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Author Topic: Mitzie's weight loss  (Read 724 times)
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alek0
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« on: September 05, 2017, 09:07:29 PM »

Mitzie has lost some weight, last blood test in early august some elevation in creatinine, everything else was OK. She has always had issues with stomach acid and vomiting, now when she vomits I give her 1/2 Cerenia pill (about once a week).

She has been eating less, but that has been an ongoing issue, but I haven't actually checked her weight for a few months so I noticed she is now 3.7 kg (down from 4.1 kg). She has always been a picky eater, and she is having issues with early stage CKD. She eats renal dry, but normal canned. I've been trying to get her to eat more dry food by putting freeze dried chicken powder on it, and for wet I am just trying to offer food more often, when I put food under her nose she eats a bit, but doesn;t seem eager to get up and eat.

Any advice would be appreciated. She is now 17 years old (born in May 2000).
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August
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« Reply #1 on: September 05, 2017, 11:41:28 PM »

That is literally the same weight that Lulu (10 yrs old) bounces between.  Lulu is also a picky eater.

I hope Mitzie has been feeling well and acting her usual self.  I guess there could have been a bit of weight loss from your having been away and then with Leo's arrival?  Hopefully with the cooler months ahead she'll want to eat a bit more to keep warm and her weight will go back up again.  Lulu has been really enthusiastic about eating her fd raw but in the last week or so has been eating less, I don't know why, though the weather is definitely changing over here (though I'd think she'd want to eat more as it gets cold...).

Sorry I'm not of much help.  I'm sending appetite vibes!
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alek0
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« Reply #2 on: September 06, 2017, 02:09:50 AM »

Just discussed with the vet, got OK for temporary (hopefully) return to junk food (Aixia etc.), we'll see if that works. May also change her prescription dry to another brand just to change the flavour, I also got deer liver powder, hope I can get her back up to where she was.

Also considering supplementing her regular food with raw meat, I've come across a few papers (one on dogs and one of humans) which show no rise in creatinine after eating raw meat and a rise in postprandial creatinine after eating cooked meat. No idea why.
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lesliek
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« Reply #3 on: September 06, 2017, 06:24:53 AM »

It sounds like it could just be age & the recent loss & addition . I've always found too that with CKD or any early stage disease , they have a loss of appetite . Usually changing food types & flavors helps. If she will eat raw , that would be great .
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ranger
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« Reply #4 on: September 06, 2017, 09:41:38 AM »

If she has kidney disease wouldn't it be better for her to eat wet food only? Can you get wet renal food there? We have a lot of cats on prescription diets at the shelter.

My boys are also fussy sometimes I throw out more than they eat.

My 14 y o also lost weight but blood and urine came back ok.
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alek0
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« Reply #5 on: September 06, 2017, 03:39:02 PM »

She is totally refusing renal wet, but wasloving renal dry. Now she has no interest in renal dry for last couple of days and she got very picky with wet food.
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alek0
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« Reply #6 on: September 06, 2017, 10:44:52 PM »

No luck with dry (will try to change to Hill's renal from Royal Canin see how that goes), limited success with wet, she just licks the gravy and I tried several new foods.

I suspect nausea since she licks her lips, sometimes stares at the water. Also, some constipation. I've asked the vet for Catlax and famotidine to se if that helps, and booked Xray, ultrasound and another blood test for Sunday to see if there is anything else going on.

I noticed she was getting leaner this summer and there was some muscle loss on back legs, but I wasn;t as worried while she was happily munching on renal dry, and she stopped that couple of days ago.
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mikken
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« Reply #7 on: September 07, 2017, 04:31:39 PM »

Famotidine is a good idea.  Are you feeding on raised dishes?  Raising food and water up can certainly help.

Raw meat is actually a good idea if she'll eat it.  I know a number of renal cats on raw who do well.  Heaven knows they need the protein and moisture.

Has hyperthyroidism been ruled out?  Some cats are ravenous when hyper t, but some just go off their food...
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alek0
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« Reply #8 on: September 07, 2017, 05:52:05 PM »

Last night I brought her in, they did Xray and gave her an enema and subQ fluids since she seems to be constipated. Not much there, but it is very hard and dry. She got some of it out in tiny hard bits but I don't think that's all. I need to bring her in in the afternoon for a detailed ultrasound, blood test etc.

I can ask about hyperT but at the moment they seem to be most concerned about possibility of pancreatitis. I really hope her recent troubles are due to constipation and that she will improve once they manage to get it all out of her. Rabbit poo is less dry and hard compared to this. Even after enema it just came out in tiny little dry hard pieces.

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Fizzy1
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« Reply #9 on: September 07, 2017, 09:16:24 PM »

Aw geez.  Poor Mitzie.  I hope the fluids perk her up.  Loss of appetite is a huge problem with CRF kitties.  I remember having numerous cans of food open just trying to find one that would be acceptable to Fizzy.  She also had a problem with constipation which we treated with Lactulose and fiber.  Good thoughts for you all.   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
August
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« Reply #10 on: September 07, 2017, 10:32:06 PM »

Oh gosh, I hope she's feeling better.  The raw bones in the freeze-dried do make for much more compact, dry poops.  Hopefully the enema and fluids were enough to give her some comfort and things will be better able to start moving out.
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lesliek
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« Reply #11 on: September 08, 2017, 04:50:48 AM »

Lactulose & a little olive oil in the food help Bruce immensely with constipation . He also gets almost no dry food.
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alek0
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« Reply #12 on: September 08, 2017, 05:27:05 AM »

Constipation has been resolved, good news is also no masses, creatinine and urea are actually smack in the middle of the normal range, but liver enzymes are elevated, ALT by quite a lot. Liver is somewhat enlarged, so we got antibiotics, ursosan, as well as famotidine&cerenia to deal with nausea. She has eaten a little, not too much but we just got back from the vet. If not eating more by morning, I'll give mirtazipine and hopefully by the time antibiotics have done some of the work appetite will return.
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alek0
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« Reply #13 on: September 08, 2017, 05:28:19 AM »

Also T4 normal, pancreas function normal, not anaemic. Basically everything normal except liver, kidneys are a bit smaller in the ultrasound but with clearly distinct morphology, vet said better than expected for her age.
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August
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« Reply #14 on: September 08, 2017, 03:31:20 PM »

All in all that sounds really good.  "Better than expected for her age" is wonderful.  I hope she's feeling better and eating well soon. 
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Larges born 5/07
Sunday born prob 5/09
Tinies born 3/10
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