• Welcome to the Chronicle Forums.
    Please complete your profile. The forums and the rest of www.chronofhorse.com has single sign-in, so your log in information for one will automatically work for the other. Disclaimer: The opinions expressed here are the views of the individual and do not necessarily reflect the views and opinions of The Chronicle of the Horse.

Announcement

Collapse

Forum rules and no-advertising policy

As a participant on this forum, it is your responsibility to know and follow our rules. Please read this message in its entirety.

Board Rules

1. You’re responsible for what you say.
As outlined in Section 230 of the Communications Decency Act, The Chronicle of the Horse and its affiliates, as well Jelsoft Enterprises Ltd., the developers of vBulletin, are not legally responsible for statements made in the forums.

This is a public forum viewed by a wide spectrum of people, so please be mindful of what you say and who might be reading it—details of personal disputes are likely better handled privately. While posters are legally responsible for their statements, the moderators may in their discretion remove or edit posts that violate these rules. Users have the ability to modify or delete their own messages after posting, but administrators generally will not delete posts, threads or accounts upon request.

Outright inflammatory, vulgar, harassing, malicious or otherwise inappropriate statements and criminal charges unsubstantiated by a reputable news source or legal documentation will not be tolerated and will be dealt with at the discretion of the moderators.

2. Conversations in horse-related forums should be horse-related.
The forums are a wonderful source of information and support for members of the horse community. While it’s understandably tempting to share information or search for input on other topics upon which members might have a similar level of knowledge, members must maintain the focus on horses.

3. Keep conversations productive, on topic and civil.
Discussion and disagreement are inevitable and encouraged; personal insults, diatribes and sniping comments are unproductive and unacceptable. Whether a subject is light-hearted or serious, keep posts focused on the current topic and of general interest to other participants of that thread. Utilize the private message feature or personal email where appropriate to address side topics or personal issues not related to the topic at large.

4. No advertising in the discussion forums.
Posts in the discussion forums directly or indirectly advertising horses, jobs, items or services for sale or wanted will be removed at the discretion of the moderators. Use of the private messaging feature or email addresses obtained through users’ profiles for unsolicited advertising is not permitted.

Company representatives may participate in discussions and answer questions about their products or services, or suggest their products on recent threads if they fulfill the criteria of a query. False "testimonials" provided by company affiliates posing as general consumers are not appropriate, and self-promotion of sales, ad campaigns, etc. through the discussion forums is not allowed.

Paid advertising is available on our classifieds site and through the purchase of banner ads. The tightly monitored Giveaways forum permits free listings of genuinely free horses and items available or wanted (on a limited basis). Items offered for trade are not allowed.

Advertising Policy Specifics
When in doubt of whether something you want to post constitutes advertising, please contact a moderator privately in advance for further clarification. Refer to the following points for general guidelines:

Horses – Only general discussion about the buying, leasing, selling and pricing of horses is permitted. If the post contains, or links to, the type of specific information typically found in a sales or wanted ad, and it’s related to a horse for sale, regardless of who’s selling it, it doesn’t belong in the discussion forums.

Stallions – Board members may ask for suggestions on breeding stallion recommendations. Stallion owners may reply to such queries by suggesting their own stallions, only if their horse fits the specific criteria of the original poster. Excessive promotion of a stallion by its owner or related parties is not permitted and will be addressed at the discretion of the moderators.

Services – Members may use the forums to ask for general recommendations of trainers, barns, shippers, farriers, etc., and other members may answer those requests by suggesting themselves or their company, if their services fulfill the specific criteria of the original post. Members may not solicit other members for business if it is not in response to a direct, genuine query.

Products – While members may ask for general opinions and suggestions on equipment, trailers, trucks, etc., they may not list the specific attributes for which they are in the market, as such posts serve as wanted ads.

Event Announcements – Members may post one notification of an upcoming event that may be of interest to fellow members, if the original poster does not benefit financially from the event. Such threads may not be “bumped” excessively. Premium members may post their own notices in the Event Announcements forum.

Charities/Rescues – Announcements for charitable or fundraising events can only be made for 501(c)(3) tax-exempt organizations. Special exceptions may be made, at the moderators’ discretion and direction, for board-related events or fundraising activities in extraordinary circumstances.

Occasional posts regarding horses available for adoption through IRS-registered horse rescue or placement programs are permitted in the appropriate forums, but these threads may be limited at the discretion of the moderators. Individuals may not advertise or make announcements for horses in need of rescue, placement or adoption unless the horse is available through a recognized rescue or placement agency or government-run entity or the thread fits the criteria for and is located in the Giveaways forum.

5. Do not post copyrighted photographs unless you have purchased that photo and have permission to do so.

6. Respect other members.
As members are often passionate about their beliefs and intentions can easily be misinterpreted in this type of environment, try to explore or resolve the inevitable disagreements that arise in the course of threads calmly and rationally.

If you see a post that you feel violates the rules of the board, please click the “alert” button (exclamation point inside of a triangle) in the bottom left corner of the post, which will alert ONLY the moderators to the post in question. They will then take whatever action, or no action, as deemed appropriate for the situation at their discretion. Do not air grievances regarding other posters or the moderators in the discussion forums.

Please be advised that adding another user to your “Ignore” list via your User Control Panel can be a useful tactic, which blocks posts and private messages by members whose commentary you’d rather avoid reading.

7. We have the right to reproduce statements made in the forums.
The Chronicle of the Horse may copy, quote, link to or otherwise reproduce posts, or portions of posts, in print or online for advertising or editorial purposes, if attributed to their original authors, and by posting in this forum, you hereby grant to The Chronicle of the Horse a perpetual, non-exclusive license under copyright and other rights, to do so.

8. We reserve the right to enforce and amend the rules.
The moderators may delete, edit, move or close any post or thread at any time, or refrain from doing any of the foregoing, in their discretion, and may suspend or revoke a user’s membership privileges at any time to maintain adherence to the rules and the general spirit of the forum. These rules may be amended at any time to address the current needs of the board.

Please see our full Terms of Service and Privacy Policy for more information.

Thanks for being a part of the COTH forums!

(Revised 1/26/16)
See more
See less

GI Issues...resolved? Update 1st post

Collapse
X
  • Filter
  • Time
  • Show
Clear All
new posts

  • GI Issues...resolved? Update 1st post

    Update: ACTH stim and bile acid test all within norms, albumin back to normal. $1100ish to figure that all out, but oh well. Now I'm trying to switch her back to Acana and get off the ZD. At $55 for 17 pounds at 4 cups a day, it's just crazy expensive. I did decide to keep her on Fortiflora proactively.

    Glad to have some good news.


    First - dog is already getting seen by the vet - I'm looking for any ideas based on experiences, maybe tips on things to ask my vet or look for so that we aren't running every diagnostic under the sun, if possible. Sorry this so long!

    The patient is an 8-year old Chesapeake. She's previously been diagnosed with diabetes insipidus. During all that testing, I'm 98% sure she had an ACTH stim to rule out Cushings. We also found out at the time she only has one kidney (through ultrasound).

    Two weeks ago she started having diarrhea. She has food sensitivities so that isn't completely unusual, though rare when diet is kept restricted. I had given her a pig snout and thought that set her off. Fasting, bland diet, probiotics didn't really help, and then she added vomiting after a few days.

    Vet on Christmas Eve - slightly dehydrated, albumin level very low on bloodwork, good bacteria low on fecal. Unknown why, could be IBS, a bug, heading towards HGE, etc. Because she was bright and happy, vet elected not to hospitalize. Shot for vomiting, put on ZD food, prednisone.

    Today was our bloodwork recheck. Stools are normal, no more vomiting, but albumin still low, though not as bad before. My observation is that she still seems to be doing more lip licking and that deep audible swallow that means an upset stomach, more than normal, but not as much as when really sick. Vet wants to do urinalysis to see if there is any protein in urine.

    Today was the first mention of Addison's. We can't test while on the prednisone though. Does anyone have experience with this? Does my description ring any bells with anyone? Any thoughts or tips?

    I can't really have a dog that has insipidus, one kidney, a heart murmur, a little dysplasia and Addison's right? I already call her a medical marvel!
    Last edited by KTRider; Feb. 6, 2013, 09:02 PM.

  • #2
    As far as I can tell, there are a wide range of possible symptoms to indicate Addison's and it's kind of the last resort before going to pred in our case. Going to test for that here too. My dog has had loose stools for months, had surgery, been on restricted diet, probios, biosponge, yada yada. It's the last thing we're going to look at before we throw our hands up in the air and do the pred.

    So...I FEEL for you but I don't have much INFO for you. Just jingles!

    Here that ACTCH is about 300 bucks. I've not been able to get it scheduled over the holidays but it's on the list.

    Good luck!
    A good horseman doesn't have to tell anyone...the horse already knows.

    Might be a reason, never an excuse...

    Comment


    • #3
      Yep, she will have to come off the prednisone to do the ACTH stimulation test. Often hypoadrenocortisism dogs (addisonian) have small adrenal glands, was that noticed on her ultrasound?

      Certainly could be addisons, as it can present in the same way - but at the same time there are about 100 other things that also present with vomiting/diarrhea as symotoms.

      Easiest way to check it out is ACTH stim and ultrasound. Good luck!!!

      Comment


      • #4
        I would imagine if she's missing a kidney she may very well be missing an adrenal gland, which certainly seems logical to predispose her to Addison's. We recently saw a dog with low albumin and chronic GI issues who was diagnosed with something odd; I'll have to check and see what is was. Is this all being worked up by a regular DVM or do you have a specialist hospital nearby?
        Last edited by SarahKing; Jan. 2, 2013, 10:17 PM. Reason: added info
        Life-long horse lover, dreaming of the day when I have one of my very own.

        Comment

        • Original Poster

          #5
          Urinalysis was normal today. Normal for her anyway, it's always dilute.

          I'm seeing my regular vet, but today was a relief vet. For now the relief vet wants her to finish the prednisone then recheck and maybe do ACTH then. But he wants me to talk to the regular vet next week. He says it could other GI issues but all those tests are much more invasive, so he's thinking better to keep the status quo and rule out Addison's first if necessary rather than go to more invasive testing first.

          Nothing was mentioned about adrenal gland abnormalities when we did her ultrasound, but that's been four or five years.

          She's the best dog ever...I don't want her to have anything else wrong! She's so happy and easy-going you never know she's sick. At least she's also a great patient.

          Comment


          • #6
            OK, the patient I was thinking of was DX'ed with protein losing enteropathy, most likely caused by lymphangectasia. The owner was on a budget, so we did not do intestinal biopsies, but treated it as such and the dog is now doing much better. http://en.wikipedia.org/wiki/Lymphangiectasia
            Life-long horse lover, dreaming of the day when I have one of my very own.

            Comment

            • Original Poster

              #7
              So I checked back in with the vet and per his staff, they want to test her for Cushings and do a bile acid test. Part of this has me curious - the relief vet suggested Addison's, now they say Cushing's, but those are like mirror image conditions. It seems weird to me. And though I'm usually pretty assertive, for some reason I never want to question my vet.

              From all my reading on Cushing's she doesn't have any other symptoms, except the drinking and dilute urine, but she's an insipidus dog so, that's the norm. Cushing's was ruled out before when we got the insipidus diagnosis. And with the single kidney and possibly single adrenal, Addison's seems a better shot.

              But, I'm not a vet. If you were me would you be asking why a Cushing's test instead of Addison's? With a dog like this would you just get a referral to an internal med specialist? I don't want to seem insulting by asking that.

              Of course we have to wait two weeks anyway because she was on prednisone. So I have time to stew...

              Comment


              • #8
                In a nutshell, you test for "both" cushings and addisons with an ACTH stim. They are either:

                hyperadrenocorticism (Cushings), normal, or hypoadrenocorticism (Addisons)

                In the majority of cases,you will get an answer with the ACTH. In some cases (ie.cushings due to adrenal tumor,and not pituitary dependent),or atypical addisons, you may get more normal results and further testing is required. Generally, the baseline test however is the ACTH stim. So when your vet said test for cushings, he may just simply mean the stim.

                Is her albumin still low? Has she had an ultrasound recently? Lymphangectasia and PLE comes to mind with chronic low albumin.

                Also, you wont insult your vet by asking for a referral to an internist. If my dog had any endocrine disease I would want a specialist overseeing it, even if I have the regular blood and checkups through my regular vet.

                Comment

                • Original Poster

                  #9
                  Well that makes more sense, same test for both.

                  We haven't had bloodwork since 1/2 and albumin was better than 12/24 but still low. The other two you mentioned also came up in the rundown of possibilities, but no other symptoms, so I think they wanted to do the ACTH stim first. We are still on the I/D food and all her GI issues are resolved, on the outside anyway.

                  She has not had an ultrasound recently, it's been 4-5 years. The vet who did the ultrasound is the local internal med specialist, so I may try to see him again.

                  I don't know why I worry so much about asking more questions or for referrals. He seems pretty easy-going. Time to be a big girl I guess.

                  Thanks for clarifying!

                  Originally posted by SquishTheBunny View Post
                  In a nutshell, you test for "both" cushings and addisons with an ACTH stim. They are either:

                  hyperadrenocorticism (Cushings), normal, or hypoadrenocorticism (Addisons)

                  In the majority of cases,you will get an answer with the ACTH. In some cases (ie.cushings due to adrenal tumor,and not pituitary dependent),or atypical addisons, you may get more normal results and further testing is required. Generally, the baseline test however is the ACTH stim. So when your vet said test for cushings, he may just simply mean the stim.

                  Is her albumin still low? Has she had an ultrasound recently? Lymphangectasia and PLE comes to mind with chronic low albumin.

                  Also, you wont insult your vet by asking for a referral to an internist. If my dog had any endocrine disease I would want a specialist overseeing it, even if I have the regular blood and checkups through my regular vet.

                  Comment


                  • #10
                    FWIW, we're doing the ACTH tomorrow for my dog. His digestive issues have not resolved. We've done I/D, Z/D, I've had him on Endosorb and that's the best we've done but we still have GI issues, lots of drinking, dilute urine, etc. (not to mention the surgical stuff we did a few months ago)

                    Maybe I'll know more about the whole process after tomorrow and can share with you.

                    All of the bloodwork on our end thus far (for the last 4 mos) has been normal. Ultrasounds normal. Radiographs normal. Biopsies of the intestine normal. I really need to get this under control so the next step is to just treat with prednisone for a bit but I want to do the ACTH first.

                    Good luck. And jingles.
                    A good horseman doesn't have to tell anyone...the horse already knows.

                    Might be a reason, never an excuse...

                    Comment

                    Working...
                    X