Thank you for advice!! 12/06 Milo UNWELL AMPS 92/+1.75 92/+3.75 104/+4.25 126

Sam&Milo(GA)&Singha

Sam&Milo(GA)&Singha

Member Since 2020
https://www.felinediabetes.com/FDMB/threads/12-03-milo-amps-97.239479/#post-2692552

Good morning everyone. It's been a difficult couple of days for my little guy. Here's my notes from yesterday:

Little to no eating at breakfast; 1/6 mirtazapine given @ +2.5. Ate a little bit of LC FF(tuna). Offered 4 different kinds of food, Fortiflora sprinkled over the top and only picked at them but acting like he's hungry. Sniffs, turns away. Eventually ate some offals I cooked up. 1/4 tab Cerenia given at +8. Ate some more offals and a little bit of dinner LC FF (salmon). No eating overnight.

And notes from today:
Turning away from breakfast today. Offered 4 different kinds of food and offals but not interested. Sniffs and turns away. Otherwise acting fairly normal. 1/2 tab Cerenia given at +1. Will wait a little for this to take effect then given another 1/4 tab mirtazapine and see if he eats.

He's acting like he's nauseous based on how he turns away from his food. He went up to his food numerous time yesterday but didn't really eat a lot. Today he's not interested at all. I'm trying all the tricks. I'm going to give mirtazapine soon and try again. Someone told me that if I give it and he's nauseous, it can turn him off of his food and I don't want that. I will cook up some chicken for him too and try this, perhaps the tuna juice trick too. I might have to go with syringe feeding if he continues to refuse, though.

I hope he starts to turn around. Take care everyone.
 
I would ask your vet about whether ondansetron might help with the nausea. Ask if a trial of cyproheptadine might help as a appetite stimulant. Sometimes you need to change drugs. I hope he feels better soon.
 
@tiffmaxee...
He is drooly now and still no eating after both sets of meds AND his BG is rising rather than dropping with no eating. I will make arrangements for him to see the vet tomorrow. I'm thinking I should start him on his antibiotics, which usually help when he has an episode like this. Also, I have 4 tabs of onsior. Should I give him a dose for pain? He was getting a 1/2 tab 2x daily, I believe. Does that seem right? He's dropped a bit of weight (only 7.2 lbs from 7.6 3 months ago)
 
I'm never sure with him. I'm new to Onsior. He's had these "episodes" since he was a kitten and antibiotics given immediately almost always work, which should not be the case if it's pancreatitis. I don't know what to think but I don't think the antibiotics are going to hurt.
tiffmaxee said:
Do you think it’s pancreatitis? If so the pain medication might help.
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Here's what he's looking like. I'm thinking he's clearly over the 4 where pain meds are indicated. Thoughts?
 

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Sam&Milo&Singha said:
@tiffmaxee...
He is drooly now and still no eating after both sets of meds AND his BG is rising rather than dropping with no eating. I will make arrangements for him to see the vet tomorrow. I'm thinking I should start him on his antibiotics, which usually help when he has an episode like this. Also, I have 4 tabs of onsior. Should I give him a dose for pain? He was getting a 1/2 tab 2x daily, I believe. Does that seem right? He's dropped a bit of weight (only 7.2 lbs from 7.6 3 months ago)
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Has he been tested for pancreatitis when this happened in the past? Sorry but I can’t remember. :bighug:
 
I’m not so familiar with Milos history, but remember that eating has been a fairly consistent issue. How are his teeth? Wondering about the drooling...
 
I agree, he looks like the cats not feeling well in the grimace scale. Drooling is also a sign of nausea.

Onsior is an NSAID, it's only indicated for three days in a row. Even the manufacturer says no longer than that. Bupe is a better option for pain. I also agree with Elise, ondansetron might be a better anti nausea med, or you can use it with Cerenia. They target different nausea receptors. If you do get a prescription for ondasetron, make sure it's OK to get the generic. Ondansetron might as well be made of gold otherwise with Canadian pricing.
 
Yes, ondansetron is something you get from the human pharmacy. Might want to call if they have 4 mg pills in. Some places just stock the tabs that you dissolve in your mouth. Or you have to wait a day for them to get stock. Anyway, that was my experience.
 
Hi, I read that Milo is on a raw meat diet, but, have you tried with a can of Royal Canin Recovery? Not for daily basis, but so he can eat a little bit more, it has a really good smell, it helped me with Mermelada when he wasn't eating, I just mixed a bit with his regular food and he started to eat again
 
OK... I went with the 1/2 tab Onsior and I've started the round of antibiotics as well, just to be on the safe side. I'll ask about the other meds. My vet isn't always a fan of asking for specific drugs but he did agree and give the Onsior and Cerenia last time at my request.
I just got 12cc's fluid/LC into him by syringe feeding. How often would you recommend, especially if he's nauseous? And can I give another 1/2 tab Onsior before bed or do I need to wait until morning? It's 2pm here and he got it about 15 mins ago.
He's just jumped up on his feeding counter to eat! I gave a 1/4 can LC FF and he seems to be eating. We'll see how much...
 
He's actually rejected the raw diet a while ago; his brother eats it. I do need to update my signature!
Andrea Sanz said:
Hi, I read that Milo is on a raw meat diet, but, have you tried with a can of Royal Canin Recovery? Not for daily basis, but so he can eat a little bit more, it has a really good smell, it helped me with Mermelada when he wasn't eating, I just mixed a bit with his regular food and he started to eat again
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Do you still have Sheba? I seem to remember that was a favourite a while back? Glad he ate a bit though!!! Feel better Milo! :bighug:

my bad...wrong kitty. I don’t think Sheba was on your menu before.
 
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I haven't used Sheba but he used to love the HC Hill's Diet my vet had recommended last year. I don't want him having that but I might try some MC that he likes. High BG vs no eating... I have to pick one...
 
Well, I don't love that it's the 14% carb that he's chosen but at least he's chowing down now. With Milo that means he's eating about 1T. Maybe it will kick start his appetite. The syringe feeding seems to have gotten him interested in eating or it's a happy coincidence. I don't really know which but it seems to have worked before too, almost like he's forgotten that eating is a good thing until he's gotten a little into him, not entirely with his consent
 
Wendy&Neko said:
I agree, he looks like the cats not feeling well in the grimace scale. Drooling is also a sign of nausea.

Onsior is an NSAID, it's only indicated for three days in a row. Even the manufacturer says no longer than that. Bupe is a better option for pain. I also agree with Elise, ondansetron might be a better anti nausea med, or you can use it with Cerenia. They target different nausea receptors. If you do get a prescription for ondasetron, make sure it's OK to get the generic. Ondansetron might as well be made of gold otherwise with Canadian pricing.
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@Wendy&Neko If he still looks to be in pain tonight, can I give him another 1/2 tab of Onsior or wait until morning. It was given at approx 2pm
 
thebigfuzz said:
Wow! Your command centre is impressive :woot:
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Thanks Tanya. He's certainly worth all the effort. I just adore this little guy. For 10 years I've thought "I wonder if I can get him through this crisis?" as he has had SOOOO many health challenges. It started only 2 weeks after getting him. NEVER in a million years did I envision all of this!

It's a good learning opportunity for my kids as well. I keep telling them they must only get a pet when they are prepared financially, physically and emotionally to deal with possible (and likely unforeseen) illnesses and injuries along the way. My youngest son's father treats animals like they are throw-away, never getting proper medical care nor making good decisions for day-to-day care either. Now he just got a new kitten :nailbiting::eek::stop: I hope my son learns better through the example we set at home. He likes to watch vet shows so he hears and sees time-and-time again how important spaying and neutering is for health and animal control (his father doesn't do this either), as well as seeing medical procedures to save animals for owners who really care.

I should mention that my son, at 13, has learned to test Milo's BG and has been giving insulin shots for the past year for both the cats. I'm proud of him!
 
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I'm glad Milo is eating some for you. I'd definitely ask the vet about the anti-nauseau medicine. I hope you can get him feeling better and eating consistently soon. Sending prayers. :bighug::bighug:
 
Sorry, can't help on the Onsior, I stay away from NSAIDs for my crew.

Neko really liked the Royal Canin Recovery too. And it was easy to syringe. A couple syringes of it and she'd often start eating it on her own. Glad he's eating something though. That will make his tummy feel better.
 
Thanks Wendy, Pamela and Carla! Good news to report! Milo has been grazing ever since the syringe feeding! He's eaten MC and then started on both types of LC he had turned his nose up at for the whole day and even last evening. He's perked right up now. His BG may be through the roof but I don't want to bug him and check right away. It certainly *won't* be low but I'll take it for now.

Now I'm not so sure the antibiotics was the right move. Since it was only once dose, I may hold off on giving any more. This doesn't seem to be his regular episode but then again, I've never treated for nausea and pain before when he was like this. The drooling seems to be slowing or stopping altogether. Let's pray he continues to get better. Thanks for all your support and advice. It is VERY much appreciated!
 
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