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Yes, AGAIN!! After making me a proud Mommy on Sunday morning at the crack of dawn, nothing but a tiny download this morning. Not enough to cut it after four days, so into the vet she went.
X-rays showed she was blocked up again, though not as bad as the last couple of times. Curiously there was a large gas pocket at the end of her colon and the block was up further. That hasn't happened before that I can recall. Enema deployed successfully, all is clear.
Dr. B had some novel alternative suggestions as to how to keep her guts going. First one was once weekly home administered enemas of a couple of ccs of Lactulose. Second was once weekly home administered suppositories of some unnamed sort. Third was introducing mineral oil either orally or rectally, but he was primarily talking orally. Once a week 9ccs of mineral oil orally at once--three syringes of 3ccs each. That, to me at least, spells a recipe for vomiting soon after, or of explosive downloads once a week. :( So he backed down and said we could break it down in half and give her half in the AM and half PM. Still spells a recipe for disaster for me, but...
I dunno. For some reason Dr. B doesn't believe in the powers of Miralax. I've barely gotten a chance to get her on the right dose for her--it took me at least a month the last time to get it right last year. He says "What worked before can change and no longer work. The key is to keep her going without having to bring her in for enemas." That much I get, but I think we should give the Miralax more of a chance.
Dr. B wasn't there when we picked her up so I talked to Dr. D what he thought about things. Dr. D has more faith in Miralax and its powers. I told him how last time she was on Miralax she was getting 1/2tsp three times a day with her last meal of the day being kibble. Up til now I was giving her 1/2tsp twice a day with 3/8tsp every other feed (usually 1-3 additional feeds of wet food with no kibble as she won't touch kibble anymore). I figured with the extra feeds at 3/8tsp she was getting more Miralax than her last time on it so I couldn't understand why it wasn't working the same. Dr. D suggested I give her the three feeds at 1/2tsp and additional feeds at 3/8tsp and dial back as needed. Try to add small amounts of mineral oil orally or try to mix it in her food to see if she'd tolerate it in her food. No more Lactulose.
Since Dr. D's methodology is a lot less hard on Diva than Dr. B's in my opinion, I'm going to keep trying with the higher amount of Miralax and adding a bit of mineral oil in orally and see what happens. I hope Dr. D and I are right... :/
X-rays showed she was blocked up again, though not as bad as the last couple of times. Curiously there was a large gas pocket at the end of her colon and the block was up further. That hasn't happened before that I can recall. Enema deployed successfully, all is clear.
Dr. B had some novel alternative suggestions as to how to keep her guts going. First one was once weekly home administered enemas of a couple of ccs of Lactulose. Second was once weekly home administered suppositories of some unnamed sort. Third was introducing mineral oil either orally or rectally, but he was primarily talking orally. Once a week 9ccs of mineral oil orally at once--three syringes of 3ccs each. That, to me at least, spells a recipe for vomiting soon after, or of explosive downloads once a week. :( So he backed down and said we could break it down in half and give her half in the AM and half PM. Still spells a recipe for disaster for me, but...
I dunno. For some reason Dr. B doesn't believe in the powers of Miralax. I've barely gotten a chance to get her on the right dose for her--it took me at least a month the last time to get it right last year. He says "What worked before can change and no longer work. The key is to keep her going without having to bring her in for enemas." That much I get, but I think we should give the Miralax more of a chance.
Dr. B wasn't there when we picked her up so I talked to Dr. D what he thought about things. Dr. D has more faith in Miralax and its powers. I told him how last time she was on Miralax she was getting 1/2tsp three times a day with her last meal of the day being kibble. Up til now I was giving her 1/2tsp twice a day with 3/8tsp every other feed (usually 1-3 additional feeds of wet food with no kibble as she won't touch kibble anymore). I figured with the extra feeds at 3/8tsp she was getting more Miralax than her last time on it so I couldn't understand why it wasn't working the same. Dr. D suggested I give her the three feeds at 1/2tsp and additional feeds at 3/8tsp and dial back as needed. Try to add small amounts of mineral oil orally or try to mix it in her food to see if she'd tolerate it in her food. No more Lactulose.
Since Dr. D's methodology is a lot less hard on Diva than Dr. B's in my opinion, I'm going to keep trying with the higher amount of Miralax and adding a bit of mineral oil in orally and see what happens. I hope Dr. D and I are right... :/
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