6/13KahluaPMPS=71+2=80+4.25=61+5=62+6=75

Kahluasmom said:
@Suzanne & Darcy So Mouse....she had her bloodwork and urine rechecked. The infection is gone but her liver values are still off. The vet diagnosed Triaditis, but she wants an ultrasound to make sure it's not cancer. My husband is a hard no on that one. So, the vet said we need to change her diet, give her 1/4 tab of Pepcid and see how she does. If need be we can add steroids. She also has a sore leg. The xray showed a healed injury. So, she's on gabapentin for that. She's eating okay as long as I give her some Mirataz every 2 or 3 days. It's very hard to switch her food, keep her away from the majority of proteins and get her to eat. Currently, she's liking Stella and Chewys canned food. I bought some raw, too, but she won't touch it. Kahlua likes it. But, she will literally eat someone else's hairball. BTDT.
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I either never got this tag or it was buried under 50,000 alerts so I never saw it! This morning, I went clicking back through your threads to see if I could find the Mouse update! :cat: Did you say she's now changed her mind on the raw and she's eating it? Or is it just Khalua who is eating the raw happily?

These are the things I have read before about Triaditis - as far as treatment. I notice that adding in certain nutrients/supplements is highly recommended. Is this something that you could possibly do with Mouse? Vet didn't recommend Ursodiol? Or steroids just yet? Are you just going to try to do the diet change first? Novel protein?
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This is from criticalcaredvm.com:

Treatment for triaditis is consistent with treatment for pancreatitis, IBD, and cholangitis. Major interventions may include:

  • Dietary modification – transitioning a patient to a hypoallergenic or novel protein diet may be helpful
  • Anti-emetic therapy – controlling nausea is of paramount important
  • Nutritional support – providing appetite stimulants and/or placing temporary supplemental feeding tubes may be instrumental in helping patients fight this clinical syndrome
  • Immunomodulatory therapy – administration of drugs that help reduce inflammation in the liver, pancreas, and small intestine is often pivotal in the therapy of triaditis
  • Vitamin supplementation – provision of vitamin B12, vitamin B9, vitamin K1, and/or vitamin E may be very helpful
  • Antioxidant therapy – giving cats certain antioxidants like s-adenosylmethionine (SAMe) and vitamin E is of paramount importance
  • Antimicrobial therapy – patients with bacterial infections benefit from appropriate antibiotic therapy
  • Biliary support – a medication called ursodeoxycholic acid reduces toxic components in bile and allows bile to flow more efficiently
  • Pain medication – many patients with triaditis have abdominal discomfort and thus benefit from analgesia
 
Suzanne & Darcy said:
I either never got this tag or it was buried under 50,000 alerts so I never saw it! This morning, I went clicking back through your threads to see if I could find the Mouse update! :cat: Did you say she's now changed her mind on the raw and she's eating it? Or is it just Khalua who is eating the raw happily?

These are the things I have read before about Triaditis - as far as treatment. I notice that adding in certain nutrients/supplements is highly recommended. Is this something that you could possibly do with Mouse? Vet didn't recommend Ursodiol? Or steroids just yet? Are you just going to try to do the diet change first? Novel protein?
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This is from criticalcaredvm.com:

Treatment for triaditis is consistent with treatment for pancreatitis, IBD, and cholangitis. Major interventions may include:

  • Dietary modification – transitioning a patient to a hypoallergenic or novel protein diet may be helpful
  • Anti-emetic therapy – controlling nausea is of paramount important
  • Nutritional support – providing appetite stimulants and/or placing temporary supplemental feeding tubes may be instrumental in helping patients fight this clinical syndrome
  • Immunomodulatory therapy – administration of drugs that help reduce inflammation in the liver, pancreas, and small intestine is often pivotal in the therapy of triaditis
  • Vitamin supplementation – provision of vitamin B12, vitamin B9, vitamin K1, and/or vitamin E may be very helpful
  • Antioxidant therapy – giving cats certain antioxidants like s-adenosylmethionine (SAMe) and vitamin E is of paramount importance
  • Antimicrobial therapy – patients with bacterial infections benefit from appropriate antibiotic therapy
  • Biliary support – a medication called ursodeoxycholic acid reduces toxic components in bile and allows bile to flow more efficiently
  • Pain medication – many patients with triaditis have abdominal discomfort and thus benefit from analgesia
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Mouse isn't on raw yet. I give her some here and there, but she won't touch it. I bought rabbit this a.m. so I'm going to try that later on. She likes rabbit. Mouse is at her ultrasound right now. Praying for good news! Praying!!!! Currently, she is taking SEB, Zofron, Gabapentin and Tumil K. She had also gotten pretty dependant on Mirataz. Last Thursday she had a pretty rough day. I gave her Mirataz and she started eating and looking much better. She has been doing really well for 4 days now. The only thing that changed was she refused all chicken. I know that's a big allergen, but the vet thought her problem was fish and beef. We'll see what the utrasound shows. Can a food allergy affect liver values? So, she is eating Instinct rabbit, duck or bison and Stella and Chewy's canned turkey pate. She needs tons of variety so it's a challenge!
 
Okay... she's at the ultrasound :nailbiting: I just prayed for a good outcome too (no masses/cancer). One of my cats has had elevated liver enzymes and I put her on Denamarin and they are starting to come down. I just rechecked blood work last week. She's not only borderline high ALT. The other liver enzymes were not elevated at all. So you were able to get her ultrasound done after all. :bighug: You have a full-time job taking care of these babies.

Let us know what the vet says after the ultrasound.
 
Suzanne & Darcy said:
Okay... she's at the ultrasound :nailbiting: I just prayed for a good outcome too (no masses/cancer). One of my cats has had elevated liver enzymes and I put her on Denamarin and they are starting to come down. I just rechecked blood work last week. She's not only borderline high ALT. The other liver enzymes were not elevated at all. So you were able to get her ultrasound done after all. :bighug: You have a full-time job taking care of these babies.

Let us know what the vet says after the ultrasound.
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I haven't talked to the vet yet. I brought Mouse home. She didn't eat or drink while at the vet for 8 hours. She is desperately trying to poop. She did poop a bit in the crate. She won't eat. What should I give her? I was thinking Zofron....
 
Kahluasmom said:
I haven't talked to the vet yet. I brought Mouse home. She didn't eat or drink while at the vet for 8 hours. She is desperately trying to poop. She did poop a bit in the crate. She won't eat. What should I give her? I was thinking Zofron....
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Yes. I would try Zofran
 
She needs to at least drink. Do you have tuna in water that you can add a little more water to and see if she will drink it?
 
Or any gravy foods where she can lick some gravy? After the Zofran hopefully things will get better.

That was a very long time for an ultrasound. I usually just get an appointment and wait while my vet does the ultrasound. And then she comes to talk to me about it. And I get the report. A lot of times she shows me images while she’s doing it or photos afterwards on her computer.
 
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Okay...just heard from the vet. Mouse has nodules on her pancreas and very thickened intestines. Her liver, spleen and kidneys are fine. She has either severe IBD or lymphoma. The only way to tell is biopsy. She is putting her on Prednisolone medi melts daily for at least 2 weeks and then taper off.
 
Suzanne & Darcy said:
Or any gravy foods where she can lick some gravy? After the Zofran hopefully things will get better.

That was a very long time for an ultrasound. I usually just get an appointment and wait while my vet does the ultrasound. And then she comes to talk to me about it. And I get the report. A lot pf times she shows me images while she’s doing it or photos afterwards on her computer.
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Yeah, they were waiting for the vet who did the ultrasound to talk with our vet, but they were busy. I'm not too happy.
 
Kahluasmom said:
Okay...just heard from the vet. Mouse has nodules on her pancreas and very thickened intestines. Her liver, spleen and kidneys are fine. She has either severe IBD or lymphoma. The only way to tell is biopsy. She is putting her on Prednisolone medi melts daily for at least 2 weeks and then taper off.
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I think the Prednisolone is a good idea. Unless you think you will do a biopsy at some point in the future. If you do, you will have to stop the Prednisolone. But it sounds like right now she can benefit from the Pred. You will not want to taper it off if it’s severe IBD. A two week course is not enough and her symptoms will not go away. Some cats have to be on it for life.
 
What have you been giving her for constipation. Zofran is quite constipating. And Mouse seems to have a lot of trouble with constipation
 
Suzanne & Darcy said:
What have you been giving her for constipation. Zofran is quite constipating. And Mouse seems to have a lot of trouble with constipation
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I usually sprinkle some Miralax on her food. She's been pooping nearly every day. I think the stress and lack of moisture....I gave her the Zofran so I'll wait a bit and see if she'll eat. I can give her fluids, too....but she is soooo angry.
 
Suzanne & Darcy said:
I think the Prednisolone is a good idea. Unless you think you will do a biopsy at some point in the future. If you do, you will have to stop the Prednisolone. But it sounds like right now she can benefit from the Pred. You will not want to taper it off if it’s severe IBD. A two week course is not enough and her symptoms will not go away. Some cats have to be on it for life.
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What are these nodules on her pancreas? Everything I've found says it's very rare. Can IBD cause that?
 
You must be very overwhelmed right now. I think there’s a lot of hope for Mouse. (1) It sounds as though no distinct mass was seen anywhere; (2) her liver looked good Now yes, her intestines are thickened pretty badly from the sound of it, but that should be responsive to the Prednisolone and she should be feeling much better soon. Ask your vet (when you get a chance) if she thinks that she could get samples of the intestines via an endoscopy. If she can, then it would be worthwhile to do it. A full-thickness biopsy involves an exploratory type surgery with a big incision (yes, many cats do just fine on this). I've done it before with my cats, but never will do it again if I have any other options. My vet has been willing to treat with chemotherapy my cats who have suspected small cell lymphoma (she knows I'm never doing the laparotomy surgery again.) First we have treated with Prednisolone and later have added in the chemo drug Leukeran (chlorambucil) when Pred alone is not controlling the symptoms. We did monitor things with ultrasound, of course so we weren't flying completely blind. But that's all for another day...

Okay... so back to the endoscopy. Whether or not the vet can reach and take tissue samples via an endoscopy depends on the layer of the intestines that are involved. It would be good if you got the written report on the ultrasound. For example, if the inflammation is in the muscularis layer, that is too deep to get with the endoscope.
 
Kahluasmom said:
She can't have any fish. I'll try to come up with something.
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Sorry. Do you have any gravy food or is she not allowed to have that. Okay.... that's probably bad for her too... do you have baby food? Forti Flora that you can sprinkle on. After the Zofran, you can do Mirataz on her ear. This may take time. I'm sorry. I know you will do all the best and right things for her! You are very competent at all of this. You are a great cat Mama.:bighug:
 
Suzanne & Darcy said:
Sorry. Do you have any gravy food or is she not allowed to have that. Okay.... that's probably bad for her too... do you have baby food? Forti Flora that you can sprinkle on. After the Zofran, you can do Mirataz on her ear. This may take time. I'm sorry. I know you will do all the best and right things for her! You are very competent at all of this. You are a great cat Mama.:bighug:
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I'm going to give her the Mirataz. I've learned not to wait.
 
Kahluasmom said:
No....I totally value your input. My head is spinning! Mouse is so miserable. She's trying to poop.
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This is very upsetting to me (and I know to you, of course.) I wish she'd had some fluids today at the vet. Do you have anything on hand that will help her. Of course, none of this will help her in the short term... it takes time :-( The only thing that may help in the short term is an enema.
 
Suzanne & Darcy said:
This is very upsetting to me (and I know to you, of course.) I wish she'd had some fluids today at the vet. Do you have anything on hand that will help her. Of course, none of this will help her in the short term... it takes time :-( The only thing that may help in the short term is an enema.
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I can do fluids!
 
Kahluasmom said:
I usually sprinkle some Miralax on her food. She's been pooping nearly every day. I think the stress and lack of moisture....I gave her the Zofran so I'll wait a bit and see if she'll eat. I can give her fluids, too....but she is soooo angry.
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Yes. The dehydration and stress is not helping her constipation.
 
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