Showing posts with label SAVIN. Show all posts
Showing posts with label SAVIN. Show all posts

Tuesday, September 03, 2013

Renal failure in a dog with low TLC

DrKumar Ravi hi docs i have a case of great dane who hao acute renal failour with b/t reports of last week as tlc-4800, n-20 l-80 blood platlets-1.20 lack serum creat-4 bun 120 vomitting off feed. after treatment with iv fluids, conciplex, rantac, lasix, enrocin to combat sec bac infection as its a viral origin of renal failour. n...ow he start taking food little bit no vomitting. today i repeat the blood test s.creat rise to 5.1 tlc 4200 l-75 n-20 blood plat- 80000. what should i do im totally confused . i recheck the samples but results r same

See more10 January at 20:11 · · · Report
Ajitesh Kumar
Ajitesh Kumar
dr i dont know whether its a case of acute renal failure of viral origin or not. acute renal failure is a rare condition. and viral origin is still rare. if it is acute then the onset will be sudden,with olig uria or anuria mostly. reason could be poisoning, nephrotoxic drug, leptospirosis etc.whether there was polydipsia/polyurea, what was the hb ... See morelevel? what was the temperature?urinalysis would have been a good option. u can see the specific gravity of urine, casts,pus cells etc . it can be prerenal azotemia also.
as per the reports which we have ie platelet count 1.2 lakh and then 80000. leptospirosis can be the cause.
treatment options will be fortified procaine penicillin, lasix,rantac,emeset/ondansitron(if there is no loose motion)and enrocin along with aggressive fluid therapyi.e normal saline @ 25 ml/kg bw bd. if there is no appetite then 5%
dextrose, and amino acid solution (astymin)should also be given. blood test after 3 days again to see the parameters i.e creatinine and bun. if it does not come down then prognosis is very poor.then peritoneal dialysis can be tried.
10 January at 23:16 · Report
Ajitesh Kumar
Ajitesh Kumar
and every 3rd day vitamin k injection to take care of bleeding due to low plate count
10 January at 23:17 · Report
Gagan Gaudi
Gagan Gaudi
if possible get it checked for tick borne diseases
11 January at 10:10 · Report
Saurabh Saxena
Saurabh Saxena
go for ultrasound immed. and check shape ,size and consistency of kidney ,liver in particular and other vital organs.
11 January at 11:44 · Report
Amardeep Singh
Amardeep Singh
i agree Dr gagan
11 January at 13:40 · Report
Swarupmay Majumdar
Swarupmay Majumdar
There is drug called AZODYL ( gut acting pre+probiotics which reduce Ammonia production in gut ) on TID orally can reduce Sr Creatn level drastically. stop enrofloxacin as it is excreted through kidney, use omeprazole alt days with sucralfate for saving GI tract. Use phosphate binders tab phostat675mg bid po. use herbal liver tonics for appetite.
... See moredo not stop fluid. use RL 500ml 2 bottles + D25 2 bottles. check for sr protein ,if below 5 go for iv Aminoacid supplements, its not contraindicated. some people uses envas tabs to see that there is bettre perfusion in kidney. can use this too and its very safe.
Make a chart of all drugs, tell clearly how and when to give which medications. need more details ?

one more thing, this may be a case of just renal failure post meloxicam pain therapy!! low TLC is not always indicative of viral renal failure.am I wrong?
11 January at 13:51 ·
Amardeep Singh
Amardeep Singh
thanx SM
11 January at 14:10 · Report
Ajitesh Kumar
Ajitesh Kumar
i have never heard abt viral renal failure. i think renal failure due to tick fever is also unlikely
11 January at 15:03 · Report
DrKumar Ravi
DrKumar Ravi
dr ajitesh there is no bleeding n protozoal cause i dont think i9n that case . platelets r also decreased in long term viral cases. his hb also reducing day by day to 8.1 which is common in kidney dysfunction. there is no poly or oligurea. final thing is that he loses weight n s.creat rising thats it
11 January at 20:17 · Report
Ajitesh Kumar
Ajitesh Kumar
then that is a chronic renal failure case not acute renal failure.hb will not be low in arf
11 January at 21:52 · Report
DrKumar Ravi
DrKumar Ravi
dr saab its a acute on day of prasentation of dog to me first time now you can say its a cronic one after two weeks of kidney dysfunction hb is reducing na.
12 January at 18:50 · Report
Ajitesh Kumar
Ajitesh Kumar
that is 100% possible. good that the patient is recovering.
12 January at 20:23 · Report
Swarupmay Majumdar
Swarupmay Majumdar
whats the outcome, whow is the bun creatinine level, and what did u do? who did u listen? ha ha laughing!!
13 January at 18:53 ·
Saurabh Saxena
Saurabh Saxena
yes that is important which line of treatment helped the dog .wud be better to know for everyone concerned...thanks
13 January at 20:00 · Report
DrKumar Ravi
DrKumar Ravi
its you dr saab . creatnin - 3 . dr saab i think in india 80 % vets circling around tick fever only.
13 January at 20:07 · Report
DrKumar Ravi
DrKumar Ravi
phostat 675mg biob n omeprazole once a day lasix . ringer lactate twice a day with conciplex n ranitidine i v . cap azodyl thrise a day . we got it from france all thanks to dr swarupmay
13 January at 20:13 · Report
Saurabh Saxena
Saurabh Saxena
gr88 work dr kumar and dr majumdar ..see SAVIN has saved a dog and helped a fellow vet.WHAT AN IDEA SIRJEEE..HAHAH
13 January at 20:16 · Report
Swarupmay Majumdar
Swarupmay Majumdar
oh my god! I am on Cloud nine, for SAVIN"s one another real case achievements and little more on my praises!!
13 January at 21:01 ·
Swarupmay Majumdar
Swarupmay Majumdar
Now that the Serum Cr is down, try Royal canin diet "RENAL" as per label instructions, continue with "AZODYL" life long.the prognosis is good now. If you find any side effects with PHOSTAT, stop it. Use Pentab_D 20 mg once in 2 days. ADD ENVAS TABLETS> very important!! Give him a homeopathic medicine called " PYROGENIUM 200, 6 doses- a dose twice a day with homeopathic CANTHARIS 1M wkly twice+ Biochemic Natrum sulph 6x ( in leu of lasix). Stop lasix. Use tab lasilactone alt days.

ENVAS+LASILACTONE +PENTAB _alt days
AZODYL+PHOSTAT-BID
Not to food: use Bayer's Tonic or Ventriliv!!get good result.... See more
DR Ravi, Great job. thanks for posting such a geat topic which has ran a long thread.
13 January at 21:13 ·
Neelam Singh Josan
Neelam Singh Josan
would just want to check, why antacid is advised only once in 2 days-since i almost always advice it daily once atleast.GREAT, INTERACTIVE DISCUSSION!!!!
14 January at 12:11 · Report
Swarupmay Majumdar
Swarupmay Majumdar
omeperazole is giving good results if given once in 3 days in dogs, rantac once in 24 hrs. the more frequent dosing in this case will still reduce the appetite as gastric acid secretions will supress toptally. Anyway, most vets uses it dosed frequently, some book reference gives omeprazole is very good in dogs and once in 3 days is ideal!! Pentaperazole isalso good once in 24 hrs. tabletsof 20mg avl. cimetidine is not very effective in dogs.
14 January at 13:23 ·
Ajitesh Kumar
Ajitesh Kumar
thanks dr swarup

turtle --care for eye

Can anyone shed some light on what is wrong with this Albino sea turtle its right eye is protruding, looks a bit yellow, it has partial vision on right as there is no response, its 2 weeks old. Thank you

  • Navnath Nighot I think its a abscess , try that angle
  • Laeish Pawnz U How is the parotid gland?
  • Varun Dhup I can't physically check this turtle as it is in Sri Lanka with my friend and I am in UK thanks what could be possible treatment? Navnath sir thanks I will ask my friend to get better picture please advise possible treatment. thank you
  • Varun Dhup It looks the whole eye is covered and shut due to pus
  • Varghese Nellimoottil possible vitamin A deficiency. Please try Vit A injection and report
  • Varun Dhup I have asked her to leave it in early morning sunlight with half of surface covered so that turtle can hide itself if necessary I have told her to use Vitamin drops is there a need for antibiotic?
  • Varghese Nellimoottil Go for Vit A specific drops if possible and going for an antibiotic not a necessity but observe for 3-4 days. carotene rich Diets can also be given.
  • Varun Dhup She is feeding chopped cucumber these days, thanx
  • Premal Darji 1st of all this animals cannot be kept as pets...report to local animal welfare body..
  • Premal Darji If U r in india...
  • Varun Dhup Dr. Premal ya I agree with you one can't keep this as a pet but I am not aware of the rules in Sri Lanka I will advise her anyway, thanx Gaurav sir I will ask her to get another picture for close inspection
  • Archana Bapat Yes def agree with Dr.Premal Darji .meantime make a proper setup .one question please...do sea turtles have chances of survival in fresh water?
  • Amarnath Muthukrishnan I think I would be of abcess type if clinician available locally try to aspirate the sweling in lower most site with 22 gauge or less needle if insulin needle availabe would be of great imp ....then we can proced ......without ascertaining these any vitamin sunlight wouldn't help it worsens the condition ..... as vision is imp for these animals to survival
  • Varun Dhup history behind this case is she kept in inside away from sunlight as per her msg she kept it in dark, for 3-4 days and this problem has started, so I would like to wait for couple of days let see then I will advise her to go to local vet. Dr. Archana its good you gave this discussion another wave, if well maintained survival chances are good as per my knowledge as there are many people around the world I have seen are keeping sea turtles as their pet, which is not advised but people do If anybody here have any experience of turtles please advise. thank you
  • Piyush Dubey its hyovitaminosis- A , which leads to such protuding eye ball in turtles...kindly provide him with vitamins-A injections or suppliments... plz check in net for more details..
  • Suchitra Suryavanshi Patil Sir I had turtle n it was having same problem so that shop keeper gave me methylene blue drop.don't sure but.....u can try.
  • Joseph Cyrus I am not sure but hypovitaminosis A is highly possible
  • Navnath Nighot Hypovitaminosis A is possible in turtle, but i agree with the treatment suggest by Dr. Amarnath for extraction of pus. But it is not Hypovitaminosis A as the swelling is unilatteral not bilatteral in Hyop Vit A swelling must be Biallatteral.
  • Navnath Nighot Also try Propeline fort Inj. in the space where apendages attach to the body by insuline syring 40 i.u. and provide Powder terramycine a half pinch orally
  • Joseph Cyrus It can be unilateral, especially if that is an exciting cause and all what happened to the eye is secondary in nature
  • Varun Dhup She has confirmed with me today that its prohibited in Sri Lanka to keep turtles as pets! I have advised her to take it to local vet but as of turtle is undergoing Vit A and D treatment lets see how it responds to it, also its is active than previous days.
  • Varun Dhup I would like to ask if someone brings us a pet which is prohibited or illegal should we go for treatment and also is it fair to report a person to regulatory dept. if a person is willing to take care of pet, suppose pet healthy what are the steps to follow so that these little pets can be rehabilitated to its natural environment. If anyone know about the regulation please share views, thank you
  • Amarnath Muthukrishnan We should treat the animal as vet but advice the regulatory rules if the offender doesn't bid to the rules you could confesicate the animal and should hand over to District forest Official directly ....here police is not a matter .... as responsible vet u have the rights..
  • Premal Darji if its a emergency..1st try and treat..i will still advice dont give in writting on ur official letter head..if nething has to be prescribed prescribe over a rough paper...do a small consultation with the owner and try to make him understand the laws...if hes still willing to kip such pets U cant do ne thing....just tell him not to get the pet for chkups in ur clinic....do a home visit instead ...BUt as dr amarnath advisced U can confesticate the pet and hand it over..thrs no harm in doing so if the owner dos not have a strong background to confesticate u ..and hand it over to forest...
  • Premal Darji just kidding....But after seeing for years how the sysytem works..how retaliate..how U can spoil ur image over small things..and how U can get sleepless nights for no mistake of urs.....just make a call to local animal welfare organisation ..thy are always willing to help..
  • Archana Bapat what i do is...explin everything clearly to owner.then treat after taking his sign on consent form for such cases.does this help?
  • Laeish Pawnz U I would proceed to treat the animal if I can ( as per our veterinarian oath - to relieve the animal's suffering), then contact the authorities concerned about animal welfare.. Laws differ according to countries.. But what I learnt from my studies in law from UOL, it's that if there's a panel of doctors who say they would have actually proceeded in the same way as you, then you're safe (this applies for human medicine cases); so extrapolating from there, I suppose as vets it would apply to us too..
  • Varun Dhup I feel sorry to let you all know that the little turtle is no more, she did whatever she could do, even a local Vet visited but he had no clue what to do...
  • Varun Dhup I have advised and tried to explain her that these animals are not to be kept as pet, and one should not buy or promote it by any means.




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