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Dr. Kara
Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 15933
Experience:  Over 20 years of experience as a veterinarian.
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Hi I have a 10 year old Parson Russell who is usually a very

Resolved Question:

Hi I have a 10 year old Parson Russell who is usually a very fussy eater but lately I have had to false feed her to encourage her to eat. I used to be at home with her but the last year my mum has looked after her three times a week as I work. A few days ago is she started shaking and arching her back in pain my mum noticed a few days before that her stomach seemed tender and she struggled to do stools. Also I had noticed her back legs shaking more than usual as she was shaking she stretched out her back legend arched her back. I took her to my vet and they gave her morphine antibiotics and a steroid later on in the evening she got worse so I took her to emergency vet hospital they did an X-ray and other test the X-ray show nothing very significant just maybe a small defect in lower spine but nothing much. They kept her overnight the next day she was not in so much pain but seemed quite week on her legs and still not eating so they changed her antibiotics and changed steroid to anti inflammatory. The blood test show pancreas liver and other organs ok but white cells were slightly high and protein slightly low which they said was prob because she wasn't eating. Today we went to see her and she seemed much brighter legs stronger but she will not eat and a second blood test showed white cells were even higher I am really worried as they think she has an infection somewhere and tomorrow are giving her an ultrasound could this be more serious like cancer the vets said it's possibly but the tests don't really show that.
Submitted: 3 years ago.
Category: Vet
Expert:  Dr. Kara replied 3 years ago.

Hello, my name isXXXXX and I have over 20 years of experience as a veterinarian. I'd like to help with your concerns about Gaby's lack of appetite, abdominal pain, elevated white blood cell count, slightly low protein count and shaking in her rear legs.

 

I am glad to hear that her pain is being addressed and that she has had quite a bit of tetsing done. It sounds like you've received good news so far in that her organ function looks fine on blood tests, there aren't any large masses seen on her abdominal radiographs and she is brighter and stronger with supportive care in the hospital.

 

But that leaves us with the frustration of why her white blood cell count is continuing to rise and her appetite still being off.

 

Unfortunately cancer often doesn't give us many hints with blood testing unless it has invaded an organ enough to cause organ failure. If the cancer is small or infiltrative, meaning it isn't a large mass but rather at the small cellular level invading organs, then we may not see much change with blood tests. We can see inflammation though with infiltrative cancers, and that would explain her continuing to rise white blood cell count.

 

It is also true though that infections, and the body's response to them, which is often an increase in white blood cells, can lag behind treatment by a few days. That means that the white cell count can continue to rise even as treatment is starting to work and they are feeling better.

 

Given her age we cannot discount cancer or an infection so I am pleased to hear that she is scheduled for an ultrasound. While radiographs give us the big picture, organ size, shape and placement in the abdomen, ultrasounds allow us to look at organ architecture and see small changes within tissues and allow us to collect samples form those areas for both culture and biopsy. With her history I believe they will be looking for changes in her intestines or abdominal lymph nodes to evaluate her for primary intestinal disease (like protein losing enteropathy, inflammatory bowel disease or infiltrative intestinal cancer) as well as her other organs.

 

The other thing I would recommend, if it hasn't been done yet is a urinalysis with culture to look for primary developing kidney disease/infection.

 

Best of luck with your girl, she sounds like she is in great hands and they are following a reasonable course of action and diagostic testing. Please let me know if you have any further questions.

Dr. Kara, Board Certified Veterinarian
Category: Vet
Satisfied Customers: 15933
Experience: Over 20 years of experience as a veterinarian.
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