Itchmo Forums for Cats & Dogs

Pet Health (not to be substituted for qualified vet advice) => Help With My Sick Pet => Topic started by: merrihart on November 29, 2014, 08:00:07 AM



Title: Sir
Post by: merrihart 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).


Title: Re: Sir
Post by: caylee on November 29, 2014, 08:12:02 AM
Another possibility would be that Sir was diabetic.

Sending get well wishes to Sir.

Hugs


Title: Re: Sir
Post by: merrihart 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.


Title: Re: Sir
Post by: catmom5 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.


Title: Re: Sir
Post by: Meowli on November 29, 2014, 11:18:00 AM
Sending prayers for Sir that this is something that can be managed easily.
((hugs))


Title: Re: Sir
Post by: Mandycat 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 


Title: Re: Sir
Post by: August 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.


Title: Re: Sir
Post by: GKit 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. 


Title: Re: Sir
Post by: merrihart 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.   :o  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.


Title: Re: Sir
Post by: petslave 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.


Title: Re: Sir
Post by: NedF 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.


Title: Re: Sir
Post by: Fizzy1 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.


Title: Re: Sir
Post by: merrihart 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! :(  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.


Title: Re: Sir
Post by: catbird 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.


Title: Re: Sir
Post by: catwoods 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.


Title: Re: Sir
Post by: merrihart on December 04, 2014, 05:16:55 PM
I took sir in early because I was going that way today for work.  His blood pressure is fine and the glucose test was good.  They got a urine sample and they will get back to me when they get the results.

He is now a favorite of the vet techs.  Lol. Though he once again hid under the cage blanket.  He was very happy to go home with me.  And no one has fussed too much since we got home.


Title: Re: Sir
Post by: merrihart on December 06, 2014, 06:45:07 PM
Sir's urinalysis came in and the gentleman vet called this afternoon.  The only elevated number was the creatine at 1.5.  He said 1.4 was the high end of normal.  He also said Sir's urine was very dilute.  The two things led him to recommending science diet kd.  We'll hear from Dr o'toole on monday, I'm sure.

The good news was that sir had gained a tenth of a pound in the 5 days between appts.  I'm giving him his share of the pate food  plus a half a bar of primal freeze dried.  Primal recommends 4 bars a day for a 10 pd cat.  So hopefully with the extra food he will start to gain soon.


Title: Re: Sir
Post by: caylee on December 07, 2014, 09:15:16 AM
Sir's urinalysis came in and the gentleman vet called this afternoon.  The only elevated number was the creatine at 1.5.  He said 1.4 was the high end of normal.  He also said Sir's urine was very dilute.  The two things led him to recommending science diet kd.  We'll hear from Dr o'toole on monday, I'm sure.

The good news was that sir had gained a tenth of a pound in the 5 days between appts.  I'm giving him his share of the pate food  plus a half a bar of primal freeze dried.  Primal recommends 4 bars a day for a 10 pd cat.  So hopefully with the extra food he will start to gain soon.

Good deal on the weight gain for Sir!


Title: Re: Sir
Post by: Mandycat on December 07, 2014, 05:37:02 PM
merrihart,
Others may chime in on this also, but I really do not suggest that you use the Hill's k/d diet for Sir.  A Creatinine of 1.5 does not warrant that.  Use of renal prescription diets are really not necessary until a cat has pretty advanced kidney disease, which is when the Creatinine is well over 3.0.  Actually, according to the IRIS scale of kidney disease stages, a creatinine of 1.5 is still in Stage 1, which requires no specific treatment at all and is not unusual for a cat of his age.  Saying that 1.4 is the "high end of normal" is rather misleading.  The best source for information regarding feline kidney disease can be found at this link:

                 http://www.felinecrf.org

You can also look up the website for IRIS, which will give you the complete information on the various stages of kidney disease from no significant disease and up.

Vets really tend to over-prescribe those renal diets.  Cats are obligate carnivores and need a meat based, high protein, low carb diet, which does not in any way describe Hill's k/d.  Fortunately, more informed vets are coming around to realizing that cats do not need those low protein renal diets so early.


Title: Re: Sir
Post by: GKit on December 07, 2014, 05:43:13 PM
The normal range differs from lab to lab, I'm sure, but on Gypsy's senior bloodwork panel from Idexx, creatinine normal range is marked 0.9 - 2.5 mg/dL.  I hope Dr. O'Toole will have further comment on the results.

Yay for the weight gain!



Title: Re: Sir
Post by: lesliek on December 08, 2014, 06:03:25 AM
I have to agree that he doesn't need k/d yet or fluids . Oreo is 4.7 , I did buy k/d but no fluids yet .Very glad to hear he is gaining weight !


Title: Re: Sir
Post by: catbird on December 08, 2014, 06:58:06 AM
I'll add my voice to those saying, Sir doesn't need a special diet. I agree with Mandycat that this is actually a pretty "normal" value for a cat his age. Both Phantom and Kalahari (pushing 19 and 18, respectively) run creatinine around 2.2-2.4, and have done fine on their regular food. So has Linley, who at last measurement after his AKF episode from the Lasix was at 2.4.

Quite often, the cats won't eat those "kidney diets" and then you end up with even more health problems. Best to stick with what he will eat.

Your average vet just listens to the PFCs and I agree that they often push these "special diets" unnecessarily.


Title: Re: Sir
Post by: merrihart on December 08, 2014, 10:27:50 AM
It is not my inclination to put sir on kd, so I'm glad you guys agree. :)


Title: Re: Sir
Post by: merrihart on March 04, 2016, 07:40:16 AM
I took sir to see Dr. Amy two day ago.  He has been sneezing and then I noticed that he had "watery" eyes.

It was Dr. Amy's first time seeing Sir.  the vet tech covered him with a towel while he was on the scale, so she could take his temperature, and he elected to stay that way through the examination.

Apart from the CRF, Sir appears to be a healthy kitty.  Lungs were clear, temp was normal.  She said it could be the CRF causing his sinuses to become inflamed, or it could be allergies.  She did give me some medicine for him to give twice a day for a week, then once a day.  His weight is stable, though 2 lbs under where he should be, he drinks and eats just fine, uses the litter box regularly, and seems to be a happy kitty (until I try to give him medicine, then he turns into a feral cat:  no touch no see!).



Title: Re: Sir
Post by: lesliek on March 04, 2016, 08:27:54 AM
Glad it went well ! Try grinding lysine into something smelly that he loves , it helps cats with allergies . Usually a few days will work as they get over the beginning histamine reaction . Don't forget cats can take 1/4-1/2 zyrtec also depending on their weight .


Title: Re: Sir
Post by: NedF on March 04, 2016, 07:53:25 PM
Glad to hear his vet visit went well and he is healthy. I hope the medicine helps with his sneezing.


Title: Re: Sir
Post by: merrihart on March 07, 2016, 05:52:56 AM
Lysine did help, but he was still sneezing a bit, and then his eyes got watery, so I figured it was time for more help.   ;)  Whatever this medicine is, it is helping.  he has stopped sneezing and his eyes are clear again.  Typical Sir, he wants no help, no medicine, but so far, I am winning this battle.


Title: Re: Sir
Post by: lesliek on March 08, 2016, 05:50:41 AM
 :)


Title: Re: Sir
Post by: August on April 03, 2016, 11:21:27 PM
Sounds like Sir is doing well.  I'm so glad to hear that.  Yay on getting such a great checkup result!


Title: Re: Sir
Post by: merrihart on March 21, 2017, 08:05:54 AM
I know I haven't been on in ages, and lots has happened.

Two weeks ago, Sir had to go on IV fluids and stay overnight at the cat hospital in Reisterstown, MD.  I took him there because they had seen him for his teeth in December, and they have hours most vets are closed.

As a result, I am now giving him 100cc's fluid every other day, and benepiril (?) every 12 hours (twice a day really, as I am not home before 8:30 some nights).  I had to get a restraint bag for him, and he still doesn't want to sit still, but is getting better about it.  He is feeling better, and he's beginning to put on weight.

He goes in the guest bedroom during the day when I am not home, so he can have extra food.  So far it is working.

I'll put up a new post in the other thread for healthy cats about all the rest of the gang.


Title: Re: Sir
Post by: lesliek on March 22, 2017, 05:24:31 AM
Glad he is home & doing better !


Title: Re: Sir
Post by: NedF on March 24, 2017, 11:05:14 AM
Sorry to hear he has to have fluids every other day, but I'm glad he's feeling better and putting on a little weight! Sounds like he's still feisty since you had to get a bag for him!


Title: Re: Sir
Post by: merrihart on March 27, 2017, 03:46:59 AM
NedF, he has passive resistance down to an art form!   :D


Title: Re: Sir
Post by: August on March 27, 2017, 11:05:16 PM
Glad to hear you have that spare room.  It makes life so much easier.  Sending lots of good wishes to you guys.


Title: Re: Sir
Post by: BW on April 01, 2017, 07:29:52 AM
So glad that Sir is feeling somewhat better.  Giving fluids is quite a job, and he is lucky he has you to do that  for him.
Sending positive thoughts that he continues to improve.


Title: Re: Sir
Post by: alek0 on April 04, 2017, 06:13:20 PM
Glad to hear he is doing better.

Are you warming up the fluids? Many vets say it doesnt matter, but it made a huge difference for Stefie  during a bit colder weather, in summer it wasnt necessary. Also, there was a huge differencebetween giving lactated ringers and saline, he hated saline and was taking LRS calmly.


Title: Re: Sir
Post by: merrihart on April 05, 2017, 11:11:38 AM
Alex0, I have not been warming it up, because the faucet in the spare bathroom leaks horribly. :(  Maybe I will move the whole operation to the master bathroom.

On a plus note, I didn't give him his fluids on Saturday night, and he beat me to the second floor and meowed at me, as though to tell me I had forgotten.


Title: Re: Sir
Post by: alek0 on April 05, 2017, 01:58:06 PM
If you want to heat up the fluid, it is enough to fill some large pot or pan with warm water and put the bag into it fora few mins before giving the fluids.


Title: Re: Sir
Post by: merrihart on May 10, 2017, 11:04:17 AM
Sir had another emergency vet visit not long ago, and I'm now giving him fluids every day.  He hates it.   :(  At least he's not running from me yet.

He had blood in his urine the other day, so I put him back on anti-biotics.  thankfully, it cleared up within 48 hours, and he's back to his normal self, begging for my salad bowl and sitting on my big chair with me.

He's not ready to go yet, and I'm not ready to let him go.   :-\


Title: Re: Sir
Post by: NedF on May 10, 2017, 11:14:32 PM
{{{hugs}}}


Title: Re: Sir
Post by: merrihart on May 11, 2017, 03:23:55 AM
Thanks, Ned.  To complicate matters, for the first time since I found her, Lilly didn't eat this morning.   :-\


Title: Re: Sir
Post by: lesliek on May 11, 2017, 04:40:01 AM
I hope it is nothing serious with Miss Lily and for lots more quality time for you with Sir.


Title: Re: Sir
Post by: alek0 on May 11, 2017, 11:22:25 PM
I also hope there is nothing seriously wrong with miss Lily.

Good lic with fluids for Sir, small things can make a difference, for example where you give fluids, how calm you are, which fluid, temperature of the fluid etc. Fluids do make a huge difference, so in the end even if he hates it, its only a few mins of that, and he will likely behave normally towards you otherwise when he doesn;t see the fluids bag and needle.


Title: Re: Sir
Post by: merrihart on May 12, 2017, 09:38:18 AM
She ate, and then she threw up this morning.  We've never figured out what is going on with her tummy.  She has a lot more silver in her fur this year that she had before.

Sir is grumbling a lot, but so far, he lets me catch him.  I'm getting about 75 ccs into him now, rather than 100.


Title: Re: Sir
Post by: NedF on May 15, 2017, 08:54:36 PM
How are Sir and Lily doing merrihart? Is Lily eating better?


Title: Re: Sir
Post by: merrihart on May 16, 2017, 03:25:57 AM
She threw up 3 mornings in a row. :(  But I think the last time it was over eating.

I bought 2 (TWO!) cases of the 10 oz paw lickin chicken.  Everyone left food on their plate, so Lilly went from plate to plate eating to her hearts content.  Then she threw up.  LOL

Sir is doing better, but he is still on the anti-biotics.  We should be done with those in the next couple days, I think.  The bottle is low.  Then we'll see if it holds.  He is letting me give him fluids without the bag, mainly I think because the last time I used the bag, I snipped the mats on his left side away, and he hated that.  But they had been there forever, and they were pulling away from his skin.  he had a small wound on that side where the worst clump was :(

And he knows what "time to get your fluids" means, and runs to my big chair to hide.  LOL  It didn't work, so I'm sure tonight he'll have a better idea.


Title: Re: Sir
Post by: alek0 on May 16, 2017, 11:58:19 PM
I wouldn't count any vomiting from over-eating. Especially if it comes out less than 30 mins later, totally tube-shaped. Classic greedy-guts side effect and no big deal.

My Mitzie has occasional issues with vomiting, and if she vomits several days in a row a single dose of Cerenia (1/2 pill) takes care of it and then we typically have quite some time of no stomach upsets and she tolerates Cerenia well. I have some on hand since she is prone to stomach upsets, usually I just text the vet with description of vomiting pattern and ask whether to just give Cerenia or book an appt, usually just Cerenia takes care of it. She has been prone to stomach upsets since quite young age, after few years I stopped worrying about it if she still has appetite and normal activity.


Title: Re: Sir
Post by: August on May 20, 2017, 11:13:50 PM
I can never serve any type of shredded chicken or tuna for breakfast - I always get "Classic Greedy-Guts" especially from Fri.   :D   If you're not serving a pate at all, you could try serving them some of the soup from the Weruva and then 30 minutes later try serving the actual breakfast.

Sending lots of good vibes to Sir!  Urgh, hate those mats and they're fussiness to not let you easily trim them off.


Title: Re: Sir
Post by: merrihart on May 26, 2017, 07:20:18 AM
So, it appears Sir has pancreatitis also, now.  This is one cause of his throwing up, probably the most prevelant.  It is a heavy, mucus thick liquid. :(

but I have pain killlers for him, so when it flairs up, I can give him some bupenorphrine, and it helps tremendously.  Also, he had a bad reaction to wild calling turkey pate :( 

But he is better now, and he even came up to sit with me on the bed early this morning!  He rarely does that, and hasn't since we came to Harriburg.  <3  So glad he is now comfortable enough to come up on the bed with me, even with all the other cats around.

(side note:  I'm convinced Miss Lilly is a closet bulimic!)


Title: Re: Sir
Post by: NedF on May 27, 2017, 10:04:51 PM
I'm glad to hear Sir is feeling better especially with his pancreatitis. Smoggy sends him his sympathies!


Title: Re: Sir
Post by: lesliek on May 28, 2017, 06:16:16 AM
Glad to hear Sir is improving !  :( on the pancreatitis


Title: Re: Sir
Post by: catwoods on June 20, 2017, 04:30:14 PM
Glad there's some improvement for Sir with pancreatitis. I hope Lilly is doing better now too!


Title: Re: Sir
Post by: merrihart on June 21, 2017, 09:41:27 AM
I'm not sure on Lilly, will write on her page.

Sir is doing so much better!  But its all dependent on him getting fluids.   :-\  Not that I mind, I don't, but sometimes I am not home overnight.


Title: Re: Sir
Post by: lesliek on June 22, 2017, 04:26:56 AM
Is there a friend or neighbor who could help if you aren't home ?


Title: Re: Sir
Post by: merrihart on June 23, 2017, 05:50:08 AM
Not really. 

I am going away for 4 days at the end of July, and a friend who is also a vet tech has said she can come give him fluids, but she lives quite far away.  He can't go to her house, she has 3 Siamese and a Doberman, much too stressful for my shy Sir.