Ok dumb question. How do you know when he was having a flare?
Things to watch for (not an exhaustive list):
- More lethargic/less sociable/withdrawn/increase in hiding behaviour.
- Much more defined clinical signs of nausea.
- Reluctance to eat/inappetence.
- If flare is severe, then much more marked signs of pain (primarily abdominal but it can also radiate to the back - and some vets may mistake the latter for arthritic pain).
- Softer, whiffier stools; sometimes more orangey-brown in colour if a mild flare but more of a gooey/marshmallowy texture - possibly very tan, greenish, or even greyish in colour - if flare is worse.
- Marked upward trend in BG levels (even during milder flares).
I can't seem to differentiate when he's in pain or not, or maybe in constant pain??
Clues may include:
- sitting in a sort of tense 'meatloaf' position, especially after eating.
- hiding (e.g. lurking under tables, behind sofas or curtains).
- seeking out cool places to lie down, e.g. stone/tiled floors (soothing to abdomen).
If in doubt, it's wise during a flare to treat for possible occult pain as reduction in any pain present may lead to the flare subsiding more quickly (advice given to me by feline internal medicine specialist).
As with so many things, it's a case of Know Thy Own Cat. If you keep a little daily journal of clinical signs it may help you to better spot patterns of behaviour. (I found it to be a godsend for Saoirse.) The daily journal is also invaluable to refer back to because it can help you to better identify things which do and don't help matters, plus it is beyond helpful when you need to backtrack to something that was working better or which helped resolve prior flares effectively.
Couple of day-to-day things to try:
- raise food and water bowls several inches from the ground to a more comfortable eating height (helps with nausea if kitty doesn't have to lower its head to eat and drink).
- massage neck and shoulders to release endorphins if Rufus' body/posture looks a bit tense after eating.
- give Rufus a catnip toy to lick after his meals (catnip is thought to act as a mild analgesic).
- keep a close eye on stool consistency and frequency (constipation can trigger flares).
- feeding smaller meals spaced out over the cycle can be easier on the pancreas (ETA: must meet feeding needs of insulin in use!)
- adding 1-2 tsps water to each mini meal can help maintain adequate hydration levels.
Mogs
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