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Author Topic: Mitzie's weight loss  (Read 308 times)
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alek0
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« Reply #15 on: September 08, 2017, 05:04:04 PM »

Even though they didn't see poo in X-ray, she is still struggling a bit and passing these small hard several mm pellets. I'll give her hairball remedy daily for a week at least and start adding pumpkin to her food again once she is eating steadily on her own (I removed pumpkin for a while because of vomiting, wanted to test if it was pumpkin that irritates her stomach). Advice on alternative sources of fiber would be appreciated.

She is obviously better and started grooming again. Still some nausea and discomfort and little interest in food, so I gave her mirtazipine and after a while she actually came out to living room to eat, there was no need to hold the plate under her nose.

Any advice on what else can I do to make her more comfortable and ensure that she eats would be appreciated.
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lesliek
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« Reply #16 on: September 09, 2017, 05:36:49 AM »

Try stage 1 baby food , you can use meat to get her interested & squash instead of pumpkin if needed .
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alek0
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« Reply #17 on: September 11, 2017, 09:07:57 PM »

She is eating now, a little at a time but keeps eating. She finally got all the black hard poo out and normal poo started appearing.

Vet will check her out this afternoon, and we will repeat blood test once meds are done.

I am considering of asking vet to keep her on famotidine long term, because she has excess stomach acid and nausea despite her kidneys not being too bad. Is this thebest choice of a medicine long term or any other suggestion.
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Mandycat
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« Reply #18 on: September 11, 2017, 09:17:44 PM »

Famotidine is good for long-term use for stomach acid.  It is recommended all the time in the hyper-t forum since hyper-t cats have a tendency to have problems with stomach acid and vomiting when the stomach is empty.  The usual dose we recommend is 1/4 of a 10 mg tablet given at bedtime since overnight is when most cats get the build-up of stomach acid since they do not eat for that long period of time.   
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lesliek
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« Reply #19 on: September 12, 2017, 04:57:51 AM »

If it stops working for her after long term use,you can switch to Ranitidine . 1/4of a 75mg pill also best given at night.
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ranger
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« Reply #20 on: September 12, 2017, 09:22:06 AM »

Glad to see she is eating.
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alek0
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« Reply #21 on: September 13, 2017, 07:26:40 PM »

She is eating and definitely feeling better and putting some weight back on now she started munching on dry food (changed to Hill's k/d from Royal Canin renal).

She will be on Famotidine long term, hope that will work, and I probably need to make sure constipation doesn;t happen again. Giving Catlax daily now, is that safe to continue (maybe every other day, paraffin based thing for hairballs) or any other suggestions?

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NedF
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« Reply #22 on: September 13, 2017, 10:59:32 PM »

I'm glad to hear she is eating and feeling better. My cats have always preferred Royal Canin to Hill's. I think it must be tastier.

For constipation Thunder got lactulose and it worked well but it was a little difficult to get the dose right and sometimes she got diarrhea. I believe hairball medicine can prevent vitamins from being absorbed so if you give that every day it should be given in between meals.

I also gave Thunder slippery elm syrup to stimulate her appetite and settle her stomach. I made a syrup and syringed a few mils into her and she usually would head to the food dish within about ten minutes. I'm not sure if it's safe to give to a cat with liver problems though.
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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 #23 on: September 14, 2017, 03:33:20 PM »

Most hairball remedies will have directions for use on the label.  Usually they are given every day for an acute problem until the problem resolves.  Then, usually, twice a week. 
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alek0
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« Reply #24 on: September 14, 2017, 09:05:26 PM »

Ah, sorry, wasn't clear. How to know that the problem has been resolved? She still occasionally has some dark hard bits in the poo, but poops every day. Vet said OK to with to 3 times per week, and I guess I'll try and see if that works. Vet also agreed we can stop cerenia since she is not vomiting and just keep her on Famotidine and see if that works.

So her current meds are:
Metronidazole 1/4 tablet twice a day (given for ten days, will finish in a few days)
Famotidine 1/4 tablet given in the evening, will continue for as long as it works
Denamarin - SAMe supplement, will continue daily
Ursodeoxycholic acid - will continue daily, especially since the poo still sometimes seems very dark likely due to bile (there was "sludge" in gallbladder in ultrasound, ALKP was close to upper boundary but n normal range but for her that should be high because before it was always close to zero).
Vit B (combo of  B6, B9 i B12) - twice a week
Catlax - three times per week

She is currently on Hills k/d and normal canned. Stage 2 CKD, creatinine occasionally elevated (not on every blood test), everything else in normal range, has been stable since started on renal dry, she refuses renal wet. She was on Royal Canin renal which she liked but then stopped eating it. She is enthusiastically muting on k/d right now. She has lost some muscle in rear legs since being on renal food. Does anyone have any opinions on this food, 0.50% phosphorus?
https://www.youngagainpetfood.com/zero-mature-health.html
The opinions seem to be divided on protein and kidneys, low phosphorus is a must.

Also considering changing SAMe supplement to smth containing both SAMe and milk thistle extract. Possibly trying to replace some of the canned with freeze-dried raw on the lower end of phosphorus content or just raw. Also, is using Lactulose or hairball remedy better?

Opinions and advice would be appreciated.

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lesliek
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« Reply #25 on: September 15, 2017, 06:23:05 AM »

I think it depends on the individual cat or dog & what they do better with . Bruce does well with lactulose 2-3 times daily . He gets an oral syringe of 4 ml . I also alternate a fish oil capsule or tsp of evoo [ both organic & 1st cold pressed & mercury free ] in his food. He does get raw , but never freeze dried because it seems to cause constipation for him. If Shadow is shedding a lot I add slightly less of the oils to his food. They are both about 14 lbs. I never do raw of any kind more often than every 3rd day, because he needs more fiber to go & the raw means he doesn't go as often . He also only gets  a few tbsps of dry every other day . Not enough moisture. He does get probiotics daily also .
 On the rx food, its a balancing act . The food is not a great quality & over all they won't thrive on it. However without it their kidneys will get worse. If you notice muscle wasting,try adding a little more regular food to her diet & keep a close eye on her numbers & hydration . In the end you may just have to choose quality of life vs quantity .
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alek0
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« Reply #26 on: September 17, 2017, 09:28:38 PM »

Talked to the vet, will try lactulose since she only poops on the days when I give Catlax.

Also, still some nausea even with Famotidine. Will try Ranitidine instead, I've read in that book on CKD (same author as Tanya's website) it might be better option for cats with constipation.

Her kidneys are not that bad yet based on both ultrasound and blood tests, but nausea is a problem.

Considering trying slippery elm bark, my vet is not convinced it would help but said no harm to try. Any experiences?
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August
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« Reply #27 on: September 17, 2017, 11:10:56 PM »

I don't know about Slippery Elm Bark, but this is the probiotic we use when someone has toilet issues (recommended by Dr. Ueda and also the doctor I use now):

Mito-Max Super (pronounced my-toe max)
https://www.amazon.co.jp/gp/product/B003YFF968/ref=oh_aui_search_detailpage?ie=UTF8&psc=1
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Larges born 5/07
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alek0
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« Reply #28 on: September 18, 2017, 01:23:35 AM »

Thanks, I got the probiotic from the vet already, she will be on some probiotic after finishing metronidazole (waiting for a day or two after stopping antibiotics, today was day 10 finally), since otherwise its no use. But probiotic alone doesn't seem to do much for constipation though...
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NedF
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« Reply #29 on: September 20, 2017, 10:14:32 PM »

I used slippery elm with Thunder to stimulate her appetite. I found it didn't do much for her constipation.  I put 1/4 tsp slippery elm powder in 2 tbsp of boiling water, mixed it up, and then let it cool and thicken. I gave her a couple mls by syringe 1 hour before/after meds. She would usually eat something within 10 minutes of the dose.
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
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