From:
"Sue Liszewski"
Date: 2004-06-01 02:50:08 UTC
Subject: RE: [ferrethealth] Sherman starting to improve
To: ferrethealth@smartgroups.com
Message-ID: <BAY15-F16ilcPKMQJRT0003210d@hotmail.com>
Why is s/he having you use both metoclopramide and Cisapride. Both are
intestinal stimulants and the later is the better of the 2, why use both?
Just curious, wonder if it is redundant or if there is
a good reason for it. Thanks.
Dr. Sue
>From: sukiec@optonline.net
>Reply-To: ferrethealth@smartgroups.com
>To: ferrethealth@smartgroups.com
>Subject: [ferrethealth] Sherman starting to improve
>Date: Mon, 31 May 2004 23:15:36 +0100 (BST)
>
>As has been said in past posts Sherman has had long term IBD (Inflammatory
>Bowel Disease), a not terribly unusual problem in ferrets, but recently it
>took off very badly, with diarrhea which was very rapid after eating and
>mostly watery. He had liver damage which was likley partly due to his IBD
>(ditto his liver enzyme numbers as per
>http://www.afip.org/ferrets/Clin_Path/ClinPath.html
>and some blood values which could have been consistent with a not common
>malignancy or with a chronic severe infection (past posts in
>http://fhl.sonic-weasel.org. He'd improve for a while and then each time
>be a bit worse with the bad times longer and longer and closer and closer
>till last time he had just about 2 decent days between bouts, maybe a day
>and a half. Several times we have come close to losing him. He was
>regurging so there was a very real concern about a serious esophageal
>problem like MegaE.
>
>Now his meds are helping him turn around again.
>
>The premise being followed is that he has a severe GI infection which is
>non-standard in response to meds and which is ascending his GI tract, which
>in turn is further compomising his liver.
>
>Steve and I are sleeping in shifts to get the meals into him but if he
>keeps improving I'll be able to return to a 12:30 bedtime and Steve is
>alway sup before 6. Aside from milk thistle in a meal a day and sub cu
>fluids as needed here is what Shermie is getting which is working for him
>(besides many small hand feedings):
>
>6 a.m.
>Metaclopramide (M)
>Cisapride (C)
>Biosol (B)
>Amoxi (A)
>
>btwn then and noon Carafate
>
>Noon
>M
>C
>B
>Imuran or a heavy dose of Prednislone on alternate days
>Famotidine
>
>btwn then and 6 Carafate
>
>6 p.m.:
>M
>C
>B
>A
>B vitamins 3 days a week
>
>btwn 6 and midnight Carafate
>
>Midnight
>M
>C
>B
>Florinef
>small prednisolone dose if it is an Imuran day instead of a heavy
>Prednisolone one
>Famotidine
>
>a while later Carafate
>
>Our joke is that his meds are almost enough to hydrate him by themselves.
>LOL!
>
>Still, we expected to lose him and now he is turning around so right now he
>needs this and hopefully soon (a week or more likley several weeks) he'll
>be stable enough to have some meds for permanent maintenance, some for
>temporary long term maintenance and the rest not needed.
>
>So, anyway, if someone else runs into a confusing one who decently matches
>his test results and symptoms here is what seems to be working for Sherman.
>
>
>
>
>
>
>
>
>--
>If you want to share pictures, use the calendar, or start a vote
>visit http://www.smartgroups.com/groups/ferrethealth
>
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