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-   -   Exocrine Pancreatic Insufficiency (EPI) (https://www.yorkietalk.com/forums/sick-injured-emergencies-talk/284189-exocrine-pancreatic-insufficiency-epi.html)

TxVicki 07-08-2015 05:41 PM
Exocrine Pancreatic Insufficiency (EPI)
 
Has any one ever had to deal with this issue???

My Luci may very well have this problem. Our next step next week will be to send off Blood work to Texas A&M for a TLI test.

The TLI test measures the amounts of digestive enzymes in a dog's system.

time2go 07-08-2015 06:06 PM
We use enzymes for my girl due to a horrible case of pancreatitis. A great site to check out is www.epi4dogs.com
Best wishes for you and Luci. :animal-pa

ladyjane 07-08-2015 08:31 PM
Vicki I have a good friend who had a pup with it. If you need to speak with her, I will get you in touch.

I have never had a pup with it, but have two friends who have. One was a yorkie who passed this last year....and the other is a greyhound.

TxVicki 07-09-2015 03:49 AM
Quote:
Originally Posted by time2go (Post 4573074)
We use enzymes for my girl due to a horrible case of pancreatitis. A great site to check out is Overview -
Best wishes for you and Luci. :animal-pa
Thanks for the link. I have a whole lot of them book marked. As of yet we are not sure what the problem may be. Will know more later.

TxVicki 07-09-2015 03:50 AM
Quote:
Originally Posted by ladyjane (Post 4573130)
Vicki I have a good friend who had a pup with it. If you need to speak with her, I will get you in touch.

I have never had a pup with it, but have two friends who have. One was a yorkie who passed this last year....and the other is a greyhound.
Thanks Linda. At the moment we are in the DX'ing stage, so not sure if she actually has it. Should know more later.

TxVicki 07-09-2015 04:43 AM
Quote:
Originally Posted by time2go (Post 4573074)
We use enzymes for my girl due to a horrible case of pancreatitis. A great site to check out is Overview -
Best wishes for you and Luci. :animal-pa
Which enzyme do you use??

BabyGirl Rosie 07-09-2015 05:57 AM
Vicki, I don't know anything about it. But you and Luci will be in my prayers.

TxVicki 07-10-2015 06:25 AM
Luci will have her Blood Work done Monday. Texas A&M say's it should be done on a M-W so it doesn't get stuck somewhere sitting. My Vet always send things by Federal Express Next Day Air.

She has to fast for 12 hrs for this test.

The test should take between 3-5 day's for results.

lisaly 07-10-2015 06:37 AM
I pray that you get good test results with Luci and that starts to feel better.

BabyGirl Rosie 07-12-2015 08:43 AM
Praying for good results.

time2go 07-12-2015 12:17 PM
Quote:
Originally Posted by TxVicki (Post 4573158)
Which enzyme do you use??
We use Panakare Plus Powder by NeoGen Vet.

Tink04 07-13-2015 06:51 AM
I am awaiting on the results from Tink's blood test for Exocrine Pancreatic Insufficiency (EPI). Tink's symptoms seem to be consistent with this issue - lots of tummy issues, especially with bacteria overgrowth.

TxVicki 07-13-2015 06:55 AM
Quote:
Originally Posted by Tink04 (Post 4574410)
I am awaiting on the results from Tink's blood test for Exocrine Pancreatic Insufficiency (EPI). Tink's symptoms seem to be consistent with this issue - lots of tummy issues, especially with bacteria overgrowth.
Oh no sorry you having to deal with this issue as well. Yes my Luci is having such a hard time with the bacteria issue. This makes her 3rd time with it , hence why we are now testing her. It really bothers me since she is only 2.9 lbs, she is 7 1/2 yrs old. I adopted her 3 yrs ago.

Tink04 07-13-2015 07:49 AM
Quote:
Originally Posted by TxVicki (Post 4574413)
Oh no sorry you having to deal with this issue as well. Yes my Luci is having such a hard time with the bacteria issue. This makes her 3rd time with it , hence why we are now testing her. It really bothers me since she is only 2.9 lbs, she is 7 1/2 yrs old. I adopted her 3 yrs ago.
The bacteria issue is very overwhelming. She can go from a happy little girl to feeling terrible quickly. For the time being, my vet has her on a daily antibiotic (Tylosin). It's not ideal, but if she's not on it, the bacteria comes back very quickly. Hope little Luci gets to feeling better and the results help out.

TxVicki 07-15-2015 10:20 AM
Just now got Luci's result's from A&M. They just faxed Reults to my Vet and she just emailed me the report.

She does not have EPI, BUT she goes have very low B12 and Folate in system which usually goes hand in hand with EPI.


Her result's were as follows

Cobalarmin Fasting (B12) Result is 250mg Low /// Range should be 251-908

Folate Fasting her result is 5ug/L LOW/// Range should be 7.7-24.4


TLI Fasting Result is 34.2 Ug/L Normal /////Range should 5.7--45.2

So their suggestion is to give her B Complex Liquid that also has the Folic Acid in it.Now getting the dose for her is going to be tricky since she is so small.

So she does have issues with Small Intestinal Disease with her B12 and Folate Levels being low.

Maximo 07-15-2015 05:46 PM
Sending positive thoughts and prayers for Luci that the supplements will put her on the road to recovery.

TxVicki 07-16-2015 05:21 PM
Look like it will be next before we can start Luci on Folic Acid as it has to be special ordered and compounded for her small size.She will have to take this 4 weeks 2xday.

B12 injections for 6 weeks.

She has now also been changed to the RX RC Low Fat Food, which she doesn't seem to like.


It so sad Luci is running from me now when she see's me approach her, she just knows she is going to get more med's and she absolutely hates that.

I am praying all these changes will help her diseased intestine's.

Then we will re-test again in about 7 weeks.

Maximo 07-16-2015 09:09 PM
I can imagine how hard it is to give her a med without being able to put it in a food she would like.

Hoping she will get accustomed to her new Rx food too.

Praying that the changes will help her feel better and accept the food.

107barney 07-17-2015 12:07 AM
I'm sorry to hear about Lucy's diagnosis and hope the treatment and diet works for her.

Tink04 07-17-2015 05:14 AM
Quote:
Originally Posted by TxVicki (Post 4575194)
Just now got Luci's result's from A&M. They just faxed Reults to my Vet and she just emailed me the report.

She does not have EPI, BUT she goes have very low B12 and Folate in system which usually goes hand in hand with EPI.


Her result's were as follows

Cobalarmin Fasting (B12) Result is 250mg Low /// Range should be 251-908

Folate Fasting her result is 5ug/L LOW/// Range should be 7.7-24.4


TLI Fasting Result is 34.2 Ug/L Normal /////Range should 5.7--45.2

So their suggestion is to give her B Complex Liquid that also has the Folic Acid in it.Now getting the dose for her is going to be tricky since she is so small.

So she does have issues with Small Intestinal Disease with her B12 and Folate Levels being low.
I hope the B12 can fix Luci's issues - I got Tink's results yesterday. Her folate is good, but, like Luci, has low B12 - and her TLI was 4.7 (low). So we are doing B12 as well, and are looking at the enzymes. Best of luck to little Luci!

Tink04 07-22-2015 08:30 AM
How is little Luci doing?

TxVicki 07-22-2015 03:28 PM
Quote:
Originally Posted by Tink04 (Post 4577466)
How is little Luci doing?
At the moment it's too soon to tell. But the compounded omeprazole they are having me give her once a day has caused her to vomit. Some do have a reaction to that med, and I guess Luci is one them.

The Folic Acid seems to be ok for her, no vomiting. But it has only been two day's since starting the med's. My goodness the schedule of med's for her is a trip since I don't give all together.

She taking Tylan Powder 2 x day, the omeprazole and folic acid once a day.

She did get her 1st B12 shot and did ok with that, thank goodness it's only 1 shot a week for 6 weeks.

So far we have had no runny poos, but then that again is a problem, she is only going poop about 3 day's (not normal).

The bacteria is now out of system for the moment, I just pray that it doesn't come back. But with this type of issues it does happen.

I hope Tink is doing well with her med's.

BabyGirl Rosie 07-23-2015 07:27 AM
Quote:
Originally Posted by TxVicki (Post 4577537)
At the moment it's too soon to tell. But the compounded omeprazole they are having me give her once a day has caused her to vomit. Some do have a reaction to that med, and I guess Luci is one them.

The Folic Acid seems to be ok for her, no vomiting. But it has only been two day's since starting the med's. My goodness the schedule of med's for her is a trip since I don't give all together.

She taking Tylan Powder 2 x day, the omeprazole and folic acid once a day.

She did get her 1st B12 shot and did ok with that, thank goodness it's only 1 shot a week for 6 weeks.

So far we have had no runny poos, but then that again is a problem, she is only going poop about 3 day's (not normal).

The bacteria is now out of system for the moment, I just pray that it doesn't come back. But with this type of issues it does happen.

I hope Tink is doing well with her med's.

Oh no. Poor baby. I hate that she is vomiting. Vicki keeping you both in my prayers.

TxVicki 07-23-2015 08:07 AM
Quote:
Originally Posted by BabyGirl Rosie (Post 4577703)
Oh no. Poor baby. I hate that she is vomiting. Vicki keeping you both in my prayers.
Thanks. I hate that she is vomiting as she wasn't until this one med. I have call into the Vet. I didn't give it to her this morning and she did fine. I think she needs the Famotidine instead since she has taken that and never had a problem.

BabyGirl Rosie 07-23-2015 05:00 PM
Quote:
Originally Posted by TxVicki (Post 4577722)
Thanks. I hate that she is vomiting as she wasn't until this one med. I have call into the Vet. I didn't give it to her this morning and she did fine. I think she needs the Famotidine instead since she has taken that and never had a problem.
Hopefully they will get it all worked out for her.


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