Pancreatitis in dogs

RE: Pancreatitis in dogs

danielle83 — Tue, 24 Mar 2015 22:29:17 GMT

Oh and cerenia is suggested to provide visceral analgesia in addition to its antiemetic properties in pancreatitis so is advocated in all cases regardless of emesis/nausea

RE: Pancreatitis in dogs

danielle83 — Tue, 24 Mar 2015 22:26:26 GMT

I understand how difficult this is for you, its horrid when our own pets are ill and management of the condition is challenging. A agree re referral if possible due to finances etc. If not I still advocate pancreatic enzyme admin in patients who experience rregularclinical deterioration. The predisposition of min Schnauzers is well documented as stated above due to the prevelance of hyperlipidaemia within the breed. You could contact Marge Chandler who is a nutritional specialist and did present a lecture at BSAVA last year on the nutritional management of pancreatitis. I didn't attend as didn't make it last year. I did my dissertation on pancreatitis and its management but in cats. The general school of thought in dogs is still to withhold food during period of emesis. Hope this is in some way helpful.

Kind regards and good luck

RE: Pancreatitis in dogs

Steph Worsley — Tue, 24 Mar 2015 18:29:11 GMT

Hey, it would be worth as Nicky says to get her referred to an internal medicine specialist (will often do full imaging to ensure there isn't anything else going on that may aggrevate the pancreas)

We don't routinely use Lypex (or any other pancreatic enzyme) in pancreatitis cases anymore just in EPI cases, however sometimes it is beneficial. We also don't recommend/use any ab's for recurring episodes due to the increasing instances of ab resistance and there is no evidence of their need.

Good pain relief for the episodes though is important as it hurts like hell.

RE: Pancreatitis in dogs

nickyc — Tue, 24 Mar 2015 16:33:35 GMT

Hey!

Would recommend you see internal medicine specialist.. I have had mini schnauzers for many years, all of which suffer with pancreatitis.. They are genetically predisposed to hyperlipideamia females especially! Which then often flares the pancreatitis up.. would recommend you get her cholestrol and triglisterides checked.. low fat diet is good, but when she has bouts metronidazole helps to reduce gut inflammation also add in tramadol for the pain.. Make sure you use metronidazole for 2 weeks.. My own dog also gets a probiotic every day.. along with low fat diet. If she has high chol etc then you need to look into diets etc to get these down... or adding in high dosage of omega 3's if your dog can tolerate.. Obviously you cannot cure it, but worth using different treatments to see what works best for your dog. My current mini is 7 years and will be my last since its such a horrible disease and al my mini's have had it.. If your vet isn't open to looking at other treatment options then I would get second opinion for internal med vet. Think there is also some thinking into cerenia also having some anti inflammatory effect on the gut, so you could try this also..

As someone else mentioned don't go by amylase/lipase you need to use cpli from external lab, and also consider folate and b12 incase has ibd component to the disease also, which two of mine have had. Never used lypex but again another option for you along with preds although I always try and avoid longterm use of steroids..

Goodluck

RE: Pancreatitis in dogs

Catherine Raymond — Tue, 24 Mar 2015 16:30:04 GMT

The webinar Jill talks about is very good. All of our pancreatitis patients are started on Lypex and are on it for life. If you haven't already, register with IVIS which is a fantastic resource for a range of conditions.

RE: Pancreatitis in dogs

Jill Macdonald — Tue, 24 Mar 2015 16:13:47 GMT

I know it's not of much direct help to you, but I watched an excellent webinar the other day on this topic - might give youa few ideas? http://www.thewebinarvet.com/audio/canine-pancreatitis/

nb He says don't use lipase and amylase as a diagnostic test - pointless! CPLi all the way!

Jill