04/23/18 Texas Gizmo PMPS=325, +2=347, Ket-0.1 (neg), +4=271, +11=213

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Happy Monday.:coffee::coffee::coffee:

As you know I've not been about much lately. So forgive me if you've already discussed/discounted this approach for Giz.

As he is longterm diabetic (over a year) have you thought about holding on to the dose for 3 drops below 50?? Technically on TR a long term diabetic would earn a reduction with 3 drops under 50 or a single drop under 40. I know it may be problematic with you having to be away from work during the week.
Looking at the ss and yesterdays condo (nice Gizmo station BTW) I wasn't sure why you had taken him down to 1.25??

(I probably would not combine this approach with skinny dose reductions/ at least not at first)
 
Gill & George said:
have you thought about holding on to the dose for 3 drops below 50??
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I just can't with work. He got down to 49 Friday PM shot but I held the dose through last night (and there was a partial fur shot combine with the bounce Saturday AM :banghead:. I reduced last night going into the work week. I just can't stress about him going too low while at work.
 
LizzieInTexas said:
I just can't with work. He got down to 49 Friday PM shot but I held the dose through last night (and there was a partial fur shot combine with the bounce Saturday AM :banghead:. I reduced last night going into the work week. I just can't stress about him going too low while at work.
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I thought that was probably the case, sorry for stating the obvious, but as I haven't been round much just wanted to be sure.
Who knows he may like this new dose.

Work it Giz!!
 
Gill & George said:
sorry for stating the obvious, but as I haven't been round much just wanted to be sure.
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I appreciate it. :bighug:

I also had to shoot in the saddle this morning and I am not sure if that is impacting his numbers (higher) but I suspect that is the case. I tried to do the scruff and he jerked about the time I was going to push the plunger (not used to shooting the scruff) so I pulled back and shot the side. Better to get the insulin in with less effective absorption than risk another fur shot.
 
B12 injectable - how often can it be given and for how long?

We are back to not eating too enthusiastically. It started over the weekend and is declining pretty rapidly. I gave Cerenia last night and a bit of pain meds this morning (not sure if it may be the start of a panc flare). I am going to give fluids tonight but am going to order B12 injectable (vet already said she would approve it). I am almost in tears as this starts up again. He was doing so, so much better this past month. I am taking him for a B12 shot tonight after tfs.
 
LizzieInTexas said:
B12 injectable - how often can it be given and for how long?

We are back to not eating too enthusiastically. It started over the weekend and is declining pretty rapidly. I gave Cerenia last night and a bit of pain meds this morning (not sure if it may be the start of a panc flare). I am going to give fluids tonight but am going to order B12 injectable (vet already said she would approve it). I am almost in tears as this starts up again. He was doing so, so much better this past month. I am taking him for a B12 shot tonight after tfs.
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The injectable kind is cyanocobalamin and Dora not work well if at all. I gave it to Silver for a while. Did not work. You want methylcobalamin form of B12. Yes @Sean & Rufus any excess will be excreted out but you don't want to make the kidneys work any harder than they have to.
 
I give the b12 weekly, I fill up an insulin syringe to almost full to the 25 mark - I give it 1x a week to Mulan for previous soft poop issues. Now I just keep it up for maintenance.
 
My vet determined dosage amount and frequency and it varied from cat to cat and the conditions. Initially, vet did it but then I mostly administered at home, with or without fluids, it depended and timing changed by working with vets. Bo, who was a big old Maine coon, was on I think .50cc 1-3x a week depending on how he was doing. Teeny tiny Azalea was on
.25cc first once a month, then bi-monthly, then weekly. However, I think we bumped it to .50cc during her eye injury. Both were also on Zobaline, too., as was Sootie who was on .50cc b12, as was her sister Guernsey earlier after her thyroidectomy, if I’m remembering correctly. It really depends on lots of factors.
I think it gave them a boost.
 
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Juliet said:
The injectable kind is cyanocobalamin and Dora not work well if at all. I gave it to Silver for a while. Did not work. You want methylcobalamin form of B12. Yes @Sean & Rufus any excess will be excreted out but you don't want to make the kidneys work any harder than they have to.
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They are given for two different applications.
https://www.felinecrf.org/vitamin_b.htm#methylcobalamin_dosage

Gizmo does get methylcobalamin (oral) already and the B12 injectable (cobalamin) we just started a month or so ago (for appy and general energy and nausea).
 
Jones started out at .25ml per week for 6 weeks, then .25ml every 2 weeks for 2 months then .25ml 1 a month. His B12 was in the tanker when he was first dx with IBD.

The once a month seems to keep his levels just right...
 
Juliet said:
The injectable kind is cyanocobalamin and Dora not work well if at all
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Did you use it for nausea & appetite? There are many many that will disagree with your assessment, if you say it does't work those. Many IBD kitties use it on a regular basis.
 
When I got home and removed the towel from the carrier to wash it - it looks (to me) like there is blood in his urine. Normal temp at the vet (only saw the tech for the shot). He has gained 1 1/2#'s.

What does it look like to you guys? It doesn't look normal to me. I am scared.

pee1.jpg

pee2.jpg
 
LizzieInTexas said:
When I got home and removed the towel from the carrier to wash it - it looks (to me) like there is blood in his urine. Normal temp at the vet (only saw the tech for the shot). He has gained 1 1/2#'s.

What does it look like to you guys? It doesn't look normal to me. I am scared.

View attachment 35645
View attachment 35646
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I used to see this when Teasel had one of his many bouts of cystitis. Sometimes there were blood and mucus clots in it too.
 
Lizzie , when I have had one of mine do this it’s from inflammation /irritation in urinary tract . Prayers for you to have peace filled heart :bighug::bighug::bighug::bighug::bighug::bighug:
 
LizzieInTexas said:
What does that mean? What do I do?
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Teasel's bouts were usually sterile cystitis from "feline urinary syndrome" and I learned they were self limiting. Occasionally I had Cerenia for its anti inflammatory effect and prazosin, an urethral antispasmodic. Mostly I watched and waited. When he was diagnosed with FD and started getting tons more attention and extra water in every wet food meal the episodes stopped.
 
Beth 73 said:
Lizzie , when I have had one of mine do this it’s from inflammation /irritation in urinary tract . Prayers for you to have peace filled heart :bighug::bighug::bighug::bighug::bighug::bighug:
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Does he need more AB? He just finished 5 weeks of AB a couple of weeks ago.

We were going to give fluids tonight. Should I?
 
LizzieInTexas said:
Is it painful? I gave Cerenia last night. I can give another dose tonight. This has really shook me. I am literally shaking and crying.
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I'm sure it's uncomfortable but Teasel was always able to pee even if it was often and in small amounts, sometimes in inappropriate places. He had urine cultures done a couple of times but there was rarely any infection so the majority of his bouts involved no ABs.

His first couple of bouts scared me too and then I got used to it being a thing that flared every so often. Sometimes the flares were close together, sometimes further apart.
 
Kris & Teasel said:
I'm sure it's uncomfortable but Teasel was always able to pee even if it was often and in small amounts, sometimes in inappropriate places. He had urine cultures done a couple of times but there was rarely any infection so the majority of his bouts involved no ABs.
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What is the cause? Should I do anything?

Sorry, I am freaking out.
 
Sean & Rufus said:
Could it be the b12? I was told by vet that urine could look like that if on b12.
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That quick? I assume he pee'ed on the way home but IDK for sure. Honestly that was my first thought but I am not sure.

Eta-his last b12 was 3 weeks ago but he gets oral b12 and oral b complex daily.
 
How is he acting? That's my judgement call. Silver has had sky high ketones the past three weeks that terrified me. But he is perky and acting normally. Eating normally and purring. So my worry wart began to shrink and I watch and wait. Breathe.
 
Juliet said:
How is he acting? That's my judgement call. Silver has had sky high ketones the past three weeks that terrified me. But he is perky and acting normally. Eating normally and purring. So my worry wart began to shrink and I watch and wait. Breathe.
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So-so. Thst is why I took him up for the b12 shot. His appy hasn't been great but he is eating and drinking lots of water. A bit lethargic but not down and out.

Getting ready to test +2, give his BP meds, Cerenia and then fluids.
 
LizzieInTexas said:
So-so. Thst is why I took him up for the b12 shot. His appy hasn't been great but he is eating and drinking lots of water. A bit lethargic but not down and out.

Getting ready to test +2, give his BP meds, Cerenia and then fluids.
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When was the last time he had a urinaysis? I would be concerned about some sort of bladder/UTI infection. Asia has peed a little blood before with a UTI and I know it can be more of an issue for male cats. Any chance to call the vet and see what they think you should do?
 
Stacy & Asia said:
When was the last time he had a urinaysis? I would be concerned about some sort of bladder/UTI infection. Asia has peed a little blood before with a UTI and I know it can be more of an issue for male cats. Any chance to call the vet and see what they think you should do?
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Yeah I’ve never had a girl cat have it
 
Bellasmom said:
Yeah I’ve never had a girl cat have it
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Well my cat is a girl and she has peed blood. :p But I was thinking more of the stuff that can happen to male cats, blockages and things. I don’t know much about it, but I know enough that I wouldn’t do a wait and see if I had a male cat with urinary problems. Not trying to freak you out, Lizzie, I would just at least talk to your vet on the phone and see what they say about it.
 
Bellasmom said:
Bella had some blood with uti, is he peeing ok, bella walks back and forth to cat boxes
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Seems to be. All in the LB. He has been peeing more (I assumed because of the higher numbers) but not in appropriate places.

+2=347 (vet stress I am sure, plus he was high to begin with this cycle). Ketones 0.1 on blood meter (neg). Gave him pain meds also.

Fluids are next in a few minutes.
 
Stacy & Asia said:
Well my cat is a girl and she has peed blood. :p But I was thinking more of the stuff that can happen to male cats, blockages and things. I don’t know much about it, but I know enough that I wouldn’t do a wait and see if I had a male cat with urinary problems. Not trying to freak you out, Lizzie, I would just at least talk to your vet on the phone and see what they say about it.
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Lol I know shes a girl lol I’ve just never had a girl who had one , just talking that’s all
 
Bless your heart, Lizzie :bighug: My experience with UTIs is with my female kitties ... I usually forced fluids ( add to food and /or syringe water ) and watched to see if they kept going to box frequently and if / how much they peed . Is he getting in and out if box without going ?
 
Beth 73 said:
Is he getting in and out if box without going ?
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No. He pees when he is in the LB. Of course I am not here all day but he usually goes 5-6 times a day and a significant amount.

Vet that he sees won't be in the office till Friday. But I will send email with the pictures.
 
If he had a cysto, maybe that could explain the blood in his urine? I really don’t know. When the blood shows up in the UA they usually say that’s why. Did the vet comment on why RBCs are high in his urine?
 
LizzieInTexas said:
When I got home and removed the towel from the carrier to wash it - it looks (to me) like there is blood in his urine. Normal temp at the vet (only saw the tech for the shot). He has gained 1 1/2#'s.

What does it look like to you guys? It doesn't look normal to me. I am scared.
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The picture does not look to me like a fresh blood spot. Was it washed before you took the pic? If not, is there any chance it came from, let say and an IV blood test the vet run? Or from the injection of B12 site?

Maybe try to rely on observing the clinical signs for a day, and if possible try not to freak out ( I know - easier said than done, but still)?
I hope he'll be fine. You just a super mom with super busy schedule, of course you are worrying.
:)
 
Tanya and Ducia said:
The picture does not look to me like a fresh blood spot. Was it washed before you took the pic
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Yes. Washed in hot water with laundry soap and bleach. He only got shot (b12), weight and temp tonight at the vets. He had also poo'ed in the carrier. It looked a bit pinker in real life but the pink tinge faded after a bit. Could the shot have "leaked"? The did shoot the b12 in the rear end area (hands as far from his mouth as possible :rolleyes:). And I had shot the insulin in the scruff so they didn't want to shoot it there.
 
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