Pancreatitis
Signs of a pancreatitis attack include loss of appetite, excessive salivation, vomiting, diarrhea, depression, and marked pain in the abdominal region on the right side just behind the ribcage. Dogs so afflicted will sometimes assume a “praying” posture, with the front legs bent and the hind end stuck up in the air, in an attempt to alleviate some of the pain.
With severe involvement, shock and death can result if the pain and inflammation are not relieved promptly. Diabetes mellitus can also be an unfortunate consequence with repeated bouts of pancreatitis as digestive enzymes destroy the insulin-producing cells within the pancreas. Because of the similarity of the clinical signs, acute bouts of pancreatitis must be differentiated from other gastrointestinal disorders such as foreign bodies and intestinal obstructions.
Dogs and cats suffering from mild flare-ups of pancreatitis will often recover spontaneously when food and water is withheld. In fact, this is one method of diagnosing this condition. Measuring the blood levels of the pancreatic enzymes amylase and lipase can also be a helpful diagnostic tool, since both tend to be elevated during an acute attack. Radiographs are useful for ruling out other potential causes of the clinical signs, such as intestinal obstructions. When treating pancreatitis, it is imperative that all food, water, and even oral medica ion be discontinued for a period of 48 to 72 hours. This will help lower the amounts of digestive enzymes being produced by the pancreas. Intravenous fluids are required to prevent dehydration during this time of fasting.
Pain relievers and medications designed to reduce pancreatic secretions are very important to prevent secondary complications from arising. Since the gastrointestinal tract is involved, antibiotics are indicated as well to prevent secondary bacterial infections. Pancreatitis is usually a recurring problem that can never be eliminated completely. However, there are certain measures owners can institute at home to protect pets from acute flare-ups and the health problems associated with them.
Dogs and cats with a history of this disorder should be fed low calorie, easily digestible diets that don’t require much pancreatic effort for their breakdown within the intestines. Such a diet, or a recipe for its formulation, is available from veterinarians. All table scraps should cease; even sneaking a small treat from the table could result in a life threatening pancreatitis attack.
Increasing exercise levels and promoting weight loss will also serve protective functions against recurrence of this disorder.
1 comments:
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Hi,
Took Onglyza off and on for a year. I have an enlarged adrenal gland. Still I await the outcome of that CT, but I know that much. Will find out more.
I had the CT because of chronic pancreatic pain that started out as "attacks" from a couple of times a month to finally after 3 months of use without interruption, "attacks" 2-3 times a week. My PA put Onglyza on my allergies list.
In the meantime, I lost almost 50 lbs in 5 months due to illness. Loss of appetite, pancreatic pain, chronic diarrhea, then eventually, inability to move my bowels. Severe back pain from the pancreas, and severe chest pain sent me to the ER where I was worked up for cardiac pain. I was cardiac cleared, but told my amylase was very low.
Still seeking a diagnosis, but I lay the blame squarely on Onglyza. I'd had pancreatic issues in the past, and argued with the PA that prescribed it, she was calling me non-compliant, and I feared repercussion from my insurance company.
I even took an article about the dangers of Onglyza, particularly in patients with a history, and she made me feel foolish.
I wish I had listened to my instincts, I fear not only damage to my pancreas that is irreversible, but also severe damage to my left kidney, though I have bilateral kidney pain.
I was off all diabetes meds, and control sugars strictly low to no carb. I can barely eat anymore, I have severe anorexia.
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I have been off Onglyza now, for 7 months, and simply 100% improvement with the help of Dr Itua. I had none of these issues except a history of pancreatitis in my distant past.
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