Silver was fine from Wed to Sat. It was just from last night he didn't want to eat. He's eating FF in gravy right now. Breaking all the rules to make sure he eats.
If it's an infection at the extraction site that can take a few days to develop. If there's infection his mouth will likely be sore and he might not feel like eating. An infection is also something that can increase blood ketones. All speculation at this point. You just have to feed whatever he'll eat so you can give his full insulin dose.
That makes a lot of sense. I'm going to see if I can get antibiotics anyways even if he can't see any infection. I read in the manual that the ketone meter will read HI if it's over 8. Vet clearly didn't know when she said HI meant around 4.
Teasel's sister wasn't prescribed antibiotics after her dental because there was no evidence of infection in her mouth at the time of the dental. That was probably the case with Silver too. However, they eat once they're home and the extraction site, although sutured up, could develop an infection like any wound in a moist, bacteria-laden environment. I suspect it's also easier for that to happen in a diabetic whose blood supply has more glucose in it than a non-diabetic. Bacteria love glucose. High BG also causes poorer wound healing in diabetics.
Well I left a vm with the vet and I hope I get in tomorrow after work.
He won't eat anything else. I tried. He's had a sardine; 1/4 can of Recovery and 1.5 cans of FF one of those in gravy. I think he's had enough that I'm not too worried if he won't take anything else. He had both doses of insulin today. I need him to eat in the morning before I go to work.
He won't eat anything. Not a thing. But he has eaten well today and has had both shots. He won't touch the sardines now. He's now had his second dose of bupe but he isn't good.Will he eat the sardines? Ice cream? Bread? Milk? Cheese? Anything? Try to get him to eat anything that is non toxic to cats. If the mirtz lasts 9 hours could you give him more (I have never used it and I don't know about dosing frequency)? Hopefully if he's just having pain in his mouth the bupe will kick in and he will eat soon. If anything changes, as much as it would be a nightmare to take him to the ER, that may have to be the way to go. I hope you can get him eating. Sending mega vines to you and Silver: hang in there, buddy, you're going to get fixed up really soon but you need to eat something.
so sorry Silver is sick, I really hope the vet will be able to help tomorrow and your job will be understanding.I didn't give any more mirtz and wasn't given nausea meds. I've just emailed work to call in sick. I have to be with Silver today. He wouldn't take any more food last night @Stacy & Asia and I did try pushing sardines into his mouth. Not happening. Just woke up and so glad he's still with us. I thought he might not be. He's vomited up the last food he had. I think that's what woke me. Four more hours and vet opens. Once again DCIN have come to my rescue and will help. The dental and meds just cleaned me out. I hope the vet can help him. He's such an unhappy cat right now.I wouldn't give mirtazapine more than once a day. Has he been given any nausea meds, ie. Cerenia or ondansetron? I would try that before more mirtz.
Hoping for a restful night and that you can get Silver into the vet tomorrow morning.
Thanks. He's just thrown up again and is trying to hide. One more hour and he can get to the vet. This has been a long night.Sending prayers for you and Silver.
I think this is far beyond nausea tho. I have a feeling this is full blown DKA. Possibly due to infection after the dental. I have to trust the vet and do as they say.I’m so sorry, I know what a very long night it’s been. It’s almost time, hang in there. I would ask your vet to have some Cerenia (anti nausea medication) to have at hand at home so that if this kind of thing happens again, you can help him, especially if it’s past clinic hours and they are closed. I hope they can get him feeling better soon and will give him antibiotics this time. Sending vines that your job is understanding and that Silver feels better very, very soon. Please keep us posted.
Well they have to cal DCIN before doing any treatment so between them and the vet they won't go wrong. I am not a vet and I do not know what is wrong so I must and will let them do what is best for him. The forum is great but I am here alone with the vet so that's who is here and I have to let them do what they need to do for him without my interference.It could have started out (the inappetance) as just nausea. I hope it’s not DKA. You do need to trust your vet, but it’s okay to question things they do too, Silver is your boy, if something doesn’t make sense or seem right, they should understand your concern and want you to be on the same page and answer your questions enthusiastically.
Sounds like you're there at the clinic now. Yes, the DCIN people are knowledgeable - and thank heavens they're there to help! I hope it gets sorted soon and that it's not DKA. Keep us posted.
