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- IMHA in 10-year-old Wheaten Terrier—Diarrhea?
Hi—
My 10-year-old wheaten, Zoey, was diagnosed with IMHA in early April. Our first indication was her loss of appetite, lethargy, dislike of jumping/stairs, and bad diarrhea.
Our regular vet sent us to a specialist, who put Zoey on prednisone, 20mg, 2x daily. Her mood, energy, and appetite immediately improved, as well as her diarrhea. At her last check-up a week ago, her numbers were improving and her spleen shrinking.
However, while her overall energy and appetite have continued to improve, the explosive diarrhea has now come back. It was gone for about a week before returning. Her bland diet has not changed, so we’re not sure if it’s a side effect of prednisone (like the increased food/water consumption) or something more.
Until we can get back in on Monday, the specialist vet prescribed Flagyl, 2x daily, to take with the prednisone. She’s been on it about 12 hours, so no improvement yet…
Like I said, otherwise she’s acting like her normal self. It’s just the diarrhea’s return that concerns me, especially after it went away after initial treatment…
Any advice is appreciated!
Thanks, Andrea
I’ve read a lot about pumpkin recently. I just ordered some apple/pumpkin mix from Amazon that has gotten good reviews.
https://www.amazon.com/FiRM-Cranberry-Pumpkin-Super-Supplement/dp/B006CBD7LK
The issue is that’s she’s always been an extremely picky eater. Eats when she wants, what she wants. 😏 Because of the prednisone, she is always pretty hungry, so she eats her dog food (Fromms Gold) and then we boil chicken for her. Then the occasional chicken jerky treat (USA Made). So, basically she eats a lot of chicken.
When this first started, we tried doing the rice/noodle mash with chicken , but she turned her nose at it. Just wanted the chicken.
It’s so much protein, and not a lot of anything binding…?
Thanks for responding!
It’s so interesting you asked-we were just having a family summit on her.
We went to the specialist last Monday, and her red blood cells were normal count, so we began to drop her prednisone—1 pill at am, and now 1/2 pill in evening. The dr thought her diarrhea might be a worm or parasite she picked up, so gave us three days of worming powder to give her, just to see if it did anything, then a Hills ID Sensitive Stomach digestive care dog food to switch to.
Oddly enough, the three days she was on worming powder, her stools were excellent. Actually, even up to yesterday morning, they were great. However, last night (Saturday) again, the explosive diarrhea and back.
I don’t know if it’s the new digestive care dog food…? She began it Friday nite, and the diarrhea began again about 18 hours later. She usually eats dry food, and this is wet— might that do it? Or it it that her prednisone was lowered too quickly? Her energy is still good, and her tongue/gums still quite pink, so I’m not sure. Calling vet again Monday am to give an update.
Thank you so much for checking in.
Andrea,
This is an interesting observation.
I have an idea that you might run by your vet. Some dogs can contract Giardia and become this sick from that parasite. This is a more difficult condition to test for and treat. If they did not specifically test for it, they might not realize that it exists. Giardia can develop a cystic behavior in the intestines and may not pass into the feces continually, thus the vet may not see any visual indication of Giardia.
https://vcahospitals.com/know-your-pet/giardia-in-dogs
“A routine fecal flotation test may fail to detect these tiny cysts, which are shed inconsistently in the feces, and which often require a special zinc sulfate flotation solution for detection. ”
“The most common drugs used to kill Giardia are fenbendazole and metronidazole. These drugs are normally given for three to ten days to treat giardiasis. Both drugs may be given in combination if necessary. ”
Giardia was quite common where I hiked in the late 70’s and I did contract it. Some hikers described it as the worst pain they had ever experienced.
Since we can’t be for sure, it would be a wise test to run at this point.
my best, patrice
An update:
Sadly on Friday, we had to put Zoey to sleep. In a turn of events no one seems to understand yet—including the vets—suddenly on Friday morning, she no longer wanted to eat or drink. Otherwise, she was acting fine. We called the vet and she told us to let her be a bit—maybe it was stomach upset or some other variable.
However, by afternoon, she was having trouble breathing, and was hiding in the bathroom, her refuge when she feels scared. She was also laying with front paws rigid in front of her, and holding he head at an odd angle. When we attempted to get her to move, we found she was unable to walk, or even support her own weight when being carried. She was also spontaneously leaking urine and feces while laying there. We immadeteley took her to the vet.
Upon examination, the vet discovered she had air underneath her skin by one of her front legs, and it was extremely swollen and hot. She also had a fever. Combined with her immobility and extremely labored breathing (at this point, I’m not even sure she knew what was going on, which was probably a blessing), we decided to put her to sleep. It was a difficult decision, but her quality of life was so poor, with bad prognosis. To let her continue suffering would have been cruel. She was a sweet, sassy girl, and fought so hard, but it was time to let her go.
Upon speaking to our specialist today, she says the theory is that Zoey ruptured her trachea or esophagus, and that’s what caused the air under her skin, as well as breathing issues. They aren’t sure what could have causes that rupture. She was relatively fine that morning—she didn’t want to eat, but was mobile—and we can’t think of anything that would have caused blunt injury enough to cause a neck issue that morning. The belief is perhaps she had lymphoma that had spread to multiple sites in her body, and perhaps there was a mass/legion somewhere near her trachea/esophagus that burst that day. Hence , the IMHA was secondary to the cancer, which was always a theory. However, none of her tests/scans ever indicated definitive lymphoma, so we’re just not sure. Widespread cancer would sort of explain her persistent diarrhea, but there was never enough other evidence to support that diagnosis outright. So we treated the IMHA, in hopes that was right course. And for almost a month, she was better. But perhaps there was something else lurking there that we must never knew about.
(Or, being immune-compromised, she developed an odd infection of some sort?)
The vet and specialist are going to talk Monday and go over their notes. I’m not sure if we’ll ever get any answers—a ruptured trachea certainly wasn’t the way anyone thought this would go. She was going so well this past week—how quickly things went bad shocks me. However, in the grand scheme of things, it went quickly, and I hope, hope, hope she didn’t suffer too much.
Thank you all for your kind words and suggestions. If you have any thoughts in this chain of events, let me know.
And for all those still wrestling with this disorder with your own pets, I send you light
and love. You have gained a guardian angel above to look over you.
This is so tough. Miss her oodles.
Andrea, I am so very sorry to read this. You and Zoey did everything you could have done, but it was Zoey’s time.
When you feel like it, please take yourself to the Bridge page. Maybe not straight away but when you feel ready. It was written by one of the ladies here and it is beautifully written and I know it will calm your soul.
Here’s the link:
https://www.secondchanceaihadogs.com/the-bridge
Yes, there is an angel watching over you too now.
My condolences,
Vally (and Angel Bingo)