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Thread: 4 year old male too skinny ? Help Reply to Thread
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Topic Review (Newest First)
02-01-2014 08:06 AM
FaithW Hello everyone !

Poops no longer pudding but still soft taking a lil more shape . I think his stomach was reacting negatively to 1. Me being gone 2. Switching abruptly from my food to their food 3. Stress/anxiety .
Once he was back on his regular feeding I did the same diet they did ( I only found out they were using Tylan after reading the details ; yet the vet made no mention when he was speaking to me & neither did the receptionist ) with 4 cups total. I broke down the final 2 cups into 2 separate feedings with PuppyCal . And he seems to be responding well . He still scarfs down his food like it's going out of style .
The vet won't give me a hard copy of the blood test results due to the conflict of him not making me aware he was doing ( I would NEVER allow my dog to be tested while I'm away I want to be able to ask questions and etc). I think if the actual new vet calls them they will read him the results . But my plan is to get him retested and find out what else I can do for him . Right now I just am keeping him on the same food ( just more of it ). He seems to be gaining a little bit more weight . I also ordered the B12 pills , Tylan and Sundays Sundaes... Along with feeding him pumpkin . I scheduled his new annual wellness ( they never gave him the bordatella shot . )

But I will look into the Nyla Bones. I need something long and durable . He had a Kong toy and he quickly got tired of it . Thanks so much !


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01-31-2014 08:54 PM
Harry and Lola Great news on the poops.

What are you doing differently?
01-31-2014 08:45 PM
FaithW Slight good news ... His poop is getting firmer !


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01-30-2014 06:05 PM
Harry and Lola Try Nylabones for his chewing desires (get one that has a flavour).

Also, to alleviate boredom throughout the day, put some of his kibble into a treat ball or puzzle toy so he has to work to get the food, even in the crate, he should have enough room to move the ball or toy. This way his brain is being engaged and he will tire himself out from trying to work out how to get the kibble.

I used to do this with my pups when I left the house, put their food in a treat ball and it gave them something to do.
01-30-2014 01:58 PM
_Zero_
Quote:
Originally Posted by FaithW View Post
Thank you so much Zero . That stuff could have been written in ancient Sumerian . He did speak to me in a very short time about it and sighed whenever I asked what he meant . From the other sheets I don't think they ever fasted him .
I will try and call the specialist again to see if I can see what things they did or did not test him on.

I hate talking to the vet even the receptionist are kind of the rude side now . DR. Snippy pants has been known to misdiagnose too . I actually just ordered the Tylan . And will continue his diet the way they did ( the only positive thing out of the ordeal ) and continue with the pumpkin .


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That sounds like a good course of action for now. It can be hard to talk to vet practices sometimes, but remember that Cupcake is your dog, and they are serving you. Just call and ask to confirm that a TLI test was done to test for pancreatitis, and ask what the TLI value was. Also ask if he was fasted before the test was completed. You can also go in and talk to the receptionist in person, which may be more effective. While you're there, you can ask for copies of all of the lab work they did.

I know you mentioned earlier you were going to seek counsel from another vet. I would do this as quickly as possible, but make sure they fax the records over from your current practice so the new vet knows exactly which tests they did. Look on Yelp or talk to your friends with dogs to find a practice that has good reviews. If you post your general location here on the forum, there might be other folks in your area who can recommend a good vet. From the chart copies you posted, it seems this guy is pretty sick and needs help as soon as possible. The sooner he sees a vet you feel you can work with and you guys get him on a protocol for getting better, the happier you'll both be.
01-30-2014 01:51 PM
FaithW Thank you so much Zero . That stuff could have been written in ancient Sumerian . He did speak to me in a very short time about it and sighed whenever I asked what he meant . From the other sheets I don't think they ever fasted him .
I will try and call the specialist again to see if I can see what things they did or did not test him on.

I hate talking to the vet even the receptionist are kind of the rude side now . DR. Snippy pants has been known to misdiagnose too . I actually just ordered the Tylan . And will continue his diet the way they did ( the only positive thing out of the ordeal ) and continue with the pumpkin .


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01-30-2014 01:44 PM
_Zero_
Quote:
Originally Posted by FaithW View Post
I will take him off Raw Hide lol as soon as I find something durable to help him with boredom. Its the only thing he can chew on besides bully sticks when I am grooming him that doesnt run right through him. Bully sticks also make his stool soft too. I am open to other suggestions that are long lasting and can help him with chewing.

I got the chart back not necessarily the labs I didn't understand a word of it . I ahve included the pictures. The one thing they DID not tell me was "hey he bulked up part to the fact we gave him Tylon with his food" and gave me a sample or something. Nope they just sent him home. So now I have an idea about what could possibly be a solution . It helped him pack on the pounds while he was there. Anyone who wants to take a fander to decipher the Vet Speak from Dr. Snippy Pants would be helpful.
There's nothing of any real use here. Unless you can get the values from the blood work, including the value for cTLI, cobalamin, and folate, there is no way for any of us here to help you understand the tests that were done or what they mean.

From the images you posted, it seems the doctor recommended ways you could alter his diet to help with his weight. In addition, the chart says that you could also try Panacur (a de-wormer), Tylan (an antibiotic), or flagyl (another antibiotic) to see if that helps with his diarrhea and weight before doing anymore tests. The second image is just detailing his behavior at the vet. The third is some baseline values for his heart rate, respiratory rate, etc. The working diagnosis is severe weight loss and cachexia (muscle loss, fatigue, wasting). The r/o is an abbreviation for "rule out" which means that they're not sure why he's losing so much weight, but they need to consider a host of things, including severe primary GI disease, underfeeding, malabsorption issues (something like IBD), maldigestion issues (something like EPI), infectious disease, etc.

I would recommend that you demand to see the lab results from the blood work that was completed, and if the cTLI test for EPI was not done (following a 12 hour fast), have it done as quickly as possible. In the interim, do not try to switch his food anymore or add things to his diet. This could worsen his digestive issues if EPI is not the cause. Rawhides are very hard on the GI tract, so I wouldn't give him any more of those. I would also avoid raw knucklebones, or raw bones of any kind. Raw CAN be great for dogs, but with a dog losing a lot of weight with an as yet unknown cause, giving a dog raw could be the worst thing for him. The fat from the marrow in the bone would stress the GI tract, and although dog's guts are normally very well equipped to deal with bacteria, adding bacteria to an inflamed GI tract in an already sick dog is asking for a bacterial infection. Elk antlers are one possible option for chewing. Just make sure you watch the dog carefully, and get antler that is as fresh as possible to prevent cracking.

If they did give him Tylan at the vet and that did help put weight on, you can do the same. You do not need a prescription for Tylan. You can likely find it at your local feed store or order it online for Amazon. This is what you need:
Amazon.com: Elanco DC120 Tylan Soluble Powder, 100-Grams: Patio, Lawn & Garden Amazon.com: Elanco DC120 Tylan Soluble Powder, 100-Grams: Patio, Lawn & Garden

The dose is 1/4 tsp twice daily for a dog Cupcake's size.

Please keep us update on how he's doing.
01-30-2014 12:40 PM
FaithW I'll look into it . His stomach is so ... Sensitive but thanks going to look into that tonight


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01-30-2014 12:35 PM
GatorBytes
Quote:
Originally Posted by FaithW View Post
I will take him off Raw Hide lol as soon as I find something durable to help him with boredom. Its the only thing he can chew on besides bully sticks when I am grooming him that doesnt run right through him. Bully sticks also make his stool soft too. I am open to other suggestions that are long lasting and can help him with chewing.

.
A nice RAW knuckle bone...last and last and will help bulk the stool, clean teeth and exercise a slew of muscle groups. Good source of minerals too.

When fed indoors I use a small throw to keep the mess off the floor/carpet
01-30-2014 12:31 PM
FaithW I will take him off Raw Hide lol as soon as I find something durable to help him with boredom. Its the only thing he can chew on besides bully sticks when I am grooming him that doesnt run right through him. Bully sticks also make his stool soft too. I am open to other suggestions that are long lasting and can help him with chewing.

I got the chart back not necessarily the labs I didn't understand a word of it . I ahve included the pictures. The one thing they DID not tell me was "hey he bulked up part to the fact we gave him Tylon with his food" and gave me a sample or something. Nope they just sent him home. So now I have an idea about what could possibly be a solution . It helped him pack on the pounds while he was there. Anyone who wants to take a fander to decipher the Vet Speak from Dr. Snippy Pants would be helpful.
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