1/28 Fred AMPS 326, +5 276, +9 86 vet update

Purrberry

Member Since 2020
After an excruciating 3 days in which I had to travel, I was home to my babies today. The morning I left, I was feeling pretty good about where Fred was, as he was very happy the night before, and he had eaten all his breakfast the morning of. I'd also gotten an ondansetron in him, which I hoped would hold him for 24 hours. However, when my pet sitter arrived that evening, Fred had become completely anorexic again. Thank GOD she is amazing, and, for the next 3 days, was able to pill him every 12 hours in addition to everything else. Though he outright refused his wet food, he ate enough dry to get us through. I was sick with worry and stress, especially when he vomited yesterday afternoon. Nauseous though he's been, he had not vomited. I was convinced he was going into DKA. Thank God-.2 ketones.

We went to the vet this afternoon. I couldn't get in with my regular vet, so I had to go through his whole story once again. But to try and make a long story short, they did in house blood work as well as x-rays.

Bloodwork: stable and all pretty good since his last labs in early Dec. They will send out for fPLI, etc. However, his potassium was a little low, which they said could be due to the vomiting. (he also vomited in his carrier on the ride over) They gave me a paste supplement which I KNOW he will not take. Any advice on that?

Blood pressure good-110

Urinalysis- all good as well. Good Specific Gravity at 1.043, no ketones or infection seen

X-ray: Here's where my heart is breaking. She felt his stomach looked "odd" "not like she'd expect it to look". She apparently called my normal vet over to look, and she concurred. She said it could be nothing, but it does look odd. It's never "nothing" when they say that. :-((( She did say it is close to the pancreas, and that could cause it, but I'm not sure I'm buying that. And, she said she sees what "could be a mass" above his bladder, though it also could be the end of his intestine. She was only able to visualize it on one view. Her gut feeling is that it is intestine, but bottom line, he needs an ultrasound. We hope it will be Monday.

I also asked that the x-ray be sent out for a radiation consult, as if I can get it tomorrow, maybe that will help clarify things.

I'm in shock, I think. I didn't want to admit that this could be anything other than pancreatitis. But I'm nauseous myself with fear.

Has anyone every come across something with the stomach like this? (I can't even think about the possible mass as well :-(()

In the good news front, he got a shot of ondansetron, and I was sent home with the vial. Guess who ate his wet food for the first time in a week?? So it works, but the questions remains, will it sting? I asked the tech, and she said she really didn't think so. We'll see. He also got fluids.

Not a good update, I'm afraid. :(
 
Here is your last thread for continuity https://felinediabetes.com/FDMB/threads/1-24-fred-amps-324-vet.258302/
It sounds as if you have a great pet sitter.
I am sorry you have all this worry about Fred until all the tests are clarified. Im glad you are getting the ultrasound done quickly as the uncertainty is awful for you.

I have no experience with ondansetron injections, only oral. I’m glad it is working and he’s eating.
Please keep us updated with any results and we’ll be keeping our fingers and paws crossed all is ok. :bighug:
 
Sorry to hear about the x-ray and the mass. X-rays are great for bones but not for internal organs. Try not to worry too much until you have an ultrasound. That will give you a better picture of what the vet might have seen. If there is something gastrointestinal going on, you know that there are many of us here well versed in that, so we'll have your back. :bighug:
 
Sorry…I copied the link to my last thread and forgot to include it!
@Bron and Sheba (GA) Thank you so much. The waiting is the hardest part. Well, almost. :-/

My petsitter is AMAZING. I am so fortunate to have found her. She’s worth her weight in gold.

So…as I’m now Googling everything from stomach cancer to low potassium, I’m realizing that low potassium (in Fred’s case, he’s at 3) is describing him to a tee! Could that be the cause of this? Or maybe I’m grasping at straws. The x ray shows what it shows…
 
Do you have a copy of Fred's bloodwork that could be posted in the Labs on his SS? I know it's hard but try not to be too alarmed until you have the ultrasound done, we don't knot that it is not just pancreatitis(which is no cakewalk I know!) I am very glad you were able to get that scheduled fairly quickly. How is his breathing? As to the ondansetron, I only know of the pill form but if it was me, I would worry less about the sting of the shot, he needs to be able to eat. Sending strong healing and comforting vibes for you and Fred!:bighug::bighug::bighug:
 
@Katherine&Ruby Thank you so much as well. I know you’ve been there! You’re an inspiration.

@Tiger(GA) and Ruth I don’t have his from today, but I will try and post from early Dec.

Breathing is all good! Thank you for your wishes. We need all we can get right now! :bighug:

I’m reading that look potassium can be caused by insulin administration? Not that I’m going to stop the insulin, but the diabetics can often have it if a renal is not the cause?
 
There are quite a few things that can cause low potassium, but it's not something that I've seen here related to insulin, unless kitty has kidney issues too. However, I have a far too recent experience with ileus, which is slow motility in the small intestine. You can see vomitting, low potassium, going off of food. Now that's just one view. What the vet sees on the ultrasound (hopefully a specialist) will provide answers. Healing vines for Fred. :bighug::bighug:

What paste supplement were you given? How much do you have to give?
 
I agree with Katherine. X-rays can be misleading. Wait for the Ultrasound. I am upset. When I did not hear from you, I assumed everything was cine. I am happy you got the injectable Ondansetron. Better than fighting Fred.
 
I have a far too recent experience with ileus, which is slow motility in the small intestine. You can see vomiting, low potassium, going off of food.
I definitely have experience of a human going through this, but not a cat. I hope your baby is OK?

What paste supplement were you given? How much do you have to give?
I was given Vetoquinol Renal K+. It says 1/2 teaspoon 2x a day. He will never eat it voluntarily...I'm guessing I may have to give him a smear on the paw or nose. Even then...we'll see.

I have used Renal-k powder mixed in food for potassium. Most cats eat it.
I will definitely look into this!

@Suzanne & Darcy Thank you for worrying over Fred as well. While I was away, I couldn't update as I would have liked. I was in a hell of worry over Fred while pasting on smiles for everyone else. Good thing I'm an actor.

My fingers are SO crossed for the injectable ondansetron. Let me tell you....he is a new cat tonight. Not only ate his wet dinner but a snack, just now before bed, of the same. Of course, he also got fluids. But my vet did say that injectable ondansetron has better bioavailability than the pills. Kinda makes you wonder why they don't use it more often! They were all like, "You want WHAT?" I think Cerenia, while an excellent drug in its own right, has pushed ondansetron off the table a bit.
 
Well… for now I will be happy for Fred feeling better then. This is important! I am sorry you have been going through this. You must be so stressed out! I know how you worry about Fred! So many hugs and thoughts and prayers and paws crossed and everything else is coming your way for Fred!
 
he is a new cat tonight. Not only ate his wet dinner but a snack, just now before bed, of the same. Of course, he also got fluids. But my vet did say that injectable ondansetron has better bioavailability than the pills.
Woohoo, great news! And yes, oral ondansetron dosing is higher and more frequent than the injectable.
I hope your baby is OK?
Thanks, recovering. On the plus side, the ultrasound showed absolutely no signs of SCL. Falling out of remission was my worry going in. Whew!

Neko and a previous kitty occasionally got something called I think ProGut plus (been a while) as a paste. Mostly probiotics and a bit more. I used to just smear in on their tongues. Depends on volume of course.
 
Thanks, recovering. On the plus side, the ultrasound showed absolutely no signs of SCL
THAT is amazing news. Very happy for you.

You must be so stressed out! I know how you worry about Fred!
Yes and yes! Probably to both our detriment. :rolleyes: It's my nature, and of course, they are all our babies!

Though he's slowed a bit, he ate his wet again this AM, with only his usual Fortiflora topping. I'll take it!! I'm giving him a smaller portion to start, and without all his supplements in it, just to try and get him back in the groove. Sugar sky high due to what I'm sure is a bounce, and me listening to the vet when she said I needed to lower insulin due to the number of 86 they got while he was there. (one hour before his nadir) Why I listened to that I don't know, but I also still wasn't sure how'd he be/eat when I got him home. In theory, he earned a reduction, but I'm sure it had more to do with the emptying of his stomach and bowels on the car ride there.

Later today, I suppose I will try the injectable ondansetron for the first time...:nailbiting:
 
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