We saw the internist today. I didn't let them do biopsies to rule in or out IBD since that is the main suspect anyway and Sophie has been through more than enough vet procedures. But we are going to treat it as such. The SIBO is a secondary issue to the IBD which is what I was afraid of.
Also could be lymphoma but I really don't think so, it doesn't fit nearly as well and she'd probably be more sick by now. It's very important to get IBD under control though and well managed, the inflammation can cause lymphoma so want to keep it down as much as possible.
We're not going to do much different right now, just see how she does on the Tylosin. We can add in metronidazole again as well as pred if we have to go there. She may be able to eat more foods eventually, depending on if she also has pancreatitis.
She has been so awfully itchy so asked him if it would be safe to use Apoquel on her which was what I was looking forward to as I hear it's a miracle for itchies. But unfortunately he said he hates Apoquel, there hasn't been a lot of testing done on it and he has been seeing a scary amount of dogs on it coming in with cancers.
So not sure what to do about these itchies now. Poor Soph!
But I was encouraged that he said she should be able to get back to doing her favorite things again and that many dogs live a long full life with IBD! Am praying she will be one of those who can get by fine on very little meds.