Sunday, July 01, 2007

Buzz update

WARNING: descriptions of elimination..........

They "aren't supposed to" get GI upsets from chemo until 3-5 days later. Last week he was throwing up about 16 hours later, so this week I had him on the anti-vomit meds (sucralfate, metoclopamide) pre-emptively.

Yesterday he offered to eat grass every time he was out, so I had to watch him like a hawk to prevent that. In addition, he pooped several times, getting looser and looser. I put him back on the metronidazole and diawin for that, and gave him a tablespoon of canned pumpkin (NOT "pie mix," just plain pumpkin), but still got one liquid deposit at around 1:00 pm.

I called the onc (thank goodness for big outfits like MSU where you can get to a specialist on call, even evenings and weekends!), who said I was doing everything right, and if he continued with the diarrhea and added in vomiting, to take him to our vet.....

It was one of the lucky days -- no more attempts at pooping until this morning (sloppy but not liquid), and NO vomiting at all.

Whew.

He drank and ate ice, and was well-hydrated, and seemed pretty lively, all things considered.

Keep your fingers crossed for us over the next three days as we head into the time when the chemo is "supposed to" make him feel bad............


Two bits of random commentary -- it's a sad sign when you need to type "diarrhea" so many times that you actually learn how to spell it.

And -- I have asked each vet I have talked to in the last three weeks what I should be feeding him to help him get through all this. The response has basically been "Mumble, mumble" (aside from the prescription for I/D he came home with after being hospitalized last week). SO -- yesterday I tell the onc I gave him a tablespoon of pumpkin, and she tells me that was an excellent thing to do; that pumpkin feeds the cells of the gut so they are happier and less likely to be putting out distress signals to his whole body. SO -- WHY???? didn't she suggest to me, when I specifically asked her what to be doing about feeding him, that I give him pumpkin??????????????????????????????????????????

Sigh.

(I knew about pumpkin from the big corgi mailing list, and also people on caninecancer have talked about it.)

4 comments:

Kady Cannon said...

You know, I could swear that people on the list have said "dogs don't have the problem with chemo that people do". That never made sense to me and certainly does not seem to be the case.

Maybe it's because their hair doesn't all fall out and they can't tell anyone that their stomach hurts?

I need orange said...

One reason I've read is that they don't give dogs the same sort of doses they give people. Much more of an all-out attempt to give the harshest strongest stuff, with people.....

I have read that only 3% of dogs get the sort of gut reactions from Vincristine that I have observed....

Anonymous said...

I had also been told canned pumpkin for our dog. Isn't it an odd thing?
When our pup had terrible diarrhea we were also told a small teaspoon of plain non-flavored live culture yogurt.
His 'poopiness' was from spirrochetes (sp) bacteria from the rescue kennel, but I bet yogurt would help "re-populate" the bowel. And ours LOVES it!
All our best to you and your pup.

Leslie (the person) and Deuce (the border collie)

I need orange said...

The oncologist told me that intestinal cells take nearly all of their nutition from the contents of the gut rather than the bloodstream, and that the fiber in pumpkin is very good for them. What I understood her to say was that pumpkin helps them feel comfortable and healthy, so they stop putting out "OH YIKES!" signals to the whole rest of the dog's body.........

She also said that the gut is a "shock organ" in dogs. That any insult to a dog's system can show up in GI symptoms.

Buzz has always been a dog with a touchy gut -- not about "which kind of food" but for random reasons -- if anyone is puking, it's him............. So I suppose it's not really a surprise that he has GI problems with his chemo.

I have been giving him yogurt, too. Home made (from the Whole Earth Catalog recipe! :-) ). Seems like good gut flora have to be a good thing......

Thanks for the suggestion!