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Author Topic: Mitzie has a bad tooth  (Read 390 times)
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alek0
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« on: April 28, 2019, 06:16:47 PM »

Just had a check up this morning, and the vet confirmed that the tooth would likely need to be extracted, it is causing her pain. I noticed she has been pawing at her mouth occasionally, and has been quite grumpy lately. Waiting for her blood test results and then will decide how to proceed. I guess if it is causing her significant discomfort, it has to come out but need to figure out what is the best and safest way to proceed. She is 19 years old, has kidney issues but has been stable for quite a while. Urea slightly elevated but creatinine still in normal range for quite a few consecutive blood tests. Fluids not needed at this stage.

Her current medication regimen is: Azodyl for CKD, vit. B supplements, green lipped mussel oil supplement for joints and inflammation, famotidine for nausea, cyproheptadine for appetite (half a dose, quarter pill per day, she gets too chubby when on full dose, and does not eat enough without it), SAMe and ursodeoxycholic acid for liver since she had liver problem one and a half years ago (normal values now but keeping her on supplements doesn't hurt). Her weight is 4.7 kg which is a good weight, though it is a little bit down probably because tooth is bothering her. It is probably healthier for her to be at this weight, at 5 kg she is rather round and it is more stress on her joints.

Any advice how to proceed would be appreciated. I am also thinking to do abdominal ultrasound if she has tooth extraction since last time when I brought her in for constipation the vet on duty saw some shadow on Xray but I didn;t want to put he through unnecessary stress in absence of any symptoms. But if she is going to be under anaesthetic anyway, I guess it wouldn't hurt to do it?
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rbauer
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« Reply #1 on: April 29, 2019, 06:57:14 AM »

Sorry to hear about Mitzie’s tooth.  Did the vet offer anything to take the edge off Mitzie’s pain in the meantime so she’s more comfortable?
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alek0
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« Reply #2 on: April 30, 2019, 03:09:56 AM »

She has her dental scheduled on Friday morning, no pain killers given in the meantime. She is on cyproheptadine which may interfere with some of the narcotics, and also she has both kidney and liver issues. Plan is to get the tooth out asap (tue evening here).


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NedF
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« Reply #3 on: April 30, 2019, 04:17:06 AM »

I agree if it's painful it has to come out. She will feel so much better without it. Did you decide on the ultrasound?
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
alek0
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« Reply #4 on: April 30, 2019, 09:41:37 PM »

I guess we will go ahead with the ultrasound, if all goes well without any trouble with tooth extraction. She will already be drowsy from the anaesthetic and the pain meds, so it would probably be the best time to get it done.
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catmom5
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« Reply #5 on: May 02, 2019, 01:59:49 PM »

Thinking of you! Happy you have a specialist who can take care of the tooth issues.
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Mandycat
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« Reply #6 on: May 02, 2019, 03:25:25 PM »

Sending wishes for an good outcome for Mitzie's dental surgery. 
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Fizzy1
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« Reply #7 on: May 02, 2019, 04:45:59 PM »

We'll be thinking of Mitzi on Friday!  Please try to post afterwards to give us an update.   Kiss Kiss
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I once asked a four year old what the secret of life was.  "Feed the kitties," she said, "Feed the kitties."--Ellis Felker
alek0
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« Reply #8 on: May 02, 2019, 09:10:44 PM »

Dropped her off this morning, waiting for the call after the procedure. We had a bit of a scare since the vet detected heart murmur. They did blood test for heart function, came back normal, chest Xray to see if any fluid anywhere, came back normal, abdominal Xray - came back normal and no shadows that were seen last time, and then the vet also did quick ultrasound check for the heart and abdomen, all OK. So concluded it is safe to proceed with the dental, stress related murmur, and that bad tooth definitely needs to come out, one other they will see how it looks after they clean up the tartar.
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alek0
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« Reply #9 on: May 03, 2019, 05:20:03 AM »

In addition to that obviously bad tooth, she also had resorptive lesions and more teeth were extracted. She is back home, on pain killers, antibiotics and soft food for a week.
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Fizzy1
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« Reply #10 on: May 03, 2019, 06:16:11 AM »

Wow, poor Mitzie.  And a heart murmur, too,to scare everyone!  She is going to feel so much better now, though.  Thanks for the update. Heal quickly, Mitzie! Kiss
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I once asked a four year old what the secret of life was.  "Feed the kitties," she said, "Feed the kitties."--Ellis Felker
rbauer
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« Reply #11 on: May 03, 2019, 11:06:37 AM »

Hope Mitzie feels better real soon.
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alek0
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« Reply #12 on: May 04, 2019, 11:49:59 PM »

She is eating, we are offering food frequently and occasionally she goes out to living room in search of food by herself. She is a bit subdued which is I suppose normal, and also coughing occasionally which I suppose is from anaesthetic. Booked vet appt for house call on Wed. morning to check on how is she healing. No housecalls possible earlier, if we notice any problems I'll bring her in to the clinic. Also I would like vet to give her vit. B shot since we are skipping bit. B oral supplements for now, I reduced her meds to essentials only to minimise discomfort when giving meds. She has to take Azodyl, SAMe, famotidine, cyproheptadine and clavamox which is already a lot.
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rbauer
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« Reply #13 on: May 05, 2019, 03:29:35 PM »

Glad to hear that Mitzie is doing okay and eating.  Her being subdued is probably typical for a time after all that she just went through.  She will feel so much better once her gums heal and she doesn’t have those painful teeth hurting her at every meal.
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lesliek
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« Reply #14 on: May 05, 2019, 06:48:59 PM »

Very glad Mitzie is okay! Sammy was subdued after her extractions also, did not last long . She was back to playing& chasing the others in a few days .
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"the world's most inept extortionist"
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