phenobarbital may take a week or 2 to kick in and could take much longer to regulate the levels in his system. He may definitely still have seizures since the Pheno was just started yesterday. Valium won't necessarily stop a seizure but will definitely help to relax him and cause much less extensive seizing.

Note that Max is going to be really sleepy. Both drugs will pretty much knock him out. My Max was really lethargic for about a week after starting Pheno and then about 3 days after upping his doses.

I also agree that a neurologist may be in order to rule out everything possible.

Sammy Mommy 04-10-2011 07:45 AM
Quote:
Originally Posted by orlnurse (Post 3493890)

I'll tell you guys, I'm scared...he's due for his oral dose @ 12, but how long after his oral dose is he considered stable?

I hope Max is doing better. My Sammy had seizures too and it takes a little while for the pheno levels to build up in their system. Sammy also takes KBR. He hasn't had a seizure since 2002. I'm praying for you and Max. Sending hugs and good thoughts to you both. Hang in there!

107barney 04-10-2011 07:53 AM
It seems all his blood work being normal would rule out a lot of things. But, it does not rule out neurological problems.

If this were my dog, my next step would be a neurologist and I would consider it an urgency to get there as soon as I could get an appointment.


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