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Caring for a Three Legged Dog or Cat

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Member Since:
12 November 2008
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12 November 2008 - 12:02 pm
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Hello, all. This is our first post, but we're looking for help, suggestions, any ideas. Bear is my almost 6 yr old Rott/Shepherd mix. He had his rear left leg amputated on Friday, 11-7 because of osteosarcoma. And his first chemo that same day. He was really up when we brought him home on Sunday, but starting mid-Monday, he stopped eating. And he started throwing up, even with nothing in his stomach. Just liquid, but still. The really bad part about his not eating is that he isn't getting his pain meds. We took him to our local vet (we had the surgery done at Kansas State Univ Vet Clinic, about an hour away) and he gave him Serinia for nausea and Buprenorphine for pain. But that's been almost 22 hrs ago. He's still hasn't taken a bite of anything and we've tried almost every food we can think of. I know it's just the chemo kicking in, but has anyone else had the awful vomiting thing happen? Do we just have to wait it out? Any suggestions on feeding? He just has absolutely no interest in any food at all. I'm just looking for a way to get his pain meds in. Thanks for any suggestions!

Member Since:
29 October 2008
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12 November 2008 - 12:37 pm
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That's tough.  Chances are, however, that he can handle going for a bit without it better than it seems he should be able to.  Have you tried tempting Bear with cat food?  Lunch meat?  Sometimes that can work.  Peanut butter?  I would just start trying one thing after another a little at a time.  High protien to help him keep his strength.   

It's hard to watch them hurting.  Hang in there.

Maria and Buddy.

Metro Kansas City
Member Since:
23 October 2008
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12 November 2008 - 1:04 pm
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Hi Sarah....

My best friend is a vet who had quite a few eating issues when her greyhound had his amputation. They way she explained it to me is that the surgery slows down the gut & there was a medication that she gave him to stimulate his gut & he began to eat again. It is an injectable & maybe Dr. Pam here knows what it is. I believe it starts with an "m". Has he had a poop since you got him home?

My only other suggestion is to try to get a pepsid or tagamet in him and then offer him food a half hour to 45 minutes later. If there is acids in his stomach making him not want to eat, that should help.

I'm here in Kansas also, Olathe.

Janie & Calamity

Janie & Calamity http://www.trix.....gspot.com/

On The Road


Member Since:
24 September 2009
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12 November 2008 - 1:06 pm
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Hi Sara,

Thanks for joining the discussion and our community here at Tripawds. We're so sorry to hear about Bear, and hope we can be of some help here. 

Maria and Buddy have great suggestions. Cat food especially is a great way to get dogs to eat when they don't feel like it. Anything out of the ordinary.

Bear has been through a lot these last few days. And as long as you're in communication with your vet, things should be OK. We know it's really hard to know he's not getting the pain meds in, but remember that humans tend to compare our own pain tolerance level experiences to that of dogs'. However, keep in mind that dogs have a much, much higher tolerance to pain. He may be OK right now even if he's not keeping the meds down. 

We are so sorry though that he's throwing up, and hope the symptoms pass soon. You'll want to keep him hydrated. Put some chicken broth in his water, or Gatorade, that will help.

Good luck, please keep us posted.

 

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet


Member Since:
22 August 2008
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12 November 2008 - 4:00 pm
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Did your vet give you any Cerenia to give at home?  It comes in an injectable that lasts for 24 hours and also as a 4-pill pack for home use.  This is the best anti-nausea drug out there right now.  An older drug is called metoclopramide (Reglan) and this has some anti-nausea properties as well as gut-stimulating ability.  I like using sucralfate (Carafate) to help with nausea and pepcid is a good antacid. I would ask your vet if any of these drugs are options for Bear.  A lot of times chemo plus surgery at the same time can really make them sick, so hopefully this won't happen after the next chemo.  Are they using carboplatin?

A dog can go 4 or 5 days without eating but fluids are important to take daily.  Make sure that he isn't getting dehydrated!

Pam and Tazzie

Member Since:
1 November 2008
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12 November 2008 - 4:21 pm
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Hi Sarah,

Tanner had some issues with not eating although he was just post-amp, we are not going thru chemo.  Tanner loves ground meat (boiled) with rice.  Sometimes we mix it with his dry food, sometimes we dont.  Sometimes we will make gravy and put it over his dry food; he loves that as well.  I think the key is small frequent meals with something he really LOVES.  But water is very important as Im sure you know.  We also give Tanner a Pepcid once a day.

Good luck to you and Bear.  You will find this site very very helpful, in many different ways. 

Amy and Tanner

On The Road


Member Since:
24 September 2009
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12 November 2008 - 4:30 pm
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I started eating again once I changed my meds ans went on Carafate. We've heard that chicken or beef boullion might help Bear drink water. He might even like it frozen.

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet


Member Since:
12 November 2008
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12 November 2008 - 8:02 pm
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Thanks for all the great feedback! I've been reading a lot of the posts here since Bear's diagnosis and I knew this would be a great source of info. Unfortunately, we just got back from KState Vet clinic again. They wanted to see Bear and it turns out he is already pretty dehydrated. They are going to keep him in ICU overnight to rehydrate him. They did a cbc panel and see good news there. His white blood cell count is really good. His red blood cell count is kinda low though, so they want to watch him close to make sure the fluids don't make that worse. They really aren't sure why he's vomiting yet, but they did start him on Carafate to coat his esophagus and stomach to help make what comes up less acidic. And another round of Cerenia. I am going to ask if they can send something home with us after the next round of chemo, so if this starts again, we can jump right on it. And yes, the chemo drug they are using is Carboplatin, which I understand is easier for the dogs to tolerate. So hopefully, it is just that in combo with the surgery and it'll get easier. Thanks again for all your help and good wishes. I'll post again to let everyone know how this turns out. I send good thoughts and prayers to all the other tripawd parents. We know the surgery was the right thing to do and look forward to getting past these first few weeks and having Bear feeling better.

Member Since:
9 October 2008
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12 November 2008 - 10:02 pm
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Hi Sarah,

Glad to hear that Bear is getting fluids and that his white blood cell count is good.  Jake's red blood cell count was extremely low 3 days after his amp surgery because he wasn't clotting like he should and was losing a lot of blood.  The doc gave him some vitamin K and that seemed to help and he turned a corner and is doing really well now (almost a month after amp surgery).  He didn't receive chemo and amp surgery at the same time.  However, he did start vomiting because of his meds about 10 days after his surgery... look back to Oct. 26th "Jake vomiting" thread because there was a lot of excellent advice from fellow pawrents who went through similar experiences with their own tripawds. 

Also, Jake just started his chemo last Friday and I had a heck of time getting him interested in his food again.  He was really doing well after the vomiting episode... eating like a horse and then the chemo just took his appetite completely away for about 2 days straight.  He drank water but that's about it.  My doc is giving him Cisplatin chemo and he received the Metoclopramide pills for nausea but I only gave that to Jake for the first couple of days after chemo.  Now (5 days after chemo) he is still a little picky but he is eating.  I have been making him boiled chicken and rice or Innova kibble with chicken broth (low sodium kind).  In the past week, he won't eat his wet food (Evo) with his kibble so I have stuck with the boiled chicken and he has been eating well again.          

Please keep us posted on Bear's recovery and we'll certainly be sending you pawsitive thoughts and hugs in the meantime.Smile

Luv Spirit Jake, Smooch, Baby Gus & Mom (Sherri)

On The Road


Member Since:
24 September 2009
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13 November 2008 - 12:57 am
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Hey Sarah,

Sounds like K State is on top of it. He's definitely in good hands.

You have a great attitude about all of this, keep it up! Everything will work out. Just a couple of hurdles. Hang in there.

 

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

Metro Kansas City
Member Since:
23 October 2008
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13 November 2008 - 2:33 am
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KState is wonderful!!! They cared for my greyhound Sonny, who had an undifferentiated sarcoma tumor in his penile bone. They were the most caring, loving doctors we have ever had!!!

They are always on top of everything!!!

Janie & Calamity

Janie & Calamity http://www.trix.....gspot.com/


Member Since:
12 November 2008
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13 November 2008 - 3:19 pm
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Thanks for the reassurance about KState. We do like the care they've given Bear. But we had bad news this morning. He is still throwing up, although they are saying it's not vomiting, it's regurgitation. He did do real vomiting starting Monday, but once all stomach contents were gone that night, he started and has continued to just opening his mouth and brownish bile flies out. (sorry to be gross). We left him at KState yesterday about 4 and they started all the meds. As of mid-morning today, there has been no improvement and they said he is even more depressed that when we left. When we took him in, he was down to just lying out on the floor and not moving. He had to forcibly be made to stand and go with the dr. So they want to keep him a couple more days and there's talk of an endoscopy or florouscopy, I don't remember which and I probably didn't spell either one right. They are attributing the regurgitation to something with his esophagus. Although the chest xray they did showed that it was the right size, so it's not Megaesophagus. It also showed no sign of pneumonia, so that's good. Still they can't get him to stop and he is just getting weaker and more down. Does anyone have any experience/suggestions here or any ideas for other places I can do research or ask questions? I googled 'regurgitation in dogs' and got a lot of the same info in different places. But they all say Megaesophagus, which they pretty much ruled out, or suggestions for Cerenia and Carafate, both of which aren't doing anything so far. We are getting pretty down ourselves, just to see him so unhappy and not being able to do anything for him.

On The Road


Member Since:
24 September 2009
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13 November 2008 - 8:08 pm
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Oh Sarah, we are so sorry to hear this. We wish we could offer some wisdom or knowledge or something about this situation, but we haven't had any experience with it. All we can give you is our love, support and healing thoughts. Please know we are thinking of you and hope that Bear's condition improves soon.

Be strong, and try not to "what if" too much. I know it's hard, but hang in there OK?

Your friends,

Rene, Jim & Spirit Dog Jerry

 

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet


Member Since:
22 August 2008
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13 November 2008 - 9:25 pm
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I am very sorry to hear about Bear.  Regurgitation is not a good thing, because everytime it happens the esophagus gets a little bit more damaged.  Did he have this problem prior to surgery?  Sometimes dogs with thyroid disease can have slow GI motility so you can see constipation or esophageal reflux.

Amputation in a large or giant dog can take a long time, so some dogs will reflux stomach acid from their stomach and into the esophagus and out the nose.  This happened to my dog Tazzie since her surgery took 3 1/2 hours.  Luckily the surgeon noted it before the endotracheal tube was removed so we flushed her nose and esophagus before she woke up and started IV pepcid, metoclopramide, and oral Carafate.  We did that for 7 days and luckily there was no permanent damage. Since Bear had his surgery at KSU I'm sure that all precautions were taken, but it doesn't hurt to ask if he might have refluxed during the surgery.

I am not a big fan of chemo the same day as major surgery, but I know this is done sometimes at the universities out of necessity, since some people have to travel long distances so they combine the oncology and surgery appointments into 1 trip.  Many dogs do fine with this, but some have a hard time trying to recover when their immune system has been hit hard by the chemo.

I know that Bear is getting the best care possible at the vet school.  The esophagus can heal but it just takes time.  They might need to place a feeding tube to bypass the esophagus so that a stricture (narrowing) won't form.  A stricture can cause permanent regurgitation problems, so expect aggressive care that will include IV fluids, meds, and possibly parenteral  nutrition (all nutrients through the IV).

We all wish Bear the best!  Please keep us updated.

Pam and Tazzie

Metro Kansas City
Member Since:
23 October 2008
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13 November 2008 - 10:16 pm
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Sarah,

Calamity & I are saying lots of prayers for Bear's speedy recovery.

I think all Dr. Pam has said makes a ton of sense & you should ask your vets about all of those items. Remember, YOU are the best advocate for your pet.

Please keep us informed and hang in there.

Janie & Calamity

Janie & Calamity http://www.trix.....gspot.com/

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