? 06-04 Panzer pancreatitis? Vet?/06-06 Dropping quickly

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Chrispooky12

Chrispooky12

Member Since 2021
Hey everyone Panzer has been very sick for several days. He has been eating very little, hiding, constipated & now loose stool. I have ordered Psyllium husk powder to add fiber to his diet but it won't be here until tomorrow. I'm not sure but I think Panzer may have pancreatitis? Should I take him to the vet & have him examined & tested? I have very limited funds for the vet. I have applied for help for future vet bills for Panzer to the DCIN. I am just waiting for a response back. My vet will not give me Buprenorphine for pain but he did give me gabepentin. I have not used any of them as of yet. Panzer & Spook both have decided they aren't eating baby food with the probiotic that I've been giving them which is saccharomyces boulardi plus MOS prebiotic + probiotic. I have proviable-DC but the capsules look to big to put in a pill pocket. Do these have a taste to them, that they will detect in the baby food? The only thing Panzer will eat so far today is the fancy feast chicken feast in grilled gravy. His numbers are pretty high but he has to eat. I offer him his regular fancy feast first & add fortiflora to it & when he refuses, I give him the other one. I've also put mirataz on Panzers ear yesterday & today not sure if it's helping. I've also been giving him Cerenia once a day but I am almost out of them. I've tried weening Spook off of the Mirataz & he will eat for a day or two if I'm lucky. I don't think he has pancreatitis but possibly triaditis? https://www.felinediabetes.com/FDMB...3-vet-visit-about-bathing-300-4-287-7.263713/
 
Chrispooky12 said:
Hey everyone Panzer has been very sick for several days. He has been eating very little, hiding, constipated & now loose stool. I have ordered Psyllium husk powder to add fiber to his diet but it won't be here until tomorrow. I'm not sure but I think Panzer may have pancreatitis? Should I take him to the vet & have him examined & tested? I have very limited funds for the vet. I have applied for help for future vet bills for Panzer to the DCIN. I am just waiting for a response back. My vet will not give me Buprenorphine for pain but he did give me gabepentin. I have not used any of them as of yet. Panzer & Spook both have decided they aren't eating baby food with the probiotic that I've been giving them which is saccharomyces boulardi plus MOS prebiotic + probiotic. I have proviable-DC but the capsules look to big to put in a pill pocket. Do these have a taste to them, that they will detect in the baby food? The only thing Panzer will eat so far today is the fancy feast chicken feast in grilled gravy. His numbers are pretty high but he has to eat. I offer him his regular fancy feast first & add fortiflora to it & when he refuses, I give him the other one. I've also put mirataz on Panzers ear yesterday & today not sure if it's helping. I've also been giving him Cerenia once a day but I am almost out of them. I've tried weening Spook off of the Mirataz & he will eat for a day or two if I'm lucky. I don't think he has pancreatitis but possibly triaditis? https://www.felinediabetes.com/FDMB...3-vet-visit-about-bathing-300-4-287-7.263713/
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You don’t have to wean Spook off of the Mirataz. He can have it daily or every other day if it lasts him that long. He can have it for the rest of his life. I’ll be back. As I said in my PM, I have to go feed kittens
 
And if you haven’t tried the pain med, why not try it? If it’s pancreatitis or triaditis or kidney disease, you need to be able to give sub-q fluids to them at home (as frequently as every day if necessary.). This can make them feel sooo much better.
 
I'm not well versed with triaditis, but it is not cheap to diagnose. Have to test pancreatic enzymes, ideally ultrasound but I believe only definitive diagnosis is biopsying pancreas, liver, and small intestine. As I understand,treatment is same as pancreatitis (nausea, pain, app stim meds), plus a liver supplement possibly, but also likely a change in diet to hopefully eliminate the GI inflammation. Also antibiotic if infection is suspected.

Tagging @Kahluasmom whose civvie was recently diagnosed.

Sorry I can't be of more help! I really don't have any ideas as to what might be going on with him
 
I would not hesitate to give the pain meds if you think he's in pain.

Was it your vet that didn't want to prescribe ondansetron? Cerenia alone is seldom enough to help them get over the hump.

@Suzanne & Darcy do you perhaps think he is blocked? I know sometimes when they're constipated the liquid poop can go around.
 
FrostD said:
I would not hesitate to give the pain meds if you think he's in pain.

Was it your vet that didn't want to prescribe ondansetron? Cerenia alone is seldom enough to help them get over the hump.

@Suzanne & Darcy do you perhaps think he is blocked? I know sometimes when they're constipated the liquid poop can go around.
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He said they don't have Ondansetron at the vet. He is very hesitant about prescribing anything that he isn't going to make $ off of. I did mention that Wedgewood pharmacy will compound the Buprenorphine into an ointment like mirataz for the ear. He said they use Wedgewood pharmacy alot but only gave me the gabepentin. It is gabepentin Mini tab 50mg give one tablet by mouth every 12hrs. Does that sound about right?
 
Suzanne & Darcy said:
And if you haven’t tried the pain med, why not try it? If it’s pancreatitis or triaditis or kidney disease, you need to be able to give sub-q fluids to them at home (as frequently as every day if necessary.). This can make them feel sooo much better.
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Can I do sub-q fluids by myself at home? When they did them at the vet Spook was very good about everything. Panzer on the other hand is a handful.
 
FrostD said:
I'm not well versed with triaditis, but it is not cheap to diagnose. Have to test pancreatic enzymes, ideally ultrasound but I believe only definitive diagnosis is biopsying pancreas, liver, and small intestine. As I understand,treatment is same as pancreatitis (nausea, pain, app stim meds), plus a liver supplement possibly, but also likely a change in diet to hopefully eliminate the GI inflammation. Also antibiotic if infection is suspected.

Tagging @Kahluasmom whose civvie was recently diagnosed.

Sorry I can't be of more help! I really don't have any ideas as to what might be going on with him
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What do you suggest I feed them? I'm close to being out of fancy feast now.
 
Chrispooky12 said:
Can I do sub-q fluids by myself at home? When they did them at the vet Spook was very good about everything. Panzer on the other hand is a handful.
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Yes. You can do sub-q fluids at hom - all you need is the supplies. I keep then on hand here at home at all times. A bag of lactated ringers solution, the tube, some needles. Sounds like you would be able to do Spook. Panzer sounds like a two person job!
 
FrostD said:
I'm not well versed with triaditis, but it is not cheap to diagnose. Have to test pancreatic enzymes, ideally ultrasound but I believe only definitive diagnosis is biopsying pancreas, liver, and small intestine. As I understand,treatment is same as pancreatitis (nausea, pain, app stim meds), plus a liver supplement possibly, but also likely a change in diet to hopefully eliminate the GI inflammation. Also antibiotic if infection is suspected.

Tagging @Kahluasmom whose civvie was recently diagnosed.

Sorry I can't be of more help! I really don't have any ideas as to what might be going on with him
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I'm honestly so lost on this, too. Our vet wants an ultrasound, but my husband will not go for it. Our vet said 1/4 tab Pepcid daily and a diet change. I have Gabapentin for her sore leg, which she takes too. The Mirataz lasts her 2-3 days. I joined the IBD cat group and got pretty much yelled at for not doing an ultrasound. I get it. And I'd do it. But, I'm not lying to my husband. The vet said we'd see how she did by Monday and then we could add steroids.
 
Suzanne & Darcy said:
Yes. You can do sub-q fluids at hom - all you need is the supplies. I keep then on hand here at home at all times. A bag of lactated ringers solution, the tube, some needles. Sounds like you would be able to do Spook. Panzer sounds like a two person job!
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Do I get all of that stuff at the vet? Yes he probably would be at first, he was a 2 person job to test his BG at first now he's good most of the time :rolleyes:
 
Kahluasmom said:
I'm honestly so lost on this, too. Our vet wants an ultrasound, but my husband will not go for it. Our vet said 1/4 tab Pepcid daily and a diet change. I have Gabapentin for her sore leg, which she takes too. The Mirataz lasts her 2-3 days. I joined the IBD cat group and got pretty much yelled at for not doing an ultrasound. I get it. And I'd do it. But, I'm not lying to my husband. The vet said we'd see how she did by Monday and then we could add steroids.
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Spook went 2 days without it once,but he sometimes gives me a hard time even with the Mirataz on his ear a couple of hours later. I have to keep sitting him back in front of his bowl & tell him to eat a little more Spooka. I can't afford an ultrasound sound at the moment so it looks like it's Mirataz for Spook for now.
 
Suzanne & Darcy said:
And if you haven’t tried the pain med, why not try it? If it’s pancreatitis or triaditis or kidney disease, you need to be able to give sub-q fluids to them at home (as frequently as every day if necessary.). This can make them feel sooo much better.
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I will give him the gabapentin in 30mins @+4 PMPS feeding. Does the dose sound right for him though? The dosage is in comment 8 above.
 
Sorry I don't know about dose either!

It sounds like the triaditis diet is an IBD diet - minimal ingredient, novel protein. Perhaps lower in fat for liver? I am not completely sure
 
FrostD said:
Sorry I don't know about dose either!

It sounds like the triaditis diet is an IBD diet - minimal ingredient, novel protein. Perhaps lower in fat for liver? I am not completely sure
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When I had both boys at the vet last time he suggested low protein & low phosphorus because both of there bloodwork is looking like CKD but they've both been sick forever so the numbers could be altered by that hopefully! Once there better we are going to redo bloodwork just on the high #s. I really need to find a 2nd job these boys are killing me! I have a few different cans of weruva. I tried to give Panzer a pouch of jeopardy licious chicken breast dinner yesterday & he wasn't having it. Spook ate it & his fancy feast.
 
Poor kitties :(

Suzanne knows better, but I actually think the low protein is not recommended for CKD cats? As I understand, they are very prone to muscle wasting as it is (again Suzanne can correct this if I'm wrong). But yes definitely low phosphorus if kidney disease
 
Chrispooky12 said:
When I had both boys at the vet last time he suggested low protein & low phosphorus because both of there bloodwork is looking like CKD but they've both been sick forever so the numbers could be altered by that hopefully! Once there better we are going to redo bloodwork just on the high #s. I really need to find a 2nd job these boys are killing me! I have a few different cans of weruva. I tried to give Panzer a pouch of jeopardy licious chicken breast dinner yesterday & he wasn't having it. Spook ate it & his fancy feast.
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I will wait a little longer on the gabepentin, it seems like Panzer is feeling better right now. So far he is eating his regular fancy feast pate. Everything crossed that he continues! He's been happy, rubbing on my legs, getting in my lap, helping me make the bed :smuggrin: purring, eating, fighting me a little bit at test time. It seems like he feels worse during the day. Weird I wish cats weren't so finicky with food like dogs! He ate all of it, this time.
 
FrostD said:
Poor kitties :(

Suzanne knows better, but I actually think the low protein is not recommended for CKD cats? As I understand, they are very prone to muscle wasting as it is (again Suzanne can correct this if I'm wrong). But yes definitely low phosphorus if kidney disease
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I will wait for Suzanne to chime in & see what she thinks. You both know way more than the vet! He wanted to do a fructosamine test I'm like no I test him 6 to 7xs a day!
 
Chrispooky12 said:
Hey everyone Panzer has been very sick for several days. He has been eating very little, hiding, constipated & now loose stool. I have ordered Psyllium husk powder to add fiber to his diet but it won't be here until tomorrow. I'm not sure but I think Panzer may have pancreatitis? Should I take him to the vet & have him examined & tested? I have very limited funds for the vet. I have applied for help for future vet bills for Panzer to the DCIN. I am just waiting for a response back. My vet will not give me Buprenorphine for pain but he did give me gabepentin. I have not used any of them as of yet. Panzer & Spook both have decided they aren't eating baby food with the probiotic that I've been giving them which is saccharomyces boulardi plus MOS prebiotic + probiotic. I have proviable-DC but the capsules look to big to put in a pill pocket. Do these have a taste to them, that they will detect in the baby food? The only thing Panzer will eat so far today is the fancy feast chicken feast in grilled gravy. His numbers are pretty high but he has to eat. I offer him his regular fancy feast first & add fortiflora to it & when he refuses, I give him the other one. I've also put mirataz on Panzers ear yesterday & today not sure if it's helping. I've also been giving him Cerenia once a day but I am almost out of them. I've tried weening Spook off of the Mirataz & he will eat for a day or two if I'm lucky. I don't think he has pancreatitis but possibly triaditis? https://www.felinediabetes.com/FDMB...3-vet-visit-about-bathing-300-4-287-7.263713/
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So sorry you are going through all of this with poor Panzer. Sending well wishes. Most of what you have described with Panzer i experienced with Lando in the early months. I used all of the tools in the toolkit: cerenia, miritaz, pepcid, slippery elm bark at least 20 different kinds of food and assist eating. I think the one thing i would have done earlier is to feed 4-5 small meals every day ( im fortunate i work from home). I hope you find what works for Panzer! One last thing, i found pepcid ac not helpful in Landos case
 
Chrispooky12 said:
It is gabepentin Mini tab 50mg give one tablet by mouth every 12hrs. Does that sound about right?
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From Plumb's Veterinary Drug handbook 7th ed.
Plumbs Gabapentin.jpg


I have never given gabapentin to a cat but I think each cat has a different tolerance to gabapentin. The dosages given by caregivers seems to vary. If it were my cat, I would not give more than 50mg. Watch out for hypersensitivity and lethargy.​
 

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Red & Rover (GA) said:
From Plumb's Veterinary Drug handbook 7th ed.
View attachment 64442

I have never given gabapentin to a cat but I think each cat has a different tolerance to gabapentin. The dosages given by caregivers seems to vary. If it were my cat, I would not give more than 50mg. Watch out for hypersensitivity and lethargy.​
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Thank you he has had liquid gabepentin, but never pill form. My 2nd vet that I fired had me give it to him the night before he would go in for an appointment & the day of the appointment. I'm leary about giving it to him but I don't want him to be in pain either.
 
Lando demando said:
So sorry you are going through all of this with poor Panzer. Sending well wishes. Most of what you have described with Panzer i experienced with Lando in the early months. I used all of the tools in the toolkit: cerenia, miritaz, pepcid, slippery elm bark at least 20 different kinds of food and assist eating. I think the one thing i would have done earlier is to feed 4-5 small meals every day ( im fortunate i work from home). I hope you find what works for Panzer! One last thing, i found pepcid ac not helpful in Landos case
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It is definitely not something anyone wants to go through. If I could take all of this him from him & give it to myself I would in a heart beat! I have all of the stuff you mentioned above but I am running low on Cerenia. I feed him & Spook every 4hrs sometimes they have to eat a half hour to an hour late for there +8 AMPS feeding because I can't make it home fast enough from work. I'm self employed & I clean houses but I can only work so fast & some of my houses are up to 25 miles away one way. I haven't had to syringe feed but I'm prepared if I do have to. What kind of food do you feed Lando?
 
Panzer ate all of his normal food 3xs in a row :cat: knock on wood. I hope he continues. It seems like he's feeling better & he hasn't had a liquid poop since this morning. I didn't give him mirilax tonight, hopefully that isn't a mistake! The psyllium husk powder will be here tomorrow :bighug:
 
Chrispooky12 said:
He said they don't have Ondansetron at the vet. He is very hesitant about prescribing anything that he isn't going to make $ off of. I did mention that Wedgewood pharmacy will compound the Buprenorphine into an ointment like mirataz for the ear. He said they use Wedgewood pharmacy alot but only gave me the gabepentin. It is gabepentin Mini tab 50mg give one tablet by mouth every 12hrs. Does that sound about right?
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Did you try this dose?
 
Chrispooky12 said:
Panzer ate all of his normal food 3xs in a row :cat: knock on wood. I hope he continues. It seems like he's feeling better & he hasn't had a liquid poop since this morning. I didn't give him mirilax tonight, hopefully that isn't a mistake! The psyllium husk powder will be here tomorrow :bighug:
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This is so good to hear!!
 
Chrispooky12 said:
Thank you he has had liquid gabepentin, but never pill form. My 2nd vet that I fired had me give it to him the night before he would go in for an appointment & the day of the appointment. I'm leary about giving it to him but I don't want him to be in pain either.
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You may want to start with half of that. Some cats are very sensitive to Gabapentin and others can tolerate more.
 
FrostD said:
I would not hesitate to give the pain meds if you think he's in pain.

Was it your vet that didn't want to prescribe ondansetron? Cerenia alone is seldom enough to help them get over the hump.

@Suzanne & Darcy do you perhaps think he is blocked? I know sometimes when they're constipated the liquid poop can go around.
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I think I mentioned that before to Christina (previous thread). It’s a possibility, but hopefully he’s over it by now??
 
Suzanne & Darcy said:
You may want to start with half of that. Some cats are very sensitive to Gabapentin and others can tolerate more.
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Ok I will try with half of it tomorrow, poor boy is on so much different stuff. I'm going to try out the Proviable-DC @ AMPS when they normally have the other probiotic in there baby food that they decided they are on strike from. Maybe there sick of the baby food, I don't know...cats :rolleyes:
 
Kahluasmom said:
I'm honestly so lost on this, too. Our vet wants an ultrasound, but my husband will not go for it. Our vet said 1/4 tab Pepcid daily and a diet change. I have Gabapentin for her sore leg, which she takes too. The Mirataz lasts her 2-3 days. I joined the IBD cat group and got pretty much yelled at for not doing an ultrasound. I get it. And I'd do it. But, I'm not lying to my husband. The vet said we'd see how she did by Monday and then we could add steroids.
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Maria, is this about Mouse? I’m sorry. I didn’t know.
 
Suzanne & Darcy said:
Yep. Low phosphorus is the more important thing.
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I'm wondering if I should order more fancy feast & try the small amount of weruva that I have out once I get Panzer on the right track? I would hate to buy several cases of weruva & them not eat it, but I'm worried about the phosphorus.
 
Chrispooky12 said:
I'm wondering if I should order more fancy feast & try the small amount of weruva that I have out once I get Panzer on the right track? I would hate to buy several cases of weruva & them not eat it, but I'm worried about the phosphorus.
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I know what you mean. I do know that Chewy will refund you if you contact them and say your cats won’t eat the food. They usually just say to donate the food to a shelter.
 
Suzanne & Darcy said:
I know what you mean. I do know that Chewy will refund you if you contact them and say your cats won’t eat the food. They usually just say to donate the food to a shelter.
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Yeah they've done that for me several times. He just puked up the little bit of liquid he had in his food & his pill pockets with Cerenia & Zobaline in them @+4 AMPS. He pooped a regular poop right after good amount. I'm going to lay back down for an hour & offer him a little bit of food again. :banghead:
 
Panzer is not feeling well at all :( he ate maybe 2tsps of chicken gravy lovers feast 2tsps of baby food & a tablespoon of milk, that was the only way to get some liquid in him beside the little bit of gravy. I'm going to try & give him the Cerenia he puked up @ PMPS feeding.
 
Panzer licked his regular food @ PMPS feeding, ate 2tsps chicken feast gravy lovers, ate half a jar of baby food, pill pocketed Cerenia. Gave 1.25 units of insulin. He's still not feeling good, hopefully once the Cerenia kicks in he will fill better.
 
What's this 184 @+4 PMPS we haven't seen a blue in forever :cat:Panzer ate all of his regular food with almost a whole packet of fortiflora & coaxing. He's up & moving around & acting somewhat himself.
 
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