Originally Posted by CouversMom (Post 4527641)

I forgot to mention that the vet recommended rechecking his blood to determine before starting steroids because we want to make sure that they will help. She also mentioned that if it is actually cancer that is hidden somewhere, putting him on steroids would prohibit the option of chemo down the road. I am hoping that we are not missing cancer...

She wanted us to wait until the morning to start the Cerenia. He seems to have the biggest issue with vomiting at night, so she wants him to keep the Cerenia down long enough for it to take effect. We will start in the morning when we have a better chance of him actually keeping it down.

Came home from the vet and he wanted to play soccer in the front yard with me. He started running round and was shaking his soccer ball around in his mouth like he felt great. I guess we will see how things go tonight. Hopefully the Cerenia can start helping him feel better and the other meds will fix the issues. If not, we will re-test and determine the route from there.

Thanks for all the help ladies. You have no idea how much help you have been... I feel like you are saving me from drowning... I will update in the morning.

Originally Posted by ladyjane (Post 4527757)

Your first paragraph suggests to me that she is thinking a PLE. The treatment would be prednisone for most and the diet she already put him on (RC low fat gi). Personally, I would do the scope to be sure of what it was, but I realize it is costly. My concern though is that pred won't work if it is the PLE that is due to a fungus (histoplasmosis). My thinking is that she wants to check the blood to see where the albumin is....that would be typical for a PLE. My Cookie now goes every six months, but she is stable now. I know some people just treat "as if" and I suppose that can work. I just don't like to not know for sure what something is.

Originally Posted by Maximo (Post 4527789)

I agree, I am happy to hear Couver's vomiting has stopped and he hasn't lost any more weight, and he is showing energy, but I would want a definitive diagnosis.

Was a CBC done? I don't see that in the test results you posted. My knowledge is limited, but I would think a white blood cell count would be a good place to start to rule out cancer -- although a high count can also be a sign of infection.

Keeping Couver and you in my thoughts.

Originally Posted by CouversMom (Post 4527790)

Linda, I discussed PLE with her and she agreed that it definitely was a possibility. We are going to retest his blood to check the protein levels to determine if they have gone any lower. This should help with a diagnosis of PLE. I agree that we should also have the scope done.

Thanks for everything. Hopefully things continue the way they are and we can retest in 4 days and go from there. I'm just happy that my baby is not miserable. It's comforting knowing he's at least eased from the nausea and vomiting.

Originally Posted by ladyjane (Post 4527807)

Oh, indeed it is wonderful that he is not feeling awful now and vomiting!

It would be really awesome if his albumin ends up rising. In the end he could just have IBD without it being a PLE.... or NOTHING! Now, that would be the best outcome!

Originally Posted by CouversMom (Post 4527856)

I agree, that would be the best outcome. So far, so good today. No vomiting! This is the longest he's gone for a long time.