She is home
After the longest 24 hrs of my life, my girl is home after her endoscopy. They are sending out biopsies taken today.
Apparently they could not get as far as they planned because the entrance from her stomach to ....whatever comes next (duodemun???) Is shaped really weird, he said like almost folded over, and the scope could not pass through. I said could that be causing her nausea, maybe the food doesn't go through as easily as it should, but he said he reeally didn't think so because she would be vomiting food more which she almost never does, and sometimes eating even helps her nausea.
He did NOT see ulcers or abnormalities in her stomach.
I asked him if he would be supportive of trying putting her back on a homemade diet and he said he thought that was a good idea and would refer us to a veterinary nutritionist to design one. This makes me very hopeful.
So...unless biopsies say otherwise, we are still calling it IBD NOS (the NOS is my personal flair if anyone is a psychology buff) apparently there is a small chance this could be some sort of lymophoma but he does not think it is.
Her symptoms are intermittent cycling nausea (excessive drooling and looking miserable), often with no vomiting. Intermittent vomiting bile on empty stomach, sometimes food, in the beginning sometimes brown liquid. Intermittent diarrhea or loose stools, used to be loose mucus stools but that is awhile ago now. Coprophagia (sp?) Starting with other gi symptoms.
There is no solid correlation I can say between her symptoms and environmental triggers. I board dogs in my house and sometimes it is a little chaotic this does not bother her and there is no causation there.
I said earlier I could think of at least one time she vomited after some drama with my step daughter but my step daughter has been out of the house for over a year and the dog's symptoms have only gotten worse. There is no drama in my marriage, very stable and happy so the house hold atmosphere is generally mellow and quiet.
I don't think it correlates to her working as a service dog, she was healthy as a horse for many, many years of very active duty and in every way I can tell she loves her job. The worst of her symptoms have occured post retirement. (I could almost believe she was mad enough to get sick because I made her stay home lol)
Also, there will be times like one day I took her to the park, which she loves, I took her just for special time for a sniffy walk. We had a delightful time and leisurely walk, came home and she immediately started with the drooling. I can think of another day we had gone and done something she really enjoyed, no stress, and the next day she was sick.
The one other1 factor of course was that during the time she was so healthy she was eating home made food and when I put her back on kibble nothing happened immediately but there was a very gradual decline that got us where we are now.
So I am waiting for biopsies and depending on that I think he wants to try her on prednisone to reduce the inflammation in her digestive tract and get her some relief, *I* want to try again ti get her off kibble and see if that might help. Now that I have a vet's support and someone to tell me the right balance if things to feed her....
Does anyone else have any thoughts or suggestions?
By the way he said she was the nicest shepherd they have ever had (personality) That's my girl!