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Panting And Thick Tongue On Increased Budesonide


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Spencer the IBD dog has been on 2mg/day budesonide for two months and improving -- until last week when his stomach again became swollen and gurgling, etc. After a week called vet. Last Friday she recommended going to 2mg budesonide twice a day for three days, then call back and report. Started that protocol Saturday and by Saturday night he was panting and had the thickest tongue I've ever seen. It was only a half-inch from the roof of his mouth and I wondered if it was going to get worse.

 

I don't know about him, but I couldn't handle it! So starting Sunday I took him down to 3 mg/day -- 2 in the a.m. and 1 in the p.m. That cleared up the panting/tongue problem and no gurgling. But Monday night the gurgling came back, which suggests that either he needs the 4 mg or he needs an additional drug like azothiaprine or...something.

 

So I've left another message with this info for the vet, who's out until tomorrow but sometimes checks for messages. (I could call or email in emergency, but this isn't that.) So if I give him the extra 2 mg tonight and he starts with that panting/thick tongue thing again, at what point should I be worried? Does this behavior become a danger itself at some threshhold?

 

Am I an idiot for worrying about this? Is it not as bad for him as it looks? I should mention that I only drink alcohol rarely, and socially, thanks to migraines. So having a glass of something isn't an option! <_<

Edited by greyhead
Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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I wouldn't give the higher dose: budesonide side-effects & I'd hope the vet would call you back. Eek - poor Spencer.

 

How about a cup of tea?

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Deirdre with Conor (Daring Pocobueno), Keeva (Kiowa Mimi Mona), & kittehs Gemma & robthomas.

Our beloved angels Faolin & Liath, & kittehs Mona & Caesar. Remembering Bobby, Doc McCoy, & Chip McGrath.

"He feeds you, pets you, adores you, collects your poop in a bag. There's only one explanation: you are a hairy little god." Nick Galifinakis

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Hm, maybe a cup of tea and a muscle relaxer!

 

Thanks, okay, I won't give the extra, and I'm apparently not crazy. Good to know!

 

Now if folks would just hold a good thought that we can get him straightened out. He's really hungry, but the vet wants me to feed him less to rest his intestines. He does best on raw food (venison), but he needs kibble to have something otehr than totally runny poops. But he can only have so much kibble (1/3 of the diet) or his poop volume increases to the point that I don't think he's absorbing any of the food. Sigh. He's such a fine boy and doesn't deserve this at all.

 

 

Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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Sounds like an allergic reaction to me! If he were mine I wouldn't give it to him and maybe give him a dose of Benedryl.

Judy, mom to Darth Vader, Bandita, And Angel

Forever in our hearts, DeeYoGee, Dani, Emmy, Andy, Heart, Saint, Valentino, Arrow, Gee, Bebe, Jilly Bean, Bullitt, Pistol, Junior, Sammie, Joey, Gizmo, Do Bee

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How much Benedryl do you give a dog? Never had to do it before.

 

Trouble with getting a compounded drug mailed from a pharmacy is nobody gives you a side-effect sheet! When I checked the internet yesterday, I looked for "canine budesonide," and nothing mentioned tongue swelling. Thanks, Deirdre, for the link to the human info. Sometimes I get too tired to think well.

 

Anybody know if OSU consults on IBD in greyhounds particularly?

Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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Guest Energy11

Agree on the Benedryl. My former vet/employer and friend, just IMed me, and said 50 mg, and you can give that every four to six hours if needed. Good Luck! He, too said, it sounds like an allergic reaction.

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Glad you saw this Dee, I had logged off for a few minutes!

 

 

 

Anybody know if OSU consults on IBD in greyhounds particularly?

 

 

I think they consult on almost anything really. Wouldn't hurt to send an email.

Edited by JillysFullHouse

Judy, mom to Darth Vader, Bandita, And Angel

Forever in our hearts, DeeYoGee, Dani, Emmy, Andy, Heart, Saint, Valentino, Arrow, Gee, Bebe, Jilly Bean, Bullitt, Pistol, Junior, Sammie, Joey, Gizmo, Do Bee

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Guest Energy11
Glad you saw this Dee, I had logged off for a few minutes!

 

 

 

Anybody know if OSU consults on IBD in greyhounds particularly?

 

 

I think they consult on almost anything really. Wouldn't hurt to send an email.

I was feeding the "angry mob," here! They will basically, eat my legs off, if not fed in time :-)) I can't even IMAGINE, what it is like at your place, Judy. My former vet/boss, etc. and I are still friends, and I can basically always get in touch with him if I need something :-)) I love that man! Over the weekend, Curfew at a folded up tube of CET dog toothpaste, and of COURSE, it was aluminum! I gave him a hot dog roll to "cushion it," and Dr. B, said, he should be okay ... he is :-)))

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Guest zoolaine

awwww poor Spencer. The swollen tongue would freak me out, I'd be very concerned about him not being able to breathe. Hope he is feeling better. :grouphug

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Guest Energy11

OSU does consult on ANYTHING! I even emailed them about what sedation to use to cut Goldie's nails... she ATTACKS when we try! It is awful!

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Trouble with getting a compounded drug mailed from a pharmacy is nobody gives you a side-effect sheet!

That's pretty scary, especially if it's compounded just because of the dosage size (rather than multiple drugs). I googled "budesonide, tongue" :P . Didn't think I'd get anything so I was surprised at what came up. Figures Spencer would get one of the "rare but serious". Also interesting that a drug used to treat asthma can cause anaphylactic shock. :eek

 

And yes, I believe OSU consults on everything greyhound. Hopefully someday they'll put all the info they've gathered together & figure these beasts out. :rolleyes:

gallery_7491_3326_2049.jpg

Deirdre with Conor (Daring Pocobueno), Keeva (Kiowa Mimi Mona), & kittehs Gemma & robthomas.

Our beloved angels Faolin & Liath, & kittehs Mona & Caesar. Remembering Bobby, Doc McCoy, & Chip McGrath.

"He feeds you, pets you, adores you, collects your poop in a bag. There's only one explanation: you are a hairy little god." Nick Galifinakis

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Okay, we're good. The vet just called back and we formed a strategy for now: 3 mg budesonide, add beet pulp to raw food, reduce kibble, give Gas-X, and call OSU for consult.

 

She was nervous about the budesonide and wanted to dial it back to 2 mg, but I said I'd like to stay at 3 for now since he doesn't have the swollen tongue on that dose and I can and do watch him closely. He really is doing better on the 3 mg than he did on the 2; if the budesonide alone doesn't work, we have to add in azothiaprine, and neither of us is in love with the idea of a second immunosuppressant. She said the rumbling intestines may be bedeviled by gas, and it's worth a shot to see if the Gas-X helps that. (I had mentioned how distended his belly gets when he has the rumbles.)

 

A huge thank-you to all of you that have helped! :wub: (I PM'd someone who was signed in about the thick tongue Saturday night and didn't get an answer, so I thought it was just something that went with the panting and nothing to worry about. Boy was I wrong!!) Please hold good thoughts for Spencer that we'll come up with a plan that will improve things for him.

Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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Yikes---I'm just seeing this now--how is he today?? I never gave my boy more than 3mgs a day--remember Budesonide is WAY more potent than pred. He just might need a round of Metronidazole--how are his stools today??

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Yikes---I'm just seeing this now--how is he today?? I never gave my boy more than 3mgs a day--remember Budesonide is WAY more potent than pred. He just might need a round of Metronidazole--how are his stools today??

I told my vet I haven't seen anybody report giving more than 3 mgs of budesonide to a greyhound. He's already on metronidazole, 1000 mg/day. The thick tongue went away within a few hours of his second dose Sat night and hasn't returned since I didn't continue giving him 4 mg. So he's okay today and still has a pretty good attitude. The tummy rumbling seems to be progressively decreasing on the 3 mg dose he has been getting starting Sunday. He has lost a couple pounds, I'd say though, since this "flare" began a week ago.

 

I haven't seen him have a BM today; our morning walk was too short for him to get that done, thanks to his brother's lameness, and he hasn't wanted to go out to the yard. But we're about to take our evening walk shortly, so we'll see. In general his poops are soft but decent as long as he has some kibble; but if he has too much kibble, he develops D and starts rumbling.

 

I guess the vet and I agreed today to keep him on 3 mg but the divided dose I improvised: 2 mg morning, 1 mg nighttime. That's cuz I only have 2 mg-capsules, and fearful of what happened on 4 mg, I didn't want to give all 3 mgs at once to start with. But looking through internet lit tonight, it appears that this drug is intended generally to be given all in one daily dose. Is that your understanding? I have no problem continuing the divided dose, but I want him to get the best effect from the 3 mg, whichever way that will happen. I didn't know budesonide is so much more potent than pred; I just thought the side-effect profile was more benign.

 

Thanks so much for asking! Hope you and Stan are doing well!

Edited by greyhead
Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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Just a quick update. Dr. Vilar from OSU has said he'd be pleased to consult with Spencer's vet! :yay:yay Probably won't happen until after the holiday but at least it's gonna happen!

 

Took Spencer back to 2 mg/day budesonide + metronidazole, and he's doing fine. So it's not urgent. But not having an internist to work with, it'll be great to be hooked up to guidance from OSU when we need it!

 

Thanks for the encouragement to make the contact. I had this irrational feeling that if Spencer didn't have cancer, I shouldn't bother OSU. :youcrazy I know was dumb and I'm over it!

Mary with Jumper Jack (2/17/11) and angels Shane (PA's Busta Rime, 12/10/02 - 10/14/16) and Spencer (Dutch Laser, 11/25/00 - 3/29/13).

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Wonderful news Mary!

 

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Don't know if Benedyl can be given to IBD dogs. Very limited on the things we can give.

 

I'd ask just to be on the safe side.

 

 

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