8/1 Shooter AMPS 475, +8 330, PMPS 338

Hopefuly this is the high before the bounce breaks? The fastest you can increase with TR is every 6 cycles.

When is the blood work expected?

He said 2 - 3 days on Friday, so probably Tuesday? It's hard to be patient when his numbers are so high and you can tell he doesn't feel good. :(
 
You can increase tomorrow if he stays high like this. You’re on cycle five this morning looks like. I am so sorry Shooter doesn’t feel well. It is so hard to see them like that, I know. Those high numbers would definitely make him thirsty and hungry. :bighug:
 
Poor Shooter. I really hope there is nothing serious going on with him, Heather, but it is really good that you got him in to the vet. I know it is hard waiting for the blood test results. Shooter, and you, have my prayers.
 
I'm so sorry to hear about the stomatitis! But, before we get too far ahead of ourselves, is it definitely stomatitis? I've learned that many vets umbrella any and all oral inflammation under "stomatitis", which is very inaccurate. And, it is VERY important to have an accurate diagnosis, as the treatment for TRUE stomatitis is very different from the treatment of other oral diseases.

The hallmark of true stomatitis is that the inflammation extends past the gumline and into the throat and/or cheeks. Unfortunately, true stomatitis is not treated with a basic dental. Rather, significant extractions are required - either full-mouth ("FME" - every single tooth, which is what my kitty had - and she is thriving!), or partial-mouth ("PME" - everything behind the canines). The type of extractions (FME vs PME) depends on the extent of the disease, and it is best to let the vet/dentist determine which is the best approach after they do an under-anesthesia exam on the day of the surgery. It is absolutely vital that the vet/dentist take x-rays both before and after the extractions; if ANY root/tooth material is left behind at all, it will continue to cause problems.

However, if he just has gingivitis and not actual stomatitis, then a traditional cleaning with extractions of only bad teeth is what you want to do (I would still insist on before and after x-rays).

Since the treatment is so drastically different, it is very important to have an accurate diagnosis. Personally, I would suggest seeking out a veterinary dentist if possible. Stomatitis surgery is definitely different from "every day" extractions, so you want someone with a lot of experience and knowledge. Treating the dental problems could very well help with his BGs!

As Wendy mentioned, there is a pretty good FaceBook group for stomatitis...but if I'm being honest, like many other FaceBook groups, you do get bombarded with some extreme opinions, so that is something to be prepared for. I found the group to be helpful, but I also spent a lot of time doing my own research as well.

I know Shooter is diabetic, but I actually wonder if his ravenous appetite and excessive thirst could be from hyperthyroid. It is worth investigating - FD and HyperT do share a number of symptoms. It's important to note that there is a "gray zone" in the HyperT test range, where the total T4 is high-normal, but kitty has symptoms. If this is the case, you want to run a Free T4 to rule Hyper T in or out. On the good side, if he does have HyperT on top of other things, it is usually pretty easy to treat.

Please let me know if you have any questions or need any further help/guidance. Prayers for your boy!
 
I'm so sorry to hear about the stomatitis! But, before we get too far ahead of ourselves, is it definitely stomatitis? I've learned that many vets umbrella any and all oral inflammation under "stomatitis", which is very inaccurate. And, it is VERY important to have an accurate diagnosis, as the treatment for TRUE stomatitis is very different from the treatment of other oral diseases.

The hallmark of true stomatitis is that the inflammation extends past the gumline and into the throat and/or cheeks. Unfortunately, true stomatitis is not treated with a basic dental. Rather, significant extractions are required - either full-mouth ("FME" - every single tooth, which is what my kitty had - and she is thriving!), or partial-mouth ("PME" - everything behind the canines). The type of extractions (FME vs PME) depends on the extent of the disease, and it is best to let the vet/dentist determine which is the best approach after they do an under-anesthesia exam on the day of the surgery. It is absolutely vital that the vet/dentist take x-rays both before and after the extractions; if ANY root/tooth material is left behind at all, it will continue to cause problems.

However, if he just has gingivitis and not actual stomatitis, then a traditional cleaning with extractions of only bad teeth is what you want to do (I would still insist on before and after x-rays).

Since the treatment is so drastically different, it is very important to have an accurate diagnosis. Personally, I would suggest seeking out a veterinary dentist if possible. Stomatitis surgery is definitely different from "every day" extractions, so you want someone with a lot of experience and knowledge. Treating the dental problems could very well help with his BGs!

As Wendy mentioned, there is a pretty good FaceBook group for stomatitis...but if I'm being honest, like many other FaceBook groups, you do get bombarded with some extreme opinions, so that is something to be prepared for. I found the group to be helpful, but I also spent a lot of time doing my own research as well.

I know Shooter is diabetic, but I actually wonder if his ravenous appetite and excessive thirst could be from hyperthyroid. It is worth investigating - FD and HyperT do share a number of symptoms. It's important to note that there is a "gray zone" in the HyperT test range, where the total T4 is high-normal, but kitty has symptoms. If this is the case, you want to run a Free T4 to rule Hyper T in or out. On the good side, if he does have HyperT on top of other things, it is usually pretty easy to treat.

Please let me know if you have any questions or need any further help/guidance. Prayers for your boy!

Hi Amy! Thank you so much for this information! Crossing my fingers that this vet just uses stomatitis as a general oral inflammation and not actual stomatitis! I will definitely request x-rays as you recommended! As far as his T4, on his last labwork on 4/17/21 his total was only 1.7 which is on the lower end of normal actually. Do you still think he needs his free T4 checked?
 
Hi Amy! Thank you so much for this information! Crossing my fingers that this vet just uses stomatitis as a general oral inflammation and not actual stomatitis! I will definitely request x-rays as you recommended! As far as his T4, on his last labwork on 4/17/21 his total was only 1.7 which is on the lower end of normal actually. Do you still think he needs his free T4 checked?
You’re welcome! Definitely find out for sure what is going on in his mouth. It is so frustrating to hear how so many vets use “stomatitis” as a catch-all diagnosis for oral issues. If there is any question at all, definitely seek a second opinion. In addition to the inflammation, stomatitis kitties are in serious pain and have a very hard time eating. Many often drool as well.

As for HyperT, with a TT4 at the low end of normal pretty recently, it sounds like HyperT is unlikely do a Free T4 probably isn’t necessary.
 
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