Confusing blood test

[Jean]

Conny, Lovely to hear from you again, I have no words of wisdom , but this thread certainly gives food for thought

jean

[Olesia711]

Conny,,,, since her blood results are okay.... indicating that the panting, etc. is not from the Previcox.... the next thing that comes to mind with low blood sugar & panting.... is to (a) rule out diabetes (b) rule out heart disease (c)rule out possible low magnesium levels ... not sure what else to check for.

SOme of our dogs pant and there is nothing to worry about.... but when you add in low blood sugar, that puts a different spin on things.

Wish we could offer some solutions, but not sure what else to look at with this.............

However, please do keep us posted...

[Floramac]

It's the poo I am concerned about, as thst seems connected to her epi. Should I up the Panzym again? Should I get her poo tested?

[Patsy]

I understand your concern about the poo. You’re doing right treatment, so I would follow Sibo antibiotics route.
However, I would be more concerned about the panting and restlessness, which could be totally unrelated. What does the vet say about this? As a layman, I’ve only met it in dogs which feel ill.....heart, kidneys or fever. Did they do his temperature, listen to his heart and general blood panel test?
I hope he stabilises very soon.

[Floramac]

I did not think her blood test showed possible SIBO/SID?
Her blood results-
TLI- 5.5
FOLATE - 11.0
COBALAMIN - 545

We have upped her b12 to one per day as it has dropped from high 900s last test.
Apart from the glucose being low( which the vet did not even mention), everything else is ok.
I have noticed previously if she is feeling off (she will get a bit restless and pant ( during the night), last two nights she has been fine but her poo is still yuk.

Should I try another slight increase in Panzym?

[jilbert57]

Looks like something went wonky in the thread. A score of folate 11 does not indicate SID.

"It's the poo I am concerned about, as thst seems connected to her epi. Should I up the Panzym again? Should I get her poo tested?"

So you are not using Tylan correct?

How much Panzym are you using with how much food? Is she maybe getting treats on the side somewhere?

[Floramac]

Sorry, that info is all in my signature. Yes Tyaln, been using it for over 18 months. Upped the Panzym from 3/4 tsp to 1 tsp when this all started. Nothing has changed food wise.?

[Olesia711]

Hi there,

Okay... the folate score is totally useless... it does not and cannot diagnose SID.... Many vets no longer even use it... especially not to indicate SID. I would try upping the Tylan dose.... you might be under-dosing. How much does your dog weigh now?

Unfortunately what they have recently discovered is that all EPI dogs have inherent SID.... the new premise is to treat SID if it is out of good control (any repeated SID signs: of any yellowish-coloring to the stools, loose stools, gelatinous stool coating, flatulence, lack of appetite, stomach noises, and SID will also munch away at the B12--so watch the B12 levels) Anyway if any of these signs are repeating.... then treat for possible secondary SID/SIBO (with Tylosin [preferred] or Metronidazole, or in some cases Amoxycillin. Tylosin appears to work best for the majority of EPI dogs with SID/SIBO.

The current recommended Tylosin dosage has recently been changed to “25mg/kg BID with food for 6 weeks”, but some still prefer to administer twice daily [every 12 hours] with food:
30 lbs – 1/8 tsp 60lb – 1/4 tsp
90 lb – 3/8 tsp 120 lb – 1/2 tsp

[Floramac]

Thank you very much, I will up her Tylan today. Had no idea about the folate score being useless (and I doubt my vet is).

[jilbert57]

Oops! Sorry for the misinformation on the folate. I learn something new on here all the time. Thank you for the signature, I looked when replying but missed it!