Thoughts on this chronic enteropathy case?

RE: Thoughts on this chronic enteropathy case?

Alasdair Hotston Moore — Sun, 15 Dec 2024 10:54:25 GMT

Unhelpfully put

[quote userid="3169" url="~/f/clinical-questions/31093/thoughts-on-this-chronic-enteropathy-case/246206#246206"]Gosh, what a lot of money you've spent to trial the dog on some steroids [/quote]

RE: Thoughts on this chronic enteropathy case?

Sarah Keir — Fri, 13 Dec 2024 17:38:48 GMT

[quote userid="28342" url="~/f/clinical-questions/31093/thoughts-on-this-chronic-enteropathy-case/246207#246207"]a second US scan and if the inflammation is mostly resolved[/quote]

No, don't do this. We know that actually the gross (and therefore ultrasound viewable) and microscopic (biopsy) changes associated with a chronic enteropathy do no improve even when clinical signs are well managed.

RE: Thoughts on this chronic enteropathy case?

Clive Ansell — Thu, 12 Dec 2024 17:30:08 GMT

Prednisolone is the way to go.

Did the CT scan include his teeth? The reason I ask is that I have seen a few CT reports now, where dental disease including tooth root abscessation has been noted as an incidental finding. One case was a Greyhound that had an aggressive tumour in a sinus, that also had 4 abscessated teeth

RE: Thoughts on this chronic enteropathy case?

janine redman — Wed, 11 Dec 2024 21:19:07 GMT

Could the owner video the behaviour so we can look at what the dog is doing ? It sounds as if it could be a stressy GSD .
how well does the gabapentin work ?

RE: Thoughts on this chronic enteropathy case?

Arlo Guthrie — Wed, 11 Dec 2024 08:09:33 GMT

Gosh, a couple of new posters in the same thread. Welcome Alice Keddy and Yunus Emre Karaman. Bit of a coincidence, Alice, I spent the last couple of nights up the road in Chalfont St Peter. My daughter has an epilepsy syndrome, and there's a big centre there.

RE: Thoughts on this chronic enteropathy case?

Yunus Emre Karaman — Tue, 10 Dec 2024 23:45:42 GMT

Hi. Have you considered cracked tooth syndrome or enamel hypoplasia? Maybe the symptoms were triggered in summer because we tend to give cooler water then.
Can the owner think of any other changes in his behaviour or movements in general? (To rule out more systemic issues)
Also, if symptoms are resolved with soaked HA, I'd go for a second US scan and if the inflammation is mostly resolved taper the steroids off as it may not be a long term necessity in his case. I believe the inflammatory findings were a coincidental one and Atticus wasn't showing symptoms of it from what I understood - not yet at least. (Also the fact that he was doing OK on an NSAID makes it less likely to be the main issue, not a total rule out but I usually expect more sensitivity to NSAIDs in dogs with chronic enteropathy especially during a flare up.)

RE: Thoughts on this chronic enteropathy case?

Michael Woodhouse — Tue, 10 Dec 2024 23:38:54 GMT

Gosh, what a lot of money you've spent to trial the dog on some steroids

You say

[quote userid="30031" url="~/f/clinical-questions/31093/thoughts-on-this-chronic-enteropathy-case"]he has been taking the pred and eating soaked HA, with symptoms resolved. However as soon as any hard food is fed (HA only), the whining and crying when eating returns [/quote]

Do you have any reason whatsoever why this dog can't remain on soft food? Have you tried soft/wet food only and no pred? I see no need for hard food if it causes problems.

Maybe I'm lazy, but sometimes the simplest answer is the easiest.

(You also mention both prednisone and prednisolone, assume the latter?)