12/4 Sootie am152 +11/168

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HWright

HWright

Member Since 2016
http://www.felinediabetes.com/FDMB/...-3-5-171-10-214-14-5-183.169084/#post-1834513

Good morning this sunny in southern New England Sunday.

Didn't start out sunny for Sootie. Tho her ambg 152 she'd vomited up the 3am fud sometime between 4am and 7:50am. And after Bg, vomited froth immediately at the sight of fud.

Getting my wits about me and giving her a moment to chill out. Then will tx the 1ml Pepcid (hoping she doesn't immediately barf it up like before) and do her morning fluids and a/b in-line injection.

And go from there....

On an optimistic note, her breathing difficulties are improving in spite of the vomiting but she clearly feels worn out and whooped out. It's gonna be a long day til the specialist appt tomorrow morning.

Thanks, love, hugs and vines for smooth sailing day for all.:bighug::bighug::bighug::bighug:
 
Poor Sootie and poor you. I hope the pepcid, fluids and a/b help her feel better and be able to keep some food down. I'm glad her breathing seems better. Sending prayers. :bighug::bighug::bighug:
 
I had a thought Sina,
Are you giving her the Pepcid in a gel cap? I had a similar experience with Gussie related to the Pepcid and foaming.
I give it in a tiny gel cap but for some reason we had trouble with it and he started doing the foaming and vomited a bunch of white froth. I believe that somehow he chomped that gelcap open or something and the piece of the famtodine caused the foamy barf.
Just a coincidence? Not sure but you might try a gelcap if you're not already using them..
Amazon can get them to you very fast
 
Gussie's mom said:
I had a thought Sina,
Are you giving her the Pepcid in a gel cap? I had a similar experience with Gussie related to the Pepcid and foaming.
I give it in a tiny gel cap but for some reason we had trouble with it and he started doing the foaming and vomited a bunch of white froth. I believe that somehow he chomped that gelcap open or something and the piece of the famtodine caused the foamy barf.
Just a coincidence? Not sure but you might try a gelcap if you're not already using them..
Amazon can get them to you very fast
Click to expand...
Hi Les, wish I could say it was. Can't do any kinds of pills or gel caps bc they'd get stuck. Can't even do her treats unless i pulverize them into powder (and sometimes that as a topper helps to add appeal to food). If the most recent DX is correct, no peristalsis capability in esophageal muscles ; esophagus not pushing contents into stomach, hence it pools and putrefies in esophagus and is gurgitated or vomited up when esophagus fills up.*

Vet, when he agreed to try antacid, said make a liquid: 1 10mg Pepcid AC diluted and dissolved in 10ml water. Dose 1ml by syringe once daily.

*ETA: that's why the 'vertical' feeding and staying at 45-90 degree angle for 15 min-1/2 hour after food intake, for gravity to assist in sending food from esophagus into stomach.

P.S. Tomorrow morning's appt with gi/endocrine specialist seems so far away.
 
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Tricia Cinco(GA) & Harvey said:
I know the feeling. You're so anxious for some answers and hopefully solutions, so the clock moves slowly. :nailbiting:

Sending loads of good vetty vines, non-vomit vines and many prayers and :bighug:s.

How is Azalea doing?
Click to expand...
Thanks Tricia, yes that's it. And I keep feeling that I am missing something that is at the tip of my fingertips to help Sootie. something so simple that it'd be like magic. Wishful thinking perhaps yes, but also the deep feeling that if we can find our way in all this, there is something that is the missing link to help Sootie. I've felt this way before with others and in that "persistence to hear and find a way," some wonderful recoveries have happened. Crossing paws for Sootie.

And tomorrow we also have to take into account not only the diabetes, this new esophageal mystery and its complications, but also her ultrasound results (u/s report thickened intestinal walls, possible ibd, prominent lymphnodes and possible neoplasia, all but the former item in u/s report reg vet met with some speculation).

So, we'll just have to get through the night and see what the morrow brings. Thanking you and all for holding us in the loving arms of healing, prayers, vines and friendship.
Sina

ETA: oops, meant to reply about Azalea: thank,you for asking about her. Her eye looks pretty good today, comsidering what it has been. She's eating well. No longer wobbly of gait, dizzy (am thinking that reducing the frequency of glaucoma drop,with beta blocker ingredient was the main reason for the dizziness) and is quite happy with fewer eye drops. Lucky girl!
 
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Gussie's mom said:
Right, I totally had a brain fart on that one, sorry....
Adding my vines and some May the clock hands move more quickly ones for you Sina:bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
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Oh not to worry, Les! What you suggested is a great idea and full of caring. i will talk to Sootie about how Gussie does it...she, as you know (as we all do) , is full of admiration for her fellow flamenco fan. Stay in the greens, Gus, so Sootie can keep aspiring to go surfing with you!

Hoping we'll have good news tomorrow. Today am feeling very much that we're at or near the feeding tube realm. I know nothing about that, having never done them with cats. What I do sense is that of the two kinds I'm aware of, esophageal or stomach, it'd have to bypass the esophagus. You or others any experience/suggestions/ aspects to be aware of this procedure comes into play tomorrow?

Hugs and hearts, Sina
 
Hi. I am SO sorry you are going through all of this.

I do have experience with a feeding tube and it was an amazing tool to use. When Osha was in the ER they did a tube through her nose, but it is super skinny in diameter and they don't like to send cats home with it because it is easy for it to get blocked and it also bothers their nasal passage. So, when it was time for me to take her home, they sedated her very briefly and put the tube in her neck down to her stomach. I was nervous at first, but after using it a few times, it was easy to use. They will give you various sizes of syringes (without needles) that screw onto the tube. You first flush it with 5mls of water and then attach the next syringe of the food and slowly push the plunger and then flush with another 5mls of water. They will give you food that is very mushy and you put some warm water in it to make it into a slurry. They will tell you how much your kitty should have per day. It was also a godsend for medicines. The liquid medicines I could just put in the syringe and push in. For the pills....I would put them in a small zip loc bag and pulverize them with a back of a spoon. Then I would cut the bottom corner of the bag and pour the pill into a syringe and pull up 10mls of luke warm water into the syringe and shake it to mix it with the water and then give it to her via the tube.

The tube never bothered her at all. It was like she didn't even know it was there. She had the tube in for several weeks after she was eating on her own and I finished all the meds.

I would take the dressing off each morning and evening and clean the area with a wash cloth and warm water. Sometimes I put a little neosporin around the tube site, but I am not sure that was even necessary. I could get all the dressings that I needed for the changes at CVS. I still have a bag with all my supplies and I can take some pictures and show them to you.

:bighug::bighug::bighug::bighug:
 
Osha said:
Hi. I am SO sorry you are going through all of this.

I do have experience with a feeding tube and it was an amazing tool to use. When Osha was in the ER they did a tube through her nose, but it is super skinny in diameter and they don't like to send cats home with it because it is easy for it to get blocked and it also bothers their nasal passage. So, when it was time for me to take her home, they sedated her very briefly and put the tube in her neck down to her stomach. I was nervous at first, but after using it a few times, it was easy to use. They will give you various sizes of syringes (without needles) that screw onto the tube. You first flush it with 5mls of water and then attach the next syringe of the food and slowly push the plunger and then flush with another 5mls of water. They will give you food that is very mushy and you put some warm water in it to make it into a slurry. They will tell you how much your kitty should have per day. It was also a godsend for medicines. The liquid medicines I could just put in the syringe and push in. For the pills....I would put them in a small zip loc bag and pulverize them with a back of a spoon. Then I would cut the bottom corner of the bag and pour the pill into a syringe and pull up 10mls of luke warm water into the syringe and shake it to mix it with the water and then give it to her via the tube.

The tube never bothered her at all. It was like she didn't even know it was there. She had the tube in for several weeks after she was eating on her own and I finished all the meds.

I would take the dressing off each morning and evening and clean the area with a wash cloth and warm water. Sometimes I put a little neosporin around the tube site, but I am not sure that was even necessary. I could get all the dressings that I needed for the changes at CVS. I still have a bag with all my supplies and I can take some pictures and show them to you.

:bighug::bighug::bighug::bighug:
Click to expand...

Thanks, Amanda. wow and yes. I was just reading on cat info.org about feeding tubes, your experience and sharing helps a lot! And yes, if you have time to take a photo of the feeding tube stuff, that'd be great. I feel better prepared already. Now I'm wishing had pushed in pursuing this with my vet earlier on (he'd said..you do not want to do a feeding tube now...well, to give him credit, few weeks ago was a few weeks ago).
All best and happy Sunday to,you and your adorable Osha,
Sina
 
Sina, I am so hoping you get some good news tomorrow at the specialist. And glad that her breathing is better. Guess it is a challenge to get the Pepcid in her with the esophagus stuff going on. The Pepcid is very bitter and the way you are doing it is probably the best way. Maybe a syringe of water with a few squirts after the Pepcid goes down?

Fingers and paw and lot of vines for you. :bighug::bighug::bighug::bighug::bighug:
 
Here are the photos....
 

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Bobbie And Bubba said:
Sina, I am so hoping you get some good news tomorrow at the specialist. And glad that her breathing is better. Guess it is a challenge to get the Pepcid in her with the esophagus stuff going on. The Pepcid is very bitter and the way you are doing it is probably the best way. Maybe a syringe of water with a few squirts after the Pepcid goes down?

Fingers and paw and lot of vines for you. :bighug::bighug::bighug::bighug::bighug:
Click to expand...
Thank you Bobbie great idea!
 
Evening update (was that Saturday night live?):

Sootie sequestered herself in assorted places today...under one bed or another, in closet or next to radiator, seeking warmth, seeking cool, seeking escape from her bean's perpetual checking on her for one reason or another.

By early evening and after pmbg, she did eat, again with the upright feeding and this time not fussing about being upright afterward. crossing paws with anti jinx, she hadn't thrown up by 1/2 hour later. I could hear her doing a wheeze when she ambled herself under bed, but no vomiting when I checked on her.

Will do her fluids and in-line a/b in a little while. She's supposed to fast starting around 10pm. It's a kind of wonky feeling thinking of her officially "fasting" under the circumstances.

Again thank you all. And Amanda...thank you again all about your experience with Osha and her stomach feeding tube. It really is liberating to know and I feel a real hopeful for Sootie. We'll see what tomorrow brings. Crossing paws and prayers for all to have a gentle joyful tomorrow
Hugs and love and thanks from us all❤️❤️❤️❤️
 
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