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Max--Vomiting, Lethargy, Discomfort, Fever
Max has a new problem:
Max is our 5.5 yr old, neutered Havanese with a history of acute gastritis. Max is fed four times daily for otherwise he vomits. Max has had calcium oxalate uroliths removed about 9 months ago and now exclusively eats Hills Canine U/D, plus rice cakes as treats. Max has had a history of "attacks" that occur about every 30 days. Four attacks so far. He vomits, refuses food (but not water), and then either becomes lethargic or moves from position to position. He often also develops a fever. The attack two days ago went as follows: 1. He vomited at about 5:30 AM with nothing much in the vomit. 2. At about 9 AM I fed him a little rice + ground chicken and he vomited this. 3. By 8 PM his temp was 102.5. 4. By 10 PM he was hot to the touch, panting, and moving from one position to another. He remained in a given position for only a few minutes. 5. By 3 PM the fever broke and he was resting comfortably. 6. The following day he was returning to his normal behavior. 7. Two days, post attack, he is normal though he has loose, orange stool. This has cleared up with time. AFTER these attacks we have brought Max to the vet. An x-ray revealed nothing. A month ago, a sonogram was conducted and his blood was tested for one of the pancreatic enzymes (perhaps amalayse). The enzyme test was negative. On reading the sonograms, a veterinary radiologist was not concerned about the sludge in Max's gall bladder but was concerned that the pancreas had a "hot spot" and that the walls of Max's stomach were thickened. The radiologist recommended biopsies of the stomach wall and pancreas. One month ago, when the sonogram was taken my vet was reluctant to perform the biopsies. He recommended putting Max on Pepcid AC daily. So that is what we did. About 2.5 gm every 8 hrs. Despite the Pepcid AC Max had an attack two days ago. Now my vet is suggesting exploratory surgery. I've contacted Max's breeder for his parents produced about a dozen puppies. The breeder is not aware of such a problem with the other offspring. My wife is reluctant to have the exploratory surgery performed. I guess she wants to wait and see if Max has another attack. (I feel so sorry for Max as he endures these attacks.) Another approach is to bring Max in for a sonogram and additional diagnostic work WHEN HE IS ACCUTE. I talked to the local emergency veterinary clinic and a doctor said that this is possible and it would be desirable for the clinic to have Max's records so that the clinic does not repeat tests. My own thought, if my wife would agree, is to have exploratory surgery about two weeks after an attack. Any other options or thoughts? Thanks, --Marshall |
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