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  #1  
Old 11-24-2011, 12:38 AM
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Default a diagnosis of Megaesophagus...

some of you have known of Bellas ongoing gastric problems....she has been seen by many DVM's and is on sulcrate and Omeprazole...lately her condition has deteriorated and she was referred to the Ontario Veterinary College for assessment... (teaching hospital ) This hosptial is an 6- 7 hr drive away but well worth the trip...

Bella had fantastic care....she was assigned a 4th yr student for history taking etc... ( and she is going to make a fine vet )...then she was seen by Dr Parks the internist...she felt her s/s pointed more so to an esophageal problem and decide to start there and then move into other areas if nothing was found...unfortunately tests proved Bella has Megaesophagus. Her Esophagus was found to be 3x the normal size......she has very little muscle mass...and was found to be dehydrated....testing was completed for Addisons, Hypothryroidism and Myasenthia Gravis...She also had a neurological consult....the test for MG has to go to the USA so won't be back for a couple of weeks or more...
Treatment for now will be symptomatic...along with her Sulcrate and Omeprazole she has started on another med..Cisapride but we aren't to continue it after one month if no improvement is noted...the hospital called today to see how she was...I thought that was so considerate of them...

we have to use a Bailey chair for pre/post feeding..all of her food needs to be pureed and she needs to remain upright x30mins post feeds.....this allows the food to move thru the esophagus...and food is to be high caloric, if she can tolerate it...other wise what ever stays down ! A feeding tube may be needed in the future...
Her prognosis is " hopeful "...aspiration pnuemonia is always going to be a threat...

Bella is a real ambassador for chihuahuas....I can't tell you how many comments we had about her lovable personality and how well behaved she is...

The doctor wanted us to join a support group which we did...it was started by a couple who since have lost their pet to ME...the Bailey chair is named after their dog....there is also a DVM in the group who is very knowledgeable about ME...

A couple of pics of Bella in her Bailey chair...she doesn't mind it at all and usually falls asleep right after she eats...so she must be comfortable



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Old 11-24-2011, 01:07 AM
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Awwww I'm glad you found a definitive diagnosis. That is the biggest step. I had heard of megacolon, I had never heard of Megaesophagus. She looks so cute and comfortable in that Bailey chair. Best of luck in her continued care.
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Old 11-24-2011, 01:09 AM
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Aww you are so wonderful for doing this for her! Bella is very fortunate to have you go through everything to identify her problem. The "bailey chair" looks like it is working out very well. Vibes sent your way for a continued positive outcome...
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Old 11-24-2011, 01:15 AM
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WOW you are such a wonderful chi mom going to such great lengths to help Bella. I hope the course of treatment that she is on helps her gain back her muscle mass and helps her get healthy again. Bella is a gorgeous little girl with a wonderful family. She is very blessed to have all of you caring for her. Prayers and good thoughts are coming your way and Bellas. Please keep us updated on her progress.
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Old 11-24-2011, 01:47 AM
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Goodness, what precious pics of Bella in her Bailey chair.. Kathleen, you guys are such awesome chi parents...., but I have known that for quite a while now! Kiss all the babies for me.. Will continue my prayers for little Bella. Blessings, Deb
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Old 11-24-2011, 11:17 AM
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I hope the chair helps her feel better and maybe gain some strenght and weight...good luck
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Old 11-24-2011, 11:44 AM
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Bella is simply stunning - what a precious chi - You are a wonderful Chi mum (and her daddy too) you should be very proud xx
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Old 11-25-2011, 01:38 AM
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Quote:
Originally Posted by nabi View Post
some of you have known of Bellas ongoing gastric problems....she has been seen by many DVM's and is on sulcrate and Omeprazole...lately her condition has deteriorated and she was referred to the Ontario Veterinary College for assessment... (teaching hospital ) This hosptial is an 6- 7 hr drive away but well worth the trip...

Bella had fantastic care....she was assigned a 4th yr student for history taking etc... ( and she is going to make a fine vet )...then she was seen by Dr Parks the internist...she felt her s/s pointed more so to an esophageal problem and decide to start there and then move into other areas if nothing was found...unfortunately tests proved Bella has Megaesophagus. Her Esophagus was found to be 3x the normal size......she has very little muscle mass...and was found to be dehydrated....testing was completed for Addisons, Hypothryroidism and Myasenthia Gravis...She also had a neurological consult....the test for MG has to go to the USA so won't be back for a couple of weeks or more...
Treatment for now will be symptomatic...along with her Sulcrate and Omeprazole she has started on another med..Cisapride but we aren't to continue it after one month if no improvement is noted...the hospital called today to see how she was...I thought that was so considerate of them...

we have to use a Bailey chair for pre/post feeding..all of her food needs to be pureed and she needs to remain upright x30mins post feeds.....this allows the food to move thru the esophagus...and food is to be high caloric, if she can tolerate it...other wise what ever stays down ! A feeding tube may be needed in the future...
Her prognosis is " hopeful "...aspiration pnuemonia is always going to be a threat...

Bella is a real ambassador for chihuahuas....I can't tell you how many comments we had about her lovable personality and how well behaved she is...

The doctor wanted us to join a support group which we did...it was started by a couple who since have lost their pet to ME...the Bailey chair is named after their dog....there is also a DVM in the group who is very knowledgeable about ME...

A couple of pics of Bella in her Bailey chair...she doesn't mind it at all and usually falls asleep right after she eats...so she must be comfortable



Quote:
Originally Posted by svdreamer View Post
Awwww I'm glad you found a definitive diagnosis. That is the biggest step. I had heard of megacolon, I had never heard of Megaesophagus. She looks so cute and comfortable in that Bailey chair. Best of luck in her continued care.

Thanks Pam...its been quite a shock to find out just how ill she is but we are feeling very hopeful that we can keep her well and healthy now that we know what we are dealing with...
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