In Sept 2023 she came in for V/D again and long thin BMs. Her nose was dry, tongue lavender, dry, normal size - maybe a little swollen, and pulses decently toned. She seemed more Damp to me so I cont'd YGJ and added some WLT. All went well with this until December when she came in for borborygmi so loud O could hear across the room, then D+ that was projectile liquid (like a hose). Her tongue was now pale lavender-pink in centre, pink edges, on the dry side, normal size, maybe a little swollen, and pulses were weak, hard to find. I started her on Xiao Yao San and Probenz probiotics (do you know this one? do you like it?? probiotics that work well are so hard to find!!). Other than an AG abscess the following week she did well??? Stools tended to be formed but on the soft side and broken up however.
In June 2024, Daisy started having her frequent tummy troubles again and I had just started learning about the Gold Standard herbs and Adoptrex and it seemed to fit well. Apparently it DID NOT fit well as she had four bouts of V/D over the next mth. O did not call and was able to curb with Cerenia, but finally came in end of July distraught as she was having a hard time pooping, straining, had a reduced appetite, and had some laboured breathing. Since she was relatively bright tx'd conservatively: SQF LRS 200ml, SQ Cerenia 0.65ml, SQ B12 1.0ml, and restarted XYS.
Beg'g of August O emailed saying she had been ok, but often gassy and the borborygmi is more constant and LOUD, "even hours after getting cerenia into her and she is super uncomfortable and unsettled, seems odd since she tolerated them before". I stopped the XYS as she wasn't really pooping much, BMs when occur = a bit runny, no blood or mucous. EN ok, on walk slow and sluggish. Never sleeps away from O but last night so unsettled, restless, but no V/D. Seems more Spleen Qi and Liver Blood deficient now, more Liver Qi Stagnation occuring as well. Still needs a harmonizing formula as not particularly Damp, so started her on Bu Zhong Yi Qi Tang. As long as O could catch her before borborygmi started up at 3-4am and fed her she is fine. If O misses this and can't get her to eat, will give Cerenia. Besides the belly rumbling and some lip-licking, there is no V+ and stools overall ok. BZYQT seems to be holding her the best. After reviewing her files, I rec'd also adding Yi Guan Jian at night alongside BZYQT BID to see if we can reduce that morning nausea and improve appetite.
Recently, however, while BMs are now normal, best they’ve been in a long time and no nausea or noises, she is ITCHY!!!! Aaack!! O thinks the culprit is the Bu Zhong Yi Qi Tang. She stopped the Probenz probiotics for over a week and she was still itching, then tried stopping the herb and no itching but almost immediate tummy upset with
no related stress. Ergh! SO I've added XYS back in temporarily but I need advice!
So sorry for another long and very detailed story, but I need to make sense where I go right and wrong.
Cheers,
Corinne