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Chihuahua with Liver Disese Vomiting Thick White Foam!

Rating: 10
Zoe
Zoe

I have a 3.2 pound Chihuahua who was diagnosed with Liver Disease almost 4 months ago.We are still in the process of trying to find out what kind of Liver Disease Zoe has! Toxicity has been ruled out! She has been taking Clavamox 125mg, 1/4 tablet twice a day for the last week, as the vet suspects she may have an infection in her Liver. She was on Denosyl, but the vet took her off of it, quite a while ago, because he said it wasn't really helping her much and is on no other medications except the Clavamox. She has been keeping the Clavamox down and has not had any problems with vomiting until now! She has been very active! The vet wanted to try the Clavamox for a week, then do some blood work to check her levels, before he decides if we should do a Liver Biopsy! She has an appointment next week for bloodwork! He wants to, see if he can possibly avoid doing the Biopsy, because she is so tiny and it's such a risky surgery for her! She is eating and drinking! She is going to the bathroom just fine! Last night, she ate at around 9:00, I gave her, her 1/4 Clavamox and about 3 to 4 hours after she had taken it, she threw up some very thick white, stingy type foam no food in it for the first time since she's been diagnosed! She did the same thing again this morning and has not eaten anything since last night at 9. My vets office is closed today and I was wondering if you could please tell me, what this thick foamy white substance she is throwing up is and if I need to take her to the ER! Should I be concerned or is it just stomach acids? I know that she hasn't gotten into anything she should not have, because she never leaves my side! I also have some Pepcid AC 10mg tabs and I was wondering if I should give her any to settle her stomach and if so, what dosage? I don't know if it's safe and I don't want to take any chances!!! I recently lost my other Chihuahua Gigi to Liver Disease and now since Zoe has been doing so well and hasn't vomited at all until now,and then this happens, and I'm scared to death, that I may lose her too! What the vet and I cannot understand, is that 6 months before both of my dogs were diagnosed with Liver Disease, they both had full physicals and everything came back perfectly normal, with absolutely no signs of any upcoming serious illness. Where did this disease come from? The vet cannot pinpoint how exactly they ended up getting this really nasty disease!She has #1 more, 1/4 Clavamox to take! Should I wait until tonight to give it to her, to let her stomach settle down or should I stick to the schedule, try to feed her this morning and then give her the Clavamox? Should I even try to feed her anything or wait? If I need to wait, when should I feed her again? Please help me!!! I'm really panicking! I'm very desperate and I'm very scared!!! Thanks for your time and your help! I truly appreciate it! Anxiously looking forward to hearing from you!

Attached image (click to zoom): Chihuahua with Liver Disese Vomiting Thick White Foam!

Six Response(s) to “Chihuahua with Liver Disese Vomiting Thick White Foam!”:

  • Veteran Advisor David says:

    October 25th, 2008 at 09:38 AM

    Hi there,

    Sorry to hear about all the problems. The white foam she is throwing up will most likely be digestive secretions / saliva as she has an empty stomach.

    Do you know exactly which things were elevated on the blood work? ALT, ALP, lipase??

    This would help me give you more info.

    As far as today its very difficult for me to say wait without examining her myself. I would suggest calling the e clinic to let them know and guide whether she should be seen today. I wouldnt give the pepcid if I were you.

    Biopsy is always a useful thing to do and in the right conditions can be done less invasively guided by ultrasound. This may require referral to a specialty hospital though as it is technically more difficult.

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    David Brooks
    Every day I see pets come into my clinic injured and unwell. Its always so upsetting knowing that treatment could be taken a lot further only if the owner had taken out pet insurance. You have health insurance, so should your pet... Dr Brooks
  • Elaine says:

    October 25th, 2008 at 09:49 AM

    Thank You so much for your quick response

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    Elaine Vellianitis
  • Veteran Advisor David says:

    October 25th, 2008 at 09:55 AM

    if I can help any further please just let me know. This thread will stay open in your account always so please keep us updated with things. Let me know the blood results too. Im happy to help where I can. Cheers, have a restful weekend, David

    Current Rating: Rating: 10
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    David Brooks
    Every day I see pets come into my clinic injured and unwell. Its always so upsetting knowing that treatment could be taken a lot further only if the owner had taken out pet insurance. You have health insurance, so should your pet... Dr Brooks
  • Elaine says:

    October 25th, 2008 at 10:09 AM

    I'm sorry! I accidentaly hit submit! I know that her ALT Levels are in the 3000 range (which I know is extemely high) and her Kidney Levels are a little High! The vet said the were slightly elevated! Just to let you know, she is eating some dry food at the moment and seems fine. She's not acting sick at all! Should I give her the Clavamox now or should I wait until later today? One more question! I have two options! I can have an Ultrasound done first, which my vet says he doesn't think will show much, or I can take the risk of putting Zoe under, having the Liver Biopsy done, and possible losing her on the table? I don't know what to do! What do you think? Thanks!

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    Elaine Vellianitis
  • Veteran Advisor David says:

    October 25th, 2008 at 10:17 AM

    I would always say do the least invasive things first. Your vet may know someone who can perform an ultrasound guided biopsy so a full surgery is not necessary.

    I would say give her tablet a little later when she is feeling better but try to subscribe to the dosing schedule the doc has suggested as best as possible.

    If she is doing very well on meds only it might not be sensible to rush in and do a surgery. how long has she been on the antibiotics? This could be a liver infection??? if she is responding well to them

    Current Rating: Rating: 10
    Rate This Answer:
    David Brooks
    Every day I see pets come into my clinic injured and unwell. Its always so upsetting knowing that treatment could be taken a lot further only if the owner had taken out pet insurance. You have health insurance, so should your pet... Dr Brooks
  • Elaine says:

    October 25th, 2008 at 11:11 AM

     Hello David! She has been on the Antibiotics for 1 week! May I ask, how long  the Antibiotics stay in her system, after she finishes the prescription? Will they still be in her system, when I take her in at the end of next week, when my appointment was scheduled for the bloodwork? It seems a little odd to me, that they would wait a whole week after she finishes her script, to do the bloodwork! Do i need to take her in sooner, or is next week going to be ok? I know I should have asked my vet these questions, but there are always so many things I ask him when I go in and  I'm so wound up, that sometimes I forget! I figured that since they scheduled the appointment, that the Antibiotics will still be in her system and next week is ok! What do you think? I will do as you suggested and give her her last dose a little later! When I was speaking to my vet about doing the Liver Biopsy, he said that they can do it one of two ways. Do a Needle Biopsy (I don't know if that is the same thing as a Ultasound Guided Biopsy), or do the Full Surgery. He told me, that when he does Liver Biopsies, that he prefers to do the Full Surgery, because of the fact that everything is exposed in front of him, and he can get a better view of what is going on!I don't know which way to go, if it comes down to having to make that decision for Zoe! What are the risks of bacteria getting in, when the dog is opened up or is that even a possibility? I know that surgery is a risk in any case, but because Zoe is so tiny, I want to take the safest approch I possibly can for her! The poor thing has been through so much already, and I want to make it the least stressful and invasive for her that I possibly can, but at the same time, I want to do whatever it takes, to try and save her life! What is an Ultrasound Guided Surgery? Is it the same thing as a Needle Biopsy? I don't know how to Thank You, for the help you have given me so far, but I just want to say, You have been a tremendous help to me, You are a true Angel, and I greatly appreciate it!Thanks Again!!!

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    Elaine Vellianitis

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