Treatment: If a pancreatic or liver tumor is identified and able to be surgically excised, the skin lesions may normalize for an extended period of time, but because these tumors metastasize (spread to other areas of the body) quickly, surgery is not curative. In cases of end stage liver disease, surgery is not possible, and the goal of therapy is to increase quality of life and decrease uncomfortable skin lesions with supportive care and addressing the nutritional abnormalities. Supportive care includes supplementing protein and necessary minerals and enzymes through the diet and oral supplements or by weekly intravenous amino acid infusions that are performed in the hospital on an outpatient basis until improvement in the skin is noted. Unfortunately, despite the supportive care, the disease will progress.
A bloated stomach affects several other organs in the abdomen by putting pressure on them and by affecting the veins which means blood cannot return to the heart as it should. The spleen may also become twisted. As the stomach gets bigger it puts pressure on the chest cavity which makes it difficult for the dog to breathe. If the stomach twists it can totally or partially block the exit to and from the stomach trapping gas, food and water in the stomach. The stomach's own blood supply can be comprised leading to death of its wall, rupture and peritonitis. This combination can quickly lead to death as organ failure, low blood pressure and shock all set in.