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Thread: My 13 yr old baby has Cushings

  1. #11
    Join Date
    Mar 2022
    Posts
    8

    Default Re: My 13 yr old baby has Cushings

    Hi Marianne,

    Hope all is well. See below email answer from Dr. Yau. Chi is still having issues eating so I guess we're going to wait to start the trilostane. We have her on a low fat diet. Also, how much should a ACTH cost?

    Thank you so much!



    Dear Elizabeth and Danielle,

    I will recommend low fat diet for Chi at this point. Pancreas does not like fatty food.

    I will not treat her Cushing's until her appetite is back.

    Diet recommendation

    Royal Canin GI low fat
    Hill's i/d low fat
    Purina EN low fat

    Lipase can be elevated from hydration status. It is not a reliable test for pancreatitis.

    Sincerely
    Vivian

    On Wed, Oct 26, 2022 at 12:21 PM Elizabeth Daro <elizabethdaro@eliasentertainment.net> wrote:

    Hi Dr. Yau,

    Hope all is well with you.

    Sorry we missed your call yesterday. I’d like to get your thoughts on Chi starting Trilostane in light of her Spec CPL levels. Also, as I mentioned before, Chi has become a picky eater which is very unusual for her. I’m assuming that’s caused by the pancreatitis. I noticed back in March her Lipase were at 1564 and now they’ve dropped to 342. Has she had pancreatitis since then? Is there anything we can do to help her out? She’s not her old peppy self. ☹

  2. #12
    Join Date
    Apr 2009
    Location
    Georgia
    Posts
    15,292

    Default Re: My 13 yr old baby has Cushings

    As always, thanks so much for this update. I certainly can’t argue with holding off on starting the trilostane until Chi is eating normally once again. Hopefully the low-fat diet and a bit of time will turn things around for her.

    As far as ACTH costs, it’s been years since I personally paid for one, myself. We do have a survey posted here to which members have had the chance to respond over the years. Unfortunately, there have not been many recent responses, and costs are probably higher now than ever before. Historically, it looks as though the average was in the $200-250 range. But as you’ll see, there was also a lot of variation around those numbers. For what it’s worth, here are those historical survey results:

    https://www.k9cushings.com/forum/sho...st-U-S-Dollars

    Marianne

  3. #13
    Join Date
    Mar 2022
    Posts
    8

    Default Re: My 13 yr old baby has Cushings

    Hi Marianne,

    Thank you so much for your response re: ACTH costs.

    I'll keep you posted on Chi's progress.

  4. #14
    Join Date
    Mar 2022
    Posts
    8

    Default My Baby Chi Has to Have Surgery

    My 13-year-old chihuahua (Chi) has Cushing and now has to have another tooth extracted. I’ve read that general anesthesia should not be administered and that Cushing dogs require a different drug administered by a specialist. Has anyone dealt with this issue?

  5. #15
    Join Date
    Apr 2009
    Location
    Georgia
    Posts
    15,292

    Default Re: My Baby Chi Has to Have Surgery

    Elizabeth, welcome back to you and Chi. You’ll see that I’ve merged your new question into Chi’s original thread. This way we can remind ourselves of her past history and also keep any new discussion consolidated in one place. As for your question about general anesthesia for a Cushpup, I’ve personally not heard of a blanket contraindication. However, anesthetic agents can be hard on both the liver and also the kidneys. So any dog who’s suffering from compromised liver or kidney function can be at an increased risk. Since liver abnormalities are often associated with Cushing’s, I’m guessing that’s where the concern may arise, depending on any given dog’s individual situation. In terms of an anesthetic alternative for a tooth extraction, though, I’m afraid I’m unfamiliar with what that may be.

    How’s Chi generally doing these days? Did she ever start taking the trilostane? Once again, we’re glad to have you back, but sorry about the need for the extraction!

    Marianne

  6. #16
    Join Date
    Apr 2009
    Location
    York, PA.
    Posts
    11,037

    Default Re: My 13 yr old baby has Cushings

    When my boy, Harley, had 3 teeth extracted, it was performed at one sitting, and this was when his Cushing's was not controlled, he sailed right through this surgery with flying colors, no complications at all. Harley's vet did state that they would be doing things a bit different with him since the Cushing's was not controlled: like pushing more fluids before, during, and after surgery; using a different kind of anesthetic that's not as hard on a dog with some type of illness, I believe it was Propofol.

    Hugs, Lori

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