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  #101  
Old 07-19-2011, 11:04 AM
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Default Re: Abby Diagnosed about 4 weeks ago

Have they done an abdominal ultrasound?

Seems like that would be the next thing to do because no one seems to really know what's going on with her.

Right now it seems like Cushing's disease is the least of your worries. I'm no expert on it at all but I can't think of any link between what's currently happening and Cushing's.

Natalie
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  #102  
Old 07-19-2011, 11:08 AM
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Default Re: Abby Diagnosed about 4 weeks ago

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Originally Posted by Abby's Mom View Post
Spoke with the Vet on hand, and they want me to go in and talk with the IMS that is there about Cushings. Stated that even though her liver functions have dropped, and I have diabetes under control, she still think Cushings is causing some problems. I am just so confused.

Correct if I am wrong here, but I would not see these good BG numbers if there was an underlying problem. Of course diabetes compromises the immune system, hence the UTI - I suppose I have been second guessing vets for too long. But I suppose it will not hurt to visit the IMS while I am there.
It is not up to me to opine on whether Abby has Cushing's, but I can tell you what I saw with my Harry.
My Harry has had almost all of the Cushing's symptoms. His started with uncontrolled hunger (in a previous picky eater). Then his liver enzymes started to elevate, and Denamarin did nothing to help with the numbers. Cholesterol also became elevated. PU/PD present as well. Then we started ot get all the skin infections, and Harry started to lose hair (shaved portions from numerous ultrasounds never grew back hair much). I should say that ultrasounds always showed bilaterally enlarged adrenal glands (done by 2 specialists). Proteinuria was also present.
I don't think inability to pass stool is one of the Cushing's symptoms. Harry did get several bouts of gastritis because he would eat anything from the hunger (aged poop found on the road, discared shellfish found on the beach, etc.). Ultrasound showed gas in his stomach, like yours. Symptoms were vomiting and diarrhea, not blockage.
Because we were afraid of the dangers of Cushing's treatment, we waited a long time to address this.
I have read that most untreated Cushing's dogs would need lots of insulin to improve BG levels. It appears that Abby's dosage isn't all that high, and you've managed to control Abby's diabetes much easier than I've done with my Harry (even with the Cushing's treatment).
Note that UTI is not necessarily a Cushing's symptoms. However, Cushing's dogs are more prone to UTI because their urine is more dilute. Diabetes dogs get UTI simply because sugar in their urine attracts bacteria.
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  #103  
Old 07-19-2011, 11:24 AM
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Default Re: Abby Diagnosed about 4 weeks ago

Barb,
I'm just catching up on your thread. I can't really add to the advice you are getting from Natalie and the others. But want to let you I add my prayers for Abby. I too think Cushings is the least of the concerns and would want to pursue an ultrasound at this point.
Take care,
Patty
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  #104  
Old 07-19-2011, 11:31 AM
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Default Re: Abby Diagnosed about 4 weeks ago

I hope they do an ultrasound and can get to the cause of this. I also hope they can explain to you why they think the Cushings is still an important part of the puzzle. Could weak muscles be something in her bowels?

Harry's Mom: how did Harry's gas get alleviated?

I'm sure sending prayers your and Abby's way Barb.


xoxo Judi & Jenny
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  #105  
Old 07-19-2011, 11:45 AM
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Default Re: Abby Diagnosed about 4 weeks ago

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Originally Posted by Poodles View Post
IHarry's Mom: how did Harry's gas get alleviated?
Judy,
We followed the standard protocol of no food for a day. Then put him on white rice and boiled chicken / cottage cheese for a few days and then gradually introduced his kibble. We also put him on Flagyl or sometimes Panacur (if fecals showed something).
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  #106  
Old 07-19-2011, 12:45 PM
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Default Re: Abby Diagnosed about 4 weeks ago

I just spoke with Abby's new vet (#3), and she is apparently getting more information than I. I asked her what could be causing this symptom, and she stated that what they found was excessive minerals in her colon. More than likely Abby felt it was painful to go, or this just stopped things up.

So, unrelated to Cushings at all. I think we have many vet's opinions going on, and the reason for my confusion. I asked her vet if she felt we should go down the Cushing's road, and she said not at this time. She is in agreement with me, that I could not have had Abby's BG levels reined in with 4.5 units 2x a day for a 19 lb dog (which is acceptable), and for her to have the numbers she is having. She stated that she did not see any other clinical symptons with Abby. By the way, her initial visit with Vet #1 had her on 10 units 1x a day. She has not increased her dose over that 10 units (or 5 units 2x a day). I would suspect to see an increase, if we have an underlying problem here.

In addition, her liver functions have decreased from where they were two months ago, with being on milk thistle alone. She did suggest using Denamarin for a month to see if those levels either drop, or stay the same. I have a bottle that I will start with her, once we get her going again. She is recommending a supplment called Balance IT and will provide me with a diet (this is the first vet that I have been to, that will even suggest a diet other than commercial grade).

I am hopeful. Abby should be back home tomorrow, if they get her to eat and drink, and go!! I do miss her and can't wait to have her home.

Thanks everyone for your input and prayers, sometimes you need a reality check!!

Side note: I think I may have caused this issue in trying to do the best for her ... I am hopeful because I do learn from my mistakes... now if only Abby will forgive me.
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Last edited by Abby's Mom; 07-19-2011 at 12:49 PM.
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  #107  
Old 07-19-2011, 05:44 PM
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Default Re: Abby Diagnosed about 4 weeks ago

Abby loves you. I'm glad you got some answers and it sounds like Vet #3 is willing to work with you and communicate with you so fingers crossed

I'm surprised the enemas didn't "clear" up the problem (lots of poo talk around here today ). Poor little Abby.

I hope you are done beating yourself up Barb. It is obvious how much you love your Abby and how you have researched and done everything you can.

Glad she is coming home tomorrow. Another long night!

hang in there

xoxo, Judi
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  #108  
Old 07-20-2011, 11:54 AM
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Default Re: Abby Diagnosed about 4 weeks ago

Is Abby feeling up to coming home today?
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  #109  
Old 07-21-2011, 07:44 AM
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Default Re: Abby Diagnosed about 4 weeks ago

Hi Judi,

Abby is home, but no better than before (if not worse). They do not know what is wrong with her, other than perhaps a blockage in the lower intenstines. She will still not eat, nor drink, nor poo.

After they told be my charges were up to $1500.00, I removed her from their care, and will bring her to my primary vet. They did nothing for her other than: keep her hydrated with an IV, walk her to try to get it to move, two enemas. Yesterday, when I asked if they were giving her any stool softners or perhaps something to increase her appetite, they said no, but we will start today. Gosh, they had her for three days, and I have to recommend something. They were more concerned with the possible Cushings, than the issue at hand. I spoke with my vet prior to bringing her home, and she stated that even she has to sedate Abby and remove it that is what they will do. All this 'dancing' around, and Abby is getting worse. I am totally frustrated.

She has a UTI, but you are to give Clavamox when eating. Can't get her to eat, but she did lick some baby food off of my finger this morning, so that is somewhat of an improvement, and I have also been giving her water with a dropper. I make sure she gets plently of fluids.

I have a call into my vet now, to see what the next step can be. The only thing, is I think she is not in any pain, but she is so weak. She has lost about 3lbs through this ordeal, and looks so skinny. It just breaks my heart.

Thanks for asking. I'll keep posting.
BTW: her blood suger has not been so bad. They only gave her insulin once a day, because last night it was only 159 (I did not give her any... thought I would let it go), and this morning 295. I then gave her 4 units (she did have some baby food), and she is at 129 now. I will monitor closely today to be sure that her levels stay above 100.
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  #110  
Old 07-21-2011, 07:56 AM
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Default Re: Abby Diagnosed about 4 weeks ago

Oh Barb what a nightmare for you and sweet Abby. I wonder if your vet will wind up doing exploratory surgery to see what is going on in there.

Keep us posted. At least she licked a little food off of your finger.

I've been looking for your update and I'm sorry it isn't better news.

Big hugs and lots of worry

Judi
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