Pallina has been hospitalized: pancreatitis
Posted: Tue Jul 03, 2018 8:59 am
Hi all,
As I told you in a separate thread (which is not mine), Pallina has been hospitalized
I and my wife had been away for holiday the first three weeks of June.
Some days before leaving, Pallina had a visit with a University professor to try and understand her issues, mainly the chest fluids that are still there, not increasing and this is a good news, and her gastrointestinal troubles.
During that visit they did an ultrasound scan that revealed the usual amount of fluid in her chest, and a slightly different texture in the right lobe of her liver, but nothing that would worry the doctors. They also took some blood from her and the results were bad.
Cholesterol 423 [95-130]
GGT 10 [<5.1]
AST 100 [12-56]
ALT 289 [30-100]
ALP 305 [25-93]
Total Bilirubine 1.93 [<0.26]
Amylase 1551 [365-948]
Creatinine 2.5 [06-1.8]
BUN 79 [43-64]
SDMA 25 [0-14]
fPLI 37.1 [>5.4 = pancreatitis very likely]
Potassium 3.93 [4.0-4.5]
Sodium 160 [147-156]
Chlorine 124 [112-119]
All these numbers led the professor to the diagnose of a pancreatitis and cholangiohepatitis.
Pallina was put on some meds. Ursacol to try and lower her bilirubine, Metoclopramide (here sold with the name Plasil, but I know it has also the name Reglan elsewhere) to try to control her vomit, a few days of hypodermo fluids to hydrate her and ease her discomfort.
On my side I added some Vitamin B's supplement, the vet agreed it is good.
All the therapies started before we left for our holiday. The hypodermo fluids were discontinued two days before we left.
The Metaclopramide too was discontinued and replaced by Omeprazole in a gel to be given her once a day for three weeks.
During our absence two girls, veterinary students, came twice a day to lok after Pallina and they told me that she was fine, eating regularly and using the litter. She was also loving, active and playful. She would vomit every other day, though.
She didn't lose or gain any weight, she was 3.310 kg before and after holidays
On the night we came back home Pallina she was still fine and eating.
From the following day on, she started eating less. At first I thought she was so happy to see us home that she was forgetting eating, but after two days I thought something was wrong.
Pallina was sleepier than usual, not eating and drinking a lot.
On past Friday we had a pre-booked appointment with the same University professor for a follow-up of the visit of May. He saw nothing wrong, apart from some jaundice that was consistent with her hepatic condition. He took some more blood and the first results (still waiting for a complete report) are that some levels have worsened a little bit. She had also lost 200 grams, she was 3.110 kg.
GGT 11 [<5.1]
ALT 297 [30-100]
ALP 288 [25-93]
Amylase 1551 [365-948]
Creatinine 2.43 [06-1.8]
BUN 84 [43-64]
fPLI 39.5 [>5.4 = pancreatitis very likely]
Potassium 4.18 [4.0-4.5]
Sodium 159 [147-156]
Chlorine 119 [112-119]
Waiting for the rest...
During the last weekend Pallina was too quiet, and on Sunday she slept a lot, would move slowly and threw up twice!
At 8 pm she was in a terrible state, an hour later I was taking to the her regular vet at the 24h clinic. Of course her vet wasn't in, but everybody at the clinic knows her well.
She was alert and fine during the visit, but the vet didn't let her cheat him and she was hospitalized for a few days. While there she peed and her pee was as yellow as a ripe lemon, a consequence of her jaundice.
She was put on a drip right away. On the following morning, yesterday, Monday, her regular vet did an ultrasound scan and it was just like the one she had in May at the University. Only the pancreas area was a bit reactive. Pallina was put on antibiotic (enrofloxacin) too.
Yesterday after work I went there and Pallina was fine, eating and happy to see me. The vets told me she had been eating all day, but they are not going to release her at least until Wednesday.
When I left she was sad to see me leaving, this means she was fine, but I prefer she stays there, where any issue can be promptly taken care of.
I think they are going to run some blood test during these two days, I will keep you updated.
Thanks everybody for reading this long post!
As I told you in a separate thread (which is not mine), Pallina has been hospitalized
I and my wife had been away for holiday the first three weeks of June.
Some days before leaving, Pallina had a visit with a University professor to try and understand her issues, mainly the chest fluids that are still there, not increasing and this is a good news, and her gastrointestinal troubles.
During that visit they did an ultrasound scan that revealed the usual amount of fluid in her chest, and a slightly different texture in the right lobe of her liver, but nothing that would worry the doctors. They also took some blood from her and the results were bad.
Cholesterol 423 [95-130]
GGT 10 [<5.1]
AST 100 [12-56]
ALT 289 [30-100]
ALP 305 [25-93]
Total Bilirubine 1.93 [<0.26]
Amylase 1551 [365-948]
Creatinine 2.5 [06-1.8]
BUN 79 [43-64]
SDMA 25 [0-14]
fPLI 37.1 [>5.4 = pancreatitis very likely]
Potassium 3.93 [4.0-4.5]
Sodium 160 [147-156]
Chlorine 124 [112-119]
All these numbers led the professor to the diagnose of a pancreatitis and cholangiohepatitis.
Pallina was put on some meds. Ursacol to try and lower her bilirubine, Metoclopramide (here sold with the name Plasil, but I know it has also the name Reglan elsewhere) to try to control her vomit, a few days of hypodermo fluids to hydrate her and ease her discomfort.
On my side I added some Vitamin B's supplement, the vet agreed it is good.
All the therapies started before we left for our holiday. The hypodermo fluids were discontinued two days before we left.
The Metaclopramide too was discontinued and replaced by Omeprazole in a gel to be given her once a day for three weeks.
During our absence two girls, veterinary students, came twice a day to lok after Pallina and they told me that she was fine, eating regularly and using the litter. She was also loving, active and playful. She would vomit every other day, though.
She didn't lose or gain any weight, she was 3.310 kg before and after holidays
On the night we came back home Pallina she was still fine and eating.
From the following day on, she started eating less. At first I thought she was so happy to see us home that she was forgetting eating, but after two days I thought something was wrong.
Pallina was sleepier than usual, not eating and drinking a lot.
On past Friday we had a pre-booked appointment with the same University professor for a follow-up of the visit of May. He saw nothing wrong, apart from some jaundice that was consistent with her hepatic condition. He took some more blood and the first results (still waiting for a complete report) are that some levels have worsened a little bit. She had also lost 200 grams, she was 3.110 kg.
GGT 11 [<5.1]
ALT 297 [30-100]
ALP 288 [25-93]
Amylase 1551 [365-948]
Creatinine 2.43 [06-1.8]
BUN 84 [43-64]
fPLI 39.5 [>5.4 = pancreatitis very likely]
Potassium 4.18 [4.0-4.5]
Sodium 159 [147-156]
Chlorine 119 [112-119]
Waiting for the rest...
During the last weekend Pallina was too quiet, and on Sunday she slept a lot, would move slowly and threw up twice!
At 8 pm she was in a terrible state, an hour later I was taking to the her regular vet at the 24h clinic. Of course her vet wasn't in, but everybody at the clinic knows her well.
She was alert and fine during the visit, but the vet didn't let her cheat him and she was hospitalized for a few days. While there she peed and her pee was as yellow as a ripe lemon, a consequence of her jaundice.
She was put on a drip right away. On the following morning, yesterday, Monday, her regular vet did an ultrasound scan and it was just like the one she had in May at the University. Only the pancreas area was a bit reactive. Pallina was put on antibiotic (enrofloxacin) too.
Yesterday after work I went there and Pallina was fine, eating and happy to see me. The vets told me she had been eating all day, but they are not going to release her at least until Wednesday.
When I left she was sad to see me leaving, this means she was fine, but I prefer she stays there, where any issue can be promptly taken care of.
I think they are going to run some blood test during these two days, I will keep you updated.
Thanks everybody for reading this long post!