My Yorkie has pancreatitis, swollen nodes, discomfort. What to do?

Carpeofen is not recommended with pancreatitis as it can make the condition worse, in some severe cases steroids can be prescribed. i would recommend adding a few medications to what she is getting: Cerenia, Famotidine, Omeprazole. these 3 can help significantly. i would also recommend switching from Amoxicillin to Metronidazole. she of course needs to be on a special prescription low fat diet such as Royal Canin gastrointestinal low fat.

It may be the antibiotic or it could be discomfort associated with the pancreatitis. Report the vomiting to your veterinarian and consider a recheck exam. Your veterinarian may dispense an anti emetic to control vomiting as well as pain management.

It is unlikely that the pancreatitis is caused by antibiotics, but we can give you more specific informations if you tell us the name of the antibiotic. Reglan is a an anti-emetic drug which will prevent any further vomiting episode and possibly promote gastrointestinal (first tract) motility. This is a common medication to give. It would be best to keep him on low fat diet (Chappie would be a good commercial diet for this purpose) for a but longer (at least two weeks after all the signs are resolved). Hope this answer was helpful, but please do not hesitate to contact us again on the forum or by requesting a consultation if you have any more questions or to discuss it any further. Please find the time to give us a feedback about the consultation as that will be used to improve our service.

Thank you for submitting your question regarding Aiko. I recommend having a blood value known as SDMA tested as it is more sensitive in detecting kidney disease that BUN and Creatinine. This value can be combined with a first morning urine sample to check the kidney's concentrating ability. With this information, it can be decided if he has kidney disease and if so, which stage. If his kidneys are functioning well, then I would suggest a prescription low fat diet to be fed to him exclusively to help prevent recurrence of pancreatitis. Royal Canin Veterinary Diets LF or Purina ProPlan Veterinary Diets EN would be appropriate choices. I hope this information helps!

I would expect for your vet to either prescribe or offer injectable antibiotics and anti-nausea medicine for a few days in a row. I love to use cerenia as the anti-nausea medicine as it is also a pain reliever. Your vet may choose this or something else and add in a different pain reliever if necessary. A lot of specialists don't believe antibiotics are necessary, but since a small percentage do get an infection in the pancreas, a lot of vets treat with antibiotics to cover their basis. Also you will want to make sure Coquine is staying hydrated. If he is well enough to be treated at home then your vet may want to have you come in daily for a few days to get some subcutaneous (under the skin) fluids to help keep him hydrated. If he simply has just pancreatitis and no other complicating factors then they usually improve quickly and do really well. I hope this helps!

No, the Metacam would not have been a cause of the pancreatitis; in fact, it can be given as an anti-inflammatory in pancreatitis cases. Multiple factors can contribute to developing pancreatitis, such as diets high in fat, being overweight, metabolic disorders such as high amounts of lipids in the blood, genetics (Yorkies are more prone to it), and hormonal diseases such as Cushing's disease.

I would recommend restarting the omeprazole and taking Quigley back to this vet when they reopen after the holiday. He may need some pain medication, anti-nausea medication, or further hospitalization to help deal with the pancreatitis. It can be hard to get that under control. If he stops eating, it would be wise to take him to the emergency room over the holiday. Best of luck, I hope Quigley is feeling better soon!