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Author Topic: Sir  (Read 5033 times)
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merrihart
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Sir
« on: November 29, 2014, 08:00:07 AM »

Hi gang!  I've been super busy, but I wanted to catch up with everyone and update about Sir.

I took him in early, because he has not been gaining weight.  I also noticed that he is very restless and tense, which could just be the new environment, but I thought it was significant anyway.  Also, he has thrown up in the early morning several times.  Mostly clear, but the last time it was very dark brownish stuff.

We just got back from seeing Dr. O'Toole.  Sir lost a pound since he was seen in October.  Sir has been eating about 3.75 ounces of canned food daily, with freeze dried sprinkled on top, with occassional treats, same as my other three hooligans (they are getting FAT), and although I think he is naturally a bigger cat than the other 3, he shouldnt be loosing any weight, though I wouldn't be surprised if he'd stayed the same.  Only he lost weight.

He pooped (and peed) in the carrier, so we got a fresh sample and no parasites were evident.  They drew blood, but nothing left in his bladder for a urine culture.  Dr. O'Toole is going to call me today with the blood results (they do them in house there), and I am expecting hyperthyroid or maybe inconclusive.  It could possibly be IBD, which also wouldnt surprise me, given the stress he lived with for a year.

Otherwise, Sir seems to be a fairly happy and healthy kitty.  He is integrating well into the clowder, though he has not made friends, he has not made enemies either, at least no more than Bella.  He stays out of Bella's way, and engages in chases with the other two, which i occassionally have to get involved in.  I don't see any meanness in him (though he does attack my legs when I pass his bowl without filling it).
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caylee
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« Reply #1 on: November 29, 2014, 08:12:02 AM »

Another possibility would be that Sir was diabetic.

Sending get well wishes to Sir.

Hugs
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merrihart
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« Reply #2 on: November 29, 2014, 09:52:15 AM »

Just got off the phone with Dr. O'Toole.  It's not the thyroid.

His nitrogen is elevated, his potasium is low and his creatine is slightly high.  His blood sugar is in the gray area.

She believes it's early stages of kidney disease and the elevated hunger might be diabetes.  however, she wants to do more tests to be sure.  so next saturday he is going in for a blood pressure reading, an ear prick blood test, and hopefully a urine sample.

At that time, I will get the action plan.  she mentioned several things over the phone, of which i basically remember potassium supplement, fish oil supplement, and possibly a heart medication, if his blood pressure is off.  His heart sounded good for both exams, but she says the heart medication helps deliver oxygen to the kidneys and helps with the kidney disease.
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catmom5
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« Reply #3 on: November 29, 2014, 10:52:51 AM »

So happy Sir is with you and will get the best of care, regardless of what you find out.
Sounds like things are settling down for all of you now.
Prayers that it's something easily treated.
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Meowli
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« Reply #4 on: November 29, 2014, 11:18:00 AM »

Sending prayers for Sir that this is something that can be managed easily.
((hugs))
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Mandycat
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« Reply #5 on: November 29, 2014, 12:53:18 PM »

Is Sir eating dry food as well as the 3.75 oz of canned food a day?  I am asking because 3.75 oz of food is not usually enough food for the average cat to consume in a day even to maintain weight.  There are several ways of determining the appropriate amount, but most average size cats need at least 6 oz of canned food a day for maintenance if eating only canned.  I wouldn't characterize his appetite as elevated if he is only eating 3.75 oz a day.  I don't know what is meant by "gray area" for the glucose result, but if that is just slightly higher than the reference range, it is not unusual for cats to have that result just from stress at the vet's office.  The only way to get an accurate glucose test result is to do the test after fasting for at least 12 hours, and even that can be slightly elevated if the cat is stressed.  If by nitrogen you mean the BUN, that can also be affected by stress, slight dehydration, and by having a meal within a few hours of the test.  These are general statements, but I could tell more if you posted the exact results, along with the reference ranges.  I do think more specific testing might be needed to make a more definite diagnosis.  There is a test called a Fructosamine test that is often used when attempting to diagnose diabetes in the cat.  It does not measure glucose at the current time, but rather gives a result that is an average of the glucose levels over a period of time.  You might want to ask the vet about that test if diabetes is a consideration.

Early morning vomiting is very often due to acid build-up in the stomach after a long period (overnight) of no food being in the stomach.  Mostly this is a clear, maybe frothy vomit, but sometimes can have a little food in it.  Giving 1/4 of a 10 mg tablet of Pepcid (famotidine) with a small meal at bedtime and possibly leaving some food to nibble on during the night can help with this.  If Sir is not eating enough during the day, then his stomach is no doubt very empty the next morning.  Just a suggestion.

Here is a link to a website that discusses the Fructosamine test so that you can understand what it is about.

         http://www.ehow.com/about_6613523_feline-diabetes-fructosamine.html 
« Last Edit: November 29, 2014, 01:15:34 PM by Mandycat » Logged
August
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« Reply #6 on: November 29, 2014, 02:27:21 PM »

It really is so good to know that Sir has someone who loves and will be taking good care of him and not giving up.

It sounds like he's feeling all right, though? and that's great that things are relatively calm in the household with everyone.
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GKit
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« Reply #7 on: November 29, 2014, 06:45:08 PM »

It's great to hear that Sir plays with the others! Do you fill his food bowl on "demand"? I hope the further tests are definitive and it is something easily managed. 
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merrihart
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« Reply #8 on: November 29, 2014, 08:58:07 PM »

I was worried I wasnt feeding him enough, myself.  I feed him 1/4 of a 5.5 oz can of food 3 times a day.  Plus freeze dried on top.  He has had some dry but has decided he doesn't like it.   Shocked  Given the others are working on demanding to be obese, I thought it would be enough food for him, but he is a bit bigger than they are.

i will work on giving him more food.
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petslave
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« Reply #9 on: November 29, 2014, 09:06:38 PM »

I hope the new tests will narrow down what's going on with Sir.  That's an odd assortment of results on the current test.  The blood sugar issue could just be from stress, but good that they are checking it again.
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NedF
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« Reply #10 on: November 30, 2014, 09:36:05 PM »

Sending healing thoughts for Sir and I hope his next round of tests will help get a treatment plan in place for him. He sounds like a sweet cat and I'm happy that he is getting along with your other cats.
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"It seems that some creatures have the capacity to fill spaces you never knew were empty."  - Jean-Luc Picard
Fizzy1
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« Reply #11 on: December 01, 2014, 04:02:45 PM »

I've been wondering how he's been doing.  I hope the vet visit Saturday goes well!  Keep us posted.
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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
merrihart
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« Reply #12 on: December 02, 2014, 11:15:52 AM »

I've added an extra half a bar of primal to his food bowl, hoping that will help him.  He got spooked yesterday and all four cats went racing around like the wind!  Not sure what set them all off, except that bisi or beau probably raced right by him or over him and he chased them, right into Bella who started her siren and then bisi and beau headed for under the bed, so he had to turn around and there was Bella! Sad  He just didn't know where to turn.

I hope this kind of thing isn't what is going on when I'm not home.  but i'm beginning to think I should keep him in the bedroom by himself again.
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catbird
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« Reply #13 on: December 02, 2014, 11:20:29 AM »

It does sound like Sir needs his own space part of the time, and may for the long-term. (We still separate Kalahari from rambunctious Cara overnight so that Kalahari can have a stretch of peace without worrying about being picked on.) Here's hoping Sir will put on some weight. How much food they need can be quite variable, and it sounds like he needs more than your others to maintain.
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catwoods
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« Reply #14 on: December 04, 2014, 02:08:13 PM »

Sorry to hear that Sir is having some health issues, I send hopes that everything will soon level out and he can gain some weight.
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