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05-15-2014, 08:04 AM | #31 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
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05-15-2014, 10:07 AM | #32 |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
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| I will follow the doctor's orders...I know she can't have anything "good"...I just have to overlook those sad eyes. She wasn't too crazy about the kibble but since she hadn't eaten in a couple of days, she ate it...take a bite, look at me, take a bite, look at me....
__________________ Jeanie, mom to Buster and Maggie |
05-15-2014, 10:10 AM | #33 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
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How about you get the canned and bake little treats? Or, just give veggies. I have given pups their kibble as treats after they have adjusted to the food and that made them happy.
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05-15-2014, 10:58 AM | #34 |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
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| I beat you to this one! I went and picked up a some of the canned food at lunch. I read here or maybe you told me before that I could bake the canned food for treats...I'm going to try that. I'm going to stop on the way home and get some veggies, although she's not a big fan, but if she's hungry, she might start to like them. It's difficult as Dr. Jones didn't recommend that Buster eat the l/d kibble...I know there are situations where dogs in the same house are fed different diets but I'm leaving the day time care to DH...Dr. Haug had wanted me to get them on a once a day feeding and we were getting there until I got sidetracked with this and of course there's Buster...I've been leg watching again for the last month. Maggie has to be watched constantly so that she doesn't eat Buster's food...she will eat his food and hers. I will keep her on the foods that Dr. Jones has recommended as I don't want her to be sick.
__________________ Jeanie, mom to Buster and Maggie |
05-15-2014, 11:05 AM | #35 | |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
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The only true way to diagnose that condition as I understand it is a liver biopsy and maybe the vets either think she's too sick or either her symptoms are not severe enough to put her through that right now as it requires anesthesia and taking a portion of the liver to study. So they treat her with diet consisting of low, easily processed proteins and if she responds, then the vets came to the correct conclusion. If the diet doesn't work, more testing and possibly drugs will be required. If the case of MVD/PVH isn't a severe one and the portal vessels are not all or too damaged or atrophied, hypoplastic and/or enough for her liver to function fairly well, she probably won't have a lot of liver damage to show up on blood tests. Someone correct me if I'm wrong but a high Bile Acids Test reading shows that she's not properly rapidly reabsorbing the most of her intestinal bile acids after a meal as she should and that's probably due to a liver condition and a reason to further test/continue to treat for liver problems. Right now, you just want to keep her symptom-fee for a month at a time and then, in 6 months or so, whatever her vets say, stop and re-assess. You can make her treats as I do Tibbe's, soaking his kibble in water and keeping the pieces refrigerated or microwaving or baking the soaked, softened food. She can still have her treats. Tibbe cannot tolerate the green beans I've given him without getting nauseated and vomiting and being down for the day so your girl is blessed but he has a type of IBS in addition to his MVD.
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis | |
05-15-2014, 12:06 PM | #36 |
♥ Maximo and Teddy Donating Member Join Date: Jun 2009 Location: Northern Virginia
Posts: 25,041
| Jeanie, when Max and Teddy were eating different diets, I had to separate them with a baby gate until they were finished. Teddy always wanted to eat out of Max's bowl, and Max let him. I hope Maggie will enjoy the baked treats and take greater interest in the veggies. It is hard to resist the sad eyes. I also understand the difficulty of managing another human who is in charge of care. Keeping Maggie in my prayers for the diet and med to bring normal BATs in a few months.
__________________ Kristin, Max and Teddy |
05-15-2014, 12:49 PM | #37 | |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
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Jeanie, the doctor in no way indicated that Maggie was too ill to have a biopsy performed right away. He didn't have an issue with recommending diet and the Denamarin and taking her back for a retesting in a month. The report does say that a biopsy will most likely be needed to determine the cause of her liver issues. Had he said that one needed to be done right away, I would have agreed. The report says that he is most suspicious of MVD or chronic inflammatory disease. If her bile acids are still high or her labwork isn't normal when he does her recheck I feel that he will recommend a biopsy and I will agree. I went with his recommendations. I hope that diet and the medications are all that she needs.
__________________ Jeanie, mom to Buster and Maggie | |
05-15-2014, 01:37 PM | #38 | |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
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He's going in in 3 weeks I think it is for his routine 6 mos. testing and exam so we'll see how he's doing test-wise then. Going to have his thyroid tested as well as of this spring there seems to be hair on the furniture and yet his coat is very thick and full. I feel for the dramatics with your little one not liking the change in food. Tibbe wasn't that happy with RC GI once when he had to be on that but we only fed him one meal of that as the itching began immediately after he finished the meal and it was bad. He eats anything but his tummy won't let him eat much other than his special diet. He had a cast iron stomach until he was 3 or 3 1/2 when he began to get sick and vomit, go all day w/out eating if he ate anything - however tiny a portion - of human food the day before - even a tiny bit of bread or a vegetable bite. Try to ignore her manipulation(easier said than done) and I'm sure she will adjust to her food in time, especially if you vary the way you serve it to her.
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis | |
05-15-2014, 02:11 PM | #39 |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
Posts: 1,458
| Maggie doesn't really have any vomiting. I never see any but every now and then I smell it on her breath when I get home from work and she's kissing me. But I don't find any vomit in the house. She's a good eater, never been a picky eater. I think she will adapt to the new food as she rarely turns up her nose at food. This is why the bile acid being high caught me offguard. She loves to eat grass and dirt and I hear thats a sign of an upset stomach. If the bile acid is high when she goes for recheck I'm sure he will suggest biopsy, really though she's the picture of health. The only reason I had her tested was because the behaviorist suggested it. He did recommend that I watch her for the next month for any signs of change.
__________________ Jeanie, mom to Buster and Maggie Last edited by katy-yorkie; 05-15-2014 at 02:13 PM. Reason: Misspelling |
05-15-2014, 05:26 PM | #40 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
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05-15-2014, 05:34 PM | #41 |
♥ Maximo and Teddy Donating Member Join Date: Jun 2009 Location: Northern Virginia
Posts: 25,041
| Eating grass and dirt -- I know most sources say dogs only do this when they have an upset stomach, and that was the case with our previous dogs. However, Max and Teddy will do it for fun on our walks. I have read many comments here on YT about Yorkies acting like sheep.
__________________ Kristin, Max and Teddy |
05-16-2014, 04:29 AM | #42 | |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
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__________________ Jeanie, mom to Buster and Maggie | |
05-16-2014, 04:40 AM | #43 | |
Donating YT 500 Club Member Join Date: Oct 2009 Location: Katy, Texas USA
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__________________ Jeanie, mom to Buster and Maggie | |
05-16-2014, 06:11 AM | #44 | |
♥ Maximo and Teddy Donating Member Join Date: Jun 2009 Location: Northern Virginia
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I would be very unhappy about this, and I would be inclined to repeat the BATs now at a different vet. Even if there was no confusion between patients' results, my understanding is that there is room for error in results if the test is performed incorrectly. Linda, Cathy, is that right?
__________________ Kristin, Max and Teddy | |
05-16-2014, 06:41 AM | #45 | |
♥ Love My Tibbe! ♥ Donating Member Join Date: Feb 2011 Location: D/FW, Texas
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If the bile acids aren't wildly high or she is very symptomatic, what is the purpose of putting her through a surgical procedure to get a liver biopsy when nothing about her treatment likely be changed. Ask your vet what difference it will make in how he treats her if he has a positive liver biopsy result and if he says no difference will be made, then what's the purpose?But maybe he's not sold on the MVD diagnosis and wants to try to nail a specific diagnosis down and if no liver biopsy shows MVD and she's still having symptoms, then he would go on looking with more testing.
__________________ Jeanie and Tibbe One must do the best one can. You may get some marks for a very imperfect answer: you will certainly get none for leaving the question alone. C. S. Lewis | |
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