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Author Topic: Facial Pruritis  (Read 5827 times)
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rbauer
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« Reply #15 on: May 19, 2016, 08:42:18 AM »

I agree with you catmom.  The only thing that comes close to an oral surgeon is the department of dentistry at the University of Pennsylvania veterinary hospital where we have been going for her dentals.  They were the ones that prescribed the Buprenex after I explained my observations to them.   In my last communication with them I believe that a sedated oral examination was going to be the next step.    We only get to see the fourth-year student though. We never get to see or talk to the supervisor that presumably has many years of experience with this kind of thing.  
« Last Edit: May 19, 2016, 08:54:46 AM by rbauer » Logged
merrihart
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« Reply #16 on: May 19, 2016, 09:03:07 AM »

rbauer, htere is a very excellent (albeit expensive) dental specialist in Norristown, not that far from Philly.  I took Bisi to see him and he sent a letter to my vet with the suggested treatment.  He was really nice, too. 

http://metro-vet.com

I don't know where you live, of course, but if you are going to philly, this isn't very much further.
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rbauer
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« Reply #17 on: May 19, 2016, 09:10:11 AM »

Merrihart thank you for the reference.   We are in Center City Philadelphia so Norristown is not far away at all. 
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lesliek
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Trooper,Remy & Fragile


« Reply #18 on: May 20, 2016, 05:16:56 AM »

There might be 1 at Red Bank or North Star also . Red Bank is a block off Rt 38 in Mt Laurel & North Star is on Rt 73 Maple Shade .Both are fairly close to the Cherry Hill & Moorestown malls .
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catmom5
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« Reply #19 on: May 20, 2016, 08:01:30 AM »

That's one of the reasons we left MSU for primary care. Different students all the time and very little contact with the attendings. Maybe the one merrihart linked to can help.
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rbauer
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« Reply #20 on: August 11, 2016, 05:16:31 PM »

We didn't get to metro but found VSEC to be a little closer.   She's very nervous and would never have tolerated the car ride.  VSEC has her on 50 mg gabapentin three times a day for two months.  So far it just makes her very sleepy and she still wants to scratch. I'm still not able to take the e-collar off yet but they said it may take a couple weeks for the medicine to really kick in.  If this doesn't work I don't know what we'll do.  Prednisolone worked nicely in the past but doesn't seem like an ideal lifelong solution- unless folks here think it might be okay.   Is 2.5 mg a day OK to give a cat indefinitely or do they eventually get side effects from it? One of the doctors she's seen told me that it's not a question of if but when she would get diabetes with that medicine.  But then another doctor she saw said that they have kitties on Pred lifelong with no issues.  I kind of wonder if I kept her on strictly a canned food diet if the whole diabetes thing could be avoided or prevented?  Anyone else doing long-term or lifelong Pred low dose and no issues?  Maybe it's just fine and it's just me nervous about it but that's the only medicine so far that seems to temporarily cure her.   guess we have to just wait and see if the high dose gabapentin will work.  Hoping it does.
« Last Edit: August 11, 2016, 05:22:13 PM by rbauer » Logged
Mandycat
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« Reply #21 on: August 11, 2016, 10:25:05 PM »

Many kitties need to be on long-term steroid treatment for various medical problems.  If you use it, you do want to use Prednisolone for a cat, not Prednisone.  Even with lifelong Prednisolone, some cats will tolerate it very well with limited side effects.  It is not true that most cats will become diabetic, especially if the dose is low dose, and for a problem like the itching, the dose is given just every other day.  Sometimes there has to be a decision made based on risk vs. benefit.  If the Prednisolone is the only thing that has worked, and the current medication doesn't work, I think you have to consider the quality of life.  You don't want her to have to wear the e-collar for the rest of her life if you can get control of her condition even if there are some risks involved.  Here is one article that discusses the use of steroids in cats.  There are many others, and also sites where owners discuss their personal experiences with its use.  You will find that there are quite a few owners who report success using low dose Pred for years.  Search "is long-term prednisolone safe for cats".

             http://www.vcahospitals.com/main/pet-health-information/article/animal-health/steroid-treatment-long-term-effects-in-cats/71
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lesliek
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« Reply #22 on: August 12, 2016, 05:57:12 AM »

I agree with Mandycat . There is a risk of side effects , but weigh that against quality of life . If the prednisolone allows her live a normal life and be happy then to me it is worth the risks .
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catmom5
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« Reply #23 on: August 12, 2016, 09:55:01 AM »

CJ was on prednisolone for a very long time and handled it well. Now Cassie takes it every other day for her IBD/megacolon issues. I agree that it's quality of life.
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merrihart
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« Reply #24 on: August 12, 2016, 09:57:39 AM »

rbauer, has anyone suggested zyrtec?  I'm not exactly sure what you are dealing with, but zyrtec works well for allergies and some digestive disorders.

Bella was on Pred for 4 years.  From 2011 to 2015.  I got her to every 3rd day, which is hard to remember, but easier on her system.  Pred causes all kinds of things to happen to the kidney numbers, and it makes the bones fragile over long term use, which is why it has become so regulated with humans.  But it really does help.
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rbauer
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« Reply #25 on: August 13, 2016, 05:54:14 AM »

There's been a new development- last night she vomited an entire day's worth of food around 10 pm and then began crying, walking sideways, and sat in unusual locations hunched over in what looked like extreme pain.  When I tried to pick her up she cried even more.  That was all I had to see and we packed up and went to the 24 hour emergency at the veterinary hospital.  She's still over at the hospital now and they're running tests and maybe doing an ultrasound on her belly.  That's all I know for right now.   I agree with you all that quality of life is important and we may have to just go on the Pred since it does temporarily cure the problem while she's on it and she doesn't have to wear the e-collar then.  I've tried several antihistamines including Zyrtec and unfortunately it didn't help.  Special diets caused GI issues.  It's comforting to know that many of you had kitties on Pred for extended periods of time and everything was okay.  That might be the way we go as soon as he recovers from whatever acute condition is occurring now.   I asked them if it was from going on high / frequent dose gabapentin a week ago and they said no, but it seems strange to have a sudden illness like last night come out of nowhere.
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NedF
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« Reply #26 on: August 13, 2016, 10:10:10 AM »

Sending many prayers that her upset tummy is just temporary and she will be home with you soon.
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
Mandycat
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« Reply #27 on: August 13, 2016, 10:34:16 AM »

Also sending prayers for your kitty's quick recovery.   
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Meowli
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Oscar


« Reply #28 on: August 13, 2016, 01:11:44 PM »

Sending prayers from here, as well.
((hugs))
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rbauer
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« Reply #29 on: August 13, 2016, 03:38:29 PM »

Dear friends, thank you for all your support and especially your prayers for Mabel.  She is home now and is mostly okay.  Her vomiting and movement disorder last evening apparently was due to extreme pain. On x-rays they found very bad hip dyplasia / osteoarthritis in her hips and back and one hip is especially bad.   They also said on ultrasound she has slight pancreatitis, and a thickening of her intestine which could be either inflammatory bowel disease or gastrointestinal lymphoma but she doesn't have recurring symptoms for either disease so they aren't concerned about it at this time (it worries me though).  Her kidneys were also consistent with kidneys in older cats and need to be watched.  I'm just grateful that she's home with me.  They gave me buprenex for her hip and back pain.  I'm not sure about using that for more than just a week or two but I guess some people do and it's okay.
« Last Edit: August 13, 2016, 04:00:24 PM by rbauer » Logged
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