? Appetite changed

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PS: if Sonny's BGs are still high then I think it would be better to get the vet to examine him today (just in case he might have any infection or other illness brewing).

If you're going in it would be a good idea to bring a urine sample.


Mogs
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Thanks Mogs.
Sonny saw the vet on Friday when i brought him in because of the picky eating. That is when he took blood and urine samples. Urine was normal. I was supposed to give miratzipine today but i am not!! That is why i wanted to get a rx for anti nausea and not bring him in.

As for the food....i order his food online and get 2 cases/month. He was fine on these 2 friskies pate flavors (chicken/tuna pate and poultry platter pate up until thursday! I thought the same thing you did which is why i went to my local grocery store and picked up a few cans from them.
 
I was supposed to give miratzipine today but i am not!!
Right decision, Barri. Sonny's eating well now so his appetite is just fine; he doesn't need the mirtazapine.

As @Tuxedo Mom said yesterday, if nausea is the problem then treating that quickly and effectively very frequently eliminates the need for any stimulants.

As for the food....i order his food online and get 2 cases/month. He was fine on these 2 friskies pate flavors (chicken/tuna pate and poultry platter pate up until thursday! I thought the same thing you did which is why i went to my local grocery store and picked up a few cans from them.
I found it helpful to keep details of batch numbers/dates in Saoirse's daily journal. Sometimes it can take a while for an iffy batch to work its way out of the supply chain so it's handy to have a 'red flag' list when you go shopping or get a new delivery.

Ketones?


Mogs
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No ketones!!
Was just at vet and he told me its ok to give sonny an antacid because of the bun or creatine #s. Said pepcid was ok but please tell me HOW MUCH AND EXACT NAME

THANK YOU TJANK YOU THANK YOU
 
No ketones!!
Yay! Very pleased to hear this. :) I suggest doing regular ketone checks for the time being.

Said pepcid was ok but please tell me HOW MUCH AND EXACT NAME
You have a choice of famotidine or ranitidine. I'm in the UK so I'm not 100% sure which Pepcid product is the safe one for cats over there. Call your vet back and double-check. It has to be the one that contains only famotidine as the active ingredient. (I have to get an Rx for generic famotidine from our vets because the correct Pepcid OTC product was taken off the market over here.)

Dosage & side effect info - Famotidine (from Tanya's Site)

Ranitidine is sold under the brand name Zantac 75.

Dosage & side effect info - Ranitidine (from Tanya's Site)

Barri, please get the right information on dosages from your vet first before giving medicines to Sonny.

Fingers and paws crossed that Sonny's eating issues resolve soon. I suggest you bookmark this thread, Barri, in case you might ever need help with nausea treatment again. The links I posted above are extremely helpful.

:bighug:


Mogs
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Thank you Mogs!! I got the Pepcid 10mg only active ingredient is Famotidine. 1 pill is 10mg (small pills also) Tanyas site says the initial dose should be 2.25mg (1/4 of the pill) so i am going to attempt to cut the pill in quarters! I am not really trusting my vet when it comes to dosage since he told me it was FINE to give sonny 7.5 mg of Miratizipine!!
 
Thank you Mogs!! I got the Pepcid 10mg only active ingredient is Famotidine. 1 pill is 10mg (small pills also) Tanyas site says the initial dose should be 2.25mg (1/4 of the pill) so i am going to attempt to cut the pill in quarters! I am not really trusting my vet when it comes to dosage since he told me it was FINE to give sonny 7.5 mg of Miratizipine!!


Barri... the Pepicd AC 10mg is the correct one. As you said giving 2.5 mg or 1/4 of a tab is the right dose for this. It is a royal pain trying to cut those little pills, but it can be done. ;)
 
Barri... the Pepicd AC 10mg is the correct one. As you said giving 2.5 mg or 1/4 of a tab is the right dose for this. It is a royal pain trying to cut those little pills, but it can be done. ;)
And do i have to give it with food? Or when is the best time to give?
 
It is best to give a little while (maybe 20 minutes) before feeding in order for it to help with any excess stomach acids that might be causing nausea

ETA You do not have to give it before each snack. Usually twice a day before the main meals will help if excess acid is causing a problem.
 
It is best to give a little while (maybe 20 minutes) before feeding in order for it to help with any excess stomach acids that might be causing nausea

ETA You do not have to give it before each snack. Usually twice a day before the main meals will help if excess acid is causing a problem.
Thank you! Tanyas site said to initially start 1/4 tablet every other day...if that doesnt help...1/4 tablet every day....and if all else fails 1/4 tablet 2x a day. Does that sound correct?
 
Thank you! Tanyas site said to initially start 1/4 tablet every other day...if that doesnt help...1/4 tablet every day....and if all else fails 1/4 tablet 2x a day. Does that sound correct?


That sounds like a good approach. If he is eating on his own then there is no need to give anything. If his appetite is off then you could try the 1/4 pill. I have used it up to 2 times a day. If that didn't help then I used SEB (slippery elm bark) and if that didn't help, then I used cerenia. For a pancreatic attack I don't even bother with the Pepic AC. I try the SEB then go for cerenia and pain relief.

ETA Also if he is eating on his own trying smaller meals more often might be easier on his stomach and will help to prevent excess stomach acids.
 
Well, he is eating on his own. However...it is just boiled chicken and some chicken baby food since yesterday. Since Thursday...he has turned his nose up at his usual Friskies....he would meow for food, i would put a plate down..he would lick or take a few bites and walk away. That is how we deduced that he is nauseous. I figured the chicken was bland and if his tummy was upset...this would be ok for it..which it is. I am sticking with the chicken again today and will slowly try to reintroduce his normal food tomorrow
 
Well, he is eating on his own. However...it is just boiled chicken and some chicken baby food since yesterday. Since Thursday...he has turned his nose up at his usual Friskies....he would meow for food, i would put a plate down..he would lick or take a few bites and walk away. That is how we deduced that he is nauseous. I figured the chicken was bland and if his tummy was upset...this would be ok for it..which it is. I am sticking with the chicken again today and will slowly try to reintroduce his normal food tomorrow


The chicken and baby food is okay to get some food in his system but the sooner you can get him back to regular food the better, since the chicken and baby food does not have all the extra nutrients that a kitty needs.
 
I know.....i am going to keep him on the chicken today and give him a pepcid later. Tomorrow, i am going to start with a teaspoon of his regular food in addition to the chicken and slowly transition him back as per what @Critter Mom says to do!
 
Chase down the pill with a little food or water so it doesn't lodge in the oesophagus.

Don't rush the food reintroduction.


Mogs
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I did! After i gave him 1/4 tabket of pepcid i gave Sonny a couple of treats!

I am keeping with the chicken tonite and tomorrow morning. I work early a.m in the morning (6am) and will be home at 330pm. Will try a little reintroduction of food when i get home tomorrow.

He just seems so tired and drained....wondering when that will get better....although his tail has been up, he has been purring and playing a bit
 
He just seems so tired and drained....
It might perhaps be better to keep him another day on just the chicken and baby food to see if his energy levels pick up a bit (give your vet a call for advice). Add a couple of teaspoons of water to the meals to help hydration (dehydration can contribute to lethargy). If you do decide to try giving some of his normal food I'd suggest just giving a teaspoonful in one of the meals you give within a 24-hour period. If that's OK add a teaspoonful to a few more of his meals. Watch his poops and his clinical signs closely.

For safety, keep testing daily for ketones for the time being.

If the lethargy doesn't reduce perhaps take Sonny in to the vet and ask for a Spec fPL test for pancreatitis. (It can cause lethargy.)


Mogs
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Seriously....that wheeze though did scaree a bit...like he was hacking!
I am taking you seriously, Barri. :) (Sorry if you thought otherwise as I was empathising with you about how much we worry about our little ones, especially when we see something unusual; text-only is quite a clumsy medium of comunication at times.)

Did he bring up any vomit/furballs?

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With another odd clinical sign on the list, it might be worth biting the bullet and getting Sonny examined by the vet.


Mogs
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You might try raising the food and water bowls about 4-6 inches. An upside-down cookie tin works (it has a slight rim to prevent the dish from sliding) or even a couple of old books you no longer want piled up against the wall.
 
I am taking you seriously, Barri. :) (Sorry if you thought otherwise as I was empathising with you about how much we worry about our little ones, especially when we see something unusual; text-only is quite a clumsy medium of comunication at times.)

Did he bring up any vomit/furballs?

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Oh Mogs....no...i didnt think YOU werent taking me seriously!! Just a figure of speech...i was agreeing with your helicopter parenting comment!
 
Oh Mogs....no...i didnt think YOU werent taking me seriously!! Just a figure of speech...i was agreeing with your helicopter parenting comment!
Glad to hear that, Barri! :)

Text communication, eh! :banghead: It's so easy to write something where the meaning is unclear, isn't it! :rolleyes: :)

If I'm in doubt I always tend to post again to attempt to clarify what I was actually trying to get across (and sometimes that can end up making matters worse! :oops:)

Hope Sonny's eating well today.

:bighug:


Mogs
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Glad to hear that, Barri! :)

Text communication, eh! :banghead: It's so easy to write something where the meaning is unclear, isn't it! :rolleyes: :)

If I'm in doubt I always tend to post again to attempt to clarify what I was actually trying to get across (and sometimes that can end up making matters worse! :oops:)

Hope Sonny's eating well today.

:bighug:


Mogs
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Thanks Mogs! He seems more upbeat today and right now is sitting near me meowing for his food. Just wondering if i should attempt a little cat food or stick to the chicken 1 more day
 
If it were me I'd be inclined to keep to the chicken and baby food till tomorrow to allow the tummy to settle down and recover. When you do try the first meal with the teaspoon of regular food try to make it a time when you can actually sit and watch Sonny eating the food and also how he reacts afterwards. That way you'll be able to monitor to see if it goes down OK. If it upsets him a little you might see him doing a sort of combined yawning and lip-licking after he eats. If he goes to lurk somewhere unusual after eating that may also be a sign the food didn't go down so well.

Fingers and paws crossed for all to go well.

How are Sonny's BG levels? Any improvement?


Mogs
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If it were me I'd be inclined to keep to the chicken and baby food till tomorrow to allow the tummy to settle down and recover. When you do try the first meal with the teaspoon of regular food try to make it a time when you can actually sit and watch Sonny eating the food and also how he reacts afterwards. That way you'll be able to monitor to see if it goes down OK. If it upsets him a little you might see him doing a sort of combined yawning and lip-licking after he eats. If he goes to lurk somewhere unusual after eating that may also be a sign the food didn't go down so well.

Fingers and paws crossed for all to go well.

How are Sonny's BG levels? Any improvement?


Mogs
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Hi Mogs!
I went for it. Gave him a teaspoon of his cat food on the same plate as his chicken (its the Friskies Poultry Platter so it complements the chicken/baby food) He ate everything! I will still NOT switch over to just cat food yet. Tomorrow, i will put some regular cat food on his plate with 2 meals (today i will just do this one meal). He seems ok right now. His BG levels are good. Way down from 400 now that i increased his insulin. Yesterday and today he was down to the high 100's
 
Hi Barri!

Sounds like good progress is being made. Thanks for posting the update. :)

Great idea to offer the different foods side by side so that Sonny can choose what feels good to eat. :cool: (I'm gonna borrow that one! ;) )

Glad to hear his BG levels are better, too.

(((Sonny)))


Mogs
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Just gave him some cat food along with chicken and he is eating it up. Also gave 1/4 pepcid also. He is still a little hoarse and i know that is a sign of nausea also
 
Well spotted on the hoarseness, Barri. Thanks for posting an update on how Sonny is doing.

I'm glad you're managing to keep Sonny eating. It might be advisable to get Sonny in to the vet and maybe get some Cerenia or ondansetron - especially with Christmas approaching hard and fast.

:bighug:


Mogs
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