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Messages - hawkeye

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I very sorry to hear about Inca's condition.  I have a 7 year old cairn terrier that suffers from PSS liver shunt as well, although he is not suffering from many of the symptoms at this time.  We have worked with a team of veterinarians to stabilize his condition.  (I am from the U.S.A. so am not sure what medications and dog foods are available to you.)  You did not mention if she is on medication for the shunt.  I feel she will need to be on antibiotics and Lactulose to rid the toxins from her system for the rest of her life.  Sadly I do not think diet will do it alone.  Sounds like you should not be feeding her the chicken if she goes into shock after eating.

Bailey is on the following medications: Sam-e with milk thistle (Denamarin) which is given in between meals for the best absorption into his system, Metronidazole (Flagyl) 62mg. twice a day during meals (low dosage of an antibiotic), and an oral Lactulose (Generals 10GM/15ML solution) 5 ml - twice a day.  The Lactulose is a stool softener which is essential to help flush the system of the toxins.  It works by reducing blood ammonia levels.  Bailey is prone to Urinary tract infections as well, which they feel maybe a result from the shunt.   Treatment for these UTIs is another antibiotic called Baytril – used only when he has an UTI. 

His diet is still in the testing phase.  Bailey is being monitored very closely so that we maintain his Albumin levels near 2.8 – when he was first diagnosed (about 6 months ago) they were very high at 4.0.    He follows a low-purine diet that consists of liver-friendly proteins such as egg, dairy or soy.  Vegetables that are low in purine are good to add as treats.   The dog food he is on now is Purina Veterinary Diets HA (dry) 1/3 of a cup – twice a day.  Royal Canine Hepatic diet is another one that was recommended to us.  I have been working with a nutritionist so all the dog food recommendations are a prescription plan.  I was given the choice of home cooked or prescription and for convenience sake I am trying the prescription first but will switch if it will benefit Bailey.

You will have to do a lot of research on 'low purine foods'--some vegetables that are good are: apples, carrots, zucchini, cucumber green beans, sweet red peppers, cooked potato, and cooked sweet potato.  Try mixing yogurt or cottage cheese with the kibble to see if Inca will eat better.  Also can use the moist dog food, I believe Royal Canine sells a prescription one.

I hope that this will help you and if you have any questions, please let me know.

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