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I have a 4 year old Boxer/Hound/Etc mix that was diagnosed with SIBO as a puppy but was given antibiotics, steroids and got over the bout. Now, 2.5 years later she is suddenly turning her nose up at food, will eat a few bites of human food but will not touch dog food. We have tried everything - no grain, prescription, high protein/fat and she will not eat. CBC came back with extremely high White Blood Cell count, low protein (makes sense since she wont' eat), high amylase (pancreatic enzyme), high neutrophils, normal lymphocytes. Had ultrasound and they saw thickening of intestinal walls and enlarged lymph nodes but no mass or tumor. Will not swallow pills so we have to inject her with antibiotics. She has lost 10 lbs in a month and looks absolutely horrible. Was given an appetite stimulant and it hasn't really helped.
She acts normal, wags, runs, gets excited. Has anyone had experience with this? We feel it is a gastro issue and not cancer but haven't been able to get a diagnosis and we are afraid if she doesn't eat she will die soon.
 

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High white cell count, indicates possible infection, or blood disorder. Your dog needs to be seen by a specialist, possibly start with an internist and go from there. As wonderful as antibiotics are, they are not without baggage, and could be contributing to her lack of appetite. Ask your Vet for a referral, or find a Veterinarian medical facility that has multiple specialists on staff.
 

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thank you, it is so frustrating because we got a second opinion from a very well respected vet and still have no answers!!
 

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Have you had a set of xrays done yet? When is the last time you would say your dog was completely normal? And could your dog have eaten anything they shouldn't?
 

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A second opinion is great, but it still didn't yield the information you need. I believe you need a more comprehensive Veterinarian medical center. Xrays, as Animalcraker mentioned would be a good next step. Treating without a diagnoses is risky.
 

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We have ruled out poisoning based on the blood test results. She was normal a month ago, the not eating thing is relatively new but drastic. Haven’t had an x-ray, vet doesn’t think it’s an obstruction because the ultrasound was relatively clear. She will literally eat 2 bites of things and then is not interested. We just keep trying to feed her several times a day so she will get some nutrients.
 

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We have ruled out poisoning based on the blood test results. She was normal a month ago, the not eating thing is relatively new but drastic. Haven’t had an x-ray, vet doesn’t think it’s an obstruction because the ultrasound was relatively clear. She will literally eat 2 bites of things and then is not interested. We just keep trying to feed her several times a day so she will get some nutrients.
 

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First thing I would do is get a set of xrays done as a rule out and to get a better overall picture of everything. Was the ultrasound done by a specialist, or just you GP vet? And did they send off any images to be reviewed by specialists?
 

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Has your vet(s) checked for tick borne diseases? Depending on which are common in your area (if any), they may recommend either doing a test in house which checks for a few common ones, or sending out a more comprehensive panel. I've usually chosen the latter for my dogs to rule out more possibilities, particularly if you dog originates from an area where ticks might be common, or they are common where you live.

Outside of that I would probably seek a specialist next. Your vet can likely give a recommendation (best option), or you can search online and make contact with one yourself (if your vet is resistant, which they really shouldn't be). You probably want to see an internal medicine specialist, also known as a Diplomate of the American College of Veterinary Internal Medicine (DACVIM). At this point, I wouldn't see another vet unless they are a specialist, as they have the most experience with these types of cases, and are the most likely to be able to help.

Good luck!
 

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Is she still sniffing/smelling things like normal? I've heard that dogs can lose their appetite if their nose is in the fritz.
 

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What about her mouth? If she is having any pain in her teeth or mouth she is unlikely to want to eat anything.
 
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