Hi everyone
On 3/5 I first posted about my diabetic/CKD cat Leo and gave details here:
http://www.felinediabetes.com/FDMB/...vet-thinks-is-near-death.192299/#post-2151126
Leo has been doing well overall but I would like some opinions. I have his latest blood work, and urinalysis in his spreadsheet.
First, a quick update...
On 3/21 Leo had an ultrasound and was diagnosed with Triaditis. As expected, it also showed kidney calcification. A urine culture was negative. He was given Metronidazole, Mirtazapine (for inflammation, not for appetite) and liquid Hepato. He also continued what he had been taking: Amoxicillin, liquid Potassium, Phos-bind, and 150 ml Lactated Ringers once/day.
A follow up ultrasound on 4/24 showed very good improvement. The vets were happy with his response to the meds. At this time, I thought he was losing weight. He seemed bonier. However, the vet's scales showed he actually gained a bit. Very weird.
A week later on 5/2, the same vet scales showed he had went from 8.4 to 7.8 lbs. He had blood work and a urinalysis (see spreadsheet). He stopped Amoxicillin and started Azithromycin. Lactated Ringers was increased to 200 ml once/day.
The next day (5/3) he seemed to have trouble peeing. He went from litter box to litter box, at first not peeing, then peeing enough to make dime size wet spots and finally going a decent amount. I took him to vet immediately. The vet thought Leo only felt as if his bladder was full and it could be a side affect of starting Azithromycin. He had a urinalysis (see spreadsheet).
This same thing happened again on 5/19. Over about 2 hours he was in and out of the litter box but peeing only a little. He eventually had a nap and then seemed fine. I assume this has something to do with the Azithromycin as the vet suspected?
Leo is scheduled for blood work and a urine culture on 5/30. I'd like your overall thoughts on what has gone on, the meds he's been given, his blood work, etc.
Also, I am very concerned about Metabolic Acidosis. I don't remember if it was ever mentioned/considered by my vet. I have read about it on Tanya's CKD site. I don't see a test for blood ph in Leo's blood work. His TCO2 isn't low. However the Anion Gap has been consistently high. Also, his urine PH is low (although I've read it's not a reliable indicator). Wondering what you all see in his labs and think about Metabolic Acidosis.
Thanks! I really appreciate your help
Trevor
On 3/5 I first posted about my diabetic/CKD cat Leo and gave details here:
http://www.felinediabetes.com/FDMB/...vet-thinks-is-near-death.192299/#post-2151126
Leo has been doing well overall but I would like some opinions. I have his latest blood work, and urinalysis in his spreadsheet.
First, a quick update...
On 3/21 Leo had an ultrasound and was diagnosed with Triaditis. As expected, it also showed kidney calcification. A urine culture was negative. He was given Metronidazole, Mirtazapine (for inflammation, not for appetite) and liquid Hepato. He also continued what he had been taking: Amoxicillin, liquid Potassium, Phos-bind, and 150 ml Lactated Ringers once/day.
A follow up ultrasound on 4/24 showed very good improvement. The vets were happy with his response to the meds. At this time, I thought he was losing weight. He seemed bonier. However, the vet's scales showed he actually gained a bit. Very weird.
A week later on 5/2, the same vet scales showed he had went from 8.4 to 7.8 lbs. He had blood work and a urinalysis (see spreadsheet). He stopped Amoxicillin and started Azithromycin. Lactated Ringers was increased to 200 ml once/day.
The next day (5/3) he seemed to have trouble peeing. He went from litter box to litter box, at first not peeing, then peeing enough to make dime size wet spots and finally going a decent amount. I took him to vet immediately. The vet thought Leo only felt as if his bladder was full and it could be a side affect of starting Azithromycin. He had a urinalysis (see spreadsheet).
This same thing happened again on 5/19. Over about 2 hours he was in and out of the litter box but peeing only a little. He eventually had a nap and then seemed fine. I assume this has something to do with the Azithromycin as the vet suspected?
Leo is scheduled for blood work and a urine culture on 5/30. I'd like your overall thoughts on what has gone on, the meds he's been given, his blood work, etc.
Also, I am very concerned about Metabolic Acidosis. I don't remember if it was ever mentioned/considered by my vet. I have read about it on Tanya's CKD site. I don't see a test for blood ph in Leo's blood work. His TCO2 isn't low. However the Anion Gap has been consistently high. Also, his urine PH is low (although I've read it's not a reliable indicator). Wondering what you all see in his labs and think about Metabolic Acidosis.
Thanks! I really appreciate your help
Trevor
