Sudden acute pancreatitis - Maltese

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Geaipetit9175 Icon representing the flag French
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Hi everyone,

I’m writing these few lines because I’m looking for a bit of comfort, to clear up the doubts that remain after the sudden loss of my dog, and to hear from those who have experienced "acute pancreatitis" with their own dogs.

My dog was nearly 17 years old and was in incredible shape for his age. Most people thought he wasn't even 10. He only had slight kidney issues and a bit of a chronic cough for the last 6 months. I would have done anything for him. We travelled across Europe together. I used to carry him in a backpack while I was on my bike.

One day, during the night between Monday and Tuesday, he started vomiting—a lot... He wouldn't take anything. After an hour, I went to the out-of-hours vet. I was worried about dehydration. The vet did a blood test, but no diagnosis was made; she thought it might be gastritis. She gave him an injection for the vomiting and told me he’d be fine for 24 hours, but if the vomiting started again, I should come back.

I went home and slept for 3 or 4 hours. In the early morning, my dog’s distress returned: vomiting and also diarrhoea... I took him to my regular vet as soon as they opened. They told me to leave him there so they could run tests and put him on a drip. I went back to the surgery around 5 pm. My dog had literally changed physically since the morning: he was wracked with pain, stiff, couldn't lie down at all, and was drooling a lot... My vet gave me the diagnosis: acute pancreatitis. She told me it was life-threatening due to his age (even though 4 out of 5 dogs usually recover from this). She started a 48-hour protocol with a drip and morphine. She told me my dog would have to be hospitalised. I quickly realised my dog would be spending the night all alone at the clinic, and it absolutely broke my heart.

I spent the most horrible night of my life; I had a deep intuition that we were about to part ways. I prayed for my dog to hold on, to wait for me so I could say goodbye and thank him for our wonderful journey together.

In the early morning, I called the surgery as soon as they opened, just to know if my dog was still alive. They told me he was, but they didn't want to give me any more information. They said they were going to do more tests and call me back. Around 10:30 am, the clinic called and told me to come in for 11:00 am.

I was shown into a consulting room and then my dog arrived: he was rigid, whimpering, could barely walk, drooling heavily, and his belly had doubled in size. My dog couldn't even wag his tail when he saw me. He just took three or four hurried steps to show he’d noticed I was there and his "joy" at seeing me again. At that moment, I saw in his eyes that he couldn't take any more. The vet, a very young locum because his colleague is away on Wednesdays, told me the treatment hadn't worked since the day before. He had just done an abdominal ultrasound and said his stomach was dilated to five times its original size, which explained the bloated belly!

I quickly realised he wanted to extend the hospitalisation without any new treatment strategy. At that point, following my heart, we discussed the situation, which to me was untenable. I asked about his chances of survival. He told me that at this stage, there was perhaps less than a 30% chance of survival, with potential lasting damage... I was the one who had to bring up the possibility of ending his suffering and euthanasia. The vet agreed with what I said and supported the choice. It was with a heavy heart that I said goodbye to my dog after a final breath of fresh air and some cuddles outside.

Four months after he passed, guilt and doubt still haunt me. Sometimes I even blame the vet (probably unfairly) for not suggesting that choice first, despite the clinical situation being so dramatic and obvious. I’m carrying the weight of this choice almost entirely on my own, and it’s horrible. I feel like I betrayed my dog. There are times when I think it would have been easier to accept if the vet had suggested it first. Perhaps the locum didn't want to interfere with his colleague’s 48-hour protocol? Maybe he wanted to try everything to avoid breaking the strong bond I had with my dog? We’ll never know. I miss my dog so much, and I couldn't bear the fact that he was suffering and might have passed away without me, alone in a cold cage at the vet's.

Has anyone else had a similar experience?

Thank you for reading and for your feedback.

Translated from French
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  • G
    Geaipetit9175 Icon representing the flag French
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    Hi there, I completely share your pain. Like you, I don’t have children and the bond I had with my dog was incredibly strong. It still is, actually. It will never fade. Even though doubts still cross my mind sometimes, logic and compassion have taken over. From reading many forums, it’s very rare—if it happens at all—for our four-legged friends to pull through, especially without any lasting after-effects. Sometimes, sadly, some pass away alone in a kennel in terrible pain. One thing is certain: we put an end to their suffering, and they had the right to a final goodbye, with us there to give them a comforting cuddle. I don’t really blame the vet anymore, not at all. It’s clearly a very difficult profession with a very high suicide rate. Putting a pet to sleep takes its toll on everyone, even the professionals. What matters is that I knew at that moment… Dipsy and I understood each other. The grieving process is long and hard. It does me good to share this with you. We can truly understand each other. Like you, I can’t even think about getting a new companion just yet. I wish you all the strength and courage you need to get through this.
    Translated from French
    M
    Manujunior Icon representing the flag French
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    Hi, I’ve just come across your post and I can completely relate to what you’re going through. My dog, Junior, had acute pancreatitis back in April. He could barely stand. Both his pancreas and liver were affected. He was hospitalised at the vet's from 8am to 6pm on morphine and a drip. I’d pick Junior up at 6pm to bring him home, which meant he had no drip or pain relief through the night. I saw Junior in a cage for the first time in my life; the vet had agreed to let me see him during his stay. When I saw him, I just broke down in tears, falling to my knees. He rested his head on my lap and I just cried and cried... After that, the vet didn’t want me seeing him anymore because he got too agitated and would cry when I left. Junior also had blood in his urine. Then one afternoon, I made the decision to let him go—and just like you, I did it without the vet suggesting it first. When they brought him out onto the table, he recognised me and tried to wag his tail, but he was just so weak. I also noticed that his eyes had turned yellow with jaundice, even though they were fine at 8am that morning. I told him I loved him, and so did my mum and brother. 

    And like you, I feel so much guilt and I’m still second-guessing myself even now. Because it wasn't the vet who brought it up; I was the one who made the decision first. I keep telling myself I should have waited longer, that maybe he would have pulled through. On the other hand, I couldn’t have borne the thought of him passing away all alone in a cage, thinking I’d abandoned him. At least this way, he went with me and his little family by his side. And realistically, I don't think he would have made it. Acute pancreatitis, liver failure, a fever, jaundice, and blood in his urine. Some days I tell myself I did the right thing, and other days I don't. He’d only just turned 11. He was my first dog and I don’t want another one. We were inseparable; being single with no children, the bond we shared was incredibly strong and I only want him, no one else, but I know that’s impossible. I wish you so much strength because I know exactly how you feel. Just remember that they were truly loved. 

    Translated from French
    ProvetoJuniorConseil
    Provetojuniorconseil Icon representing the flag French
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    Hello, I am so sorry for the incredibly difficult loss you've experienced. Acute pancreatitis is a condition that can be very tricky to diagnose, often requiring a combination of several different tests. Even today, the mortality rate for dogs is around 20% when they are first seen by a vet. Unfortunately, even if he was otherwise in good shape, your dog’s age certainly wouldn't have been on his side, nor would the early stages of kidney failure. Pancreatitis causes quite severe dehydration, which can then make kidney issues much worse. It is sometimes hard for a vet to know when to keep fighting and when to suggest it might be time to stop, especially without knowing the owner's own feelings on the matter. You made a very difficult but incredibly brave choice that day, which undoubtedly spared your companion from further suffering. Perhaps if you had made the decision any sooner, you would have worried that you hadn't tried hard enough. Acute pancreatitis is very painful, and the line between attempting further treatment and stopping to end the pain is often hard to find, both for the vet and the owner. You did everything you could in a complicated situation, always putting your four-legged friend first. From what you’ve described, he lived a full, active life, filled with affection. He had a long and wonderful life, and you were there for him right until the end. I hope this helps in some way, and I’m wishing you all the best during this tough time. Johanne.
    Translated from French
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