2/11 Kona +13/AMPS 205, PMBG 306, at the ER

Morning Jason, I hope the Miritaz kicks in soon .
I see some members have given
tuna juice (tuna in spring water) added to the wet food just a little
It might just say on the can in water
I like the solid white tuna
 
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Oh Jason I’m sorry to hear she’s not hungry and has diarrhea. Why don’t you post a question asking for help in what to do in your title and maybe tag a few people who can help with advice?
Big hugs for you and Kona :bighug::bighug::bighug:
 
The mirataz started to kick in and she did eat some of her food, I would say at least half....

I'm wondering if I should give her the full dose? We are an hour late as of right now!
 
Jason - Kona's Dad said:
The mirataz started to kick in and she did eat some of her food, I would say at least half....

I'm wondering if I should give her the full dose? We are an hour late as of right now!
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Have you tested her bg again? (But it will be food influenced)

Can you add “do I shoot” to your title??
And let’s tag Wendy and Elise, they may be around… anyone else you think may be on here now?
@Wendy&Neko @tiffmaxee
 
Jason - Kona's Dad said:
The mirataz started to kick in and she did eat some of her food, I would say at least half....

I'm wondering if I should give her the full dose? We are an hour late as of right now!
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It’s good she ate for you. And as Wendy always says, a cat going under anesthesia who can’t eat can get a 1/2 dose….
Do you feel comfortable shooting at least 1/2 dose??
 
Recap:
Thursday night, she didn't eat all her food like she normally does at dinner. Took some time, but she did eat after several attempts.
Friday morning, she didn't eat her breakfast as well, late, several attempts.
Friday afternoon took her to the vet and they gave her Mirataz. She at that night just fine.
Yesterday she ate fine. Diarrhea at 8pm and 12am.

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

This morning back to not eating which means the Mirataz probably wore off. BG was 180 at test time 6:37am.
Her normal shot times are 6:45-6:55

Tried to get her to eat, no luck. Gave Mirataz around 7:30am.

She ate about half her food around 8am.

I tested 205 at 7:59am.

I gave her normal dose of 1.0U at 8:08am.
 
Jason - Kona's Dad said:
It seems the mirataz might keep her eating, but I'm most concern about the diarrhea.

I'm wondering if I should go into the ER.

The current plan from my vet was just to use the mirataz and then we will do blood work tomorrow at 5PM.
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Don't think you need to go to the ER - see what @tiffmaxee and @Wendy&Neko think. Inappetence and diarrhea could be pancreatitis. You could ask the vet to test for it - Snap/Spec fPl. You could also start her on S. Boulardii for the diarrhea.
https://www.foodfurlife.com/my-cat-has-diarrhea---what-do-i-do.html

If the diarrhea continues, you also want to ask the vet about giving her fluids.
 
I called the ER vet... they said for me to try to ride it out with the mirataz if she is eating fine and getting insulin. Then go to my regular vet tomorrow to get the blood work done at 5PM.
She noted, I could bring her in, but there are more critical patients and she probably wouldn't be seen for several hours and that would cause extra stress on her.

I'll monitor today and hopefully the mirataz works.

I asked about being dehydrated and she said to pull up the skin on her neck to see if it goes down quick or not to test for that.

For that, I'm going to continue giving her the broth of the Weruva Wx Low Phos foods I have with whatever snacks I'm giving. Best I can do...
 
Bandit's Mom said:
Don't think you need to go to the ER - see what @tiffmaxee and @Wendy&Neko think. Inappetence and diarrhea could be pancreatitis. You could ask the vet to test for it - Snap/Spec fPl. You could also start her on S. Boulardii for the diarrhea.
https://www.foodfurlife.com/my-cat-has-diarrhea---what-do-i-do.html

If the diarrhea continues, you also want to ask the vet about giving her fluids.
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Thanks!!! I'm writing this down, will have them test for the Snap/Spec fPl.

I've had her on Flora Cat for a few weeks now, not seeing Boulardii in the strains, bummer...

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S. Boulardii works well for diarrhea and there is an emergency stop diarrhea dosing in the link I shared. Jarrow's S. Boulardii + MOS sees to be what is most commonly used by our members in the US.
 
Bandit's Mom said:
S. Boulardii works well for diarrhea and there is an emergency stop diarrhea dosing in the link I shared. Jarrow's S. Boulardii + MOS sees to be what is most commonly used by our members in the US.
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I see that is in stock at my local health food store. If I can catch a break with good BG numbers, I will run into to get a bottle. It will be about 60 minutes round trip.
 
Whole Foods sells SBoulardii with moss which is what you want. I prefer to get the SpecfPL sent to the lab as you get a number rather than just a positive or negative with the SNAPP test. With the in house test if in the gray zone it will read as negative. It does not sound like an ER visit to me unless it gets worse. IF pancreatitis you control symptoms and it sounds like it can be done at home right now. Keep us posted.
 
Update at the bottom.... I got her to eat a teaspoon of the hydrating Weruva food with chicken.

Overview of Issue/Recap:
Thursday night, she didn't eat all her food like she normally does at dinner. Took some time, but she did eat after several attempts.
Friday morning, she didn't eat her breakfast as well, late, several attempts.
Friday afternoon took her to the vet and they gave her Mirataz. She at that night just fine.
Yesterday she ate fine, but had diarrhea at 8pm and 12am.

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

Today:
This morning back to not eating which means the Mirataz probably wore off.

BG 180 at test time 6:37am. Her normal shot times are 6:45-6:55

Tried to get her to eat, no luck. Gave Mirataz around 7:30am.

She ate about half her food around 8am.

BG 205 at 7:59am. I gave her normal dose of 1.0U at 8:08am.

BG 187 at 9:04am (+1) & she ate 1 teaspoon of Weruva Low Phos (0.0%)
 
tiffmaxee said:
Whole Foods sells SBoulardii with moss which is what you want. I prefer to get the SpecfPL sent to the lab as you get a number rather than just a positive or negative with the SNAPP test. With the in house test if in the gray zone it will read as negative. It does not sound like an ER visit to me unless it gets worse. IF pancreatitis you control symptoms and it sounds like it can be done at home right now. Keep us posted.
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Thanks, I checked Whole Foods and they are way cheaper than I was going to go at Natural Grocers, so thanks, save me a little money.

I will request they send the SpecfPL to the lab for the real number. I'll try to have them do both if I can...

So good to hear I might be able to treat this at home and not an ER visit. I think getting the diarrhea is the main focus with the probiotic.

Thanks so much Tiff!!! :bighug:
 
She’s nauseous and when that happens mirataz or any appetite stimulant might not work. It didn’t for Mocha recently. Do you have ondansetron? Or if not cerenia? I would be surprised if you were not given something for nausea.
 
tiffmaxee said:
She’s nauseous and when that happens mirataz or any appetite stimulant might not work. It didn’t for Mocha recently. Do you have ondansetron? Or if not cerenia? I would be surprised if you were not given something for nausea.
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:banghead: no, and Bhooma suggested I get it and I made a note, but totally blew up and forgot to ask.

Which, now I'm disappointed THEY didn't just give it to me. Maybe because she hasn't been throwing up at all?

I WILL get it tomorrow.
 
Make sure you get enough ondansetron. Many vets including mine do not reaizr it need to be given every 8 hours often to be effective and don’t give the correct dose. Roughly 7 1/2-8 1/2 pound Chai needed 2mg three times a day to start eating well. Max was fine with every 12 hours I thought but with what I have learned he did not get nearly the correct dose as he was given just 2mg twice a day and was 14-16 pounds over the years he had pancreatitis. So try and get 20 pills or so. They charge a dispensing fee so it cheaper to get more and save per pill.
 
Sending Kona many healing thoughts. Back in my time we called them vines (someone did a mis-type on vibes and it took off).

Ditta was Elise said about ondansetron. You can actually give it up to 4 times per day if needed so every 6 hours. I try to make sure I always have some in my kitty meds cupboard. Neko was also under dosed by her vet, wish I'd known. As far as vets not giving it to you, don't be surprised if they suggest Cerenia first. Fewer vets seem to be on top of ondansetron as first choice. They have to give you a prescription to be filled at a human pharmacy, they may not stock it. But they will sell you Cerenia, which is good if there is vomiting.

For the Mirataz, it doesn't last that long in the cat. If you continue giving it, don't go longer than 24 hours in between.

How much does Kona weight? Probiotics for cats should be about 5-10 billion CFU/kg/day. The one you are giving might be a little low. S. boullardi also a good option for stopping diarrhea, though it works a bit differently than a probiotic.
 
@tiffmaxee @Wendy&Neko

Okay, new development! BOTH of my cats have diarrhea. They have gone to the litterboxes multiple times.

Cleo just went and it was a big mess. I'm giving her liquid from the Weruva Low Phos to try to get her hydrated again.

I'm giving them BOTH the S. boullardi and every two hours 1/4 a pill as directed on https://www.foodfurlife.com/my-cat-has-diarrhea---what-do-i-do.html#/

This is starting to sound like some sort of infection? That transferred between the two? What in the world....
 
Wendy&Neko said:
How much does Kona weight? Probiotics for cats should be about 5-10 billion CFU/kg/day. The one you are giving might be a little low. S. boullardi also a good option for stopping diarrhea, though it works a bit differently than a probiotic.
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Kona weighed 9.25lbs yesterday at the vet. She gained .25lbs since they saw her a couple months ago.
 
Wendy&Neko said:
Or it could be food related? Anything different there? New batch?
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Yes, for Cleo it could totally be food related. Over the last few days I've been giving Kona buffet of options and instead of wasting it all, I was giving to Cleo. So yes, very possible Cleo is just caused by the food change.

I've always rotated Kona's food with the Weruva TruLuxe line of 5 or so flavors based on the carb needs I have in that day, but never been an issue. Never really had diarrhea issues before, just constipation.
 
hmm... thinking, thinking. I wonder if there anything related with a parasite infection of some sorts?

They are due for their Revolution (Selamectin) dosage. They are a few weeks behind as I forget to do it every 30 days.

However, I don't want to muddy the waters here, the side effects could be more digestive upset.

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I'll bring in a fecal sample tomorrow at 5pm to have them test, then maybe put them back on.

My goodness! :blackeye:
 

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Wendy&Neko said:
I don't think lack of Revolution is causing this.

As for food, with Cleo I was wondering if there was a food gone bad that she also got.
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It’s possible, in the chaos with Kona the last few days I might have not paid close attention to what was sitting out or what was in the fridge for more than a day or two. I did give her snacks from the automatic feeders that Kona didn’t eat. Even with ice packs, it’s very possible it went bad.
 
Sending lots of PAWsitive vibes and thoughts your way. Hopefully both girls feel better soon.
You've had wild last few days. Hang in there Jason, you got this!

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Oh Jason I’m so sorry your babies are not well. I can identify! Spent Friday night and yesterday afternoon at the ER with Tiger not eating and vomiting. He’s already on Cerenia but it just wasn’t enough. They gave him an IV of zolfran (0ndanestron) and a prescription for tablets. There was a mix up in getting it filled so we had to go back for another IV. We started the pills last night and it really seems to be helping, fingers crossed. The Mirataz affects him too much. I gave less than a half dose and he ate too much over a few hours and threw up right after he ate the last food, so I just used basically a dot of it . So not sure if it is having any effect or he is becoming hungry on his own with the nausea subsiding…. If it’s making her eat and she’s nauseous or tummy is upset, it could be making her “go” more.

The ER vet also mentioned Pepcid, but it was just in passing but maybe others have information about using it in cats….anyone?

Sending hugs to you and your babies….
 
I wouldn't throw Pepcid in the mix unless you know there is stomach acid. Lack of appetite, vomiting and diarrhea are possible side effects of Pepcid. Long term use is not a good idea. More here.
 
I tried to give Kona snacks but she’s not taking them. It appears the Mirataz is not working like it did the other day.

I’m thinking I need a backup plan now.

Kona hasn’t vomited at all, just the bouts of diarrhea, but wondering if the ER will give me some ondansetron without taking her in so I can use it later if needed. I’m calling them now.

Im worried for tonight.
 
Neither emergency vets will prescribe ondansetron without an exam. One is about a 24 hour wait and the other is several hours.

Sounds like I will be doing a token or skipping the shot all together tonight if I can't get her to eat at all.
 
Jason - Kona's Dad said:
Neither emergency vets will prescribe ondansetron without an exam. One is about a 24 hour wait and the other is several hours.

Sounds like I will be doing a token or skipping the shot all together tonight if I can't get her to eat at all.
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That’s crazy they are so backed up! We were lucky no wait first time and about an hour yesterday. Sorry…
 
Jason - Kona's Dad said:
Neither emergency vets will prescribe ondansetron without an exam. One is about a 24 hour wait and the other is several hours.

Sounds like I will be doing a token or skipping the shot all together tonight if I can't get her to eat at all.
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Any way to reach your regular vet?
I picked up my supply at my regular pharmacy (it’s a human medication). Could it be called in to a local pharmacy? Just need someone to call it in before pharmacy closes on a Sunday :(
Wish I lived closer. I have it in the house :(
 
Staci & Ivy said:
Any way to reach your regular vet?
I picked up my supply at my regular pharmacy (it’s a human medication). Could it be called in to a local pharmacy? Just need someone to call it in before pharmacy closes on a Sunday :(
Wish I lived closer. I have it in the house :(
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No, my regular vet just redirects to the emergency vet... there's nothing.

I'm also worried ondansetron will even work.

I think I'll go to town to find supplies to syringe feed. I don't know what to do, but I want options.
 
Awww :( Sending vines to Kona and civvie:bighug::bighug:

When you're able to, ask the regular vet how off hours situations like this should be handled and if the ER can have some record on file that they can prescribe medicine without needing an exam. Or maybe the vet can write you a prescription for any meds you may potentially need like ondansetron and you fill it as needed. My vet will prescribe meds for my cats without an exam, not something he does for other clients. He's even prescribe sterile saline I needed for the rats and he's not an exotics vet :D He just put the prescription under Leroy's name. The cats can use sterile saline if they ever needed it for dehydration or flushing gunk out of eyes so it wasn't a big deal.

ER wait times have been super long since the beginning of the pandemic but ERs, and many other businesses, are still dealing with limited staff and resources so it's understandable. Is there a way you can call the ER to let them know that you have an emergency coming in and how soon you could be seen upon arrival? Giving them a heads up may shorten the wait time. When my rat popped open her surgical incision (again:rolleyes:) I called the ER to let them know of our expected arrival and we were seen shortly after arriving. Are there any urgent care vet clinics in your area? Wait times might be shorter there, even for walk ins although a phone call before you head out the door with cats in tow is helpful.
 
Just tested she is at 272 BG.

She is totally lethargic...

I can't even get into the ER if I wanted to. One is 8 hour wait, the other is backed up 24 hours.

Total nightmare! I can go there and wait in the car for 8 hours with hopes them squeezing her in...

I'm wondering if I should just tried to force/syringe feed.
 
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