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View Full Version : New here, seeking advice on treatment :)



lexiandkiely
05-10-2017, 06:45 AM
Hi all! My name is Lexi, I'm new here. I wish I'd found this forum back when my beloved 11-year-old hound mix, Kiely, was diagnosed with Cushing's! The stuff I've read elsewhere on the internet hasn't been too helpful and led me to think that not treating her Cushing's might be best. Thus far, I have only had her on Proin to manage her incontinence issues. When she was diagnosed, the vet said she could be treated (can't remember if she suggested a particular medication) and monitored with stim tests, but that it might get expensive and may not help that much.

Kiely had pancreatitis when she was 7, which was precipitated by eating a hunk of styrofoam (she's a chowhound and has always eaten things she shouldn't!) and at the time I thought that was the cause. Thinking back, though, I'm pretty sure she already had Cushing's at that point, since pancreatitis kind of goes hand-in-hand with Cushing's. She wasn't officially diagnosed until the fall of 2015, when she was 9, almost 10, after having issues with sleep incontinence that were chalked up to several other causes first--bladder infections and hormonal/thyroid problems. She's had hair loss on her hind legs, tail, and chest since about age 8 or 9 as well, though a lot of her chest and parts of her legs have filled in over the past year. She also has the typical thirst and excessive panting.

The past six or eight months, Kiely has shown increasing weakness in her back legs. She's still very active mentally, but physically she's gone from being able to hike mountainous terrain to becoming tired on much shorter walks around my neighborhood. She shuffles her back feet when she walks, and doesn't seem to put much weight on them. It doesn't seem like she's in pain--just weak. She's also developed a few cysts, and sometimes has blood in her stool. The blood is always very bright red and fresh looking, and usually a bit mucusy--sorry to be gross, lol! I was living in LA when I first noticed the blood in early October last year, and consulted a vet about it. He ran some tests on a stool sample (nothing came up) but didn't seem too concerned about it or the cysts. I haven't had her in to see her old vet now that I've moved back to my home state but I'll be taking her in soon for her annual heartworm test. I trust her old vet more than the one we saw in LA, since Kiely has been seeing the one here (in Wisconsin) since she was 3 months old, but her vet here is also the one who didn't seem too enthused about treating the Cushing's when Kiely was first diagnosed.

I'd love to hear thoughts and opinions from you experienced Cushing's doggy owners on treatment options, prognosis, and on Kiely's symptoms! I so, so appreciate any advice, thoughts, or insight on treatment (should I or shouldn't I?) and what to expect in the coming years. The blood in her stool is the thing that nags at me the most--it just doesn't seem like something that should happen on a regular basis. I guess my biggest question is, what should I ask my vet, since she seemed not so eager to treat? Is treatment a good idea at Kiely's age, or is she too old now and too advanced for it to make much of a difference? Thanks so much for reading :D

Here are a few quick facts about Kiely:
11 years and 6 months old
55 pounds (she's medium sized, healthy weight)
Diet is Iams large breed adult (haven't switched her to senior since she has a fast metabolism and seems to need the calories)
She's had Cushing's since about age 7, possibly earlier.

And a picture of Kiely hiking in Griffith Park in LA last summer, because I'm a proud momma :o
https://scontent-ort2-1.xx.fbcdn.net/v/t1.0-9/12795412_10103191581736678_3390341891496050177_n.j pg?oh=4d685b408bb273997035733e03c1fc67&oe=59747180

Joan2517
05-10-2017, 07:39 AM
Hello and welcome...what a pretty girl Kiely is. If you have any of her blood work that you can post, that would be very helpful to others more knowledgeable than I am. Just the highs and lows, with the reference ranges, please.

My big boy, Gable who is a lab mix, is always eating what he shouldn't and then gets stomach problems...bloody poop, too. Poop is always a lively discussion on the forum! I used to freak out, but have learned not to panic and we make a trip to the vet and get some pills and a shot ( I forget what the pills are since we haven't had to do it in a while).

DoxieMama
05-10-2017, 07:57 AM
Hi Lexi, welcome to you and Kiely! As Joan said, we always like to gather as much information about your pup as we can to be able to see "the big picture" so to speak. You've provided a lot already regarding her symptoms and history, which is great! In addition to the abnormal bloodwork values, if you have copies of any testing done to diagnose Kiely we'd love to know the results of those too.

I'm sure others will stop by to welcome you and may have questions of their own.

I look forward to learning more about your beautiful hound!

Shana

Bluester
05-11-2017, 01:13 AM
Hi Lexi! Welcome to you and Kiely from me too. This group is great and has helped me a lot in the last year. Just wanted to mention my dog, Blue, is 13 so no Kiely is not too old to be treated. The medication will not relieve every single symptom but it helps and it also makes them more comfortable.

Good luck!
Laura

molly muffin
05-11-2017, 09:50 PM
Hello from me too. As Shana mentioned it would be great if you could post any abnormal lab values, like from a cbc, any cushing specific testing etc.

High cortisol can cause a weakening in tendons and ligaments which can affect walking, this seems to really affect the rear legs quite a bit. Whether this would recover on medication is a toss up, some keep better, some don't. Also you have to consider when your dog gets older if they have any arthritis in their joints, as lowering cortisol levels can make arthritic issues more painful.
It's a balancing act.

Usually with cushings we see specific symptoms of drinking tons of water, more than is consider normal for a dog, and urinating frequently. Thinning of hair is common too. Also some labs tend to show a higher value such as liver enzymes.

Could you treat her, absolutely you can. Vetroyl and lysodren are the two most common types of medication and they both require subsequent ACTH test to monitor cortisol levels.

You would also want to have some testing prior to make sure that cushings is in fact diagnosed and what the cortisol levels are before starting treatment.

So a few things to think about in regards to the cushings.

This is a get you started post and we'll go from there.