09/30 Fistuk AMPS 117, +3 119, +6.5 88, PMPS 76

Fistuk & Shelly

Member Since 2023
https://felinediabetes.com/FDMB/threads/09-29-fistuk-amps-128-3-148-4-5-121-11-139-pmps-135.282059/

Good morning :)

We're in the new place. Just bits and pieces and cleaning to finish completely with the old place.

Fistuk was curious and since I brought him back from the hospital he's somehow more mobile. I don't know what accounts for change, he didn't receive anything special in the hospital. Not even IV.

He hasn't had poo since we've come back and perhaps not even the day he was at the hospital so that's the third day. He looks like he's holding something and he sits by the toilet many times but doesn't go in. I called the vet and I'll be going soon to pick up something to help him move the bowls.

I have a long and hopefully thorough update from my call with the vet yesterday. I just sat with all your comments and questions and made a list. I hope I can make sense of it for you :) :

1. Kidneys - the vet is quite certain that it's stage 1 CKD. She said they're following the guidelines of IRIS (?) and comparing their US to the previous one done a month ago they have the radiograph signs of a CKD.

She said that even though he gets fluids and his pee id diluted the concentration in the USG is not what she'd expect and it tells her that the dehydration is bc he's not able to hold on to the fluids.

I've been processing that emotionally and am in a different place (@Bandit's Mom). I feel grateful that we have managed to catch it early and will start learning whatI need to do to help him in the best way.

The vet said there nothing to recommend with specific diet or medications but when I came back to it a few time towards the end of the call she said "if it was my cat I would avoid drugs as mush as possible bc of the kidney". That's what she's concerned most about at the moment.

She wants him back for regular checks every 3-6 months.

2. Bowls - (@tiffmaxee ) (@Suzanne & Darcy ) there's an acute (not chronic) inflammation in the bowls. She said that with probiotics and the anti nausea meds he should be fine after the weekend.

When asked about the sugar content in Proentric she said they've never had problems with that before but nevertheless she recommended another PB that I'll have to hunt for today.

She said the feces analysis for bacteria is not going to be helpful bc she won't be able to tell if there's something pathological. She said that if after PB he still has diarrhoea she will conduct a bacteria shift test.

3. Pancreatitis - (@Bron and Sheba (GA) ) (@Wendy&Neko ) apparently they saw a chronic pancreatitis in the former US but was told that everything is find. Even after your questions, Bron, about the pancreas when I called again to reconfirm I was told that his pancreas is ok. When shared that with the vet yesterday she said she can't sa anything about it bc she wasn't the one to speak to me but she does indeed see it in the previous US. Go figure...

She didn't see a reason to prescribe pain killers bc he wasn't in pain in her care, and he was there the whole day. And she's concerned about the kidney so she wants to avoid any medications and AB as much as possible.

4. HTC - we're due for another blood test in a week to test that. She's expecting it to come to normal range once the inflammation in the bowls relaxed.

will add B complex as @Marje and Gracie suggested.

I'm also still waiting for the magnesium lab results from the vet in the village.

5. Neutrophiles - she conducted a count under the microscope and concluded it's not relevant inflammation that needs AB. I wish I had a vet like that nine years ago that would avoid AB as much as possible rather than prescribe it like candy.


Phew... I think that's it.:bighug::bighug:

I order the AnimalBiom gut restoration following @Gill & George's links about PB and will start immediately with what I have gotten from here and given in the past so he has something sugar free in the meantime.

It's a shame that this whole ordeal with the hospital and inflammation has gotten his BG numbers higher. I'm looking forward to see what it's going to like in a day or two. Moving house for sure doesn't help.

Thank you all for being mine and Fistuk's anglescat_wings>o. You're all making a huge difference to our lives
 
Good morning Shelly, glad Fistuk is more mobile in your new home. Hoping he feels better today.
I’ve been dealing with ckd for several years, caught early also.
I have labs done every regularly to catch any changes and address them. In beginning it was every 6 months. Now, with diabetes added in the mix I do labs every 3 months.
Sending healing wishes for Fistuk and hope they can help him with any issues using his litter box.
You’re his best advocate c:bighug::bighug:
 
Good morning Shelly! You are doing wonderful for Fistuk. You're asking questions and getting details most people wouldn't bother to. He is so lucky to have you!

I'm not sure if you can get this in Switzerland, but I have my CKD cat on Azodyl. With that and the right diet, we have really kept the progression at bay. I am unsure if it is diabetes safe, but I believe it is just kidney-helping probiotics in a gel cap. @Staci & Ivy, do you use Azodyl for Ivy?
 
Good morning Shelly, glad Fistuk is more mobile in your new home. Hoping he feels better today.
I’ve been dealing with ckd for several years, caught early also.
I have labs done every regularly to catch any changes and address them. In beginning it was every 6 months. Now, with diabetes added in the mix I do labs every 3 months.
Sending healing wishes for Fistuk and hope they can help him with any issues using his litter box.
You’re his best advocate c:bighug::bighug:
It’s been a crazy steep leaning since august. But it’s good to hear you’re on top of it and I’ll be glad to learn from you too.
I’m just heading back from the vet with something for his poo. Hopefully it’ll work well :bighug::bighug::bighug:
 
Good morning Shelly! You are doing wonderful for Fistuk. You're asking questions and getting details most people wouldn't bother to. He is so lucky to have you!
Thanks Alli :joyful: I can assure you that the vets in the hospital think I’m a pain in the butt o_O but yes I like to be on top of things and autonomous in my decisions so it takes a lot of learning and asking and making self available for guidance.
It’s been extremely painful to see Fistuk suffering so much. And the visits to the hospital wear his spirit down. He still has his keeping low and quiet mode as when he comes back. I hope he’ll accept more of my cuddles very soon. But he know his mamma is his greatest defender


I'm not sure if you can get this in Switzerland, but I have my CKD cat on Azodyl. With that and the right diet, we have really kept the progression at bay. I am unsure if it is diabetes safe, but I believe it is just kidney-helping probiotics in a gel cap. @Staci & Ivy, do you use Azodyl for Ivy?
That’s interesting thank you! I’m curious to learn more. I’ll also have a look :bighug:
 
Thanks Alli :joyful: I can assure you that the vets in the hospital think I’m a pain in the butt o_O but yes I like to be on top of things and autonomous in my decisions so it takes a lot of learning and asking and making self available for guidance.
It’s been extremely painful to see Fistuk suffering so much. And the visits to the hospital wear his spirit down. He still has his keeping low and quiet mode as when he comes back. I hope he’ll accept more of my cuddles very soon. But he know his mamma is his greatest defender



That’s interesting thank you! I’m curious to learn more. I’ll also have a look :bighug:
He knows his mama is his advocate!!! I am certain he will come around for cuddles once he gets more used to the new place. Like you said, home to hospital to new place is confusing! But his being curious is a great thing. You are such a great mama!!!
 
Hi Shelly. I amhappy to read your updates today, Fistuk is doing so well with the move and everything. His numbers are not even that high if you consider everything he went through those last few days, he must be stressed to be in a new place and all that.
I hope you have a great day!
 
Hi Shelly,
What an ordeal you and Fistuk had to go through.
I'm glad that both of you are settling into the new place and now, relax a bit?
Also glad to see Fistuk being curious and moving around! Good sign! And his BG's doing awesome.
You are doing such a great job, Shelly!:bighug:
 
My vet won’t give antibiotics like candy either which I like. I think inflammation caused the rise in the white count. Azodyl has mixed reviews. I personally would not bother as I feel the less we give them the better. I do like to have ondansetron and cerenia around at all times though. If CKD at stage 1 is present that’s very early. I dint think it caused the intestinal issues.

I’m so glad to see he’s enjoying life in his new home and I hope this is the start of the return to normalcy and feeling good!
 
Hi Shelly , what a nice +6.5 today and I'm so happy Fistuk finally pooped. and is eating on his own. I hope today has a good day :bighug::bighug::bighug:
Hi Shelly , what a nice +6.5 today and I'm so happy Fistuk finally pooped. and is eating on his own. I hope today has a good day :bighug::bighug::bighug:
It was a lovely surprise :D Ut's been a busy day but I'm happy to say I'm home and looking forward to a restful Sunday :bighug:
 
Hi Shelly. I amhappy to read your updates today, Fistuk is doing so well with the move and everything. His numbers are not even that high if you consider everything he went through those last few days, he must be stressed to be in a new place and all that.
I hope you have a great day!
Yiu're right. He's been a real hero with all these changes. It's such a joy to see him moving around. He's now waiting in the kitchen for supper. It hasn't happened for such a long time. And he's yelling at me, demanding his supper :joyful:
 
Hi Shelly,
What an ordeal you and Fistuk had to go through.
I'm glad that both of you are settling into the new place and now, relax a bit?
Also glad to see Fistuk being curious and moving around! Good sign! And his BG's doing awesome.
You are doing such a great job, Shelly!:bighug:
Thanks, Kit. It's been crazy but tomorrow I can finally start to relax. The move took ages. but its done!
And Fistuk's surprise was a real treat :bighug:
 
My vet won’t give antibiotics like candy either which I like. I think inflammation caused the rise in the white count. Azodyl has mixed reviews. I personally would not bother as I feel the less we give them the better. I do like to have ondansetron and cerenia around at all times though. If CKD at stage 1 is present that’s very early. I dint think it caused the intestinal issues.

I’m so glad to see he’s enjoying life in his new home and I hope this is the start of the return to normalcy and feeling good!
That's great bc I had many very who treated AB as candy. Looks like his bowls are beginning to relax. I'll start PB.I agree that giving too much can be counter productive
 
Fistuk is beginning to like the new kitchen
Awesome and smart kitty! :p

I used Azodyl for Neko - it didn't do anything for her. I think a good general purposed probiotic, which you might be getting, would be just as good. The health of the gut microbiome is tied to our general health, and I'm see more articles about it's importance to our kitties too, not just the bowels.

Speaking of which, constipation can result in higher numbers, so getting things going again could be why those greens are showing up. :D
 
https://felinediabetes.com/FDMB/threads/09-29-fistuk-amps-128-3-148-4-5-121-11-139-pmps-135.282059/

Good morning :)

We're in the new place. Just bits and pieces and cleaning to finish completely with the old place.

Fistuk was curious and since I brought him back from the hospital he's somehow more mobile. I don't know what accounts for change, he didn't receive anything special in the hospital. Not even IV.

He hasn't had poo since we've come back and perhaps not even the day he was at the hospital so that's the third day. He looks like he's holding something and he sits by the toilet many times but doesn't go in. I called the vet and I'll be going soon to pick up something to help him move the bowls.

I have a long and hopefully thorough update from my call with the vet yesterday. I just sat with all your comments and questions and made a list. I hope I can make sense of it for you :) :

1. Kidneys - the vet is quite certain that it's stage 1 CKD. She said they're following the guidelines of IRIS (?) and comparing their US to the previous one done a month ago they have the radiograph signs of a CKD.

She said that even though he gets fluids and his pee id diluted the concentration in the USG is not what she'd expect and it tells her that the dehydration is bc he's not able to hold on to the fluids.

I've been processing that emotionally and am in a different place (@Bandit's Mom). I feel grateful that we have managed to catch it early and will start learning whatI need to do to help him in the best way.

The vet said there nothing to recommend with specific diet or medications but when I came back to it a few time towards the end of the call she said "if it was my cat I would avoid drugs as mush as possible bc of the kidney". That's what she's concerned most about at the moment.

She wants him back for regular checks every 3-6 months.

2. Bowls - (@tiffmaxee ) (@Suzanne & Darcy ) there's an acute (not chronic) inflammation in the bowls. She said that with probiotics and the anti nausea meds he should be fine after the weekend.

When asked about the sugar content in Proentric she said they've never had problems with that before but nevertheless she recommended another PB that I'll have to hunt for today.

She said the feces analysis for bacteria is not going to be helpful bc she won't be able to tell if there's something pathological. She said that if after PB he still has diarrhoea she will conduct a bacteria shift test.

3. Pancreatitis - (@Bron and Sheba (GA) ) (@Wendy&Neko ) apparently they saw a chronic pancreatitis in the former US but was told that everything is find. Even after your questions, Bron, about the pancreas when I called again to reconfirm I was told that his pancreas is ok. When shared that with the vet yesterday she said she can't sa anything about it bc she wasn't the one to speak to me but she does indeed see it in the previous US. Go figure...

She didn't see a reason to prescribe pain killers bc he wasn't in pain in her care, and he was there the whole day. And she's concerned about the kidney so she wants to avoid any medications and AB as much as possible.

4. HTC - we're due for another blood test in a week to test that. She's expecting it to come to normal range once the inflammation in the bowls relaxed.

will add B complex as @Marje and Gracie suggested.

I'm also still waiting for the magnesium lab results from the vet in the village.

5. Neutrophiles - she conducted a count under the microscope and concluded it's not relevant inflammation that needs AB. I wish I had a vet like that nine years ago that would avoid AB as much as possible rather than prescribe it like candy.


Phew... I think that's it.:bighug::bighug:

I order the AnimalBiom gut restoration following @Gill & George's links about PB and will start immediately with what I have gotten from here and given in the past so he has something sugar free in the meantime.

It's a shame that this whole ordeal with the hospital and inflammation has gotten his BG numbers higher. I'm looking forward to see what it's going to like in a day or two. Moving house for sure doesn't help.

Thank you all for being mine and Fistuk's anglescat_wings>o. You're all making a huge difference to our lives

I would suggest you focus on reading the sections on phosphorus and anemia on Tanya’s CKD site which I believe someone else has linked for you. Those are two areas which I think are vital to longevity in CKD cats. I disagree with your vet that there’s nothing to do now because I would be sure you have him on the food that has the lowest amount of phosphorus he will eat that is also LC. You want to aim for a food that is less than 1.00% P on a DMB or less than 200 mgP/100 kcal on as-fed. Tanya’s has food charts which have these calculated as well as the % calories from carbs. I don’t suggest the renal diets so you won’t be able to get as low P as those have but the lower you can get, the better.

Did you send a fecal sample to Animal Biome? I wouldn’t just give him the fecal pills without having him tested first. It’s a simple test; I did it for my older kitty. He does not have any bowel issues but gut health is linked to immune health and we wanted to be sure his gut health was good. He did not need the fecal pills.

I agree with others that Azodyl is a waste of money and a good probiotic, like Visbiome Vet, is fine.

I know it’s scary getting a diagnosis of CKD but, with the proper care, they can live a very long time with it. Our last cat with CKD was stable with it for over five years and it was not the reason he passed away; his kidneys were still hanging in there at Stage 3.
 
I would suggest you focus on reading the sections on phosphorus and anemia on Tanya’s CKD site which I believe someone else has linked for you. Those are two areas which I think are vital to longevity in CKD cats. I disagree with your vet that there’s nothing to do now because I would be sure you have him on the food that has the lowest amount of phosphorus he will eat that is also LC. You want to aim for a food that is less than 1.00% P on a DMB or less than 200 mgP/100 kcal on as-fed. Tanya’s has food charts which have these calculated as well as the % calories from carbs. I don’t suggest the renal diets so you won’t be able to get as low P as those have but the lower you can get, the better.

Did you send a fecal sample to Animal Biome? I wouldn’t just give him the fecal pills without having him tested first. It’s a simple test; I did it for my older kitty. He does not have any bowel issues but gut health is linked to immune health and we wanted to be sure his gut health was good. He did not need the fecal pills.

I agree with others that Azodyl is a waste of money and a good probiotic, like Visbiome Vet, is fine.

I know it’s scary getting a diagnosis of CKD but, with the proper care, they can live a very long time with it. Our last cat with CKD was stable with it for over five years and it was not the reason he passed away; his kidneys were still hanging in there at Stage 3.
Thank you, Marje. It's helpful to know where to start or focus bc my OCD brain already started reading from page one and I'd go through every single link :woot:

I have't done feces analysis with AnimaBiome. I didn't think it necessary since he's had the inflammation and he's also receive so much AB throughout his like. But. just wrong to AnimalBiome and asked about it and also how I'd be able to do that since I live in Switzerland.

I appreciate your understanding. It already feels daunting to get everything under control. It's been only two month and we have FD, chronic pancreatitis and CKD under our belt. It's a lot to take in and a lot to learn. The guidance and support I'm receiving from this group is precious beyond words :bighug:
 
Good morning Shelly! You are doing wonderful for Fistuk. You're asking questions and getting details most people wouldn't bother to. He is so lucky to have you!

I'm not sure if you can get this in Switzerland, but I have my CKD cat on Azodyl. With that and the right diet, we have really kept the progression at bay. I am unsure if it is diabetes safe, but I believe it is just kidney-helping probiotics in a gel cap. @Staci & Ivy, do you use Azodyl for Ivy?
I do not use Azodyl, it was not prescribed to Ivy. She’s on a homemade diet, numerous supplements, probiotic, and a phosphorus binder. @allicatmeow
 
You dint want to add a phosphorus binder with early CKD unless approaching over the normal range which is not the case. U you oy can read all about it in tanyasckd list which Marje linked in a previous post. It’s the best source for CKD as well as complications.
 
Thank you, Marje. It's helpful to know where to start or focus bc my OCD brain already started reading from page one and I'd go through every single link :woot:

I have't done feces analysis with AnimaBiome. I didn't think it necessary since he's had the inflammation and he's also receive so much AB throughout his like. But. just wrong to AnimalBiome and asked about it and also how I'd be able to do that since I live in Switzerland.

I appreciate your understanding. It already feels daunting to get everything under control. It's been only two month and we have FD, chronic pancreatitis and CKD under our belt. It's a lot to take in and a lot to learn. The guidance and support I'm receiving from this group is precious beyond words :bighug:
It does become hard when they have so much going on.

My Tobey has also had alot of a/bs as he has had chronic tonsillitis. But because we’ve been very proactive with probiotics, raw feeding, and other supplements, his gut bacteria was ok. The one suggested thing was to increase his S boulardi as it would help to get rid of the one not so good bacteria he had which was not in high numbers. I switched him to Four Leaf Rover S boulardi just for a change and increased it and he’s been doing great.

But by doing an Animal Biome test, you get specific advice for Fistuk to address exactly what his gut looks like. I wouldn’t think mailing the sample back would be any issue as you put it in a vial with a “preservative”. They send you everything.

Elise addressed the phosphorus binder but it is very important to not start it too soon. You can add cooked egg whites to any food to bring the P level down a bit. It’s not a binder but it helps with the overall P level in the food. However, if you are feeding a food that is 2.00%P or 300 mpg/100 kcal, that’s just too high for a CKD cat and the egg whites won’t make much difference.
 
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