11/07 Boomer AMPS 338 +3 304 +9 313 PMPS 292 +3 131 Allen home from the vet

Judy and Boomer

Judy and Boomer

Member Since 2014
Yesterday
AMPS 338 shooting 2.75u

Boomer ate the usual last night, waking us around 3:30 (+8.5) because he was hungry but didn't want to eat his +6 fuds (although he would if we got up and stirred them). Today I'm changing the timer of his auto feeder so that his +9 will actually be available at +8.5.

Boomer's drop yesterday surprised me; although he does occasionally work the juice the day of the increase, it's more usual for it to be the following day. He knew, of course, that both DH and I would be away at the same time (for a short period of time). Cats!

Allen ate well last night. His b/w results are back; he has pancreatitis.....Spec fPL 11.5 normal range is 0.0 - 3.5 ug/L
He is also anemic ......Hemoglobin 78 normal range 103 - 162 g/L
I believe the kidney disease is stable but I'm not good at reading these reports so I'll be questioning Dr Larry further about this.
He's not feeling well this morning. He was laying in his little bed when I opened his door this morning. He felt cold to me so I got a hot water bottle, put it under a blanket on the bed and put him beside it. He wasn't responding to me much at all although I don't get the impression he's in pain (he's stretched out, not meat loafing ). When I took his breakfast in to him I put it on the bed right beside him; I didn't expect him to respond but then I saw his nose move as he smelled the food and he got up and started eating.

Our little guy has a lot going on and we may have to say goodbye soon.

Tomorrow is DH's appt with the oncologist-radiologist. We have to be there at 9:15 (+2.25).
 
Allen perked up a bit after he received his fluids and actually purred loudly when given scritches. So I updated Dr Larry and asked if a day on iv fluids would help and he agreed it would. So we're taking Allen in now.

+3 304
 
Sorry about the pancreatitis but hopefully the meds will get Allen back on track to feeling well. I hope he gets daily cerenia for nausea and bupe for pain if needed. Advanced kidney disease can cause anemia. If the anemia is nonregenerative there’s medication in the form of weekly shots that can be given. You wouldn’t want to start them until the HCT is under 20% so if higher than that B vitamins can help. If the CKD is not advanced the cause of the anemia needs to be found. Perhaps a bleed from straining to poop? Anemia will definitely tank the appetite. I hope Dr. Larry and the specialist figure it out quickly.

Good luck tomorrow for DH too. :bighug:
 
tiffmaxee said:
Sorry about the pancreatitis but hopefully the meds will get Allen back on track to feeling well. I hope he gets daily cerenia for nausea and bupe for pain if needed. Advanced kidney disease can cause anemia. If the anemia is nonregenerative there’s medication in the form of weekly shots that can be given. You wouldn’t want to start them until the HCT is under 20% so if higher than that B vitamins can help. If the CKD is not advanced the cause of the anemia needs to be found. Perhaps a bleed from straining to poop? Anemia will definitely tank the appetite. I hope Dr. Larry and the specialist figure it out quickly.

Good luck tomorrow for DH too. :bighug:
Click to expand...
Thanks Elise!
 
I don't really have any more info about Allen yet....at least none that makes sense to me :rolleyes:

Dr Larry spoke to a specialist which, according to his email, was going to be about the anemia. But then Dr Larry indicated that
"A simple review of pancreatitis would have told me that it's usually accompanied by anemia". So I'm assuming he didn't talk to her about that. Not sure what they talked about but whatever it was caused him to look back at Allen's previous tests and the ultrasound....and the write up about the ultrasound indicated "small pancreatic mass". This is what we believed to be an Insulinoma (even though they are rare) because of Allen's hyperglycaemia. Now...it's like Dr Larry is suggested that this mass could have been pancreatitis instead....I didn't think pancreatitis took the form of a mass? Would/could they mistake a mass as cancer when it was really pancreatitis? idk.

Since we didn't get Allen into the clinic until after 10:00, Dr Larry wants to keep him until 7:00. So DH will have to pick Allen up because t/f/s is at 7:00 so I'll have to be here to give Boomer his shot. This is not ideal but it is what it is.
 
Judy and Boomer said:
I don't really have any more info about Allen yet....at least none that makes sense to me :rolleyes:

Dr Larry spoke to a specialist which, according to his email, was going to be about the anemia. But then Dr Larry indicated that
"A simple review of pancreatitis would have told me that it's usually accompanied by anemia". So I'm assuming he didn't talk to her about that. Not sure what they talked about but whatever it was caused him to look back at Allen's previous tests and the ultrasound....and the write up about the ultrasound indicated "small pancreatic mass". This is what we believed to be an Insulinoma (even though they are rare) because of Allen's hyperglycaemia. Now...it's like Dr Larry is suggested that this mass could have been pancreatitis instead....I didn't think pancreatitis took the form of a mass? Would/could they mistake a mass as cancer when it was really pancreatitis? idk.

Since we didn't get Allen into the clinic until after 10:00, Dr Larry wants to keep him until 7:00. So DH will have to pick Allen up because t/f/s is at 7:00 so I'll have to be here to give Boomer his shot. This is not ideal but it is what it is.
Click to expand...
Can an inflamed area of the pancreas look like a mass on the ultrasound?
 
Max had chronic pancreatitis for years and a couple of acute attacks and was never anemic. Nothing I’ve read about pancreatitis mentions anemia. Maybe it’s time to take Allen to the specialist. A mass might explain everything.
 
Judy, you have so much going on. Prayers and vines for DH's appointment tomorrow.
Hope you figure out what's going on with Allen and that Boomer gives you some nice stable blues and greens so you can focus on Allen and DH for now.
Hugs for you as you take of everyone around you.:bighug::bighug::bighug::bighug::bighug:
 
tiffmaxee said:
Max had chronic pancreatitis for years and a couple of acute attacks and was never anemic. Nothing I’ve read about pancreatitis mentions anemia. Maybe it’s time to take Allen to the specialist. A mass might explain everything.
Click to expand...

Well, we've known for 1.5 years that he has a mass on his pancreas. We were told it was likely an insulinoma...although they are rare it would certainly explain his hyperglycaemia.

idk but when I googled "pancreatitis and anemia in cats" I do see a few articles indicating that cats with pancreatitis are sometimes anemic".
Allen has so many issues going on, it's hard to figure out what symptom is related to what disease.
 
Thank you everyone for your thoughts, ideas, info, prayers, and hugs! :bighug::bighug::bighug::bighug::bighug: There is a lot going on here right now; I'm keeping it together but sometimes I really feel close to the edge :blackeye::(
 
upload_2018-11-7_16-2-41.jpeg
 
My vet indicated that anything the is ongoing or chronic like pancreatitis, IBD or CKD can cause anemia. She figures that is why Jones is anemic. Though my vet indicated along with his IM that there was nothing we could do to assist outside of relieving the underlying issue. Which to me sounded like a big circle of we can't do much at this point in time.

Good luck with the oncologist. Take a note pad or something to record the conversation. Tons of info might be coming your way and it can be a lot that hits you right away.
 
Tracey&Jones said:
My vet indicated that anything the is ongoing or chronic like pancreatitis, IBD or CKD can cause anemia. She figures that is why Jones is anemic. Though my vet indicated along with his IM that there was nothing we could do to assist outside of relieving the underlying issue. Which to me sounded like a big circle of we can't do much at this point in time.

Good luck with the oncologist. Take a note pad or something to record the conversation. Tons of info might be coming your way and it can be a lot that hits you right away.
Click to expand...
Thanks Tracey! Yes, I have a folder with various pamphlets etc in it that we've been given during the other appointments, along with a notepad and pen.
 
Gizmo has pancreatitis, ckd and anemia. Unknown reason for anemia but we are treating with Epogen (erythropoiesis stimulating agent or ESA) with very good results.

Whole bunch of info here
http://www.felinecrf.org/anaemia.htm

There are two classes of anaemia, regenerative and non-regenerative. When the number of red blood cells in the body drops, the bone marrow should start producing more red blood cells.
  • Regenerative anaemia: increased loss
    New red blood cells are being produced in the bone marrow but they are being lost or destroyed more quickly than they should.

  • Non-regenerative anaemia: decreased or no production
    The bone marrow is not making new red blood cells, or not making enough.
Click to expand...
Per my IM the treatment is the same regardless of which type.
 
Oh Judy! You have just too much going on right now. I did not realize that Allen was in the hospital.......I am glad that Lizzie shared some information with you and I hope that it helps. I don't know anything about his condition.

Sending you lots of hugs and vines for DH, Allen and for Boomer to behave when he knows that both momma and daddy are out of the house!

Yo, dude, not cool going too low when no ones in the house......

Bubba ~
 
Bobbie And Bubba said:
Oh Judy! You have just too much going on right now. I did not realize that Allen was in the hospital.......I am glad that Lizzie shared some information with you and I hope that it helps. I don't know anything about his condition.

Sending you lots of hugs and vines for DH, Allen and for Boomer to behave when he knows that both momma and daddy are out of the house!

Yo, dude, not cool going too low when no ones in the house......

Bubba ~
Click to expand...
Thanks Bobbie! Allen is just in for the day at my suggestion as he appeared dry even though he's getting 125 ml of fluids twice a day. So Dr Larry puts him on an IV for the day.
 
Hi Judy, I am so sorry that you are going through all of this. Sending lots of vines for Allen and hoping that his issues can be gotten under control and that the vets will be able to give you a plan to go forward. The uncertainty is not helpful!

Best of luck to your DH tomorrow. Thinking of you both and sending prayers for a good appointment.
:bighug::bighug::bighug:

Boomer, your family is relying on you in this time of stress. Stay steady!
 
Ella & Rusty & Stu(GA) said:
Hi Judy, I am so sorry that you are going through all of this. Sending lots of vines for Allen and hoping that his issues can be gotten under control and that the vets will be able to give you a plan to go forward. The uncertainty is not helpful!

Best of luck to your DH tomorrow. Thinking of you both and sending prayers for a good appointment.
:bighug::bighug::bighug:

Boomer, your family is relying on you in this time of stress. Stay steady!
Click to expand...
Thanks Ella!
 
You must log in or register to reply here.
Back
Top