10/8 Possible hepatic lipidosis, feeding tube in place

Basic's Mom

Basic's Mom

Member Since 2023
https://felinediabetes.com/FDMB/threads/new-member.282017/
https://felinediabetes.com/FDMB/threads/update-on-basic.282047/
https://felinediabetes.com/FDMB/threads/bg-is-on-the-low-end-do-i-only-give-half-hsi-dose.282132/
https://felinediabetes.com/FDMB/threads/need-help.282176/
https://felinediabetes.com/FDMB/threads/slgs-low-bg-146-stalling.282238/#post-3111049
https://felinediabetes.com/FDMB/threads/10-6-update-on-base.282279/

I've included links to all my post. I also keep his SS and signature current. I know Bron is in Australia (unsure of the time difference), but they typically are the only one to respond.

This answer isn't urgent, but I'm unsure what to do. He is currently on .75 U every *12 hours (been on this dose for only 4 days). *edit

From the day feeding tube was place (10/5), his BG has been high. I know the stress from he vet really pushed that number up and we had to return the next morning and were there for over 2 hours. I also have to take into consideration that he is now getting food through his FT and eating on his own. He really wasn't consuming many calories before FT installed.

All that said, I know we typically keep them on their dosage for 7 days, but should i bump him back to 1 U 2xs a day now that he is consuming calories. Posing the question because I don't want him suffering because I don't know what I'm doing.

I was told I should post in this forum. If this shouldn't be here, please advise so I can receive the information I'm seeking.

Thanks in advance.
 
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I think you meant you dose every 12 hours snd not 2? For now keep the dose at .75 and see how it goes. You don’t want to dose based upon him getting more food. It will be lc unless the BG gets low. Correct?
 
Sybil - I would keep an eye on the ketone reading. Basic's numbers were looking good even with the dose being moved around more than what we typically do. The higher numbers may be a bit of a bounce. Let's see how he does over this evening's cycle. I'm hoping you were able to get a ketone test during the AM cycle. If ketones aren't an issue, you would typically raise the dose after 6 cycles providing numbers are still outside of normal range.

With all that Basic's been through, we tend to be pretty aggressive about ketones. Generally that means that we aim for as much insulin as is safe and the kitty is eating.

Does that help in terms of having a strategy going forward?
 
tiffmaxee said:
I think you meant you dose every 12 hours snd not 2?

Yes, I corrected. Thank you.

For now keep the dose at .75 and see how it goes. You don’t want to dose based upon him getting more food. It will be lc unless the BG gets low. Correct?
Click to expand...

Eventually yes. I'm currently allowing him to eat whatever food and I'm giving him his AD. He is refusing his FF, but eating his old food. Is that bad? I hate to think while he is in this shape, I have to pull the only food he is willing to eat.
 
Sienne and Gabby (GA) said:
Sybil - I would keep an eye on the ketone reading. Basic's numbers were looking good even with the dose being moved around more than what we typically do. The higher numbers may be a bit of a bounce. Let's see how he does over this evening's cycle. I'm hoping you were able to get a ketone test during the AM cycle.

Yes, his numbers were looking great. I wasn't able, but I did see him use the restroom. I didn't know I should be checking daily. (Someone could've told me in the beginning and I had forgotten). I will make sure to try to catch him and check daily until someone tells me it is no longer a daily concern.

If ketones aren't an issue, you would typically raise the dose after 6 cycles providing numbers are still outside of normal range.

What is considered a cycle? I have read over the terms, but I don't have a printer and I can't retain all of this info.

With all that Basic's been through, we tend to be pretty aggressive about ketones. Generally that means that we aim for as much insulin as is safe and the kitty is eating.

Okay

Does that help in terms of having a strategy going forward?
Click to expand...

Yes. I'm sure I will still ask questions before I change anything for dosage. I will be checking for ketones daily. His numbers have moved around because of me being unsure of things and not knowing an answer.

Thank you
 
Sienne and Gabby (GA) said:
Sybil - I would keep an eye on the ketone reading. Basic's numbers were looking good even with the dose being moved around more than what we typically do. The higher numbers may be a bit of a bounce. Let's see how he does over this evening's cycle. I'm hoping you were able to get a ketone test during the AM cycle. If ketones aren't an issue, you would typically raise the dose after 6 cycles providing numbers are still outside of normal range.

With all that Basic's been through, we tend to be pretty aggressive about ketones. Generally that means that we aim for as much insulin as is safe and the kitty is eating.

Does that help in terms of having a strategy going forward?
Click to expand...
I was trying to respond in between each section, but it posted most of my responses in your message in the orange reply. Sorry
 
Sybil said:
Eventually yes. I'm currently allowing him to eat whatever food and I'm giving him his AD. He is refusing his FF, but eating his old food. Is that bad? I hate to think while he is in this shape, I have to pull the only food he is willing to eat.
Click to expand...

I was trying to respond in between each topic, but it posted some of my responses are in your message to me in the orange reply. Sorry
 
Sienne and Gabby (GA) said:
Sybil - I would keep an eye on the ketone reading. Basic's numbers were looking good even with the dose being moved around more than what we typically do. The higher numbers may be a bit of a bounce. Let's see how he does over this evening's cycle. I'm hoping you were able to get a ketone test during the AM cycle. If ketones aren't an issue, you would typically raise the dose after 6 cycles providing numbers are still outside of normal range.

With all that Basic's been through, we tend to be pretty aggressive about ketones. Generally that means that we aim for as much insulin as is safe and the kitty is eating.

Does that help in terms of having a strategy going forward?
Click to expand...
I'm nor sure if you saw my update on him from yesterday. His ketone strip was negative. Should I still be testing daily while until someone tells me otherwise. I didn't think about you not seeing yesterday's update.
 
A cycle is 12 hours. The AM cycle is the 12 hours between your AM shot and PM shot and the PM cycle begins at PMPS.

given all you’ve been through, I’d encourage you to test for ketones as often as you can. If trying to stalk Basic at the litter box is too big of a headache, there are blood ketone meters. They are the same as glucometers except that they measure ketones.
 
Sienne and Gabby (GA) said:
A cycle is 12 hours. The AM cycle is the 12 hours between your AM shot and PM shot and the PM cycle begins at PMPS.

given all you’ve been through, I’d encourage you to test for ketones as often as you can. If trying to stalk Basic at the litter box is too big of a headache, there are blood ketone meters. They are the same as glucometers except that they measure ketones.
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It isn't a headache, I just don't always see him. He has a libre. I am having another one placed because I don't want to stress him more with addition pokes and prods given everything he has been through. I'll try and catch him daily. Thanks again.
 
Hi Sybil I just wanted to let you know that I'm praying for your beautiful boy Basic .
You're doing a great jog with him. I hope the feeding tube doesn't get blocked again.
Hang in there ok :bighug::bighug::bighug::bighug::bighug:
 
Sybil said:
https://felinediabetes.com/FDMB/threads/new-member.282017/
https://felinediabetes.com/FDMB/threads/update-on-basic.282047/
https://felinediabetes.com/FDMB/threads/bg-is-on-the-low-end-do-i-only-give-half-hsi-dose.282132/
https://felinediabetes.com/FDMB/threads/need-help.282176/
https://felinediabetes.com/FDMB/threads/slgs-low-bg-146-stalling.282238/#post-3111049
https://felinediabetes.com/FDMB/threads/10-6-update-on-base.282279/

I've included links to all my post. I also keep his SS and signature current. I know Bron is in Australia (unsure of the time difference), but they typically are the only one to respond.

This answer isn't urgent, but I'm unsure what to do. He is currently on .75 U every *12 hours (been on this dose for only 4 days). *edit

From the day feeding tube was place (10/5), his BG has been high. I know the stress from he vet really pushed that number up and we had to return the next morning and were there for over 2 hours. I also have to take into consideration that he is now getting food through his FT and eating on his own. He really wasn't consuming many calories before FT installed.

All that said, I know we typically keep them on their dosage for 7 days, but should i bump him back to 1 U 2xs a day now that he is consuming calories. Posing the question because I don't want him suffering because I don't know what I'm doing.

I was told I should post in this forum. If this shouldn't be here, please advise so I can receive the information I'm seeking.

Thanks in advance.
Click to expand...

I've been reading as much I can on here about hepatic lipidosis. His paperwork regarding his feeding tube says "possible hepatic lipidosis." I've asked for anyone in the group that has knowledge on lab work to review his and let me know if I need to ask for anything addition or be concerned with anything. I've read about electrolytes and I've taken a screenshot of the bag of fluid suggested. Should I ask for anything additional to be tested?

The feeding tube isn't going great. It clogs and goes very slow. It takes at least an hour and as I increase in ml, that time increases. All of that would be fine except my cat doesn't want to be held against his will for 5+ hours a day. I'm doing what I can though because I know it is for his best. I can't afford another feeding tube to be place. I told her I've read where some have had to have it for 6-10 weeks. She said she has never seen that and that this one probably won't last more that 2 weeks. I'm so confused and desperately want my cat to live.

Started testing ketones on 10/5. 10/5 negative. 10/6 negative. Haven't gotten today's because he is over me being around him. He associates all of the poking and proding with me now, not just vets.

If someone could review his stuff and let me know, I would greatly appreciate it.

The vet appt is Monday, 10/9, at 9am.
 
Sybil said:
The feeding tube isn't going great. It clogs and goes very slow. It takes at least an hour and as I increase in ml, that time increases. All of that would be fine except my cat doesn't want to be held against his will for 5+ hours a day. I'm doing what I can though because I know it is for his best. I can't afford another feeding tube to be place. I told her I've read where some have had to have it for 6-10 weeks. She said she has never seen that and that this one probably won't last more that 2 weeks. I'm so confused and desperately want my cat to live.
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I can tag Ale for you I know one of her kitty's did have a feeding tube at one time
Maybe she has some advice
@Ale & Bobo & Minnie (GA)
Ale if you can skim through this post you will see why the feeding tube keeps getting clogged
https://felinediabetes.com/FDMB/threads/10-6-update-on-base.282279/#post-3111853
Thanks Ale :cat:
@Ale & Bobo & Minnie (GA)
 
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Sybil said:
I've been reading as much I can on here about hepatic lipidosis. His paperwork regarding his feeding tube says "possible hepatic lipidosis." I've asked for anyone in the group that has knowledge on lab work to review his and let me know if I need to ask for anything addition or be concerned with anything. I've read about electrolytes and I've taken a screenshot of the bag of fluid suggested. Should I ask for anything additional to be tested?
Click to expand...
I can tag Suzanne for you about the labs I see you entered them on your spreadsheet under labs
@Suzanne & Darcy
Thanks Suzanne :cat:
The vet appt is Monday, 10/9, at 9am.
 
I also would like to know how long a cat can take before they really have interest in food again. Some days he does, others he doesn't.

Could his ondansetron dosage be too low for his weight. He weighs 23 pounds. This is 8 mg pill. He takes half every 12 hours, so an entire pill. He's also still taking the cerenia.

Also, because the feeding tube is doing what it is (constantly clogging or super slow draining. Takes an hour to feed 40 ml plus the flushes.), is there anything else I can do? I just read calories are more important now. I dont know what else i can do. He isn't really interested in treatS or food at the moment. I feel like something is being missed, unless this is just the nature of this HL and the ketones and the diabetes.
 
Sybil said:
I also would like to know how long a cat can take before they really have interest in food again. Some days he does, others he doesn't.

Could his ondansetron dosage be too low for his weight. He weighs 23 pounds. This is 8 mg pill. He takes half every 12 hours, so an entire pill. He's also still taking the cerenia.

Also, because the feeding tube is doing what it is (constantly clogging or super slow draining. Takes an hour to feed 40 ml plus the flushes.), is there anything else I can do? I just read calories are more important now. I dont know what else i can do. He isn't really interested in treatS or food at the moment. I feel like something is being missed, unless this is just the nature of this HL and the ketones and the diabetes.
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@Bron and Sheba (GA)
@Sienne and Gabby (GA)
@Wendy&Neko
 
Sybil said:
I also would like to know how long a cat can take before they really have interest in food again. Some days he does, others he doesn't.
Click to expand...
Bandit was diagnosed with fatty liver a couple of months back. She had suddenly stopped eating when we were traveling (we never discovered why) and her liver values were off the charts (much much higher than Basic's). The vet diagnosed fatty liver based on an ultrasound. She eats only dry food and the vet refused to put in a feeding tube (said she would not survive general anaesthesia!), so we were force feeding her dry food. It wasn't pleasant. Fortunately, she suddenly started eating on her own after a week. We also started her on liver supplements (Denamarin) and a probiotic as prescribed by the vet.

I don't have any experience with a feeding tube but from what I've read here, A/D is usually used for assisted feeding since it is higher in calories and its texture is suitable for a feeding tube. They also say that you want to offer a different food than the one you are using for assisted feeding since the cat may develop an aversion to that food.

Is the feeding tube clogging even after you add water to the A/D?

From previous posts I see that the SNAP fPL was negative. Were his kidney values checked? CKD is another reason why cats can feel terrible and not want to eat.

Sybil said:
Could his ondansetron dosage be too low for his weight. He weighs 23 pounds. This is 8 mg pill. He takes half every 12 hours, so an entire pill. He's also still taking the cerenia.
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I have given Bandit 2mg of Ondansetron every 8 hours when she hasn't eaten in the past and her weight is 11lbs. You could try giving half a pill every 8 hours.
 
I am surprised the AD is clogging the feeding tube. Could it be the medications that are clogging the tube. Make sure you run some water through the tube before and after meds and feeding.
I notice you said in the remarks column of the SS he ate out of the bowl himself yesterday. That is good. What food did he eat on his own? I would let him eat whatever he wants at the moment as eating is much more important than what he eats. That can be sorted out later.
If the tube is blocked you may need to get the vet to unblock it, if you cant do so.
I would also ask the vet about giving St Marys Thistle for the liver.
 
Ondansetron dosing is 0.5-1.0 mg/kg of cat, every 6-8 hours. 23 lbs is a little over 10 kg, he can get 5-10 mg every 6-8 hours. He is currently being underdosed with oral ondansetron. You can also get an injectable, though I've heard it might sting. It is given subq, dosing is less than that of oral.

I fostered a hepatic lipidosis kitty (fatty liver) from our local shelter. He was a social eater, needed humans around to eat. There was a staff strike, covering manager did the dump and run with food. Anyway, I brought the kitty home. Shelter didn't want to pay a lot of money, so I ended up assist feeding him, at least 6 times a day, sometimes 8, depending on how much I could get in him at a sitting. I gave Royal Canin Recovey formula and vet said I needed to get one can in him per day. I found Recovery even a little smoother than the A/D. It took him a couple weeks before he started eating on his own. And I also had to figure out he had gone completely off of chicken, which was what was in the Recovery. No just the one brand, but all food with chicken in it. Snappy Tom cat food to the rescue.
 
Are you flushing water before and after each tube feeding? I never had s clogging issue but my first thought is that you’re not adding enough water to the food. I’d try to thin it out more so it’s more liquid and less paste. I always held it up higher so the food would travel down easily. A lot like subq fluids. There should be online videos you can watch I’m sure.
 
Ale & Bobo & Minnie (GA) said:
Are you flushing water before and after each tube feeding? I never had s clogging issue but my first thought is that you’re not adding enough water to the food. I’d try to thin it out more so it’s more liquid and less paste. I always held it up higher so the food would travel down easily. A lot like subq fluids. There should be online videos you can watch I’m sure.
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I'm flushing with 10 ml before and after food and meds. I'm also lightly flush a little during each feeding to help it go down better. I'm also putting the syringes back in the warm water because of how long it is taking, the stuff isn't staying warm. Mixing meds separately in a glass with warm water, pulling that up. Those haven't given me an issue at all today. I got my new pill crusher. It may be helping too.

I'm adding 50ml of water per 5.5 oz can into my blender as directed by the vet. I can try adding more water. Didn't want to confuse myself with the calorie schedule I have though.

I am holding the tube up and straight. He chest area is propped up higher than his butt too.

*EDIT, For anyone struggling with the feeding tube draining extremely slow like I had been: diluting the food with additional water has solved the issue I was having. Just be mindful if you have struggled, this is going to come out much faster. Prepare yourself and go slow. Please remember to take your time. This should never be rushed.
 
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Bandit's Mom said:
Bandit was diagnosed with fatty liver a couple of months back. She had suddenly stopped eating when we were traveling (we never discovered why) and her liver values were off the charts (much much higher than Basic's). The vet diagnosed fatty liver based on an ultrasound. She eats only dry food and the vet refused to put in a feeding tube (said she would not survive general anaesthesia!), so we were force feeding her dry food. It wasn't pleasant. Fortunately, she suddenly started eating on her own after a week. We also started her on liver supplements (Denamarin) and a probiotic as prescribed by the vet.

I don't have any experience with a feeding tube but from what I've read here, A/D is usually used for assisted feeding since it is higher in calories and its texture is suitable for a feeding tube. They also say that you want to offer a different food than the one you are using for assisted feeding since the cat may develop an aversion to that food.

Is the feeding tube clogging even after you add water to the A/D?

From previous posts I see that the SNAP fPL was negative. Were his kidney values checked? CKD is another reason why cats can feel terrible and not want to eat.


I have given Bandit 2mg of Ondansetron every 8 hours when she hasn't eaten in the past and her weight is 11lbs. You could try giving half a pill every 8 hours.
Click to expand...
Bandit's Mom said:
Bandit was diagnosed with fatty liver a couple of months back. She had suddenly stopped eating when we were traveling (we never discovered why) and her liver values were off the charts (much much higher than Basic's). The vet diagnosed fatty liver based on an ultrasound. She eats only dry food and the vet refused to put in a feeding tube (said she would not survive general anaesthesia!), so we were force feeding her dry food. It wasn't pleasant. Fortunately, she suddenly started eating on her own after a week. We also started her on liver supplements (Denamarin) and a probiotic as prescribed by the vet.

I don't have any experience with a feeding tube but from what I've read here, A/D is usually used for assisted feeding since it is higher in calories and its texture is suitable for a feeding tube. They also say that you want to offer a different food than the one you are using for assisted feeding since the cat may develop an aversion to that food.

Is the feeding tube clogging even after you add water to the A/D?

From previous posts I see that the SNAP fPL was negative. Were his kidney values checked? CKD is another reason why cats can feel terrible and not want to eat.


I have given Bandit 2mg of Ondansetron every 8 hours when she hasn't eaten in the past and her weight is 11lbs. You could try giving half a pill every 8 hours.
Click to expand...

I'm so glad that Bandit is doing better. I'm sorry you both experienced that.

Yes, I'm offering his his fancy feast, and his old food: friskies and dry kibble. He is eating some. I guess I just expected his to respond more quickly. Him wanting treats but not taking them tells me he is still nauseous. Someone else said he was is underprescribed on the antinausea, so I'll adjust. I haven't offered the AD in a dish, thankfully.

He had a vcheck fpl which is quantitative. His level was 2.9. Someone here sent links stating test may not be best, but the treatment for pancreatitis he is receiving. I am walking blindly here.

Thanks for reminding me about the supplements and probiotics. I'll write that down.

Thanks for your time. I truly appreciate it.
 
Wendy&Neko said:
Ondansetron dosing is 0.5-1.0 mg/kg of cat, every 6-8 hours. 23 lbs is a little over 10 kg, he can get 5-10 mg every 6-8 hours. He is currently being underdosed with oral ondansetron. You can also get an injectable, though I've heard it might sting. It is given subq, dosing is less than that of oral.

I fostered a hepatic lipidosis kitty (fatty liver) from our local shelter. He was a social eater, needed humans around to eat. There was a staff strike, covering manager did the dump and run with food. Anyway, I brought the kitty home. Shelter didn't want to pay a lot of money, so I ended up assist feeding him, at least 6 times a day, sometimes 8, depending on how much I could get in him at a sitting. I gave Royal Canin Recovey formula and vet said I needed to get one can in him per day. I found Recovery even a little smoother than the A/D. It took him a couple weeks before he started eating on his own. And I also had to figure out he had gone completely off of chicken, which was what was in the Recovery. No just the one brand, but all food with chicken in it. Snappy Tom cat food to the rescue.
Click to expand...
Thank you so much for info on Ondansetron. I figured he was still nausea with the way he is behaving. Yes, extremely painful in subq, best for the IV (is what they've told me and his response to in being in his subq would make me believe it was extremely painful). I will explain this to her and ask for more.

I'm hoping me adding more water to his food will help, if not, I'll look at the nutrition in others listed around here.

If I have to do this for a couple weeks, the draining has to speed up. As he starts feeling better, the less likely he will be willing to sit for 5 or 6 hours a day being held against his will.

Thank you very much for the invaluable information.
 
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Bron and Sheba (GA) said:
I am surprised the AD is clogging the feeding tube. Could it be the medications that are clogging the tube. Make sure you run some water through the tube before and after meds and feeding.
I notice you said in the remarks column of the SS he ate out of the bowl himself yesterday. That is good. What food did he eat on his own? I would let him eat whatever he wants at the moment as eating is much more important than what he eats. That can be sorted out later.
If the tube is blocked you may need to get the vet to unblock it, if you cant do so.
I would also ask the vet about giving St Marys Thistle for the liver.
Click to expand...
Yeah, it is painful. I'm diluting according to the directions (50ml per can) and flushing 10ml before and after. Meds are going much smoother now. The last feeding, I flushed 1 or 2ml when it started hanging up again. It seemed to help a little.

He isn't really eating his fancy feast. He is eating some of his old food. Friskies canned (different flavors) and purina pro plan adult 7+, chicken and rice. He was just eating kibble.

Thank you for your time and the invaluable information about the st Mary thistle.
 
Bandit's Mom said:
I am sorry you are going through so much.:bighug:

Btw, if he is still getting Clavamox, that can also make him feel like sh*t and not want to eat. You definitely want to add a probiotic like S. Boulardii (https://www.amazon.com/Jarrow-Formu...inal/dp/B0013OVW0E/?tag=felinediabetesfdmb-20) and give it 2 hours apart from the antibiotics.
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Thank you. It is the most helpless I have felt since my child died. It has been a complete whirlwind and I am all over the place.

Yes, he has 5 days left on the clavamox.

Thank you for the information. I'm adding it to the list.
 
If you do not have a ketone meter. He sells a type of sandbox soil that does not trap urine and he pees quietly and you collect the urine from his sandbox. You could take a look maybe it will be useful until you can buy a meter.....
 
Sybil said:
https://felinediabetes.com/FDMB/threads/new-member.282017/
https://felinediabetes.com/FDMB/threads/update-on-basic.282047/
https://felinediabetes.com/FDMB/threads/bg-is-on-the-low-end-do-i-only-give-half-hsi-dose.282132/
https://felinediabetes.com/FDMB/threads/need-help.282176/
https://felinediabetes.com/FDMB/threads/slgs-low-bg-146-stalling.282238/#post-3111049
https://felinediabetes.com/FDMB/threads/10-6-update-on-base.282279/

I've included links to all my post. I also keep his SS and signature current. I know Bron is in Australia (unsure of the time difference), but they typically are the only one to respond.

This answer isn't urgent, but I'm unsure what to do. He is currently on .75 U every *12 hours (been on this dose for only 4 days). *edit

From the day feeding tube was place (10/5), his BG has been high. I know the stress from he vet really pushed that number up and we had to return the next morning and were there for over 2 hours. I also have to take into consideration that he is now getting food through his FT and eating on his own. He really wasn't consuming many calories before FT installed.

All that said, I know we typically keep them on their dosage for 7 days, but should i bump him back to 1 U 2xs a day now that he is consuming calories. Posing the question because I don't want him suffering because I don't know what I'm doing.

I was told I should post in this forum. If this shouldn't be here, please advise so I can receive the information I'm seeking.

Thanks in advance.
Click to expand...

Adding 10ml of water to the syringe with food made a huge differnece. Feeding amd meds went very smoothly this morning.

His BG is over 400, but my libre only graphs over 350+. He also now has diarrhea and has it everywhere. I've mopped up the house. I can't clean him as well as I'd like because he is very pissed.

Feel so bad for my guy. The probiotics someone suggested I get won't be here until tomorrow. Wonder why the vet didnt suggest this before hand. I couldve prevented this. Anything I can do for him in the meantime?
 
Bandit's Mom said:
I am sorry you are going through so much.:bighug:

Btw, if he is still getting Clavamox, that can also make him feel like sh*t and not want to eat. You definitely want to add a probiotic like S. Boulardii (https://www.amazon.com/Jarrow-Formu...inal/dp/B0013OVW0E/?tag=felinediabetesfdmb-20) and give it 2 hours apart from the antibiotics.
Click to expand...
I ordered those. I'm not sure of dosing. They aren't due in until tomorrow. He was a mess this morning with diarrhea. I wish I would've known sooner this was going to happen. Thanks in advance for you advice.
 
Sybil said:
I ordered those. I'm not sure of dosing. They aren't due in until tomorrow. He was a mess this morning with diarrhea. I wish I would've known sooner this was going to happen. Thanks in advance for you advice.
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This page has info on S. Boulardii dosing:
https://www.foodfurlife.com/my-cat-has-diarrhea---what-do-i-do.html#/

The normal dosing is 1/2 capsule twice a day. Emergency stop diarrhea dosing is one-quarter of the 250mg / 5 billion CFU capsule every two hours or so.

ETA: Clavamox is known to cause inappetence, diarrhea and vomiting. :(
 
Ask them to show you how to flush the feeding tube with a little water both before and after feeding. Did they show you how to check to make sure that there is negative pressure in the feeding tube prior to putting anything (even the water) down there?

Edit: I see you are already flushing. I question the placement of the feeding tube or the type of tube they inserted.
 
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Sybil said:
Adding 10ml of water to the syringe with food made a huge differnece. Feeding amd meds went very smoothly this morning.

His BG is over 400, but my libre only graphs over 350+. He also now has diarrhea and has it everywhere. I've mopped up the house. I can't clean him as well as I'd like because he is very pissed.

Feel so bad for my guy. The probiotics someone suggested I get won't be here until tomorrow. Wonder why the vet didnt suggest this before hand. I couldve prevented this. Anything I can do for him in the meantime?
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If the diarrhea is being caused by the Clavamox, I can tell you from my experience that it is not going to clear up unless you switch to a different antibiotic. I have many cats who simply cannot take Clavamox (even though it is a very effective drug). There are other alternatives to Clavamox and your vet should be able to tell you which antibiotic would also work but have less possibility of causing diarrhea. I have had to do this many times (I have drawers stuffed with old Clavamox tablets and save them for the cats I have that are able to tolerate Clavamox.) The s. boulardii may help, but I have never had it work while I was still giving the Clavamox (the clavulanic acid in the Clavamox is just too irritating and will overwhelm the beneficial effect of any probiotics.) Having said that, it would be a good idea to put your kitty onto (also) a good broad spectrum probiotic. There are many. I won't go into it right now because you've already been so overwhelmed.
 
I'm happy to see that your Basic's kidney values appear to be good. When my cat was in DKA and also developed Hepatic Lipidosis, I started him on a liver supplement called Denamarin, which is a small pill. Also, you can try milk thistle which can be mixed into food (I opted for a pill, since I did not want to add anything to his food so that he would eat.) We also had a feeding tube, which helped him to recover more quickly and he was eating a lot of food on his own within a week or so.
 
Suzanne & Darcy said:
If the diarrhea is being caused by the Clavamox, I can tell you from my experience that it is not going to clear up unless you switch to a different antibiotic. I have many cats who simply cannot take Clavamox (even though it is a very effective drug). There are other alternatives to Clavamox and your vet should be able to tell you which antibiotic would also work but have less possibility of causing diarrhea. I have had to do this many times (I have drawers stuffed with old Clavamox tablets and save them for the cats I have that are able to tolerate Clavamox.) The s. boulardii may help, but I have never had it work while I was still giving the Clavamox (the clavulanic acid in the Clavamox is just too irritating and will overwhelm the beneficial effect of any probiotics.) Having said that, it would be a good idea to put your kitty onto (also) a good broad spectrum probiotic. There are many. I won't go into it right now because you've already been so overwhelmed.
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He has 5 days left on it. If he needs more, I'll ask for a different one according to info you provided. He has been on it since Thursday, unless you think I should see about switching immediately. I'm hoping with the other stuff she gave me, it will help solidify.

Thank you.
 
Suzanne & Darcy said:
I'm happy to see that your Basic's kidney values appear to be good. When my cat was in DKA and also developed Hepatic Lipidosis, I started him on a liver supplement called Denamarin, which is a small pill. Also, you can try milk thistle which can be mixed into food (I opted for a pill, since I did not want to add anything to his food so that he would eat.) We also had a feeding tube, which helped him to recover more quickly and he was eating a lot of food on his own within a week or so.
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She mentioned that med to me. And she said the st Mary could help too. She also explained to me that if he hates being pulled (which he absolutely does), the stress of that may do more harm than the meds will benefit. I understand that. Would like others to weigh in on this.

I do know my cat, and I do know without having to think about it that he is 100% over all of this. My cat has never growled at me and he is now. It is breaking my heart that he doesn't understand I'm just trying to help him.
 
Sybil said:
He has 5 days left on it. If he needs more, I'll ask for a different one according to info you provided. He has been on it since Thursday, unless you think I should see about switching immediately. I'm hoping with the other stuff she gave me, it will help solidify.

Thank you.
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Well, maybe you can tough it out for another five days if you want to. I would definitely not down in his file that Clavamox causes extremely bad diarrhea for him. Some of my cats will also vomit a lot on it.
 
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