? 27April2020/Maxi/AMPS:460/+2:402/Inappetance/Vomited/Weird Poo
- Thread starter bambinaki
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bambinaki
Member Since 2010
No history of pancreatitis.
He took only a few licks.
I gave him a different kind of food, and he took no licks.
He does have interest in sitting in the open window.
At AM, he seemed interested in food, but then only took the licks. I think if he were nauseous, he wouldn't show interest in food. No?
I have Entyce appetite stimulant and cerenia anti-nausea.
I will try to test for ketones, but it will be quite a while before he pees again.
What to do?
I’m just getting up and have to care for my cats.
If he’s not eating, I wouldn’t give R now. If he starts to eat, we can reassess.
If he’s not eating, I wouldn’t give R now. If he starts to eat, we can reassess.
bambinaki
Member Since 2010
Last edited:
bambinaki
Member Since 2010
bambinaki
Member Since 2010
Just now...
His +2 is 402.
When I offered him canned food, he sniffed at it, and he gulped --seemed to try to suppress wretching ?
He is not even interested in the treats he is usually crazy about. Not even one bite.
I just gave him cerenia.
He purrs nicely when I approach him.
His +2 is 402.
When I offered him canned food, he sniffed at it, and he gulped --seemed to try to suppress wretching ?
He is not even interested in the treats he is usually crazy about. Not even one bite.
I just gave him cerenia.
He purrs nicely when I approach him.
bambinaki
Member Since 2010
Maxi just vomited.
It wasn't much. He hasn't eaten much to vomit.
It was 5 minutes after the cerenia. I searched carefully through the vomit but did not find the cerenia pill. Anyway, it must have already dissolved and was in his vomit, so not he has no anti-nausea medicine in him. But I can't be sure about that.
It wasn't much. He hasn't eaten much to vomit.
It was 5 minutes after the cerenia. I searched carefully through the vomit but did not find the cerenia pill. Anyway, it must have already dissolved and was in his vomit, so not he has no anti-nausea medicine in him. But I can't be sure about that.
Yes. While this sounds like pancreatitis, there are so many other GI things that can also cause it. He definitely Italy sounds nauseous. Here’s the Primer on Pancreatitis if you haven’t seen it. It has a lot of good info to help you form questions for the vet. I’d also be sure and ask for ondansetron (zofran) as it works better than cerenia for nausea in cats. You can actually give them together following the dosing instructions (cerenia is once a day; ondansetron can be given more) as they work quite well together.
Wendy, Sandy, and I had just been talking about reducing his Lantus dose to 9u but let’s see how he does today and what the vet says is going on with him. If he’s got inflammation and his BG is staying high, we might want the dose to ride a bit longer just to give them that support.
Pls keep us posted and it’s a good idea to keep an eye on his BG every couple of hours or so since he hasn’t eaten. If the BG does drop, we’d suggest you reduce the dose tonight to 9u. We don’t know how much the cabergoline could be a factor in lower numbers.
ETA: cerenia is very bitter. But if he didn’t foam when you pilled him, it’s likely not the bitterness from the pill that made him vomit.
bambinaki
Member Since 2010
I took him to the vet a couple minutes after I posted that question. We are at the vet’s office now. He panted on the way to the vet, which he has never done. The pancreatitis blood test results will not be back until tomorrow.
The vet is giving him fluids and an injection of anti-nausea medicine —don’t know what kind. Also is doing a full senior panel and checking for ketones.
The vet is giving him fluids and an injection of anti-nausea medicine —don’t know what kind. Also is doing a full senior panel and checking for ketones.
Ask for a prescription for ondansetron. You only need about five to start with refills. It’s expensive.
bambinaki
Member Since 2010
Luckily, I did ask for that and now I have to go out and try to fill the prescription.
No ketones.
I'll post his blood test results later.
He just had diarrhea again. (very light-colored again -- why?)
He will not eat.
He must feel bad, and I'd like to make him feel better. What about giving buprenorphine?
What did the vet say about giving buprenorphine?
bambinaki
Member Since 2010
She said ok and gave me some.
I hope your little guy feels better soon. 
After the cerenia and ondansetron help with nausea, if he won’t eat on his own, will he let you assist feed him with a syringe?
Also, you can give him Saccharomyces boulardi for the diarrhea. I use Renew Life but you can probably get something faster locally. Here is info about S. boulardi and emergency stop for diarrhea. Another member has had the same issue with her kitty and he had pure liquid diarrhea which is now improving with S. boulardi emergency stop.
Sending vines for him.
Also, you can give him Saccharomyces boulardi for the diarrhea. I use Renew Life but you can probably get something faster locally. Here is info about S. boulardi and emergency stop for diarrhea. Another member has had the same issue with her kitty and he had pure liquid diarrhea which is now improving with S. boulardi emergency stop.
Sending vines for him.
bambinaki
Member Since 2010
Got fluids and anti-nausea and buprenorphine injection at vet.
After return home wanted to eat but could not manage regular food; ate a spoon of Friskies.
I finally gave human tuna. He ate 1.5 oz with relative gusto.
He is drinking a lot.
Phosphorus is up.
I told vet I was splitting his 2 scoops per day of binder by eyeballing it into 4 doses because he eats 4 times a day, and she said to go ahead and give him 4 scoops of binder a day -- 1 scoop per meal.
After return home wanted to eat but could not manage regular food; ate a spoon of Friskies.
I finally gave human tuna. He ate 1.5 oz with relative gusto.
He is drinking a lot.
Phosphorus is up.
I told vet I was splitting his 2 scoops per day of binder by eyeballing it into 4 doses because he eats 4 times a day, and she said to go ahead and give him 4 scoops of binder a day -- 1 scoop per meal.
bambinaki
Member Since 2010
Going back to pharmacy soon to pick up ondansetron. When should I give it? (He had an anti-nausea injection at vet at 12:30 or so.)
Will try to get S. boulardi.
bambinaki
Member Since 2010
I will try.
I saw on the S boulardi page you linked about bone broth. Can I give him store-bought pre-made bone broth?
bambinaki
Member Since 2010
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Bone broth is unfortunately rather high in phosphorus.
As for the probiotic, I am in Canada - don't have a CVS and haven't seen the one you showed. Potato starch is carbs. I don't see mention of S. Boulardii. It's pretty obvious on containers I've seen.
Ondansetron you can give up to three times a day. I found it takes about 20-30 minutes to kick in, so did it about that long before meals.
bambinaki
Member Since 2010
So I have returned the bone broth to Whole Foods and while they have Renew Life probiotics nothing says S boulardii on it. The clerk asked someone else working at Whole Foods if they had it, and she came back with a negative reply
The pharmacist at CVS said that stuff was what I had written on the paper. You are sure that it is wrong? If you are sure I would like to return it because funds are limited. Thanks
The pharmacist at CVS said that stuff was what I had written on the paper. You are sure that it is wrong? If you are sure I would like to return it because funds are limited. Thanks
bambinaki
Member Since 2010
Is this it?
I can't tell whether it's with or without larch arabinogalactan
https://www.amazon.com/Renew-Life-A...myces/dp/B011D4WURM?tag=felinediabetesfdmb-20
I can't tell whether it's with or without larch arabinogalactan
https://www.amazon.com/Renew-Life-A...myces/dp/B011D4WURM?tag=felinediabetesfdmb-20
Pamela & Amethyst
Member Since 2016
Hi I just Pm you. Lots of love and Healing being sent
Ondansetron looks right, dose is under for his weight. Maxi is 14 lbs or 6.36 kg. Dose can be 0.5 to 1 mg per kg, so 3 to 6 mg very 6-8 hours, according to the (2016) ISFM Consensus Guidelines: Diagnosis & Management of Feline Chronic Kidney Disease
What do you think? As Marje suggested above, you could lower to 9 units, to bring the nadirs up a touch. Did the vet have. suggested dose?
bambinaki
Member Since 2010
So, since the tablets are 4 mg, do you think I should give him a whole tablet instead of the prescribed 1/4 tablet?
bambinaki
Member Since 2010
What do I think? Ha. I'm clueless. I guess I'd go for a decrease since both vet and Marje suggested it, and it seems you agree.
The vet did not mention a specific amount of decrease.
Is this S boulardii right? https://www.amazon.com/Renew-Life-A...myces/dp/B011D4WURM?tag=felinediabetesfdmb-20 @Marje and Gracie
Thank you!
You can try the 1/2 tablet and see how it goes. Just be aware you may have to increase.
bambinaki
Member Since 2010
OK, I'll give 1/2 tablet now. If he still doesn't eat in 6 hours, should I give a whole tablet?
Thank you
bambinaki
Member Since 2010
Thank goodness he ate about 1/2 portion of his regular Weruva once I mixed a touch of tuna with it at PM shot time.
He still expresses a desire to eat, interest in eating, but can bring himself to eat only tuna (or food disguised as tuna) so far.
He has not had diarrhea for several hours.
I did not give him cabergoline.
His PMPS was 241. 2 hours prior it was 258, so I'm worried about another night of sharp drops.
I gave him 9 units (not 9.25) of Lantus.
He still expresses a desire to eat, interest in eating, but can bring himself to eat only tuna (or food disguised as tuna) so far.
He has not had diarrhea for several hours.
I did not give him cabergoline.
His PMPS was 241. 2 hours prior it was 258, so I'm worried about another night of sharp drops.
I gave him 9 units (not 9.25) of Lantus.
bambinaki
Member Since 2010
Thank you!