03/19 J.D. PMPS 257, Ondansetron question

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Dyana

Member Since 2009
Yesterday's Condo

Last Night:
125 PMPS
141 +1.25
135 +3.25
118 +5
101 +6.5
133 +8
244 +11

Yesterday at AM +3, J.D. threw up a lot. Many retches to get out some food and then some more for some food colored fluid and then then some more for some clear liquid. After that, he just didn't seem right all day yesterday. Kind of non or way less responsive. When I put him outside or when he went outside, he just kind of stood there, and didn't follow Ginger and I around. When I called him while outside, or when calling him for testing time, it was almost as though he couldn't hear me or see me? until I got right up next to him. And while outside, he just didn't want to go for a walk. So, something is off. The night before he slept with me and was all purrs, and last night he slept in his kitty bed all night.
He did have a couple of runny stools yesterday morning, and nothing since, and his peeing is fine. Ketones are negative, and he is eating all his meals. Hopefully, he'll feel better today, but I could use your well wishes, today.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Oh poor J.D., please feel better. Vines and prayers for your sweet boy (((Dyana))).
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

You've got mine & Ruby's heading your way!
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Dyana, so sorry J.D. isn't feeling well. That's a worry I can tell. Prayers and healing vines for J.D. How is he feeling today so far? it's good to hear he's eating.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

How long after he ate did he vomit the food coloured liquid?

Sending hugs and hope he is back to himself today.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Poor J.D.! Dyana, I am sending you healing vines and prayers right this minute. I hope J.D. starts feeling better soon and will be back giving you big purrs and cuddles.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Sending an avalanche of vines for J.D. please feel better little man.

Also sending cyber hugs for you (((Dyana))) it is so worrying when our little furbabies are off.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Many thoughts, prayers, and vines coming your way. Feel better J.D.!!
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

Karrie and Maverick said:
How long after he ate did he vomit the food coloured liquid?

Sending hugs and hope he is back to himself today.
Here's the notes from my Comments Section yesterday:
Ate 1/2 can FF at AMPS (6:06am). Threw up food at about +3, and then bile at +5. Gave 1/8 Pepsid at +5.5. Ate 1/4 can FF at +6.5. Ate 1/4 can FF at +8.
Ate 1/4 can FF at PMPS (6:02pm). Ate 1/4 can FF at +2.5. Ate 1/4 can FF at +3.25. Ate 1/4 can FF at +6.5.

The food throw up seemed to take him extra long to get out, but I was sleeping at the time, and it was dark. He did eat twice the amount he usually eats at AMPS, as he normally eats 1/4 can meals and I gave him 1/2 can. The food colored liquid was right after the food throw up. The times are estimated, but I think it was a couple hours or at least an hour later when he threw up the clear liquid.

This morning:
He just had some more slightly sloppy poo, and I did give him some FortiFlora on his first breakfast.

His second breakfast, I showed him the opened can, and he was happily licking up the juices (of his favorite FF Fish and Shrimp Feast), and then when I put it in his bowl, he seems to not see it or acknowledge it was even there. I raised the food dish up about 5 inches and he ate some of that. Right now he is hanging out down in the basement. I think he has a tummy ache or something.

I have not yet taken his tempurature. I am home today, so I can take him to the vet, if needed.
 
Re: 03/19 J.D. AMPS 306 Could use some vines, please.

I'm for a vet visit. Repeatedly throwing up is always a concern. I also don't like that he's acting a bit out of it.
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

Are there any tests or anything I should ask for?
He just had blood work done a month ago. I was all anxious to see the T4 and it wasn't on the results. I asked my vet said he didn't think he needed it because his thyroid was fine in his last bloodwork at the end of November.

I'm glad I'm seeing a different vet this time. I guess J.D.'s regular vet is off today.
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

Thinking of you and sending healing vines to JD! Good vetty vibes coming your way. I hope they figure out what it is and he gets to feeling better. Poor guy. ((((Dyana))))
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

Dyana,

I never post on Lantus but just reading your posts about JD. I would ask for a test for pancreatitis. But please by all means go by what more seasoned members tell you. Also have liver values tested as it could be a number of things causing JD to throw up. Pancreatitis and or wacky liver values can occur quickly.
I would certainly get him to the vet for sure.

Terri
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

You may already be at the vet, Dyana. I would get full bloodwork, urine culture, discuss fPLI for pancreatitis, palpate abdomen, ask vet if X rays are required. Ask if he is dehydrated and needs fluids, ask about Buprenex for pain and Ondansetron for nausea.
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

Thanks Linda. I wrote it all down, since I don't have a printer at home.
Okay, we're off. I hope this vet is prepared for all I'm going to ask of her.
 
Re: 03/19 J.D. AMPS 306 Vet Apt. in an hour.

Linda and Bear Man said:
You may already be at the vet, Dyana. I would get full bloodwork, urine culture, discuss fPLI for pancreatitis, palpate abdomen, ask vet if X rays are required. Ask if he is dehydrated and needs fluids, ask about Buprenex for pain and Ondansetron for nausea.
I feel like I pretty much failed.
She looked in his eyes and checked his teeth, and we got the blood for the total bloodwork including the thyroid test, and she said the fPLI needs to be a fasting test, so to feed him as usual tonight until 12:00am and then don't feed him tomorrow morning, when I give him insulin at 6:00am, but get him in first thing at 8:00am when they open and they can draw the blood for the fPLI then. That means I'll be late to work tomorrow morning :roll: I am not one to be late.
And, she said when I bring J.D. in tomorrow morning, I can get the Buprenex and a script for the Ondansetron then. That means he will not get any of those until tomorrow night. It doesn't make sense to me.

J.D. was happy to leave the vet, as he always is, and is laying out on the balcony right now. But, he did not want any food when we got home, which is not like him.
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

Scratch the last sentence. I just brought him a bowl of food out onto the balcony and he is eating that.
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

I'm glad he is eating. Maybe he can't have the meds yet because he has to fast?

Don't feel bad about being late to work - especially if you don't usually do it - life happens to work sometimes too (((Dyana)))

ETA: and please don't feel like you failed you do an amazing job of looking after J.D. and Ginger, not to mention LL and Health (I saw you sneak over there!) you are one heck of a woman and you should be very proud of yourself.
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

Well, at least you got the blood draw. I expect they will charge you tomorrow for another blood draw, in addition to the cost of the fPLI. I dropped the ball. I should have remembered that the fPLI was a fasting test. I think that it doesn't need to be fasting, especially since a lot of the cats who get it are inappetant anyway, but it likely gives better results when the cat has fasted. Would they let you fast him for 8 hours and take him back in tonight just before closing? Then you don't have to be late.

If you get the blood test results back before the fPLI is drawn, maybe there will be some result that points in another direction, like perhaps an infection or something. Maybe after the blood tests are in they will be in a better position to know if a urine culture is indicated.

I am a bit surprised that she didn't give you anything to help him feel better today. Sometimes I wonder how vets think.

All you can do today, I guess, is encourage him to eat and try to get as much liquid into him as you can with his food. Keep up with the Pepcid, of course. Poor J.D.
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

Hi Dyana,
I'm sorry you had an inconclusive visit to the vet. I hope that J.D. will be feeling much better soon. Linda's ideas about taking him in later today might work. I hope the vet office can accommodate you. I would hate for him to be in pain because he isn't getting his meds today.

Sending lots of healing vines to J.D.

Ella & Rusty
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

Oh, he drinks plenty of water all day long. Ever since I got him an early Christmas present of the Drinkwell Platinum Fountain he loves to drink from the big stream of water, and he is very noisy when he does, so I hear him drinking from it all the time. I asked if he looked dehydrated, and she said no. And she said he looked perky to her. He's actually very relaxed for the vets, even though he hates it there. His BGs don't really rise for vet apts.

So, she said the results for the full bloodwork done today won't be back until tomorrow afternoon, and the results of the fPLI won't be back until the next day (Wednesday).

His bloodwork a month ago, had nothing out of range except for glucose, so we'll see. He did gain some weight.
WEIGHT: 13LBS 15OZ on Vet's Scale (and 14lbs 0.5oz on my scale) his last weight on my scale was 13lbs 11.5oz yesterday.


He just came to me, from the balcony, when I called him :-D and then I had to give him something, so I called him into the kitchen and he followed me (much better than yesterday) and I gave him a bit of a steak slice.


I did fail to mention that I was outside with both cats, yesterday, and Ginger was around one corner out by the dumpster and the parking lot, and J.D. was standing around by my condo. I was trying to watch both cats as best I could and when I saw J.D. chasing a squirrel around and around a tree (that was about all his "normal" activity yesterday), I turned away from Ginger for a second and when I went back to Ginger the little stinker must have crossed the street and was running back across the street towards me..it's basically just a parking lot, but still :evil:
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

so sorry to hear jd isn't feeling well, dyana. i like Linda's idea of getting him back in later today. if you have to wait til tomorrow for the pancreatitis test, i wonder if you could ask the vet to phone in the prescription for the meds today. surely there's no reason it has to wait for a visit to pick them up.

hugs - it's worrisome when the little ones aren't acting normal. we're behind you!
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

Ohhhh (((((((((Dyana)))))))))) ((((((((((((((((((JD))))))))))))))))

I am so sorry he is not feeling well. You DID NOT fail him. You pay attention, you noticed, and you brought him in to the vet right away. To me that is a good representation of a very caring momma! :YMHUG:

Its good that you are able to be home with him today. If you really feel you need some of those medications, I dont see the problem in calling the vet back and insisting you need something...at least to get you through until tomorrow.

I will keep checking back and send continuous healing vines for JD.
 
Re: 03/19 J.D. AMPS 306, back from vet, +4.75 297

DYANA!!!! Stop feeling like you did something wrong! YOU are one of the BEST CAREGIVERS Of their cat that I KNow!!!!! J.D has Flourished all these years & is still doing well--He is just a bit ill now, it happens to all of us!
So stay with your boy today & watch the Positive things he does, the vet will find out what's what..But please never say it's something you did!! You are in the Beans Hall of Fame!~! Hugs & Love from us!!!
 
Re: 03/19 J.D. AMPS 306, back from vet, +8.5 195

He seems to be feeling a little better.
He has followed me around the house some, today, and he has come when called, which is a lot better than yesterday. Yesterday, he acted like I didn't exist and wouldn't even look at me when I spoke to him.
He did follow me outside a little while ago because I had a big baggie of bread crumbs for the birds, and he probably thought it was the little baggie that I keep slices of steak in for cat treats. He did eat right after coming home from the vet, but hasn't touched any cat food since then (the old sniff and walk away).
I think all your well wishes and vines have helped. Thank you so much :YMHUG:
I hope he feels all better, soon.
I am still contemplating about whether I'll go in for the other blood draw tomorrow morning, or not. He is feeling better.
 
Re: 03/19 J.D. AMPS 306, back from vet, +8.5 195

I called the vet and told her I didn't want J.D., being a diabetic, to be nauseous and not eating, tonight or tomorrow while I'm at work, and she agreed to have the script ready for me at closing. I did not ask about the Bupe. If she doesn't give me that, should I use some of the old stuff I have stashed in a drawer? It's been there since 08/2009 :roll:
 
Re: 03/19 J.D. AMPS 306, bupe question

I wouldn't use that old bupe. I give it to Gus bid for arthritis pain and it has expiration dates on it that are about six months out. I might go past the six months but not two or three years.

Sending more healing vines for JD. Is he interested in his shrimp? Hope he continues to eat and will have normal poo and all test results will be normal.
 
Re: 03/19 J.D. AMPS 306, bupe question

I sure hope J.D. continues to feel a little better tonight. I agree with Marje...expired meds may be ok a few months past their expiration but I wouldn't chance it much longer than that. Of course, have I always obeyed that rule for my personal meds? :-D
 
No Bupe yet. I just called work, and am probably calling out tomorrow.
The grocery store pharmacy took forever, but I got the Ondansetron and just gave J.D. a 1/2 4MG pill. He ate a teeny bit of dinner. How long before this stuff starts to work? ARG!

I'm cooking steaks tonight for my boy, he'll eat that, but it's not cat food.
 
Sending healing vines for J.D.
I'm not sure about Ondansetron for a cat, but I know when I was taking it while going through Chemo, the first pill took about 6 - 8 hours to kick in.
Hopefully it doesn't take that long for cats.
Maybe someone else has more knowledge about it.
I hope J.D. feels better real soon.
 
It should start to work pretty quickly. Hopefully, you will start to see results tonight.

I have always given 1/4 of a 4 mg tablet twice daily. The dose is weight related.

Enjoy your steak, J.D.!
 
i think steak is what the doc ordered for our little guy. if that's what he wants, let him eat it. it's always better to have him eating something.

hoping the ondansetron kicks in quickly. sending you both hugs!
 
I let him lick the raw steak on the pan before I put it in the oven, so he knew what was coming. Is that bad?
If the Ondansetron kicks in in 6 to 8 hours, then he will be starting his fast, for his fPLI test tomorrow morning.
They better give me Buprenex. I'll demand it. He does kind of squeek a little when I pick him up, now. The vet didn't even poke or probe his abdomen, today. I'm pretty much keeping back the tears. I don't like it when he doesn't feel well, and I've never dealt with this before.
 
Dyana said:
I let him lick the raw steak on the pan before I put it in the oven, so he knew what was coming. Is that bad?
If the Ondansetron kicks in in 6 to 8 hours, then he will be starting his fast, for his fPLI test tomorrow morning.
They better give me Buprenex. I'll demand it. He does kind of squeek a little when I pick him up, now. The vet didn't even poke or probe his abdomen, today. I'm pretty much keeping back the tears. I don't like it when he doesn't feel well, and I've never dealt with this before.

(((Dyana))) (((J.D.)))

I don't think there is anything wrong with letting him lick the raw steak.
 
Dyana.....so she didn't think you should give him fluids? Only reason I am asking is because when Gus had pancreatitis, he did not show any signs of dehydration but they gave fluids. It is my understanding that a standard treatment for pancreatitis is fluids, bupe, anti-nausea and/or anti-vomiting meds. Of course, it's up to your vet and you. But you might ask her again about that tomorrow....

Sending JD more healing vines.
 
Thanks Marje. It almost seemed like she thought J.D. was Dr. P's patient and didn't want to get in the way....?
She didn't even palpate his tummy. She checked his eyes (said he could see some), and his teeth (said she would not recommend a dental), and drew blood.

J.D. did like his freshly broiled steak and said momma is a goooooood cook :-D
 
aw, i think it's sweet that he got to lick his steak raw! prime the pump, so to speak! and then that he liked it and ate it . . . well YAY! so glad to hear! maybe the O is doing its thing already.
 
My other cat, Cleo, takes ondansetron 2x/day for CRF. It kicked in pretty quickly once she started getting it. I give her 1/4 tab each time I give it to her.
I sure hope it does the trick and helps J.D. get back in the swing of things and back to his usual self. Sending you lots of hugs!
 
J.D.,

ALL of us down here in LA want you to feel better RIGHT NOW! Please, J.D., don't be sick. We are sending all the vines and healing wishes we can muster up for you buddy.

DYANA YOU ARE SO NOT A FAILURE THAT IS JUST RIDICULOUS. YOU ARE THE BEST MAMA BEAN I KNOW. Give yourself a break girl, it's not your fault he doesn't feel good and he'll get the absolutely best love and care in the universe with you as his Momma. Everybody knows that!

So now we want you to feel better too! :smile:

Desi & Everybody
 
Sending more vines for J.D. and hoping that you're not still blaming yourself in any way as everyone says you are the greatest :smile:
 
Just wanted you to know I have been thinking about you guys today, and I will continue to send special thoughts your way.
:YMHUG: :YMHUG: :YMHUG: :YMHUG:
 
I hope JD is back to his normal self very soon. Most cats see an improvement within 12 hours if nausea is an issue. There are other causes of vomiting which you've heard. Pepcid can help with excess stomach acid so it would be good to start this. 1/4 of a 10mg Pepcid AC tab - twice a day, an hour before food. Don't do this until after you see the vet though.

Keep an eye on when vomiting happens. If its more than two hours after eating and he's vomiting food, or partially digested food - it can be a sign that his stomach isn't clearing well enough. If stomach motility is an issue reglan/metoclopromide or cisapride may be added.

Call around for the best price on ondansetron also. It varies widely on pricing. On the Feline Assisted Feeding board a number of members have said they've found good prices at Costco and you don't have to be a member. Thrivingpets.com sells it for $1 a pill. Dosing does vary. Maverick was on 1/4 of a 4mg pill. The plumbs guide suggests up to 4mg. JD is a big cat right?

Make sure he gets enough calories in to maintain his weight and keep his liver healthy. Finger feeding food into his mouth and syringe feeding if needed. If you do this, you might want to use a food you don't normally feed him to avoid him getting food aversions.

Sending big hugs to both of you. You are a great mom. You sense something isn't right and act on it right away. He is in good hands.
 
I hope J.D. is feeling better soon. Prayers for him. When I took the Zofran/ondansetron during pregnancy for hyperemesis, it kicked in very quickly. As in I could breathe a deep sigh of relief within 10 minutes. It is also incredibly constipating. . .but that's why it also stops throw up and diarrhea! (I think pregnancy is also slowing down the system, so it was a double whammy in my case :lol: :lol: :lol: TMI alert!)
 
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