Angel is on the mend :D

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Lisa and Angel

Member Since 2023
Angel's been having troubles with recurrent diarrhea for a while. Current bout of diarrhea had been going on for about 2 weeks already. But last wednesday evening, she got sick. Hid away, didn't want to eat unless I brought wet food to her, so weak she laid down to poop in the litter box (diarrhea), lethargic. Gave tolfenamic acid at 22:30, she got a bit better from that and ate well at around mightnight. No fever.


Thursday:
Still sick. Same symptoms as last night, but didn't want to eat at all now. Laid down to poop liquid awful diarrhea, had to bathe her to get her clean. Off we went to the vet. Physical exam all normal besides diarrhea belly. Weight loss from 6kg to 5.5kg.
Diagnosis: bowel infection, prescribed probiotics and given a Cerenia injection and a vitamin injection. Ate after we got home, so shot late (17:30). Slept for a long time, seemed a bit more alert when awake. Ate a bit at 10pm.


Friday:
After midnight, she became very weak. Walked as if drunk, laid down every few feet, pooped/peed laying down. Ate nothing after 3am. Skipped AM shot. Had severe diarrhea with a bit of blood at 5:30am. Went to bed at 7am with the intention of calling the vet back soon. But at 10am she'd perked up. Was alert, purred, screamed for food, ate well, went outside, scratched the cat tree, cuddled. Continued for a while, gave insulin at 2pm. Peed sitting down like normal at 4pm.
Started hiding away again at 5pm, appetite worsened, weakness returned. Pooped at 8pm, bit better but still diarrhea. Had to hold her up or she'd lay down in it again. 9pm, could barely walk, struggled to even stand up, collapsed after a few steps.
Made the call to the emergency vet and off we went. Extensive bloodwork done, nothing awful found. High fever of 40,4 celsius/104,72 fahrenheit. Weight loss from 5.5kg to 5.3kg. Physical exam all normal besides diarrhea belly and fever. Given tolfenamic acid injection, Cerenia injection, subq fluids. Diagnosis: weakness from the bowel infection, gotta get her through it. Antibiotics could worsen it so they're afraid to prescribe them.


Saturday:
Finally got home from vet at 1am. Gave insulin at 4am when her appetite returned a bit. No poops.
Went to bed at 6am, woke up at 9am to check how she was doing. She was not doing well. Hiding again, weak again, no appetite. Glucose 4.8. Checked her temp, hypothermia at 37,4 celsius/99,32 fahrenheit.
Back at vet at 11am. Checked her over again, vitals stil normal aside from the hypothermia. Hypothesised inability to thermoregulate from how sick she is. Option to admit her, however because they're not on site 24/7 means she'd be left alone and unsupervised. Opted to take her home. Got appetite stimulant Mirataz and Royal Canin gastrointestinal dry food.
Ate the RC well when we got home. Temp still too low, so laid down and cuddled her on an electrical blanket. She did not like this at all. Temp reached 38 celsius, let her go, she ambled off to drink/lay down in her regular spot. Slept for a while, woke her up an hour later. Glucose 3.2, didn't want to eat so rubbed honey on her gums. Temp low again, cuddled on blanket again. When warm, appetite returned and she ate again. Let her go off to sleep in her regular spot, hour later glucose at 3.9. Felt visibly crappy again and was cold again. Blanket again. Felt better and ate a bit. Rinse and repeat this about a dozen times. Pooped diarrhea at 1pm. Skipped PM shot because of low numbers + untrustworthy appetite.
Evening time, still not feeling great. Appetite waxes and wanes, so does temp. She's cold > I warm her up > she feels a bit better > she sleeps > she cools off again and feels bad again. Weirdly her glucose is staying low even though we skipped her shot and she ate (high carb) food. Still pretty weak.


Sunday:
Goes outside at midnight and comes in with horrific poopy butt. Can't bathe her because of hypothermia. Try my best to clean her up with wet wipes. Despair at quality of life and how it seems like she's dying even though there's no real reason for her to be this sick. Very cold again and weak, bit dehydrated. Put her in crate with hot water bottle to warm her up. Manage to get her temp up to 38,7 celsius again. She perks up again and drinks for a solid 10 minutes. Eats liquid snack but no dry food. Naps again. Scratches the cat tree a bit. Naps a bit, wakes up still decent. Approached food on her own and ate some dry food, and another liquid snack. Drinking water right now.

---------------------------

And we arrive at current time (almost 4am sunday my timezone). I am exhausted, emotionally wrung out, and Angel is still sick. For lack of a better option, and barring a miraculous recovery, I guess I'll be calling the vet again tomorrow and maybe asking for antibiotics anyways and possibly to admit her.


If you read all the above, congrats. If ya'll have ANY ideas, please share. Pics of bloodwork results coming up in next post.
 
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Angel's been having troubles with recurrent diarrhea for a while. Current bout of diarrhea had been going on for about 2 weeks already. But last wednesday evening, she got sick. Hid away, didn't want to eat unless I brought wet food to her, so weak she laid down to poop in the litter box (diarrhea), lethargic. Gave tolfenamic acid at 22:30, she got a bit better from that and ate well at around mightnight. No fever.


Thursday:
Still sick. Same symptoms as last night, but didn't want to eat at all now. Laid down to poop liquid awful diarrhea, had to bathe her to get her clean. Off we went to the vet. Physical exam all normal besides diarrhea belly. Weight loss from 6kg to 5.5kg.
Diagnosis: bowel infection, prescribed probiotics and given a Cerenia injection and a vitamin injection. Ate after we got home, so shot late (17:30). Slept for a long time, seemed a bit more alert when awake. Ate a bit at 10pm.


Friday:
After midnight, she became very weak. Walked as if drunk, laid down every few feet, pooped/peed laying down. Ate nothing after 3am. Skipped AM shot. Had severe diarrhea with a bit of blood at 5:30am. Went to bed at 7am with the intention of calling the vet back soon. But at 10am she'd perked up. Was alert, purred, screamed for food, ate well, went outside, scratched the cat tree, cuddled. Continued for a while, gave insulin at 2pm. Peed sitting down like normal at 4pm.
Started hiding away again at 5pm, appetite worsened, weakness returned. Pooped at 8pm, bit better but still diarrhea. Had to hold her up or she'd lay down in it again. 9pm, could barely walk, struggled to even stand up, collapsed after a few steps.
Made the call to the emergency vet and off we went. Extensive bloodwork done, nothing awful found. High fever of 40,4 celsius/104,72 fahrenheit. Weight loss from 5.5kg to 5.3kg. Physical exam all normal besides diarrhea belly and fever. Given tolfenamic acid injection, Cerenia injection, subq fluids. Diagnosis: weakness from the bowel infection, gotta get her through it. Antibiotics could worsen it so they're afraid to prescribe them.


Saturday:
Finally got home from vet at 1am. Gave insulin at 4am when her appetite returned a bit. No poops.
Went to bed at 6am, woke up at 9am to check how she was doing. She was not doing well. Hiding again, weak again, no appetite. Glucose 4.8. Checked her temp, hypothermia at 37,4 celsius/99,32 fahrenheit.
Back at vet at 11am. Checked her over again, vitals stil normal aside from the hypothermia. Hypothesised inability to thermoregulate from how sick she is. Option to admit her, however because they're not on site 24/7 means she'd be left alone and unsupervised. Opted to take her home. Got appetite stimulant Mirataz and Royal Canin gastrointestinal dry food.
Ate the RC well when we got home. Temp still too low, so laid down and cuddled her on an electrical blanket. She did not like this at all. Temp reached 38 celsius, let her go, she ambled off to drink/lay down in her regular spot. Slept for a while, woke her up an hour later. Glucose 3.2, didn't want to eat so rubbed honey on her gums. Temp low again, cuddled on blanket again. When warm, appetite returned and she ate again. Let her go off to sleep in her regular spot, hour later glucose at 3.9. Felt visibly crappy again and was cold again. Blanket again. Felt better and ate a bit. Rinse and repeat this about a dozen times. Pooped diarrhea at 1pm. Skipped PM shot because of low numbers + untrustworthy appetite.
Evening time, still not feeling great. Appetite waxes and wanes, so does temp. She's cold > I warm her up > she feels a bit better > she sleeps > she cools off again and feels bad again. Weirdly her glucose is staying low even though we skipped her shot and she ate (high carb) food. Still pretty weak.


Sunday:
Goes outside at midnight and comes in with horrific poopy butt. Can't bathe her because of hypothermia. Try my best to clean her up with wet wipes. Despair at quality of life and how it seems like she's dying even though there's no real reason for her to be this sick. Very cold again and weak, bit dehydrated. Put her in crate with hot water bottle to warm her up. Manage to get her temp up to 38,7 celsius again. She perks up again and drinks for a solid 10 minutes. Eats liquid snack but no dry food. Naps again. Scratches the cat tree a bit. Naps a bit, wakes up still decent. Approached food on her own and ate some dry food, and another liquid snack. Drinking water right now.

---------------------------

And we arrive at current time (almost 4am sunday my timezone). I am exhausted, emotionally wrung out, and Angel is still sick. For lack of a better option, and barring a miraculous recovery, I guess I'll be calling the vet again tomorrow and maybe asking for antibiotics anyways and possibly to admit her.


If you read all the above, congrats. If ya'll have ANY ideas, please share. Pics of bloodwork results coming up in next post.
I am so sorry that you & Angel are going through this. Sending prayers for Angel to be healed:bighug::bighug: & to figure out what is going on with her. Hopefully some of the more experienced members here can help you!
 
Small update for today: she seemed to be feeling a tiny bit better for most of the day. Ate more, and her eyes looked clearer and she didn't have to lay down every few steps. Still very tired and slept most of the day, but her temp is better. Mostly in the normal range now, a bit on the high side and sometimes borderline feverish but that's better than the hypothermia she battled most of yesterday. She's feeling worse right now but it's almost time for her anti-nausea med, so that might be it. Still ate a whole liquid snack just now so I'll count that as a win.

Diarrhea is still awful, not seeing any improvement there. I'll call with the vet tomorrow again to discuss extensive fecal testing as her sister also has chronic diarrhea (likely misattributed to something else, though aside from that she's completely normal, lively and not losing any weight).
 
I'd also ask your vet why your cat is not getting antibiotics with an elevated white count and after telling you this is an infection. In addition, if your other cat is experiencing similar symptoms, there's a good chance they are passing whatever this is between then.

S. boulardii is available on Amazon and likely at GNC or maybe Whole Foods. It works wonders! Start with 1/4 to 1/3 of a capsule mixed into food.
 
I'd also ask your vet why your cat is not getting antibiotics with an elevated white count and after telling you this is an infection. In addition, if your other cat is experiencing similar symptoms, there's a good chance they are passing whatever this is between then.

S. boulardii is available on Amazon and likely at GNC or maybe Whole Foods. It works wonders! Start with 1/4 to 1/3 of a capsule mixed into food.

They said (last thursday + weekend, 2 different vets) that antibiotics could make the diarrhea even worse. That she/they might have a parasite which wouldn't be treated with antibiotics. And that she kinda had to fight it off on her own.:confused: But we have another appointment this afternoon to check her over and discuss starting her on antibiotics anyways because she's just not getting (much) better. And I'm collecting 3 days of poo to send off for fecal exam.

Her fever is gone at least, so I hope that's a good thing.

Problem is that she's barely eating at all, and definitely turning down anything that has meds mixed into it. As of today she'll only eat a tiny bit of wet food, or liquid snacks if I handfeed them to her. But I'll buy those probiotics now and hope she'll have more appetite soon.
 
You may want to get a feeding syringe and see if you can get some food into her that way. It's important for your cat to eat or there could be other problems if she goes without eating for more than 3 days. Try Stage 2 babyfood.
 
I'm really uncomfortable with her not receiving antibiotics with a white count like that. They could choose an antibiotic that was least likely to cause diarrhea (or exacerbate diarrhea in this case). I feel like she needed to be admitted to a veterinary hospital with 24/7 care. She most likely needed to be in a warming care (when she had the hypothermia) and now needs to be monitored to make sure she's keeping her body temperature regulated. With the diarrhea being that bad, it's likely she needs fluids to support her and keep her from becoming dehydrated. I'm thinking you don't have a 24/7 facility nearby? You did well not to leave her where she would not be monitored though, I think -- so if those were your only options, I would have taken her home as well. I definitely would have the stool tested to see what the find. I pray Angel will pull through this. Hugs to you. Good job keeping her going like that with all the warming, etc. Oh, and I also would second the idea to syringe feed her.
 
You may want to get a feeding syringe and see if you can get some food into her that way. It's important for your cat to eat or there could be other problems if she goes without eating for more than 3 days. Try Stage 2 babyfood.

If needed in the future, I have the equipment to start force/syringe feeding. Just really cautious with taking that step as in my experience, it's really hard to get them to start eating on their own again once you start forcing it. I'm definitely making sure she eats something every day.
 
Also, we're back from the vet! With antibiotics (cylanic) for a week and buprenorphine for the next 2 nights since that's when she really shows pain.

Since getting back home, she's started eating better again. Ate some dry food on her own initiative 3 times and almost 1 whole wet food pouch. She also showed an interest in my sandwich which was a huge relief. She's normally a huge food fiend, I can't eat anything without her looking at me with pleading eyes and begging paws: https://imgur.com/a/xdsj4E7. Really hoping we'll get back to this soon.
 
I'm really uncomfortable with her not receiving antibiotics with a white count like that. They could choose an antibiotic that was least likely to cause diarrhea (or exacerbate diarrhea in this case). I feel like she needed to be admitted to a veterinary hospital with 24/7 care. She most likely needed to be in a warming care (when she had the hypothermia) and now needs to be monitored to make sure she's keeping her body temperature regulated. With the diarrhea being that bad, it's likely she needs fluids to support her and keep her from becoming dehydrated. I'm thinking you don't have a 24/7 facility nearby? You did well not to leave her where she would not be monitored though, I think -- so if those were your only options, I would have taken her home as well. I definitely would have the stool tested to see what the find. I pray Angel will pull through this. Hugs to you. Good job keeping her going like that with all the warming, etc. Oh, and I also would second the idea to syringe feed her.

Luckily the vet agreed to give the antibiotics today. I did feel she needed them earlier, but what's done is done. The vets seemed genuinely surprised that her diarrhea hadn't improved at all, and did readily agree that antibiotics were the best course of action now. I guess most of these cases resolve on their own? It just hit her incredibly hard for some reason.

Unfortunately we don't have a 24/7 facility nearby. There are only a couple places like that in my country and all are 3+ hours away. The vets I go to are at a veterinary hospital that is the best in my area, but even they don't do 24/7 care.

I'm lucky to have some nursing experience and feel comfortable taking care of her myself, but if we had such a facility nearby that undoubtedly would've been better.

We're gonna send her stools for testing. And she ate better today thankfully, so I'll hold off on the syringe feeding for now. She hadn't lost any weight since saturday according to the vet's scale, which is great. She's less weak, though still lethargic but that's only to be expected. Vets and I are optimistic she'll pull through!
 
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Also, we're back from the vet! With antibiotics (cylanic) for a week and buprenorphine for the next 2 nights since that's when she really shows pain.

Since getting back home, she's started eating better again. Ate some dry food on her own initiative 3 times and almost 1 whole wet food pouch. She also showed an interest in my sandwich which was a huge relief. She's normally a huge food fiend, I can't eat anything without her looking at me with pleading eyes and begging paws: https://imgur.com/a/xdsj4E7. Really hoping we'll get back to this soon.
This is great news!! I feel relieved. I’m sure she’s going to improve more and more now. I do hope that the source of the diarrhea will be found or that it will resolve itself. I’ve had a number of friends lately whose cats have had low folate with serious diarrhea. They discovered this after doing the specific GI panel. Keep us posted on her progress. :bighug::bighug:
 
looking at me with pleading eyes and begging paws: https://imgur.com/a/xdsj4E7. Really hoping we'll get back to this soon.

omg what a picture. I'll be honest, I was reading this journey and already feeling emotionally invested and then when I saw that picture --- I got all misty-eyed! What a cat. I hope she continues to improve. If you're on iPhone or IOS device, long press on an image to copy then paste into a message box. Or if on a computer, right-click, copy/paste into reply box.
 
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Hi all! An update for you today.

Angel is doing much better! The improved appetite from yesterday afternoon continued all throughout the evening. At night, she was starting to go downhill again when I intervened with the buprenorphine the vet prescribed. And that did the trick! She quickly felt better and continued eating well.

Today, she kept up the good work. She's begging for food again, and eating dry food unpromped in between wet food and treats. She's taking her pills well, and her last 2 poops have been slightly firmer than before. But most importantly, you can just tell that she's feeling so much better overall. She's not quite back to her cheeky self, but we're getting there.

I am so, so glad. And confident we'll pull through this now.
 
This is great news!! I feel relieved. I’m sure she’s going to improve more and more now. I do hope that the source of the diarrhea will be found or that it will resolve itself. I’ve had a number of friends lately whose cats have had low folate with serious diarrhea. They discovered this after doing the specific GI panel. Keep us posted on her progress. :bighug::bighug:

Same! And I'll keep ya'll posted.:cat: with a little luck, the results from the stool testing should be in by next week so that might answer some questions.

omg what a picture. I'll be honest, I was reading this journey and already feeling emotionally invested and then when I saw that picture --- I got all misty-eyed! What a cat. I hope she continues to improve. If you're on iPhone or IOS device, long press on an image to copy then paste into a message box. Or if on a computer, right-click, copy/paste into reply box.

Thank you! I'm gonna blame my overtired brain for not thinking of copy/paste:facepalm:

Gorgeous pic:bighug::bighug::cat:

Thank you!:joyful:

How is sweet Angel today, please? I’ve been thinking of her.

Update above! Thank you so much for thinking of her.:bighug:
 
That’s a wonderful update! I’m very happy. Buprenorphine can be constipating, so in Angel’s case that actually is helpful at this point. I guess the pain is bowel related?

Same! And yes, I do believe it was bowel related pain. She didn't need the bupe last night, so I'm hoping that means the antibiotics have started working. Stools are still bad, but she's clearly feeling much better. She even harrassed me for my dinner again tonight!:D

Thanks for the update, I'm so happy to hear that Angel is feeling better :bighug::bighug::cat:

Me too!:joyful:
 
Yes. I just sent you a message (well two actually) on your thread over on the ProZinc forum with some suggestions for her dosing/BG and asking how she’s doing and how her appetite is, etc
 
Angel's still recovering well :cat: her appetite is fully back to normal, but physically you can see she's been through a lot. She feels a lot bonier than before, she's still more easily fatigued and not quite back to her normal cuddly self. But we're getting there. Stools have improved from pure liquid to mushy on the s. boulardii probiotic, thanks for the tip @Sienne and Gabby (GA)! Hopefully it'll continue improving as I still have to wash her poopy butt regularly, which nobody in this situation enjoys lol. Should get the results back from the stool testing some time next week.
 
You're more than welcome for the tip. Having an IBS kitty and a doctor who had prescribed meds that gave me a raging course of the runs, I know how helpful S. boulardii can be for my cat and for me!! You may need to increase Angel's dose of the probiotic if she's still dealing with loose stools.
 
Just noticed that Jarrow's S. Boulardii contains tapioca as a binding agent. Google says tapioca is a high glycemic index food. Does that mean I'd be better off finding another brand of S. Boulardii?
 
Just noticed that Jarrow's S. Boulardii contains tapioca as a binding agent. Google says tapioca is a high glycemic index food. Does that mean I'd be better off finding another brand of S. Boulardii?
Hi Lisa on just did a search on our site and found this posted by a member

S. boulardii is a specific type of probiotic. You can order it online through Amazon. Jarrow's or ReNew are good brands

I'm assuming the Jarrow's is ok
 
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