Pancreatitis

Dr. Marie replied:

Oh, the poor little girl! It sounds like she really isn't feeling well.

I have had a few frustrating cases like this where we really couldn't find out why the dog was so sick.

By far the best treatment for pancreatitis is intravenous fluids (which of course have to be given in the hospital) along with injections of medications to help with vomiting and with abdominal pain. But, if you are in a situation where you don't have access to veterinary care over the weekend then it sounds like your vet is doing the next best thing by sending her home with medications.

Legally, I can't advise you on which medications to give. But, I'll give you my thoughts on Little White Dog's situation. Of the medications that you mentioned, the most important is the cerenia. This is a really good anti-vomiting medication. If we can get her to take this, then this would be really good.

The EndoSorb is not something I usually use. I looked it up and it appears to be a supplement to help the intestines not absorb anything toxic. This sounds like a medication that could be helpful, but if she is having problems with taking it then it is likely ok to wait until Monday before giving her more.

If your vet is thinking this is pancreatitis you could talk to them about prescribing something to take to help with abdominal pain. Unfortunately there is nothing over the counter that I can recommend. There really isn't a medication that is specific for treatment of pancreatitis. The treatment is to:

• Stop the vomiting. (This is what the cerenia is for)


• Keep her hydrated. (The electrolyte solution and water will help somewhat, but fluids given intravenously at the hospital are better.)
  
• Help stop any abdominal pain. (The cerenia may help a little bit with this).

Regarding the electrolyte solution, if she drinks some on her own, this is great. But, if she is vomiting it up then it may be doing more harm than good.

One thing that I find sometimes works is to make icecubes out of either electrolyte solution or water and let the dog eat these. Sometimes they can keep these down better. Another tip is to give the cerenia and then wait at least 30 minutes before you offer anything else. This way the cerenia will have time to start working and hopefully stop her from vomiting.

I really hope she is feeling better soon!

Dr. Marie.


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