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Hi Joan, sorry I missed seeing your reply earlier. Yes, since you dropped clear down from 3.5 thyroid pills daily to just one, I think it’s likely that Gable has now reverted back to being hypothyroid again. I guess if it was me, I’d add in the second pill as was suggested by the internist, see if that improves things, and hold off on retesting the chem panel for a little while in order to get a more accurate assessment of that level of thyroid supplementation.
Lol! That's just what I started today, Marianne. I'll wait and watch for the next couple of weeks, then retest the Thyroid levels. He's still drinking a lot, but slept until 6:30 this morning, left some kibble in the dishes for the rest of them for a change. His fur is still magnificent! Even my husband said it last night while he was petting him. All those hot spots we used to see on his belly will be hard to find now, there's so much fur!
I just love him.
Well it's been 6 days since I started giving him the second dose of soloxine. Yesterday morning he didn't really eat much. There was still food left in the dish when I got home from work, which is very unusual. He didn't eat anything for dinner...I put the soloxine in the wet food I give the girls. About a half hour later I noticed he didn't seem right. Kept stretching out his back legs almost like planking. He does that when he has a stomach ache. Didn't eat at all.
He started throwing up around 11:30 and continued to every couple of hours until about 4:45 this morning. He kept drinking and then by 4:30 it was almost all water coming out. I stayed home and have been watching him. He ate some this morning, hasn't thrown up anymore, and seems fine. I don't know if he ate something in the backyard that disagreed with him or what. I haven't been out in the back yet, but I don't think he has diarrhea or he certainly would've done it during the night.
No meds this morning. Still trying to decide if I should take him to the vet.
Oh my, Joan, sorry to hear that Gable isn't feeling well. I wonder if it's pancreatitis? Hope he is feeling better soon.
Aww gosh, Joan, I’m sorry, too. Hopefully he’s staying settled down this afternoon. Often it’s just so hard to know what’s going on. Luna has thrown up a couple times this week and had some diarrhea, but basically seems fine again today. She is such a scrounger whenever she’s outside — rabbit poop in the yard, goose poop at the lake, heaven-only-knows what else ends up in her mouth :-(((. At least I don’t have Cushing’s or medication to worry about with her, but I still never know what has set her off, and I still always worry, regardless. Sometimes I feel like I just need to muzzle her whenever she’s outside, but of course I’m not going to do that and we just end up paying the price for whatever tidbit she may have found on the “buffet” that day...
Yea, he likes to eat the dried leaves, but if he's outside he'll drink from whatever is holding water too. And our fish ponds are filthy! Lena was the one who would eat anything, and roll in it. I can't tell you how many times she would come back from roaming all green from the goose poop. I loved her to pieces, but she could be really disgusting sometimes!
But I think it was probably the steak and sweet potatoes I let them have the other night. I did see the potatoes in the diarrhea I found when I went out before. My husband seasons the steaks and even though we cut off the tops and bottoms so they could just have the inside, you never know if the seasoning got through. Plus the potatoes had butter on them. Maybe too much for his stomach. He's been eating a little at a time today, and no vomiting. I'm glad I didn't make a run to the ER during the night, which is what I was afraid I might have to do.
No meds this morning and I won't give him the soloxine tonight, and maybe nothing tomorrow until I'm sure he's over it.
Okay, I am officially in panic mode right now. We did the ACTH and Thyroid test on Saturday.
Results on Thyroid: 2.3 ref range 2.5 - 6.0
I started giving him the two pills instead of one a couple of weeks ago, so that could explain the LOW
But the ACTH test:
Sample 1 is 0.5 (LOW) ref range 1.0 - 5.0
Sample 2 is 3.5 (LOW) ref range 8.0 - 17.0
Feb. 6 was:
Sample 1 was 4.2 ref range 1.0-5.0
Sample 2 was 4.6 (LOW) ref range 8.0 - 17.0
How could this be? He's only on 10mg per day. He's drinking and panting like he was before we started.
Could that very small range in Thyroid level be doing this?
My vet has left a message for a specialist at the ER where Lena died. :(
Hey Joan, we do have some question marks here, but I’m gonna try to talk you down from panic mode. I’ve included above Gable’s interim ACTH results from March. They were subsequent to restarting the 10 mg. of Vetoryl, and already reflected a decline from those earlier February numbers. Today’s new numbers come about three weeks later still, and at 3.5, his post-ACTH is actually a little higher than it was back in March. It’s right within the desired therapeutic target range. Today’s resting cortisol is indeed low at 0.5, and I genuinely don’t know how much significance to attach to that. I’ll be interested to hear what the specialist recommends. But with a post-ACTH of 3.5, I don’t think Gable is dangerously Addisonian.Quote:
Originally Posted by Joan2517
His thyroid reading is still low. So it looks as though too big a decrease may have been made in his thyroid meds, going down from 3.5 pills daily to first only 1, and now 2. I don’t know whether two weeks on the new dose has actually been long enough to accurately judge the result. Again, I’ll be interested in what the specialist has to say. It looks as though some more dosing adjustments may be necessary on both fronts, but I don’t think you’re in a crisis situation. I think you can go ahead and breathe...
Oh, March...I forgot to get them to send me that one...I thought I remembered something different. Okay, so maybe it's not as bad as I thought. But every time I hear him panting and drinking, drinking, drinking it hurts me. I'll wait to hear back from the vet. My vet said the same thing about the post reading. Thanks, Marianne.
I agree with Marianne, Gable's post is considered a good response. I wonder if his panting is due to his weight gain? You're doing a wonderful job, Joan!!
(((Hugs)))