brittneylbell
08-28-2016, 12:58 PM
Tinker Bell
11 years old, female, Yorkshire terrier mix
Weight: 7.6-8 lbs
Thank you for allowing us to be a part of this site.
Her CPK number has been trending up since May of this year. Tinker Bell despite lab work has overall been healthy until recently.
Significant History:
May 2014
It was found May 2nd 2014 that her liver enzymes were elevated. Prior to this they were known to be within the normal range. She had an ultrasound and bile acid studies at this time. Both were negative. Since that time we have followed lab work every few months, closely monitoring for changes but labs have been about the same. At this time she was put on Hills L/D and denamarin.
She had lab work done at this time prior to a dental cleaning. We did have her teeth cleaned in August 2014 and she coughed for about 2 months after being intubated for this.
March 2016
In the beginning of March of 2016, it was noticed that she lifted her left front arm when running. She was also collapsing when walking around and losing traction inside on hardwood floors. We took her to see a holistic vet. It was thought that she had a muscle injury. We began physical therapy and laser treatments and she improved greatly. We are still doing daily physical therapy. She now walks about 2 miles per day and swims every evening. She appears to us to be stronger and is now running occasionally during her walk time.
May 2016
May 10th 2016, she became acutely ill with pancreatitis. In the weeks leading up to this, her appetite slowed. We consulted a nutritionist who formulated a diet with low fat and low protein, she ate this specific diet for one day before becoming very ill. She received 3 days of IV antibiotics and was sent home on 10 days of oral metronidazole.
August 2016
Her appetite again has slowed. Friday evening, August 5th she pooped. The poop was a normal color and consistency, but we noticed a few tiny bright red blood specks around her tail area afterward. We took her to the vet the next morning, Saturday August 6th and she was put on another 10 day course of metronidazole to treat possible colitis which she is currently on now. She has had no further abnormal poops. The doctor also noted that her anal glands were full and expressed those.
Monday August 8th she did not eat (she later decided to eat when we got back home), so we called and took her in to be seen. Lab work was rechecked at this time. We had planned to check labs in 2-3 weeks anyhow but would not have taken her in had she eaten breakfast. I received the results Tuesday August 9th, her CPK is trending upward to 3200. We are really surprised that this is the case based on what we are seeing during her physical therapy and her increasing tolerance for exercise.
Thursday August 11th- she was seen by internal medicine and Neurology at the university vet hospital. She tested negative for Protozoa, myasthenia gravis, masticatory myositis, received X-rays and another ultrasound. The only new finding was sludging in the gallbladder and she was started on a month of clindamycin. The decision was made to retest labs and check a few other things.
Wednesday August 25th- we rechecked a chemistry at the university and her CPK was 2300. ANA was negative, urine myoglobin was negative. No diagnosis. Neurology and internal medicine told us that she was a mystery.
Food:
As of May 2016 Royal canin low fat GI dry, Hill's i/d low fat canned (just picked this up to try on 8/9/16)
We have to heat, fan, dry, wet, play games, and guess what texture she wants each meal.
From May 2014 - May 2016, she was eating Hills L/D dry. She was never a picky eater until she started on this diet.
December 2012-May 2014- she was eating purina pro plan
Prior to this she was eating nutro lamb and rice and she was a good eater.
Medications: VSL #3- 1/2 capsule daily, denamarin tablet once daily, clindamycin for one month
Activity/Mobility: She walks 1 mile in the AM, 1 mile PM. She swims in the tub most evenings. We allow her to walk up the stairs. She does not struggle with activities. She does have some frontal (and overall) muscle atrophy. Her back legs bow in, her front legs angle out. This is not new for her. She does occasionally do what we call "peg-leg" her left front leg when walking. She walks strong, does not fall, does not collapse now (see below under March 2016).
During the day while we are working, she mostly sleeps. We watch her on a camera.
11 years old, female, Yorkshire terrier mix
Weight: 7.6-8 lbs
Thank you for allowing us to be a part of this site.
Her CPK number has been trending up since May of this year. Tinker Bell despite lab work has overall been healthy until recently.
Significant History:
May 2014
It was found May 2nd 2014 that her liver enzymes were elevated. Prior to this they were known to be within the normal range. She had an ultrasound and bile acid studies at this time. Both were negative. Since that time we have followed lab work every few months, closely monitoring for changes but labs have been about the same. At this time she was put on Hills L/D and denamarin.
She had lab work done at this time prior to a dental cleaning. We did have her teeth cleaned in August 2014 and she coughed for about 2 months after being intubated for this.
March 2016
In the beginning of March of 2016, it was noticed that she lifted her left front arm when running. She was also collapsing when walking around and losing traction inside on hardwood floors. We took her to see a holistic vet. It was thought that she had a muscle injury. We began physical therapy and laser treatments and she improved greatly. We are still doing daily physical therapy. She now walks about 2 miles per day and swims every evening. She appears to us to be stronger and is now running occasionally during her walk time.
May 2016
May 10th 2016, she became acutely ill with pancreatitis. In the weeks leading up to this, her appetite slowed. We consulted a nutritionist who formulated a diet with low fat and low protein, she ate this specific diet for one day before becoming very ill. She received 3 days of IV antibiotics and was sent home on 10 days of oral metronidazole.
August 2016
Her appetite again has slowed. Friday evening, August 5th she pooped. The poop was a normal color and consistency, but we noticed a few tiny bright red blood specks around her tail area afterward. We took her to the vet the next morning, Saturday August 6th and she was put on another 10 day course of metronidazole to treat possible colitis which she is currently on now. She has had no further abnormal poops. The doctor also noted that her anal glands were full and expressed those.
Monday August 8th she did not eat (she later decided to eat when we got back home), so we called and took her in to be seen. Lab work was rechecked at this time. We had planned to check labs in 2-3 weeks anyhow but would not have taken her in had she eaten breakfast. I received the results Tuesday August 9th, her CPK is trending upward to 3200. We are really surprised that this is the case based on what we are seeing during her physical therapy and her increasing tolerance for exercise.
Thursday August 11th- she was seen by internal medicine and Neurology at the university vet hospital. She tested negative for Protozoa, myasthenia gravis, masticatory myositis, received X-rays and another ultrasound. The only new finding was sludging in the gallbladder and she was started on a month of clindamycin. The decision was made to retest labs and check a few other things.
Wednesday August 25th- we rechecked a chemistry at the university and her CPK was 2300. ANA was negative, urine myoglobin was negative. No diagnosis. Neurology and internal medicine told us that she was a mystery.
Food:
As of May 2016 Royal canin low fat GI dry, Hill's i/d low fat canned (just picked this up to try on 8/9/16)
We have to heat, fan, dry, wet, play games, and guess what texture she wants each meal.
From May 2014 - May 2016, she was eating Hills L/D dry. She was never a picky eater until she started on this diet.
December 2012-May 2014- she was eating purina pro plan
Prior to this she was eating nutro lamb and rice and she was a good eater.
Medications: VSL #3- 1/2 capsule daily, denamarin tablet once daily, clindamycin for one month
Activity/Mobility: She walks 1 mile in the AM, 1 mile PM. She swims in the tub most evenings. We allow her to walk up the stairs. She does not struggle with activities. She does have some frontal (and overall) muscle atrophy. Her back legs bow in, her front legs angle out. This is not new for her. She does occasionally do what we call "peg-leg" her left front leg when walking. She walks strong, does not fall, does not collapse now (see below under March 2016).
During the day while we are working, she mostly sleeps. We watch her on a camera.