Recovery after foreign body endoscopy?

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Recovery after foreign body endoscopy?

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Old 12-16-2015, 08:17 PM
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Recovery after foreign body endoscopy?

My 13 yo shih tzu X has been a healthy dog until about a month ago. The family and I didn't know why he stopped eating and sat in isolation.

After many visits to the vet, blood work, xrays, they had seen a foreign body (a bone) in his esophagus (right before the stomach entrance) on the 11th day after onset of symptoms.
When we found out, we brought him to a specialist the next day to get it removed. Apparently it was a large sharp bone that had done some moderate damage to his esophagus. They pushed it down into the stomach. They kept him for 2 nights to make sure that he was stable. He was deemed stable to come home.

However, he has still been losing weight, super lethargic and now barks every hour from what looks like pain. He looks like he has difficulty swallowing before his barking episodes.

My normal vet suggested to get all his bad teeth removed too, to get rid of one of his sources of infections- in attempt for him to heal faster.
We went ahead with that. They removed ten bad teeth (my poor dog- I wish I knew better to remove sooner)
A week and a half after that, his lymph nodes are huge.

He is still the same and still losing weight. We hand feed him and force him to take his medication via syringe. Coco went for a check up and the vet thinks hes just healing very slowly. His esophagus is most likely still inflamed. He is suffering so much. I feel like I need to let him go in peace. It has been about a month since his foreign body removal procedure.

Any stories on your pets having a foreign body in their esophagus..
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Old 12-17-2015, 02:02 PM
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Wow, multiple potentially very serious problems.. bad enough he has esophageal damage.. not sure you understand the potential seriousness of that situation- many dogs die from that... and often from exactly what happened here... bone lodged in esophagus for an extended period of time. Esophageal injuries are very slow to heal often and many require hospitalization, placement of a stomach tube so NOTHING has to be swallowed, drugs to decrease stomach acid reflux, vomiting and pain, and fluids to keep them well hydrated (unless can get it all in the stomach tube). Esophageal injuries tend to get better if you can simply avoid using it (guess 'simply' is not the right word, but that is usually what is recommended). This requires and expensive tube placement below the esophagus (stomach or part of small intestine). Have dealt with several of these situations and those in which the owner balked at the tube placement due to lack of funds are anxiety of the procedure (rather basic, low-risk procedure) the patients I have had all failed to survive. With proper treatment, however, the esophagus can heal and work normally again (may develop a bit of stricture at that site of injury requiring treatment and/or softened foods, but at least they can heal).

But now you also say his lymph nodes are all enlarged? Have they been tested (sampled) for lymphoma? Sometimes lymphoma seems to come of out nowhere, often following very stressful period of illness. Enlarged lymph nodes can also be a sign of severe infection or inflammation, but this usually involves just 1 or maybe 2 lymph nodes. Are ALL his nodes large or just the ones under his jaw? Diagnosis as to the cause only requires a cytology of the nodes.

Sounds like you pet has had a rough time of it, and hope it all works out... but you need to discuss all possibly options with your vet, particularly if he just doesn't seem to be getting better.
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Old 12-17-2015, 05:10 PM
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Thank you for your response.

Yes, the specialist had given me a lot of information on his condition before they put the scope down his esophagus. Afterwards, the Dr. mentioned that there is a possiblity that a stricture may form, but he believes just minimally due to the angle the bone had lodged itself in the esophagus.
No perforation since his condition would have turned for the worst in those two days at this specialist clinic.
He doesn't believe Coco requires a feeding tube.

It's been about 1 month since the procedure and he hasn't vomited in the past 4 weeks- until today - about 2 hours after feeding. It was foamy and yellow (bile?) and a small piece of chicken could be seen. I think the majority of food was kept down. I think I gave him too much food in one sitting at lunch. He was able to keep food down this morning and I'll see again for later tonight.

Only his submandibular lymph nodes are enlarged. I took him to the vet yesterday and the vet felt all his other lymph nodes. They were fine. She was concerned about the size of his lymph nodes under his jaw, but told me to keep an eye if the size keeps getting bigger. She did mention an FNA to be done at a later date.

I was told to keep giving him his Tramadol, Famotidine, Eurocyproheptadine, liver medication and some probiotics to help balance his intestinal flora - as he is gassy and the xray revealed quite a bit of air in his intestines.
Lots of meds...

I am hoping for the best for my little guy.
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